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Humana and Hawaii Senior Medical Group Announce Agreement Expanding Value-Based Care for Humana Medicare Advantage Members in Hawaii


Humana Inc. (NYSE: HUM), a leading health and well-being company, today announced it has collaborated with Hawaii Senior Medical Group on a value-based agreement designed to offer a coordinated


Humana Inc. (NYSE: HUM), a leading health and well-being company, today announced it has collaborated with Hawaii Senior Medical Group on a value-based agreement designed to offer a coordinated, patient-centered experience to help Humana Medicare Advantage members in Hawaii achieve better health.

This press release features multimedia. View the full release here: https://www.businesswire.com/news/home/20191119005788/en/

Humana’s Medicare Advantage HMO plan members in Honolulu County will have in-network access to Hawaii Senior Medical Group’s physicians starting Jan. 1, 2020. This agreement continues to build on the growing national relationship between Humana and Seoul Medical Group (SMG), which includes California, Washington, Georgia and New Jersey. Hawaii Senior Medical Group is the local division of SMG serving Honolulu with over 95 community primary care physicians.

The value-based agreement with Hawaii Senior Medical Group 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 solely on the quantity of services they provide (fee-for-service).

Hawaii SMG offers:

  • Doctors who specialize in caring for people with Medicare.
  • Access and coordination with specialists.
  • Professional care teams that listen.
  • Walk-in appointments.
  • Patient education.

Under this new agreement, Hawaii Senior Medical Group’s physicians also will benefit by having access to tools and resources offered by Humana, which may help maximize the time physicians spend with their patients covered by Humana Medicare Advantage.

“Hawaii Senior Medical Group is proud and privileged to partner with Humana, a leading health plan in Hawaii,” said Min Young Cha, M.D., CEO and President of Hawaii Senior Medical Group. “SMG is making a strong footprint in Hawaii by serving our SMG Medicare patients and the senior community.”

“By working together with Hawaii Senior Medical Group, we are able to provide our Hawaii Medicare Advantage members additional access to care that serves the whole person,” said Rick Beavin, Hawaii Medicare President for Humana. “Value-based care is key to enhancing both the patient experience and patient outcomes. It allows us to partner with health care providers like Hawaii Senior Medical Group to ensure our members are receiving personalized care for their individual needs.”

Humana has an extensive and growing value-based care presence. As of Sept. 30, 2019, Humana has more than 2.3 million individual Medicare Advantage members and approximately 115,000 commercial members who are cared for by more than 60,000 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 four million members, which includes members affiliated with providers in value-based and standard Medicare Advantage settings. For more information, visit humana.com/provider/support/vbc.

About Hawaii Senior Medical Group

Hawaii Senior Medical Group, a division of Seoul Medical Group, is a network of independent community physicians who share a vision of improving the health and well-being of senior patients. Our network of Primary Care Physicians and Specialist Providers promote patient wellness while coordinating comprehensive care for our senior patients. Focused on serving the Medicare and Medicare/Medicaid eligible patient populations, Hawaii SMG’s fast referrals support both patients and physician offices.

Founded in 1993, Seoul Medical Group is one of the country’s leading physician-run medical groups with more than 3400 primary care and specialist physicians who embody the philosophy that puts patients’ needs first, with both clinical and non-clinical healthcare services.

About Humana

Humana Inc. (NYSE: HUM) 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

Additional Information:

Humana is a Medicare Advantage HMO organization with a Medicare contract. Enrollment in any Humana plan depends on contract renewal. Other providers are available in our network. Provider may contract with other plans.

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