Humana Taps Interwell for Kidney Disease Management in 13 States

Aug. 23, 2023
Companies announce 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 ESKD

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.

Sponsored Recommendations

Trailblazing Technologies: Looking at the Top Technologies for the Emerging U.S. Healthcare System

Register for the first session of the Healthcare Innovation Spotlight Series today to learn more about 'Healthcare's New Promise: Generative AI', the latest technology that is...

Data: The Bedrock of Digital Engagement

Join us on March 21st to discover how data serves as the cornerstone of digital engagement in healthcare. Learn from Frederick Health's transformative journey and gain practical...

Northeast Georgia Health System: Scaling Digital Transformation in a Competitive Market

Find out how Northeast Georgia Health System (NGHS) enabled digital access to achieve new patient acquisition goals in Georgia's highly competitive healthcare market.

2023 Care Access Benchmark Report for Healthcare Organizations

To manage growing consumer expectations and shrinking staff resources, forward-thinking healthcare organizations have adopted digital strategies, but recent research shows that...