A Kentucky-based health insurer has struck the first value-based care contract for Bridges Health Partners, the consortium of four independent hospitals in western Pennsylvania.
Humana Inc. (NYSE: HUM) and Bridges began the agreement Jan. 1, 2019, for its Medicare Advantage members in western Pennsylvania. While specific local numbers weren’t available, Humana has about 47,000 Medicare Advantage members in the state. Value-based insurance contracts seek to save adverse health effects and costs down the line by promoting among members both early tests and interventions like breast-cancer and colon-cancer screenings and adherence to medications.
Bridges is the clinically integrated network between St. Clair Hospital, Excela Health System, Washington Health System and Butler Health System. It’s an accountable care organization (ACO) that offers value-based care for traditional Medicare patients, but the deal with Humana is the first time Bridges has reached a value-based agreement with a commercial insurer.