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ConcertoHealth, Humana Team Up On Value-Based Care In Metro Detroit

Humana Medicare Advantage members in Southeast Michigan now have access to fast-growing trend in health care delivery


Tuesday, January 12, 2016 3:51 pm EST



Public Company Information:

"The primary care physician is the key to creating a more effective health care system"

DETROIT & LOUISVILLE, Ky.--(BUSINESS WIRE)--ConcertoHealth and Humana Inc. (NYSE: HUM) have signed a value-based health care agreement designed to offer Humana’s Medicare Advantage members in Detroit and throughout Southeast Michigan an option for a more coordinated, more personalized health care experience.

Value-based care, also known as accountable care, is a growing national trend representing a shift away from the historic health care model that focused on treating individual health events. Value-based care aligns all players in the health care system to focus on a person’s overall health and long-term well-being.

ConcertoHealth has more than a decade of experience caring for Medicare, Medicaid and complex medical needs patients. The company integrates clinical care with social services to ensure that patients and their families receive the individualized support they need to improve health outcomes and peace of mind. Concerto recently opened three new care centers, to extend their services to additional patients across Greater Detroit. Concerto’s care centers, located in downtown Detroit, MI.; Centerline, MI.; Allen Park, MI.; and West Detroit, MI, are now available to Humana’s Medicare Advantage members.

“We’re very excited about our partnership with Humana across the greater Detroit area, and we look forward to introducing their members to our comprehensive model of care. This statewide partnership also offers us the opportunity to support Humana’s patients in neighboring Michigan markets over the coming months and years,” said Dave Tigue, President of Concerto of Michigan. “This partnership demonstrates our mutual commitment to value-based care and to providing a more complete medical home solution to patients in the state of Michigan.”

Through the new agreement, Humana’s population health capabilities, including predictive analytics, chronic disease management and wellness programs, will complement Concerto’s highly integrated health care network and patient-centered medical home initiatives. The goal, according to Humana Medicare Products President Chuck Dow, is to place primary care physicians at the center of the health care system.

“The primary care physician is the key to creating a more effective health care system,” Dow said. “Concerto understands that and has designed the perfect care model for us to work with on this new model. Value-based care creates a framework that allows primary care physicians to spend more time with patients, arms them with the tools they need to truly manage their patients’ health, and aligns the health care system to be more responsive to the people it serves.”

The agreement includes value-based incentives tied to performance improvement and quality outcomes, emphasizing standard measures defined by the National Committee for Quality Assurance (NCQA) Healthcare Effectiveness Data and Information Set (HEDIS), including breast cancer screening, colorectal screening, comprehensive diabetes care, and high-risk medications.

Humana has nearly 30 years of accountable care experience, reflected in results from approximately one million Medicare Advantage members that showed significant improvements in quality, outcomes and costs through partnerships like the one with Concerto.

Today, Humana has 1.6 million individual Medicare Advantage members and 200,000 commercial members today who are cared for by approximately 44,000 primary care physicians, in more than 900 value-based relationships across 43 states and Puerto Rico. For more information, visit humana.com/accountable-care.

About Concerto

ConcertoHealth, Inc. has more than a decade of experience caring for the Medicare, Medicaid and complex medical needs patient populations. The company delivers the medical, social and logistical support their patients need, when and where they need it. Concerto Medical Centers are staffed by physicians, nurses, social workers, medical assistants, and pharmacy staff, in addition to social and community services support, patient outreach and health education. The company also provides access to those same personalized primary care services to patients in the home, and in the hospital or nursing facility settings. The company is headquartered in Irvine, Calif. For more information, please visit www.concertohealthcare.com.

About Humana

Humana Inc., headquartered in Louisville, Ky., is a leading health and well-being company focused on making it easy for people to achieve their best health with clinical excellence through coordinated care. The company’s strategy integrates care delivery, the member experience, and clinical and consumer insights to encourage engagement, behavior change, proactive clinical outreach and wellness for the millions of people we serve across the country.

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;
  • Replays of most recent earnings release conference calls;
  • Calendar of events; and
  • Corporate Governance information.

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