Premier, Humana team up on Medicare Advantage

Dayton-based hospital operator, Premier Health, today announced a partnership with health insurer Humana Inc. to focus on improving the health and wellness for about 30,000 Medicare Advantage members in the Miami Valley.

The value-based agreement, terms of which were not released, reflects the way Medicare pays for hospital care by rewarding hospitals for delivering services of higher quality and higher value under an accountable care model.

Under the new agreement, Humana — a leading Medicare Advantage provider in Southwest Ohio — will give its policyholders access to Premier Health’s network of primary care and specialty physicians, hospitals, health centers, and outpatient centers at over 100 locations sites of service.

“Providing individuals with more opportunities to access care is a key ingredient in building healthier communities,” said Mike Maiberger, Premier’s chief value officer. “We welcome this relationship as it can foster coordination of care for patients which can positively enhance their health.”

Premier announced last year that it would begin selling Medicare Advantage plans as it moved into the private insurance market under the Affordable Care Act. Medicare Advantage plans, unlike traditional Medicare, are sold through commercial health insurance companies and cover more services, including wellness programs and vision care.