Humana Medicare Advantage members now have in-network access to eight additional McLaren Health Care hospitals in Michigan

The contract also provides additional in-network access for MA members to physicians and clinicians linked to McLaren.

Jeff Lagasse, Associate Editor AUG 27

Grand Blanc, Michigan-based McLaren Physician Partners and health and well-being company Humana have signed an agreement that expands in-network options for Humana Medicare Advantage members in Michigan seeking care at McLaren Health Care hospitals and outpatient facilities.

The contract also provides additional in-network access for Humana Medicare Advantage members to physicians and clinicians employed by, and affiliated with, McLaren Health Care in Michigan.

MPP is a physician hospital organization dedicated to the creation of a clinically integrated network to drive healthcare delivery, and includes 14 Michigan hospitals.

WHAT'S THE IMPACT

The agreement, now in effect, adds in-network access for Humana Medicare Advantage Health Maintenance Organization, Preferred Provider Organization and Private Fee-for-Service health plan members at all McLaren Health Care outpatient facilities, as well as at eight McLaren Health Care hospitals in Central and Eastern Michigan.

The new options include McLaren Thumb Region (located in Bad Axe); McLaren Bay Region and McLaren Bay Special Care (Bay City); McLaren Caro Region (Caro); Karmanos Cancer Institute (Detroit); McLaren Flint (Flint); McLaren Lapeer Region (Lapeer); and McLaren Macomb (Mount Clemens).

These options complement six other McLaren Health Care system hospitals and ambulatory facilities in Michigan previously contracted as in-network for Humana Medicare Advantage members: McLaren Clarkston (Clarkston); McLaren Greater Lansing (Lansing); McLaren Central Michigan (Mt. Pleasant); McLaren Northern Michigan (Petoskey); McLaren Oakland (Pontiac); McLaren Port Huron (Port Huron).

The value-based agreement with MPP is in keeping with Humana's longstanding commitment to value-based care, which emphasizes more personal time with health professionals, more personalized care, access to proactive health screenings and physician reimbursements linked to outcomes.

THE LARGER TREND

Humana has an extensive and growing value-based care presence. As of June 30, it has about 2.3 million individual Medicare Advantage members and roughly 115,000 commercial members, who are cared for by more than 58,000 primary care physicians in more than 1,000 value-based relationships across 43 states and Puerto Rico. Humana's total Medicare Advantage membership is more than 4 million members, which includes members affiliated with providers in value-based and standard Medicare Advantage settings.

ON THE RECORD

"We're very pleased to expand our relationship with McLaren and deepen our mutual commitment to the health and well-being of Michiganders," said Humana Regional Medicare President Kathie Mancini. "Humana values the opportunity to work with a locally-owned health system with more than a century of service, and a shared dedication to improving care quality and health outcomes."

https://www.healthcarefinancenews.com/node/139107