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Oak Street Health and Humana Expand Availability of Value-Based Care in Pennsylvania

Organizations Teaming Up to Offer a Patient-Centered Experience for Humana Medicare Advantage Members at Philadelphia-Area Clinics

Category:

Tuesday, October 30, 2018 10:32 am EDT

Dateline:

PHILADELPHIA

Public Company Information:

NYSE:
HUM
US4448591028
"By adding these Oak Street Health primary care practice locations to our Medicare Advantage network in the Philadelphia area, we’re offering patient-centered care close to home, in the communities where our members live."

PHILADELPHIA--(BUSINESS WIRE)--Oak Street Health, a network of health centers providing primary care for Medicare patients, and leading health and well-being company Humana Inc . (NYSE: HUM) have entered into a value-based care network agreement in the Philadelphia area designed to offer a coordinated, patient-centered experience and help Humana Medicare Advantage members in Pennsylvania achieve better health.

The agreement aims to offer quality, cost-effective care to enhance both the patient experience and health outcomes by giving Humana Health Maintenance Organization (HMO) and Preferred Provider Organization (PPO) Medicare Advantage health plan members in Pennsylvania access to Oak Street Health’s first patient care centers on the East Coast, all located in Greater Philadelphia.

Oak Street Health currently serves patients at four Philadelphia clinics recently acquired from CityLife Neighborhood Clinics - at 1200 W. Godfrey Ave., 1010 W. Lehigh Ave., 37 S. 40th St., and 6232 Market St. - serving the Fern Rock, Lehigh Avenue, University City and Cobbs Creek neighborhoods.

In addition, Oak Street Health will have a total of three other locations in the city. Two are scheduled to open later this year in Philadelphia – at 5050 Parkside Ave. and 3621 Aramingo Ave. – serving residents of West Philadelphia, Aramingo and Port Richmond neighborhoods. The third, at 2401 W. Cheltenham Ave. in Wyncote, is now open to patients and serves residents in lower Montgomery County, as well as in the Mount Airy and Oak Lane neighborhoods.

“We’re proud to broaden our reach nationally and bring our proven model of personalized primary care to Humana members in Pennsylvania,” said Amyn Andharia, Regional Vice President of Oak Street Health. “As Oak Street Health expands outside of the Midwest, we’re pleased to deepen our longstanding relationship with Humana in ensuring that people with Medicare have additional access to quality care and receive a great patient experience.”

Oak Street Health contracts with Medicare Advantage and Medicare Part D Health Plans, including numerous Humana Medicare Advantage plans. In addition to the Pennsylvania locations, Humana Medicare Advantage members have access to 40 other Oak Street Health clinics located in Illinois, Indiana, Michigan, and Ohio.

Oak Street Health treats people with Medicare and has shown significantly improved outcomes, providing quality care and reducing costly hospitalizations, according to a recent case study1. The company provides personalized experiences and a variety of individual resources for its patients, including a dedicated care team with a doctor or nurse practitioner, and community rooms at each center.

“As part of this agreement, Oak Street Health and Humana will continue our important work together, focusing on strategies to improve the health and well-being of our Medicare Advantage members,” said Eric Bohannon, Humana Regional President of Medicare in Pennsylvania. “By adding these Oak Street Health primary care practice locations to our Medicare Advantage network in the Philadelphia area, we’re offering patient-centered care close to home, in the communities where our members live.”

Oak Street Health and Humana are proud to continue to team up to deliver extensive value-based care services, with an emphasis to be placed on:

  • 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).

Humana has an extensive and growing value-based care presence. As of June 30, 2018, Humana has approximately two million individual Medicare Advantage members and approximately 130,000 Group members who are cared for by more than 52,000 primary care physicians in more than 1,000 value-based relationships across 43 states and Puerto Rico. Humana’s total Medicare Advantage membership is more than 3.5 million members, which includes members affiliated with providers in value-based and standard Medicare Advantage settings. For more information, visit humana.com/provider/support/vbc.

About Oak Street Health

Oak Street Health is a rapidly growing company of primary care centers for adults on Medicare in medically underserved communities where there is little to no quality healthcare. Oak Street’s care is based on an entirely new model that is based on value for its patients, not on volume of services. The company is accountable for its patients’ health, spending more than twice as long with its patients and taking on the risks and costs of their care. Oak Street Health has been investing in communities since 2013 – providing much-needed primary care for tens of thousands of people.

To learn more about Oak Street Health, visit www.oakstreethealth.com.

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 and PPO organization with a Medicare contract. Enrollment in any Humana plan depends on contract renewal. Other providers are available in our network.

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1 Porter, Michael E., Lee, Thomas H., & Alger, Meredith A. Oak Street Health: A New Model of Primary Care. Harvard Business School Case Study (2017), 10.

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Contact:

Walker Sands Communications
Kyle Rall, 312-964-9114
kyle.rall@walkersands.com
or
Humana Corporate Communications
Alissa Krinsky, 312-441-5576
akrinsky@humana.com