Humana Inc. and value-based kidney care provider Strive Health have announced a multi-state agreement for most Humana Medicare Advantage HMO and PPO plan members who live with kidney disease.
With this agreement, members with chronic kidney disease (CKD) and end-stage kidney disease (ESKD) in Indiana, Illinois, Kentucky, Michigan and northwest North Carolina will have access to Denver-based Strive’s value-based kidney care. Strive said its interdisciplinary clinical care team serves as an extension of a member’s physician and provides whole-person care, including medication management and care management, dialysis access planning, transplant coordination and social services.
“Humana is committed to providing our members with evidence-based, multi-specialty kidney care,” said Jim Stodola, Humana vice president of trend management, in a statement. “An estimated 37 million Americans live with chronic kidney disease, and with that number continuing to grow, our priority is to continue to strengthen access to the highest levels of kidney care for our members.”
Denver-based Strive serves over 100,000 people with CKD and ESKD across 34 states and partners with over 700 nephrology providers.
The new value-based care agreement builds on an existing Louisville, Ky.-based Humana and Strive relationship, which began in Indiana and Kentucky in 2020.
Strive also recently announced a partnership with Medical Mutual, one of the largest Ohio-based health insurance companies. This partnership encompasses all lines of business: Medicare Advantage, individual and commercial group health plans.
With over 1.3 million adults in Ohio living with CKD and only 150,000 aware they have the condition, Strive and Medical Mutual said they will seek to bring awareness so more people are diagnosed and can get the care they need sooner. Through this partnership, Strive will support more than 10,000 people living with kidney disease.
Strive will provide eligible Medical Mutual members with a combination of in-person and telehealth support. Strive clinical care teams of nurse practitioners, registered nurses, dietitians, care coordinators and licensed clinical social workers, use Strive’s proprietary machine-learning technology to gather data and gain a better understanding of patients’ disease progression so Strive can create individualized care plans and deliver an improved member experience for Medical Mutual’s kidney disease populations.
