Humana and Heritage launch MA partnership

Humana is collaborating with Heritage Provider Network, a large physician-led value-based care organization, on a value-based agreement to offer coordinated, patient-centered care to Humana’s Medicare Advantage members in Southern and Central California.

The move is just the latest partnership for Humana, one of the nation’s largest health insurance and MA providers. The Louisville, Kentucky-based healthcare services and insurance company has recently announced a string of new partnerships, including launching an initiative with the University of Chicago to better serve its MA members. Humana has more than 3.5 million MA members in its plans. The company also recently announced a new digital health and analytics initiative, an expanded partnership with wearables company Fitbit and a partnership with the University of Houston.

Under the new agreement, Humana’s MA HMO plan members in Kern, Los Angeles, Orange, Riverside, San Bernardino and Ventura counties and its dual eligible special needs plan members in Kern and Ventura counties will have in-network access to HPN’s physicians and facilities throughout Southern and Central California.

HPN’s physicians will also have access to new tools, real-time data and care support from Humana. 

“We are excited to offer our southern California Medicare Advantage members additional access to value-based care through our new relationship with Heritage,” Rick Beavin, California Medicare president for Humana, said in a statement. “By working together with Heritage, we are able to better serve Humana Medicare Advantage members and offer them high-quality care with the goal of improving their health and well-being.”

HPN is one of the nation’s largest physician-owned and operated integrated delivery systems in the nation, with more than 50 related healthcare companies encompassing numerous hospital, pharmacy, urgent and primary care and surgical center collaborations. HPN and affiliates have more than 3,600 primary care physicians and 10,000 specialists and 40 years in managed care experience.

“We will be able to coordinate care needs across our entire system and tailor healthcare services proactively that will bring added value to Humana Medicare Advantage members by increasing their access to healthcare services in all of our medical provider groups throughout Southern and Central California, creating a robust care network,” Richard Merkin, MD, president and CEO of HPN, said in a statement.

HPN’s physician practices in Southern and Central California include:

  • Bakersfield Family Medical Center
  • Coastal Communities Physician Network
  • Desert Oasis Health Care
  • High Desert Medical Group
  • Heritage Victor Valley Medical Group
  • Lakeside Medical Group
  • Regal Medical Group
  • Heritage Sierra Medical Group
  • Affiliated Doctors of Orange County
Amy Baxter

Amy joined TriMed Media as a Senior Writer for HealthExec after covering home care for three years. When not writing about all things healthcare, she fulfills her lifelong dream of becoming a pirate by sailing in regattas and enjoying rum. Fun fact: she sailed 333 miles across Lake Michigan in the Chicago Yacht Club "Race to Mackinac."

Around the web

The tirzepatide shortage that first began in 2022 has been resolved. Drug companies distributing compounded versions of the popular drug now have two to three more months to distribute their remaining supply.

The 24 members of the House Task Force on AI—12 reps from each party—have posted a 253-page report detailing their bipartisan vision for encouraging innovation while minimizing risks. 

Merck sent Hansoh Pharma, a Chinese biopharmaceutical company, an upfront payment of $112 million to license a new investigational GLP-1 receptor agonist. There could be many more payments to come if certain milestones are met.