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Humana enters value-based agreement for its Medicare Advantage members in New York

Physicians will be reimbursed based on the health outcomes of their patients.

Susan Morse, Senior Editor

Screenshot via <a href=",-85.7582623,3a,75y,331.31h,98.89t/data=!3m6!1e1!3m4!1shKde_yxePeJuk-7afp6EGQ!2e0!7i13312!8i6656">Google Maps</a>.Screenshot via Google Maps.

Humana and Community Care Physicians in New York have signed a value-based agreement that will allow in-network access to Humana's Medicare Advantage members.

Reimbursement to physicians will be based primarily on the health outcomes of their patients, according to Humana.

[Also: Cleveland Clinic, Humana, partner on Medicare Advantage plans]

Physicians will have access to new tools, better data and care support.

The value-based care agreement will coordinate care through data analytics. It will focus on improving care for members with chronic conditions by avoiding health complications.

It is designed to allow physicians to have more face time with patients and to provide more personalized care. Patients will have access to proactive health screenings and programs that are focused on preventing illness.

The contract provides Humana HMO, PPO and private fee-for-service Medicare Advantage members access to the provider's 248 primary care and specialty physicians at its 37 practices across Albany's capital district, and to its five urgent care facilities in Delmar, Niskayuna, North Greenbush, Albany and Latham.

Twitter: @SusanJMorse
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