|[December 04, 2012]
Humana Expands Agreement with Baylor Health Care System and Newly-Formed Baylor Quality Alliance
DALLAS --(Business Wire)--
Inc. (NYSE: HUM), one of Texas's leading health benefits companies,
announced today that the company's Medicare Advantage health plan
members will have in-network access to the inpatient, outpatient and
emergency services provided by Baylor Health Care System in Dallas,
Tarrant, Collin, Denton and Ellis counties effective Dec. 15, 2012.
Seniors and other beneficiaries eligible for of Medicare who sign up for
a Humana Medicare Advantage health maintenance organization (HMO) or
preferred provider organization (PPO) health plan during the Medicare
Annual Election Period (AEP), ending Dec. 7, 2012, will have in-network
benefits during the 2013 plan year.
Humana's commercial members and individual medical members (HumanaOne®)
already have in-network access to Baylor Health Care System. Baylor
Health Care System services and facilities included in the agreement are:
30 hospitals that are owned, operated, joint ventured or affiliated
with Baylor Health Care System
26 ambulatory surgical/endoscopy centers
193 HealthTexas locations
83 satellite outpatient facilities - imaging, rehabilitation and pain
3 senior health centers
3 retail pharmacies
In addition, Humana has signed an agreement with the newly-formed Baylor
Quality Alliance, a clinically-integrated model recently launched by
Baylor Health Care System that includes the 600 HealthTexas employed
physicians and 900 independent physicians in an accountable alliance
with the Baylor Health Care System hospitals. The agreement aligns
incentives under a new contract structue that rewards physicians
affiliated with Baylor Quality Alliance for improved quality and
efficiency outcomes for Humana's Medicare Advantage members.
"We are excited to partner with both Baylor Health Care System and
Baylor Quality Alliance to substantially increase health care options
for our Medicare Advantage members who live in North Texas," said George
Smith, M.D., Humana's President of Senior Products for the Southwest
Region. "This partnership is unique and provides Humana members health
care choices in ways that improve quality, efficiency, cost and
coordination among providers."
"We are always looking to expand our reach in the communities we serve,"
said Gary Brock, chief operating officer, Baylor Health Care System.
"We're pleased to offer our high quality, award-winning facilities and
services to Humana members through this new agreement."
Humana is one of Texas's leading health benefits companies with more
than 200,000 Medicare Advantage members, 465,000 commercial health plan
members and 1.2 million specialty benefits members.
About Baylor Health Care System
Baylor Health Care System is a not-for-profit, faith-based supporting
organization providing services to a network of acute care hospitals and
related health care entities that provide patient care, medical
education, research and community service. Baylor recorded more than 2.8
million patient encounters, $4 billion in total operating revenue, $5.2
billion in total assets and $502 million in community benefit in fiscal
year 2011 (as reported to the Texas Department of State Health
Services). Baylor's network of more than 300 access points includes 30
owned/operated/ ventured/affiliated hospitals; joint ventured ambulatory
surgical centers; satellite outpatient locations; senior centers and
more than 180 HealthTexas Provider Network physician clinics.
Humana Inc., headquartered in Louisville, Kentucky, is a leading health
care company that offers a wide range of insurance products and health
and wellness services that incorporate an integrated approach to
lifelong well-being. By leveraging the strengths of its core businesses,
Humana believes it can better explore opportunities for existing and
emerging adjacencies in health care that can further enhance wellness
opportunities for the millions of people across the nation with whom the
company has relationships.
More information regarding Humana is available to investors via the
Investor Relations page of the company's web site 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 (including upcoming earnings conference call dates
and times, as well as planned interaction with research analysts and
Corporate Governance information.
Photos/Multimedia Gallery Available: http://www.businesswire.com/multimedia/home/20121204006758/en/
[ Back To Insurance Technology's Homepage ]