To offer patient-focused care for Medicare beneficiaries, Iora Health and Humana Inc. have teamed up to add additional Iora Primary Care practices to Humana’s Medicare Advantage Plan networks and two are in Mesa.
Humana is adding these new Iora Primary Care practice locations to its network in an effort to improve access to care and quality of care while increasing patients’ ability to manage their own care to improve their health and well-being. The new practices, operated by Iora Health, accept certain Medicare Advantage plans administered by Humana and do not accept Medicare Advantage plans administered by other carriers.
Humana’s value-based relationships with providers, like Iora, are aimed at transforming health care by offering proactive, personalized care for Medicare beneficiaries. Humana and Iora strive to meet monthly to review member cases and issues. This helps ensure that members aren’t simply treated for what ails them, but are also provided with a more comprehensive team working on a plan to keep them on the path to their best health and ensuring they receive a health care experience designed with their needs foremost in mind.
The new Iora Health Primary Care practices in Mesa are located at: 9124 E. Main St. and 5110 E. Southern Ave. They will be hosting a grand opening from noon to 2 p.m. Nov. 1 at the Ellsworth location, 9124 E. Main St., for the public.
“At Iora we believe that relationships are the missing link in health care. However, we find that Medicare-eligible patients rarely receive enough time with their doctor, or the support and tools necessary to cope with a complex health care system,” said Duncan Reece, general manager and vice president for Iora Health. “In just the first year, our Net Promoter Scores – at 90 percent – are consistently higher than most consumer brands and hospitalization rates declined by 40 percent for our patients who have been engaged for at least one year.”
This is the third consecutive year Iora Health and Humana have teamed up. The organizations first teamed up in 2014 and again in 2015. The new practices mean that Humana Medicare Advantage members have access to Iora’s 16 primary care practices – five in Phoenix metro, two in Tucson, five in Denver and four in Seattle.
“We are seeing encouraging results in our Humana Medicare Advantage members who go to an Iora Primary Care practice. That’s why we are excited to partner with Iora for the third straight year to offer our members access to Iora’s primary care practices in more areas of Arizona, Colorado and Washington state,” said Mark El-Tawil, west division leader for Humana. “Humana’s strong Medicare capabilities and Iora’s passionate focus on patient care allows us to collaborate in order to offer our Humana members a health care that is transformational with a focus on getting and keeping these member healthy.”
In 2014, on average, Humana Medicare Advantage members served by physicians under value-based care arrangements experienced fewer ER visits and hospital admissions; higher screening rates, including those for colorectal cancer (plus-7 percent) and breast cancer (plus-6 percent); and healthier outcomes compared to members who were treated by physicians with standard Medicare Advantage reimbursement arrangements.
As of June 30, Humana has 1.7 million individual Medicare Advantage members and 200,000 commercial members who are cared for by 48,200 primary care providers, in more than 900 value-based relationships across 43 states and Puerto Rico.
As of June 30, approximately 61 percent of Humana individual Medicare Advantage members are seeing providers who are in value-based payment relationships with Humana. Humana’s goal is to have 75 percent of individual Medicare Advantage members using providers in value-based payment models by the end of 2017. For more information, visit humana.com/accountable-care or humana.com/valuebasedcare.