Humana Expands Value-Based Arrangement With MemorialCare Medical Group And MemorialCare Health System To Include Greater Newport Physicians And Edinger Medical Group

Improved health and more coordinated care for Humana's Medicare Advantage (MA) members in Southern California is the goal behind a new fully accountable relationship between Humana Inc.

and its provider partners, Greater Newport Physicians and Edinger Medical Group. The new relationship expands on Humana's current partnership with MemorialCare Health System which features more than 145 primary care physicians through MemorialCare Medical Group. The partnership now also includes Greater Newport Physicians and Edinger Medical Group. The partnership is based on a shared vision to provide evidence-based, highly-integrated care leading to improved medical outcomes, better patient experiences and lower costs. Through Greater Newport Physicians and Edinger Medical Group Humana's Medicare Advantage members will have in-network access to MemorialCare Health System facilities, including Long Beach Memorial Medical Center, Community Hospital Long Beach, Orange Coast Memorial Medical Center, and Saddleback Memorial Medical Center in Laguna Hills and San Clemente. The new effort will focus on coordinated care with an increased emphasis on preventive services for Humana Medicare Advantage members in Orange County and the Long Beach region. Greater Newport Physicians is celebrating its 30th year of providing care to residents throughout Orange County and has expanded to approximately 900 primary care and specialty physicians in the group. Edinger Medical Group, an affiliate of Greater Newport Physicians, has been serving patients in Fountain Valley and Huntington Beach for 45 years. “We look forward to working with Humana in providing our services to Humana Medicare Advantage members in Southern California, along with MemorialCare hospitals,” said Diane Laird, Chief Executive Officer, Greater Newport Physicians. “This is an exciting partnership that further supports Greater Newport Physicians' mission of providing quality, coordinated health care with a more personalized approach that focuses on disease management and wellness programs.” “These types of partnerships are a critical step for Humana in California as we look to create a system that works in a more coordinated way,” said Jim Brown, Humana's California Market President for Senior Products. “With their tremendous scope of services and highly integrated model, Greater Newport Physicians and Edinger Medical Group are ideal partners as we continue developing improved health care experiences for our members.” Humana aims to work closely with doctors and hospitals through its Accountable Care Continuum. The continuum is a stepped approach to pay-for-value reimbursements that allows the company to implement different value-based partnerships with hospitals and doctors based on their infrastructure and value-based reimbursement capabilities. The new Humana offering through Greater Newport Physicians and Edinger Medical Group will include more personalized care and a broad range of population health 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 26-year accountable care relationship history with more 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.