Humana Inc. (NYSE: HUM) announced today that the Illinois Department of Healthcare and Family Services has chosen the company to participate in Illinois’ demonstration project aimed at integrating health care for people who qualify for both Medicare and Medicaid (individuals often referred to as “dual eligibles”) as part of the Illinois Medicare-Medicaid Alignment Initiative (MMAI).
Under the new project, Humana will serve Illinois residents in the Greater Chicago area, consisting of Cook, Lake, Kane, DuPage, Will, and Kankakee counties. Approximately 118,000 dual-eligible residents reside in these counties. Humana is one of six plans selected to serve residents in the six-county region.
The MMAI is part of a Centers for Medicare and Medicaid Services (CMS) demonstration program, focused on integrating health care delivery and payment for dual eligibles. As one of the plans selected to serve residents in the Chicago area, Humana expects to provide the full spectrum of Medicare and Medicaid covered services to dual eligible residents through Humana’s best-in-class integrated care-delivery system.
“Humana is honored to partner with the State of Illinois in its Medicare-Medicaid Alignment Initiative,” said Alan Wheatley, President, Medicare at Humana. Wheatley also leads the company’s Medicaid operations. “Humana has developed a strong reputation for managing complex care for its members, particularly for Medicare beneficiaries who have the greatest health care needs.”“Dual eligibles often have multiple chronic conditions which require high quality, integrated care. Utilizing Humana’s fully integrated care-delivery model, we expect to improve health outcomes for these members,” Wheatley said. Humana is one of the largest Medicare companies in Illinois, with more than 200,000 state residents currently enrolled in Humana Medicare plans. Nationally, Humana has more than 5.3 million Medicare members, with more than 25 years of experience in Medicare. Humana also has approximately 600,000 Medicaid members, primarily in Puerto Rico and Florida. Humana has formed critical relationships across Illinois, including partnerships with many key health care provider organizations, to develop comprehensive health centers focused on low-income seniors in medically underserved areas and on complex care management of dual-eligible populations.