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Humana Develops Direct-Contracting Strategies for Senior Care Services and Home-Based Care

Humana Inc. (NYSE: HUM) stated in March that it will merge its “Partners in Primary Care” and “Family Physicians Group” into a single brand.Humana two payer-neutral, senior-focused divisions merged to form “CenterWell Senior Primary Care.” Through direct contracts with the federal government, the newly renamed elder care firm is now expanding into original Medicare.

In an email to Home Health Care News, Matt Eirich, Humana chief growth officer, said, “Everything about CenterWell was created with seniors in mind.” “We combine this with a value-based reimbursement approach that allows us to engage in the proactive treatment, such as visiting our patients on a regular basis rather than only when they are sick, and spending time with them to assist them to manage their conditions.”

The “Humana Care Delivery Organization” is made up of CenterWell and Humana Conviva Care Centers. Conviva is engaging in the model through the “Humana Direct Contracting Entity” tag, and “CenterWell Care Solutions” has been established up as an entity to collaborate with the CMMI (Center for Medicare & Medicaid Innovation) on its Global and Direct Contracting Model.

Both are primary care groups that focus on seniors and employ a comprehensive approach to care. They have more than 160 facilities in the United States and serve over 200,000 patients.Approved companies can enter into risk-sharing agreements for conventional Medicare through direct contracting. The objective is to save money while improving patient care.

Humana is optimistic about its chances as a DCE (Direct Contracting Entity), believing that its model fits nicely with the goals of the payment system.“We invest significantly more in our primary care practices than the average practice, but our strategy minimizes unnecessary hospitalizations, resulting in improved patient outcomes and cost savings for the larger health system,” Eirich said.

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