Humana Inc. (NYSE: HUM) and kidney care provider Monogram Health have reached a new value-based care agreement for Humana Medicare Advantage members in four southern states.
Most Humana Medicare Advantage HMO and PPO plan members in Tennessee, Alabama, Louisiana and Mississippi can now access Monogram’s specialized resources, which include in-home primary and specialty care visits, medication management, dialysis, palliative care and more.
Monogram shares Humana’s commitment to helping its members keep their best health, Carl Daley, Humana’s SVP of retail strategy and operations, told Home Health Care News. That’s one of the many reasons the agreement was struck between the two.
“We have that shared belief of providing outstanding care to drive improved outcomes and to improve health, so that was the primary foundation for the relationship,” Daley said. “With millions of Americans currently living with chronic kidney disease — and that number continues to grow — it’s essential that we increase access to evidence-based care, especially kidney care, to make sure our members have the services they need.”
Kidney care has been one of the more rapidly growing services within the home setting over the last few years.
For Humana, it’s important to continue to expand its services for kidney care and other chronic conditions in the home setting, Daley said.
“We are continuing to expand services and access to care by building on our existing relationships with kidney care providers and exploring additional opportunities,” Daley said. “That includes the home. I think the home is a key setting as we continue to care for these members.”
Humana has not been shy about its desire to get deeper into value-based care.
“We’re all moving to value-based care,” Susan Benoit, president of Humana’s CenterWell Home Health, said at this year’s HHCN FUTURE event. “We’re moving with CMS to value-based purchasing in 2025, but we’re also moving to that model as more Medicare beneficiaries are choosing Medicare Advantage plans versus traditional Medicare.”
For Monogram, the partnership gives it the ability to bring more value to Humana and its members.
“This important step forward strengthens our already impactful relationship with Humana, allowing us to continue our mission-driven work of transforming care for people with chronic conditions,” Monogram CEO Mike Uchrin said in a statement. “We’re proud Monogram can now bring even more value to Humana and the members they serve.”
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