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Analysis

Humana and Heritage Announce Medicare Advantage Collaboration

By Jack O'Brien  
   October 03, 2018

The insurer is teaming up with the physician-led value-based care organization to serve Medicare Advantage patients in southern and central California.

Humana and Heritage Provider Network (HPN) announced a value-based alliance to cater to Medicare Advantage members in California, according to a press release Wednesday.

The Marina del Rey, California-based insurer announced the collaboration in order to bolster the patient experience for Medicare Advantage customers in certain areas of the state. HPN features a network consisting of 3,600 primary care physicians and 10,000 specialists, while Humana accounts for nearly 2 million Medicare Advantage members nationwide.   

Counties where Medicare Advantage HMO members will have in-network access to HPN include:

  • Los Angeles
  • Orange
  • Riverside
  • San Bernardino
  • Kern (as well as Dual Eligible Special Needs Plan members)
  • Ventura (as well as Dual Eligible Special Needs Plan members)

Related: Humana Excels in Q2, Guidance Raised Accordingly

Leaders from both Humana and HPN celebrated the deal, with each eyeing future expansion opportunities. 

“We are excited to offer our southern California Medicare Advantage members additional access to value-based care through our new relationship with Heritage,” Rick Beavin, California Medicare President for Humana, said in a statement. “By working together with Heritage, we are able to better serve Humana Medicare Advantage members and offer them high-quality care with the goal of improving their health and well-being.”

Related: Humana's $15M Gift Promotes Population Health Curriculum at U. of Houston

“Working with Humana brings together two highly respected, experienced organizations committed to providing better care, better health and lower costs,” Dr. Richard Merkin, CEO of HPN, said in a statement. “We will be able to coordinate care needs across our entire system and tailor healthcare services proactively that will bring added value to Humana Medicare Advantage members by increasing their access to healthcare services in all of our medical provider groups throughout Southern and Central California, creating a robust care network.”

Jack O'Brien is the finance editor at HealthLeaders, a Simplify Compliance brand.


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