Humana Inc. HUM, one of Texas's leading health benefits companies,
announced today that the company's Medicare Advantage health plan members will
have in-network access to the inpatient, outpatient and emergency services
provided by Baylor Health Care System in Dallas, Tarrant, Collin, Denton and
Ellis counties effective Dec. 15, 2012.
Seniors and other beneficiaries eligible for of Medicare who sign up for a
Humana Medicare Advantage health maintenance organization (HMO) or preferred
provider organization (PPO) health plan during the Medicare Annual Election
Period (AEP), ending Dec. 7, 2012, will have in-network benefits during the
2013 plan year.
Humana's commercial members and individual medical members (HumanaOne®)
already have in-network access to Baylor Health Care System. Baylor Health
Care System services and facilities included in the agreement are:
* 30 hospitals that are owned, operated, joint ventured or affiliated with
Baylor Health Care System
* 26 ambulatory surgical/endoscopy centers
* 193 HealthTexas locations
* 83 satellite outpatient facilities – imaging, rehabilitation and pain
* 3 senior health centers
* 3 retail pharmacies
In addition, Humana has signed an agreement with the newly-formed Baylor
Quality Alliance, a clinically-integrated model recently launched by Baylor
Health Care System that includes the 600 HealthTexas employed physicians and
900 independent physicians in an accountable alliance with the Baylor Health
Care System hospitals. The agreement aligns incentives under a new contract
structure that rewards physicians affiliated with Baylor Quality Alliance for
improved quality and efficiency outcomes for Humana's Medicare Advantage
members.
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