Aurora and Humana launch accountable care agreement

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Aurora Health Care and Humana Inc. announced today that they have entered into a new accountable care agreement for Medicare Advantage members throughout the eastern Wisconsin and northern Illinois region.

The organizations say that the agreement, which went into effect on Jan. 1, will provide Humana Medicare Advantage members with a better way of receiving health care at Aurora’s 15 hospitals, 159 outpatient facilities and 70 retail pharmacies.

The new agreement, centered around Humana’s accountable care continuum, is based on a pay-for-value system focused on promoting evidence-based, highly-integrated care that can lead to improved medical outcomes, a better patient experience and lower costs.

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“Aurora is dedicated to helping people live well, and this new accountable care relationship aligns with that mission,” said Rick Klein, Aurora’s executive vice president of business development. “We’re looking forward to implementing this agreement and further evolving health care into a more sustainable industry for the future.”

Humana and Aurora will work together to enhance medical records infrastructure and further collaborate on disease management and prevention, such as diabetes care and treatment, breast cancer screenings, colorectal cancer screenings and high-risk medication. Humana members will receive customized care through doctor resources, including real-time “gap in care” identification, predictive modeling and electronic health records.

“As a company, we’re shifting our focus to increase preventative services and ensure efficient, high-quality care to keep members on a path toward lifelong health,” said Bruno Piquin, senior markets vice president of Humana’s northern division. “Aurora is a high-performing health system with a longstanding history in Wisconsin and northern Illinois. Entering into this new relationship will not only lead to world-class care for our members but overall healthier individuals, families and communities.”

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Humana has a 26-year accountable care relationship history with more than 1.2 million MA members that are cared for by 38,000 primary care physicians, in more than 900 accountable care relationships across 43 states and Puerto Rico.

Humana also entered Jan. 1 into a new three-year accountable care agreement and partnership with Kenosha County-based United Hospital System.

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