Humana and Kelsey-Seybold Clinic Team up to Expand Access to Value-based Care, Broadening Humana’s Medicare Advantage Provider Network in the Greater Houston Area

Rhea-AI Summary

Humana has signed an in-network agreement with Kelsey-Seybold Clinic to expand access to care for members of its Medicare Advantage HMO plans starting January 1, 2022. This collaboration will provide Houston-area members with access to over 26 Kelsey-Seybold locations and more than 500 providers across 55 medical specialties. The partnership emphasizes Humana's commitment to value-based care, enhancing personalized and coordinated health services for Medicare beneficiaries.

Positive

• In-network access for Humana Medicare Advantage HMO members to over 26 Kelsey-Seybold locations.
• Collaboration includes access to more than 500 providers across 55 specialties.
• Enhances value-based care focusing on personalized and preventive health services.

Negative

• None.

HOUSTON--(BUSINESS WIRE)-- Humana, a leading health and well-being company, and Kelsey-Seybold Clinic have signed an in-network agreement, expanding access to care to include members of Humana Medicare Advantage HMO plans.

Under this agreement, which becomes effective January 1, 2022, Houston-area members of Humana Medicare Advantage HMO plans will have in-network access to care at more than 26 convenient Kelsey-Seybold Clinic locations, as well as access to more than 500 providers in 55 medical specialties across the Houston-Galveston region.

Members of Humana Medicare Advantage HMO plans will benefit from Kelsey-Seybold’s high quality coordinated health services with multiple specialties enhanced by advanced technologies, including electronic medical record systems, which strive to eliminate duplicate medical testing.

Additionally, this relationship with Kelsey-Seybold is in keeping with Humana’s longstanding commitment to value-based care, which emphasizes:

• More personal time with health professionals and personalized care that is tailored to each person’s unique health situation;
• Access to proactive health screenings and programs that are focused on preventing illness;
• Improved care for people living with chronic conditions with a focus on avoiding health complications;
• Leveraging technologies, such as data analytics, that connect physicians and help them work as a team to coordinate care around the patient; and
• Reimbursement to physicians linked to the health outcomes of their patients rather than based solely on the quantity of services they provide (fee-for-service).

“Kelsey-Seybold Clinic, both well-known and respected in the Greater Houston area, has a longtime history of providing quality and coordinated health care to patients,” said Bill White, Texas Medicare President, Humana. “This is a major development for Humana in Houston, and we are grateful to be able to offer our Humana Medicare Advantage HMO members an additional high quality health care option as we continually work to help make it easier for our members to achieve and maintain their best health.”

“Providing high quality, coordinated care for those living in the Houston-Galveston region is what Kelsey-Seybold Clinic is known for, and what we are most proud of,” said Kenneth Janis, M.H.A., M.B.A., Chief Operating Officer, Kelsey-Seybold Clinic. “Expanding access to care for Medicare eligible patients in this region is an important step in improving the health and wellness of all Houston and surrounding area residents and we look forward to welcoming their members at our clinics.”

About Humana

Humana Inc. is committed to helping our millions of medical and specialty members achieve their best health. Our successful history in care delivery and health plan administration is helping us create a new kind of integrated care with the power to improve health and well-being and lower costs. Our efforts are leading to a better quality of life for people with Medicare, families, individuals, military service personnel, and communities at large.

To accomplish that, we support physicians and other health care professionals as they work to deliver the right care in the right place for their patients, our members. Our range of clinical capabilities, resources and tools – such as in-home care, behavioral health, pharmacy services, data analytics and wellness solutions – combine to produce a simplified experience that makes health care easier to navigate and more effective.

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 and conference calls
• Calendar of events
• Corporate Governance information

About Kelsey-Seybold Clinic

Kelsey-Seybold Clinic is Houston's premier multispecialty group practice, founded in 1949 by Dr. Mavis Kelsey in Houston's renowned Texas Medical Center. More than 500 physicians and allied health professionals practice at 26 locations in the Greater Houston area. Kelsey-Seybold offers quality medical care in 55 medical specialties. The organization operates the largest freestanding Ambulatory Surgery Center in the state of Texas and offers state-of-the-art Varian TrueBeam and Varian Edge radiation therapy technology at a nationally accredited Cancer Center. An accredited Sleep Center, comprehensive laboratory services, advanced imaging and diagnostics, 17 onsite Kelsey pharmacies, and MyKelseyOnline, a secure web portal, are part of its comprehensive offerings.

Kelsey-Seybold has been recognized by the National Committee for Quality Assurance (NCQA) as the nation’s first accredited Accountable Care Organization and a Level 3 (highest) Patient-Centered Medical Home. Kelsey-Seybold has many physicians in the Greater Houston area certified for excellence in diabetes and heart and stroke care by the NCQA. In addition to these recognitions, Kelsey-Seybold is home to a nationally accredited Breast Diagnostic Center, and Endoscopy Center.

Additional Information:

Other providers are available in our network. Provider may also contract with other Plan Sponsors.

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View source version on businesswire.com: https://www.businesswire.com/news/home/20210923005690/en/

Lisa Dimond

Humana Corporate Communications

832-330-4702

ldimond@humana.com

Rachelle Khalaf

Kelsey-Seybold Media Relations

713-442-4919

Rachelle.Khalaf@kelsey-seybold.com

Source: Humana Inc.

FAQ

What is the new agreement between Humana and Kelsey-Seybold Clinic?

Humana has signed an in-network agreement with Kelsey-Seybold Clinic to enhance care access for Medicare Advantage HMO members.

When will the Humana and Kelsey-Seybold Clinic agreement take effect?

The agreement will be effective starting January 1, 2022.

How many providers will Humana members have access to through Kelsey-Seybold?

Members will have access to more than 500 providers across 55 medical specialties.

What areas will benefit from the Humana and Kelsey-Seybold partnership?

The partnership primarily benefits Houston and Galveston area residents.

What is value-based care as mentioned in the Humana press release?

Value-based care emphasizes personalized health services and reimbursement linked to patient health outcomes.