ST. LOUIS & LOUISVILLE, Ky. – Missouri-based Mercy and leading health and well-being company Humana Inc. (NYSE: HUM) have signed an agreement to expand patient access to virtual health resources as part of a broader, joint effort to provide more holistic care to Humana Medicare Advantage members. These goals are especially vital given the challenges presented by the COVID-19 pandemic.
The new initiative offers convenient care options for Humana Medicare Advantage members who are patients of Mercy’s more than 4,000 integrated primary and specialty care clinicians in Arkansas, Kansas, Missouri and Oklahoma. Now in effect, the value-based agreement expands upon Mercy and Humana’s existing network contract, which continues to provide in-network access at all Mercy hospitals, outpatient facilities, and physician practices.
Key features of the collaboration include:
- Mercy Virtual: Humana Medicare Advantage members now have in-network access to this comprehensive virtual resource, often called a “hospital without beds.” Staffed with more than 300 clinicians, it offers 24/7 care, such as virtual primary care in the home. Mercy Virtual’s services are an innovative, patient-centric model that provides care to patients when and where they require it.
- Value-Based Care: Mercy and Humana have entered into a contract to provide care that addresses the health of the whole patient. Payment to Mercy physicians by Humana is linked to providing quality care in order to improve the patient experience and health outcomes. This differs from traditional “fee-for-service” models, by which payment is based on the quantity of services clinicians provide.
“Mercy is committed to working with our communities to improve health care while also reducing the total cost of care,” said Shannon Sock, Mercy executive vice president, chief strategist and chief financial officer. “Strong payor relationships, like this one with Humana, will help in our long-term journey to provide more seamless care for our patients. Together we can make a real difference for patients, which is especially critical during this pandemic.”
“This agreement unites two organizations striving to offer care that is more accessible, personalized and coordinated – a commitment that is more important than ever right now,” said Jeremy Gaskill, Humana regional Medicare president. “We’re pleased to broaden our efforts to improve the health and well-being of people in the communities we serve by teaming up with Mercy, an organization that shares our dedication to innovation in health care.”
Humana has an extensive and growing value-based care presence. As of Dec. 31, 2020, Humana has more than 2.7 million individual Medicare Advantage and commercial members who are cared for by more than 67,000 primary care physicians in more than 1,000 value-based relationships across 43 states and Puerto Rico. As of January 2021, Humana’s total Medicare Advantage membership is more than 4.8 million members, which includes members affiliated with providers in value-based and standard Medicare Advantage settings. For more information, visit www.humana.com/valuebasedcare.
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 website 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
Other providers are available in our network. Provider may also contract with other plan sponsors.
Mercy, named one of the top five large U.S. health systems for four consecutive years by IBM Watson Health, serves millions annually. Mercy is one of the nation’s most highly integrated, multi-state health care systems, including more than 40 acute care, managed and specialty (heart, children’s, orthopedic and rehab) hospitals, convenient urgent care locations, imaging centers and pharmacies. Mercy has 900 physician practices and outpatient facilities, more than 4,000 Mercy Clinic physicians and advanced practitioners and 40,000-plus co-workers serving patients and families across Arkansas, Kansas, Missouri and Oklahoma. Mercy also has clinics, outpatient services and outreach ministries in Arkansas, Louisiana, Mississippi and Texas. In addition, Mercy's IT division, Mercy Technology Services, and Mercy Virtual commercially serve providers and patients from coast to coast.