Humana, Fresenius Medical Care Expand Partnership to Improve Care Coordination for Medicare Advantage Members

What You Must Know:

The broadened collaboration is in keeping with the objectives
described in the 21st Century Cures Act, which enables individuals with ESRD to
enroll in Medicare Advantage Plans, and with federal initiatives that require earlier diagnosis and
treatment of kidney disease; a reduction in the number of Americans developing
ESRD; and assistance for patient treatment options such as home dialysis or kidney
transplant as applicable.

— Humana Inc. and Fresenius Medical Care North America
( FMCNA) today revealed a contract to expand their cooperation toward
enhancing the health of eligible Humana Medicare Advantage members

— The
arrangement in between Humana and Fresenius Medical Care North America enters into
result Jan. 1, 2021.

Humana Inc. and leading renal care business Fresenius Medical Care North America (FMCNA) announced an arrangement to broaden their partnership toward enhancing the health of qualified Humana Medicare Advantage and industrial members with chronic kidney disease (CKD) and end-stage renal disease (ESRD) through more collaborated, holistic care.

The arrangement between
Humana and Fresenius Medical Care North America enters into result Jan. 1, 2021,
and incorporates the following:

FMCNAs care coordination services include early detection of CKD to slow
disease development; medication evaluations and routines adherence assistance;
behavioral health screenings; dietary counseling; techniques for managing
numerous comorbidities; education about– and assistance for– home dialysis
treatment when suitable and useful to the patient; transplant education;
and palliative care.

Value-Based Agreement: The broadened.
cooperation likewise improves upon the celebrations existing clinic network agreement,.
which provides eligible Humana Medicare Advantage and business members with.
ESRD access to dialysis at more than 2,600 centers of Fresenius Kidney Care, the dialysis services department of.
Fresenius Medical Care North America. By implementing a value-based payment.
model for in-center and house dialysis services and at Transitional Care Units,.
As for CKD care coordination services, payment will be based on.
conference agreed-upon quality enhancement and client result objectives, and minimizing.
total expenses to the system.

Why It Matters.

FMCNA partners with InterWell Health, a physician-led population health
management company working to improve medical outcomes and lower medical expenses
through its network of over 1,100 nephrologists throughout the country.

< Individuals with CKD have kidneys that do not filter blood. effectively, which triggers waste and fluid levels that can be precariously high. CKD. and ESRD affect a large spectrum of the population but the degree of impact is. not uniform. For example, kidney failure rates among Black Americans are about. three times that of white Americans. In total, roughly 15% of American. grownups, or about 37 million people, have CKD, however numerous are uninformed of their. condition. CKD management is complex, and failure to properly manage the. condition might cause substantial signs and worsening health outcomes,. including ESRD. This agreement represents an evolution of our work with. Humana and leverages our over 10 years of market management in value-based. care," stated Bill Valle, Fresenius Medical Care North Americas Chief Executive. Officer. "Our scale, integrated nephrology network, and standardized scientific. protocols and interventions distinctively place us to predictably and. regularly improve health outcomes and decrease overall costs. We invite this. chance to provide more collaborated, holistic care to Humanas members, with. a keen concentrate on education, comorbidity management, early detection, and. treatment choices, including home dialysis. This technique likewise helps eliminate. barriers to keep kidney illness treatment continuous for at-risk. populations.". Broadened Availability of Care Coordination Services: FMCNA presently supplies specialized care coordination services for Humana members with CKD in three states: Iowa, Kentucky, and North Carolina. The arrangement broadens the schedule of these services to eligible Humana members in an additional 39 states, with the objectives of enhancing quality of life and health outcomes, increasing access to care and reducing care gaps, slowing illness development and lowering hospitalization rates, and decreasing the expense of care. Value-based kidney care is aligned with the objectives of. CMSs recently-released End. Stage Renal Disease Treatment Choices (ETC) Model, which encourages. increased adoption of house dialysis and higher access to kidney transplants. Transitional Care Units: These systems are created to help individuals just recently diagnosed with kidney failure discover treatment options offered to them-- consisting of transplant and house dialysis--. and be more empowered in handling their own care. Transitional Care Units may be either a space within a. dialysis center or a standalone facility, providing extensive, hands-on. education from dedicated personnel that is embellished for each patient. This. includes the significance of renal nutrition, medication adherence, and vascular. access care; assisting clients transitioning in between methods (e.g., from. in-center dialysis to home dialysis); and supporting individuals going back to. dialysis from transplant. The contract is planned to locate Transitional Care. Units in select locations where Humana has substantial Medicare Advantage. subscription.