Humana Taps Interwell for Kidney Disease Management in 13 States
Interwell Health, which includes a provider network of 1,700 nephrologists, continues to develop value-based care partnerships with payers in the chronic kidney disease (CKD) space. The company has announced an agreement in 13 states for most Humana Medicare Advantage HMO and PPO members living with CKD as well as members across the country living with end-stage kidney disease (ESKD).
In January, Interwell announced an expansion of its work in the CMS alternative payment model called Kidney Care Choices, and in February announced it had developed a partnership with Portland, Ore.-based Providence Health Plan.
Providence Health Plan is partnering with Interwell on a value-based care initiative that will provide earlier identification, education, and support to members with late-stage CKD and ESKD. The initiative will include members across the full continuum of insurance options offered by Providence Health Plan, providing new resources for both commercial and Medicare Advantage members.
With this new agreement, these Humana members have access to Interwell’s comprehensive care and specialized resources, including 1,700 network nephrologists, renal care coordinators, and in-home virtual support from dietitians, nurses, social workers, pharmacists, and care coordinators. The 13 states where this value-based care program for CKD is now available are Arizona, Arkansas, Colorado, Kansas, New Mexico, New York, North Carolina, Ohio, Oklahoma, Pennsylvania, South Carolina, Texas, and West Virginia.
“We are proud of our close collaboration with Humana that is demonstrating a way to improve outcomes while lowering the total cost of care,” said George Hart, M.D., chief medical officer of Interwell Health, in a statement. “Our success is due in large part to our ability to fully activate a passionate, multidisciplinary care team that works in partnership with our network of high performing nephrologists across the country.”
Interwell was formed by the merger of Fresenius Health Partners, the value-based care division of Fresenius Medical Care North America, with Cricket Health and Interwell Health, a network of more than 1,600 nephrologists.
