Humana Expands Value-Based Home Care Model to Virginia

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Humana Inc. recently announced it is expanding its onehome value-based home care model to Virginia.

Onehome, a subsidiary of Humana, will coordinate in-home care services for Humana Medicare Advantage plan members in Virginia, working with existing home care providers in the market.

Louisville, Kentucky-based Humana said onehome’s integrated model creates a single point of accountability that takes into account the needs of patients, physicians, hospitals and health plans for home-based patient care, with that care largely delivered through a network of local home care providers. The services onehome coordinates include a range of post-acute needs including infusion care, nursing, occupational therapy, physical therapy and durable medical equipment (DME) services at patients’ homes.

“Humana’s acquisition of onehome in 2021 and expansion into Virginia this year further advances the company’s commitment to building our Home Solutions business and value-based offerings,” said Andrew Agwunobi, M.D., MBA, president of Humana’s Home Solutions business, in a statement. “There is a tremendous need for a care model that provides high-quality, fully integrated care in the home at reduced cost. Humana’s value-based approach aims to deliver on that promise and on our mission of bringing healing home.”

When it made the acquisition in June 2021, Humana noted that onehome had significant experience with risk-based contracting, and has fully capitated models in place in Florida and Texas.

Over the past four years, Humana has substantially grown its home care capabilities, including with the acquisition of Kindred at Home, which is currently being rebranded as CenterWell Home Health. The company is now the nation’s largest provider of home care services. The acquisition of onehome brought Humana a value-based model and expertise in coordinating home care services in concert with other, local home care providers.

In Virginia, onehome’s value-based model is first rolling out in Richmond, Roanoke and Southern Virginia counties. Within several months, onehome will be available to coordinate home care services for Humana Medicare Advantage plan members throughout the state, as well as in North Carolina, totaling more than half a million people. In the future, these services will be payer-agnostic, and onehome will accept Medicare health insurance plans in Virginia and North Carolina other than Humana.

With the expansion of onehome, Humana plans to add approximately 220 employees in Virginia and North Carolina by the end of 2022, bringing the company’s total employment in the region to more than 2,000.

“Onehome’s value-based approach relieves patients and physicians from the burden of dealing with multiple providers of home health services, including medication and equipment, which is the common experience for those currently navigating the extremely fragmented home health industry,” said Ramon Falero, CEO and Co-Founder of onehome, in a statement. “There’s a tremendous benefit for seniors in receiving better coordinated home care services that improve their health and their quality of life.”

Within five years, Humana expects 50 percent of its Medicare Advantage members to have access to the company’s value-based home care model.



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