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Cleveland Clinic and Humana Expand Availability of Co-Branded, $0 Premium Medicare Advantage HMO Health Plan In Northeast Ohio

  • Plan To Be Offered for 2019 in Five Northeast Ohio Counties: Cuyahoga, Lake, Lorain, Medina, and Summit
  • New Plan Benefits Added, Including Medical Appointment Transportation

Category:

Monday, October 1, 2018 10:00 am EDT

Dateline:

CLEVELAND & LOUISVILLE, Ky.

Public Company Information:

NYSE:
HUM
US4448591028
"This collaboration allows us to expand access to our health services to address the health care needs of the communities we serve"

CLEVELAND & LOUISVILLE, Ky.--(BUSINESS WIRE)--Cleveland Clinic and Humana Inc. (NYSE: HUM) announced today added benefits to, and broadened availability of, their co-branded, $0 premium Medicare Advantage Health Maintenance Organization (HMO) health plan for 2019. The enhanced Humana Cleveland Clinic Preferred HMO Medicare Plan – which offers patient-centered, affordable access to expert doctors, nurses and facilities – will be available to residents of five northeast Ohio counties.

Combining Humana’s Medicare Advantage experience with Cleveland Clinic’s clinical expertise, the Humana Cleveland Clinic Preferred HMO Medicare Plan is designed to help people with Medicare achieve better health through a more personalized, coordinated, and connected member experience. The plan was launched last year for people with Medicare in Cuyahoga County, and will have expanded availability in four additional counties – Lake, Lorain, Medina, and Summit – during this year’s Medicare Advantage and Prescription Drug Plan annual enrollment period (Oct. 15 to Dec. 7 for plan coverage starting Jan. 1, 2019).

Humana and Cleveland Clinic also offer a second co-branded health care plan, a Medicare Advantage Dual-Eligible Special Needs (D-SNP) plan for individuals in Cuyahoga County covered by both Medicare and Medicaid. Both the D-SNP and HMO plans offer affordability and accessibility with a $0 monthly plan premium; a $0 primary care provider office visit copay; and a $0 copay for a 30-day supply of Tier-1 prescription drugs. In addition, neither plan requires a referral to see in-network specialists.

In 2019, the two plans will be enhanced through the addition of new plan benefits, including:

  • A personal emergency alert system “help button” – a lightweight device that can be worn around one’s neck or wrist, or on a belt – which can be activated 24/7 to call for assistance with urgent medical needs. The system also is designed to activate when detecting a patient fall.
  • Coverage of on-demand, live telemedicine visits through Cleveland Clinic Express Care® Online, which offers secure, cost-effective care for many common illnesses and health problems.
  • New to the Humana Cleveland Clinic Preferred HMO Medicare Plan will be a transportation benefit to provide members with rides to plan-approved locations for non-emergency medical purposes, such as for medical appointments and dialysis, and to fitness centers (the transportation benefit already is a D-SNP plan feature).

Members of both plans will have access to Cleveland Clinic health system’s more than 3,500 full-time salaried physicians and researchers, representing 140 medical specialties and subspecialties, as well as independent physicians who are part of the Cleveland Clinic Quality Alliance. The Cleveland Clinic health system includes the main campus hospital and facilities near downtown Cleveland, 10 regional hospitals and more than 150 outpatient locations in northeastern Ohio - including 18 full-service Family Health Centers and three Health and Wellness Centers.

In addition, members can take advantage of services provided by Cleveland Clinic’s navigator team, a support unit that provides patient guidance and assistance in scheduling appointments and coordinating care.

“This collaboration allows us to expand access to our health services to address the health care needs of the communities we serve,” said Michael Harrington, Cleveland Clinic Chief Accounting Officer and Controller. “Both of our organizations share a commitment to the community to provide integrated, patient-centered care.”

“Humana is excited to join with Cleveland Clinic in announcing these new plan options in northeast Ohio,” said Larry Costello, President of Humana Senior Products in Ohio. “We’re proud to deepen our relationship with Cleveland Clinic by broadening plan availability in areas outside of Cuyahoga County, and in offering new benefits that focus on the patient experience.”

The Humana Cleveland Clinic Preferred HMO and D-SNP Medicare Plans build upon an existing value-based care agreement between Humana and Cleveland Clinic designed to help people achieve better health by emphasizing:

  • More personal time with health professionals and personalized care that is tailored to each person’s unique health situation;
  • Access to proactive health screenings and programs that are focused on preventing illness;
  • Improved care for people living with chronic conditions with a focus on avoiding health complications;
  • Leveraging technologies, such as data analytics, that connect physicians and help them work as a team to coordinate care around the patient; and
  • Reimbursement to physicians linked to the health outcomes of their patients rather than based solely on the quantity of services they provide (fee-for-service).

The Humana Cleveland Clinic Preferred Medicare Plans complement this value-based care approach in using existing tools, data, and access to care support, to help maximize physician time spent with patients.

For more information about the Humana Cleveland Clinic Preferred Medicare Plans, please visit www.Humana.com/ClevelandClinic. Medicare licensed agents interested in representing Humana plans, including the Humana Cleveland Clinic Preferred HMO, can contact Humana’s agent support unit at 800-833-6931.

About Cleveland Clinic

Cleveland Clinic is a nonprofit multispecialty academic medical center that integrates clinical and hospital care with research and education. Located in Cleveland, Ohio, it was founded in 1921 by four renowned physicians with a vision of providing outstanding patient care based upon the principles of cooperation, compassion and innovation. Cleveland Clinic has pioneered many medical breakthroughs, including coronary artery bypass surgery and the first face transplant in the United States.

U.S. News & World Report consistently names Cleveland Clinic as one of the nation’s best hospitals in its annual “America’s Best Hospitals” survey. Among Cleveland Clinic’s 51,000 employees are more than 3,500 full-time salaried physicians and researchers and 14,000 nurses, representing 140 medical specialties and subspecialties.

Cleveland Clinic’s health system includes a 165-acre main campus near downtown Cleveland, 10 regional hospitals, more than 150 northern Ohio outpatient locations – including 18 full-service family health centers and three health and wellness centers – and locations in Weston, Fla.; Las Vegas, Nev.; Toronto, Canada; Abu Dhabi, UAE; and London, England. In 2016, there were 7.1 million outpatient visits, 161,674 hospital admissions and 207,610 surgical cases throughout Cleveland Clinic’s health system. Patients come for treatment from every state and 185 countries. [The provider network of the two Humana Cleveland Clinic Preferred Medicare Advantage plans is limited to Cleveland Clinic’s providers and facilities in Northeast Ohio.]

Visit us at clevelandclinic.org. Follow us at twitter.com/ClevelandClinic. News and resources available at newsroom.clevelandclinic.org.

About Humana

Humana Inc. is committed to helping our millions of medical and specialty members achieve their best health. Our successful history in care delivery and health plan administration is helping us create a new kind of integrated care with the power to improve health and well-being and lower costs. Our efforts are leading to a better quality of life for people with Medicare, families, individuals, military service personnel, and communities at large.

To accomplish that, we support physicians and other health care professionals as they work to deliver the right care in the right place for their patients, our members. Our range of clinical capabilities, resources and tools – such as in-home care, behavioral health, pharmacy services, data analytics and wellness solutions – combine to produce a simplified experience that makes health care easier to navigate and more effective.

More information regarding Humana is available to investors via the Investor Relations page of the company’s web site at www.humana.com, including copies of:

  • Annual reports to stockholders
  • Securities and Exchange Commission filings
  • Most recent investor conference presentations
  • Quarterly earnings news releases and conference calls
  • Calendar of events
  • Corporate Governance information

Additional Information

Humana is a Medicare Advantage HMO organization with a Medicare contract. Humana is also a Coordinated Care Plan with a Medicare contract and a contract with the Ohio Medicaid program. Enrollment in any Humana plan depends on contract renewal. This information is not a complete description of benefits. Call 1-877-877-0714 (TTY: 711) for more information. Other ancillary providers such as labs and durable medical equipment suppliers, and pharmacies are available in our network. Limitations on healthcare and prescription services delivered via remote access technology and communications options vary by state. Remote access technology services are not a substitute for emergency care and not intended to replace your primary care provider or other providers in your network. This material is provided for informational use only and should not be construed as medical advice or used in place of consulting a licensed medical professional.

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Contact:

Humana Corporate Communications
Alissa Krinsky, 312-441-5576
akrinsky@humana.com
or
Cleveland Clinic
Heather Phillips, 216-445-4517
phillih@ccf.org