Sentara Quality Care Network partners with Humana to offer value-based health care in Charlottesville
Dec. 16, 2015
The Sentara Quality Care Network (SQCN) has teamed with national health and well-being company Humana Inc. (NYSE: HUM) to offer a new value-based healthcare model to Medicare Advantage members in Charlottesville. The new approach is part of a fast-growing national trend to enable physicians and specialists to better manage their patients’ care.
Through the new partnership, Humana will work closely with independent and hospital employed healthcare providers in Charlottesville who are affiliated with the SQCN clinically integrated network. SQCN and Humana will provide doctors with powerful population health data and analysis and Humana members with disease management programs, health coaching and wellness programs to help them achieve their best health. Value-based healthcare is part of the industry’s movement toward a healthcare delivery model that focuses on quality, long term well-being and a more coordinated healthcare experience.
Humana currently has about 10,000 Medicare Advantage members in the Charlottesville area and is expected to see continued growth in 2016, according to Humana’s Virginia Medicare President Neil Steffens. SQCN, which began in 2013, currently manages 35,000 (increasing to 75,000 in 2016) individuals across Virginia and is comprised of more than 2,500 healthcare providers. The goal of the network is to improve clinical quality outcomes specific to the needs of a population, such as Medicare Advantage members, and to provide the right care at the right time by the right provider through a physician led commitment to focused care management and the coordination of care. In this model, patient outcomes are continuously measured and evidence-based methods for improving outcomes are applied while efficiencies for both patients and providers are gained.
“We are excited about this partnership as it will allow us to continue to live out our mission to improve the quality of care for patients in the Charlottesville area,” said Dr. Mike Oblinger, chair of the SQCN Board of Managers.
“With their emphasis on improved quality through evidence-based medicine, SQCN is the perfect partner to work with as we bring value-based care to Central Virginia,” said Steffens.
The agreement includes value-based payment incentives tied to performance improvement and quality outcomes, emphasizing standard measures defined by the National Committee for Quality Assurance (NCQA) Healthcare Effectiveness Data and Information Set (HEDIS), including breast cancer screening, colorectal screening, comprehensive diabetes care and high-risk medications.
Today, Humana has 1.6 million individual Medicare Advantage members and 200,000 commercial members today that are cared for by approximately 44,000 primary care physicians, in more than 900 value-based relationships across 43 states and Puerto Rico. For more information, visit humana.com/accountable-care.
About Sentara Quality Care Network
The Sentara Quality Care Network (SQCN) is a network of physicians, hospitals and other providers that have come together as a clinically integrated network to provide active and ongoing clinical initiatives aimed at improve the quality and delivery of healthcare services. SQCN strives to improve the quality of care through evidence-based medicine, improve the efficiency of medicine, improve access to care, improve access to an analysis of data and collectively create and demonstrate value to patients, providers and payers.
Humana Inc., headquartered in Louisville, Ky., is a leading health and well-being company focused on making it easy for people to achieve their best health with clinical excellence through coordinated care. The company’s strategy integrates care delivery, the member experience, and clinical and consumer insights to encourage engagement, behavior change, proactive clinical outreach and wellness for the millions of people we serve across the country.
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
- Replays of most recent earnings release conference calls
- Calendar of events
- Corporate Governance information