healthcare

Humana, Iora Health partner in Arizona

Improved health and more coordinated care for Medicare Advantage members is the goal behind a new Accountable Care arrangement and population health management partnership between Humana Inc. and Iora Health.

The partnership launches Iora’s unique health care model in Arizona and Washington where Iora Health will open four new primary care practices – two in Phoenix and two in Seattle – under the Iora Primary Care brand.

The primary care practices are designed exclusively for Humana’s Medicare Advantage members and will provide members access to affordable, quality care. Building on Iora’s proven success, these practices will have integrated care teams that include doctors, nurses, health coaches, medication management, behavioral health and social services resources. Iora builds practices to meet the specific needs of the communities they serve, including hiring teams who speak their patients’ languages and who understand the local challenges patients face.

“The partnership with Humana allows Iora to help improve the lives of seniors in Phoenix and Seattle,” said Rushika Fernandopulle, M.D., M.P.P., CEO and Co-Founder of Iora Health. “Seniors deserve care matched to their specific needs. Iora’s people-first primary care operating system helps do just that. We’re thrilled to partner with Humana to continue to restore humanity to health care.”

Iora Health serves over 9,000 patients in seven primary care practices across four states. Iora has expanded the definition of primary care to include integrated health and wellness, offering behavioral health and groups like Diabetes Club and yoga. Results have shown improved patient engagement, experience and clinical outcomes. Additionally, Iora’s proprietary collaborative care technology enables Iora to treat and manage their full patient population and allows for patients to view and contribute to their medical record.

“Partnerships like the one with Iora Primary Care help Humana close the gap for our members by making access to care easier and providing coordination of care,” said Mark El-Tawil, West Division Leader for Humana’s Senior Products. “We’re excited that Iora’s unique care model will provide innovative patient-centered care for our Humana Medicare Advantage members, improving their well-being.”

The Arizona primary care practices are located at 3137 W. Indian School Road in Phoenix and 6611 W. Peoria Avenue in Glendale. The Washington primary care practices are located at 306 23rd Avenue South in Seattle and 15214 Aurora Avenue North in Shoreline.

The Arizona and Seattle primary care practices will open September 2014, and will start seeing Humana Medicare Advantage members on Oct. 1, 2014. The Shoreline, Wash., primary care practices will open October 2014, and will start seeing Humana Medicare Advantage members on Nov. 1, 2014.

Humana aims to work closely with doctors and hospitals through its Accountable Care Continuum. The continuum is a stepped approach to pay-for-value reimbursement that allows the company to implement different value-based partnerships with hospitals and doctors based on their infrastructure capabilities and risk-tolerance.

The new partnership between Humana and Iora Health includes value-based incentives tied to performance improvement and will bring better patient care coordination, more cost effective, quality care and a world-class patient experience to Humana members in Arizona and Washington. The partnership will offer more personalized care and a broad range of population management tools like predictive analytics and chronic care, disease management and wellness programs.

The Humana/Iora Health partnership emphasizes quality outcomes with a focus on care coordination and leverages measures as defined by the National Committee for Quality Assurance Healthcare Effectiveness Data and Information Set like diabetes care and treatment, breast cancer screenings, colorectal cancer screenings and high-risk medication.

Humana has a 25-year Accountable Care relationship history with more than one million members that are cared for by 33,000 primary care physicians, in more than 900 Accountable Care relationships across 40 states and Puerto Rico.