U.S. health insurer
) has formed another Accountable Care relation with Mercy. The
program intends to benefit Humana's Medicare Advantage members in
the Southwest Missouri area. The members also stand to gain from
Mercy's large network of 33 hospitals, 700 outpatient facilities
and more than 2,100 physicians spread across Missouri, Arkansas,
Kansas and Oklahoma.
Humana's Accountable Care initiative is similar to an Accountable
Care Organization (ACO). An ACO is a collaboration of health care
providers, who voluntarily form alliances to provide coordinated
high quality care to patients. An ACO is accountable for the
quality, cost, and overall care offered to members. Focus on the
needs of patients and linking payments to outcomes directs the
model to improve the health of individuals and communities and
curb rising health care costs.
In line with the objectives of an ACO, the aforementioned deal
should mutually benefit both Humana and Mercy, helping improve
overall healthcare in the aforementioned region.
Humana will pay the service provider on the basis of the quality
of service provided. Humana aims to offer its members a
world-class patient experience through customized care from
doctor resources, by decreasing health disparities, and affecting
predictive modeling and electronic health records.
Humana currently consists of 33,000 primary care physicians and
has Accountable Care associations with 900 organizations. We
believe the strengthening of Humana's healthcare services in
Southwest Missouri will enhance the membership base of the
company, thereby paving the way for stronger revenue generation.
Other insurers actively engaged in forming accountable care
UnitedHealth Group Inc.
Humana currently carries a Zacks Rank #3 (Hold).
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