CenterWell Senior Primary Care, a fast-growing provider of whole-person, senior-focused healthcare, is participating in a new federal population health program that will allow CenterWell to extend and enhance its care-team approach for Original Medicare beneficiaries.
- Direct Contracting Model: CenterWell – on course to expand to its ninth state this year – is participating in the new Direct Contracting Model, which aims to improve care quality, health outcomes, and the patient experience, while lowering the cost of care for these Medicare beneficiaries.
- Innovative model of healthcare: “The industry is moving away from a transactional model of healthcare, in which a doctor or other healthcare professional treats one specific condition, to a more holistic view in which we assess all of the patient’s needs and then develop a plan to address each of those needs,” said Reneé Buckingham, president of Humana’s Care Delivery Organization, which includes CenterWell. “We’ve deployed this value-based population health model for decades to care primarily for patients with Medicare Advantage, and now we can offer our model to more of those with Original Medicare.”
- Encouragement for health organization: The Direct Contracting Model was established by CMS’ Innovation Center to encourage a variety of health organizations to voluntarily transition from fee-for-service to value-based care and test whether the model will improve quality and reduce costs in Original Medicare, while reducing organizational administrative burden.
- Quality healthcare: Under this new Direct Contracting Model, CenterWell’s reimbursement will be dependent on the quality of care it provides; CenterWell will share financial responsibility for patients’ medical costs with CMS. “We are confident that our clinical model, supporting technologies, and analytics capabilities can make an impact in patients’ lives, while at the same time lowering healthcare costs,” Buckingham said.
- CenterWell: CenterWell, which operates 67 payer-agnostic primary care centers across eight states, is part of Humana’s Care Delivery Organization – which also includes approximately 100 Conviva Care Centers. Combined, CenterWell and Conviva serve more than 200,000 senior patients across the U.S.