Brookfield-based Integrated Health Network of Wisconsin formed a three-year accountable care agreement with Humana Inc. effective Jan. 1 with the intent of improving wellness and driving more coordinated care for Medicare Advantage members in Wisconsin.
Humana’s Medicare Advantage members now have access to IHN’s broad range of facilities and physicians in Wisconsin. IHN’s clinically integrated network currently includes 42 hospitals, 500 clinics and more than 5,000 physicians spanning northern, central, western and eastern Wisconsin.
IHN’s current members are Agnesian HealthCare, Columbia St. Mary’s, Froedtert Health, the Medical College of Wisconsin, Hospital Sisters Health System, Ministry Health Care and Wheaton Franciscan Healthcare.
“IHN’s shared infrastructure uniquely positions it for meaningful collaboration among multiple providers to continuously improve quality and effectiveness in order to control costs,” said Kurt Janavitz, chief executive officer of Integrated Health Network. “We are pleased to partner with Humana, a highly respected leader in the industry, to further enrich our ability to deliver high quality, affordable health care in Wisconsin.”
The foundation of the new agreement is based upon Humana’s Accountable Care Continuum. The continuum is a stepped approach to pay-for-value reimbursement that allows the company to implement different value-based partnerships with hospitals and doctors based on their infrastructure and value-based reimbursement capabilities.
The partnership will also offer more personalized care and a broad range of population management tools like predictive analytics, chronic disease management and wellness programs. The focus will be on care coordination and leveraging measures as defined by the National Committee for Quality Assurance (NCQA) Healthcare Effectiveness Data and Information Set (HEDIS) like diabetes care and treatment, breast cancer screenings, colorectal cancer screenings and high-risk medication.
Humana has a 27-year accountable care relationship history with more than 1.3 million Medicare Advantage members that are cared for by 42,300 primary care physicians, in more than 900 accountable care relationships across 43 states and Puerto Rico.
