Walnut Creek, Calif.-based John Muir Health System and insurance giant Humana have inked a value-based care agreement that will benefit Humana Medicare Advantage members in Contra Costa County, Calif.
John Muir Health System and Humana will work together to develop strategies to improve the health of Humana's Medicare Advantage members in Contra Costa County, lower costs and manage the ongoing health needs of the population. The health system will collaborate with Humana to manage prescriptions, follow up on patients who miss appointments and identify at-risk patients so they can receive care before requiring serious medical attention. Patients will also benefit from wellness programs and improved screening and monitoring for chronic conditions such as diabetes and heart disease.
Under the terms of the agreement, both organizations will benefit financially if the health of the population in the region improves. Physicians will also be rewarded financially for high-quality care.
John Muir Health and its physician network, one of the largest medical groups in Northern California, is comprised of more than 1,000 primary care and specialty physicians. Humana's Medicare Advantage members will have in-network access to John Muir Health affiliated physicians and facilities, including its Concord, San Ramon and Walnut Creek hospitals, multiple outpatient centers and other ancillary services.