VHAN & Humana Enter Value-Based Agreement to Benefit MA Patients
The Vanderbilt Health Affiliated Network (VHAN), the region’s largest alliance of leading hospitals and clinicians, and Humana, a leading health and well-being company, have entered into a value-based agreement that will benefit 4,000 Humana Medicare Advantage (MA) members in Middle Tennessee and Jackson, Tenn. The four-year agreement, the network’s first value-based care arrangement for an MA plan, commits network clinicians and Humana to work together to achieve shared goals for their patients: better health, improved outcomes and lower costs.
Both organizations have proven track records in value-based care, which aligns the efforts and incentives of clinicians to what matters most to patients: improving their health care experience and overall health while also controlling health care costs:
- Over the last four years, providers who are part of the VHAN have improved the coordination of care for their patients while also delivering cost savings to benefit plan customers.
- In 2015, on average, Humana Medicare Advantage members served by providers under value-based care experienced: 6% fewer ER visits, higher screening rates, including those for colorectal cancer (+8%) and breast cancer (+6%), and healthier outcomes versus members who were treated by providers in standard MA settings.
“Humana’s new agreement with VHAN is aligning high-quality physicians and facilities with Humana’s expertise in value-based care, population health tools and data-driven insights around the same goal: improving the health of the people we serve,” said Doug Haaland, Mid-South regional president for Humana.
“This agreement with Humana further validates VHAN’s proven model for delivering quality and value,” said C. Wright Pinson, MBA, M.D., deputy chief executive officer for Vanderbilt University Medical Center and chairman of the board for the Vanderbilt Health Affiliated Network. “We are pleased to work together to bring the network’s mission for providing more proactive, coordinated and affordable care to Humana’s Medicare Advantage patients in our region.”
The VHAN is the region’s largest physician-led organization of healthcare professionals working to improve health and increase value to patients, providers, employers and other consumers of healthcare services. The network powers programs and benefit products with the goal of improving overall health across large populations while reducing per-capita costs for healthcare delivery. Currently, the network is responsible for delivering high-quality, cost-effective care to more than 130,000 people through benefit products with multiple insurance carriers. That number is growing constantly through new relationships such as the one announced today.
This new agreement maintains VHAN coverage for patients with Humana MA plans, but provides additional resources to physicians to help them better manage the health of their patients.
As of Dec. 31, 2016, Humana has 1.8 million individual MA members and 200,000 commercial members who are cared for by 50,400 primary care providers, in more than 900 value-based relationships across 43 states and Puerto Rico.
As of Dec. 31, 2016, approximately 64% of Humana individual MA members are in value-based payment relationships. Humana’s goal is to have 66% of individual MA members in value-based payment models by the end of 2017. Learn more here.
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 Investor Relations, 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
About the Vanderbilt Health Affiliated Network (VHAN)
VHAN is the region’s largest physician-led organization of health care professionals working together to improve health and increase value to patients, providers, employers and other consumers of health care services. It serves patients across Tennessee, portions of Kentucky, Eastern Arkansas, Northern Mississippi and the western portion of Virginia. The network includes more than 4,000 clinicians, 56 hospitals, 12 health systems, and hundreds of physician practices and clinics. Participating health systems include:
- Baptist Memorial Health Care
- Cookeville Regional Medical Center
- Erlanger Health System
- Jennie Stuart Medical Center
- Maury Regional Medical Center
- Mountain States Health Alliance
- NorthCrest Medical Center
- Saint Thomas Midtown
- Saint Thomas Rutherford
- Sumner Regional Medical Center
- Vanderbilt University Medical Center
- West Tennessee Healthcare
- Williamson Medical Center