Holzer and Humana Partner to Launch Accountable Care Agreement in Southeast Ohio

GALLIPOLIS, OH – Holzer and Humana Inc. (NYSE: HUM), one of the country’s leading health and well-being companies, recently announced a new Accountable Care agreement. The new agreement is expected to result in more coordinated care for patients and an increased emphasis on preventive services.

Humana’s Accountable Care Continuum is a pay-for-value system focused on promoting evidence-based, high-quality care, which can lead to improved medical member outcomes, a better customer experience and lower costs. Humana’s new Accountable Care relationship with Holzer is designed to improve the health of and service to Humana’s nearly 10,000 Medicare Advantage members within Holzer’s service area.

Humana’s membership in Southeast Ohio has grown steadily since the launch of Medicare Advantage following the Medicare Modernization Act of 2003. Holzer, the leading health system in Southeast Ohio and Western West Virginia, provides services in more than 30 areas of expertise with 150 board certified physicians providing care in 14 medical centers and outpatient locations.

“Working together with Holzer in an Accountable Care relationship is an important step in creating a health system in which the components work together to better serve our patients and members,” said Larry Costello, Humana’s Regional President for Senior Markets in Ohio. “We’re creating a more efficient system that creates health rather than just treats sickness.”

The new Humana-Holzer Accountable Care agreement includes value-based incentives tied to performance improvement and will bring better patient care coordination, more cost effective, quality care and a world-class patient experience to Humana members in Southeast Ohio and Western West Virginia. The arrangement will offer more personalized care and a broad range of population management tools like, predictive analytics and chronic care, disease management and wellness programs.

The value-based arrangement emphasizes quality outcomes with a focus on care coordination and leverages 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 25-year Accountable Care relationship history with more than one million members that are cared for by 33,000 primary care physicians, in more than 900 Accountable Care relationships across 40 states and Puerto Rico.