Humana and Longevity Health Partner to Expand Access to Special Needs Plans for Medicare Beneficiaries
04 Mai 2023 - 03:42PM
Business Wire
Partnership will begin in South Carolina and
Georgia this year and will expand to additional states in 2024 and
2025
Longevity Health Plan and Humana Inc. (NYSE: HUM) today
announced a new partnership to expand special needs health plan
offerings that support the unique requirements of Medicare-eligible
individuals living in skilled nursing and senior living
facilities.
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The two companies have committed to rapidly scale their national
partnership over the next three years in more than a dozen states
by offering Special Needs Plans (SNPs) that provide personalized
care designed to materially improve health outcomes through
holistic, patient-centric care plans.
The partnership will launch in South Carolina and Georgia this
year and then expand to five more states in 2024 with additional
states being added in 2025.
Longevity deploys a unique partnership approach with skilled
nursing facility operators via a transparent value-based model that
rewards facilities for improving quality of care and member
experience. Longevity collaborates with facilities to provide
comprehensive care that addresses the medical, social and emotional
needs of members who reside there, typically vulnerable individuals
with multiple complex conditions.
“We are thrilled to partner with Humana to offer our innovative,
value-based model, which means high-quality care and more
personalized attention for its members and greater peace of mind
for members’ families,” said Dr. René Lerer, CEO of Longevity
Health. “With the support of the entire clinical team, our local
facility-based clinicians provide direct care to members onsite,
where they are most comfortable. Our collaborative model
strengthens communication between loved ones and the care team,
improves access to primary care, and improves timeliness of
services.”
Special Needs Plans are Medicare Advantage plans that combine
all the benefits of Original Medicare (Parts A and B) with
prescription drug coverage (Part D) and are designed for members
with special needs or characteristics, e.g., living in long-term
care facilities or senior living communities and/or dual
eligibility for Medicare and Medicaid.
This partnership will be delivered through two Humana
products, Humana Together in Health and Humana Senior Living Plan,
which offer added benefits to meet the specialized needs of each
individual member, including, but not limited to:
- An onsite dedicated advanced practice clinician for
comprehensive care management
- Coordinated and collaborative care with the member, facility
staff and physicians to provide care in the facility and prevent
unnecessary hospitalizations
- $0 copays for primary care and behavioral health visits
- Full preventive coverage plus additional dental allowance
- An over-the-counter benefit to cover health and wellness
products
- Hearing aid coverage
- Transportation to medical appointments outside of the
facility
- Other supplemental benefits designed specifically for
vulnerable individuals living in senior care facilities
“An estimated 70% of Medicare beneficiaries will require
institutional long-term care at some point in their lifetime. By
partnering with Longevity, we will be able to provide integrated
care for our members right at the facility where they are living,”
said George Renaudin, Humana’s President of Medicare and Medicaid.
“These individuals have unique care needs, and this expands our
ability to offer them the best care possible in a way that is
better for the member’s health and in an environment that is more
engaging and comfortable for their loved ones.”
Humana has served Medicare beneficiaries for nearly 40 years,
with about 8.6 million Medicare members in all 50 states,
Washington, D.C., and Puerto Rico, as of March 2023. Approximately
5.7 million of those members are enrolled in a Medicare Advantage
plan.
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 with the
goal of making health care easier to navigate and more
effective.
About Longevity Health
Plan
Longevity is a clinical services company and national
Institutional Special Needs (ISNP) plan dedicated to serving
individuals in senior living settings. Via its own plans and as an
Independent Provider Association (IPA) in partnership with leading
national health insurers, Longevity provides comprehensive and
patient-centered care for senior living residents’ full range of
medical, social and emotional needs.
Additional Information
Humana is a Coordinated Care HMO SNP and PPO SNP plan with a
Medicare contract. Enrollment in this Humana plan depends on
contract renewal. Other providers are available in the Humana
network. Provider may also contract with other Plan Sponsors.
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version on businesswire.com: https://www.businesswire.com/news/home/20230504005741/en/
Kelli LeGaspi Humana Corporate Communications 502-519-5161
Klegaspi1@humana.com Marc Hudak Longevity Health Plan 267-644-8983
marc.hudak@longevityhealthplan.com
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