CenterWell Care Solutions is a Direct Contracting Entity (DCE) working closely with the Center for Medicare and Medicaid Services to enable greater sharing of information and coordination of care across the healthcare system.

 

Medicare defines a DCE as a network that includes a group of doctors, hospitals, and other healthcare providers who agree to work together to keep patients healthy. CenterWell Care Solutions has been established to help parties in its network partner together to help coordinate patient care and treatment options, while continuing to protect patient privacy. 

 

Under the CMS Direct Contracting model, CenterWell Care Solutions partners with CenterWell Senior Primary Care to deliver personalized care for Medicare patients by integrating medical claims history into clinical workflows so as to empower care teams to optimize clinical interventions and treatment plans. 

 

To see a list of the doctors that work with us Click Here.

 

For Medicare patients, benefits have not changed. Medicare beneficiaries may still go to any doctor, hospital, or other healthcare provider that accepts Medicare.  In addition, CenterWell Senior Primary Care patients can be assured that they will continue to receive the same high quality care they have come to expect from their CenterWell care team.

 

In its first year of participation, CenterWell Care Solutions and its participating providers have helped lower the total cost of care for its aligned beneficiaries by approximately $3.6MM.  Under its cost-share arrangement with Medicare, CenterWell Care Solutions net contribution margin equates to approximately $259K (before final Financial Settlement).  CenterWell Care Solutions reinvests shared savings in wholly   

 

Information related to Quality measures is not yet available.  CenterWell Care Solutions will release performance data at a later date.  Moreover, CenterWell Care Solutions contracts directly with Medicare and solely holds the risk agreement with CMS.  CenterWell Care Solutions is a separate entity under Humana’s Primary Care Organization.  CenterWell Care Solutions reinvests shared savings into Humana’s Primary Care Organization, specifically population health services to help drive engagement and improve care for aligned Medicare beneficiaries. CenterWell Care Solutions does not maintain any joint venture partnerships.

 

Questions?

If you have questions about this program, please call us at 866-716-5930. Or, you may call Medicare at 1-800-MEDICARE (1-800-633-4227; TTY users may call 1-877-486-2048). You may learn more about Medicare Direct Contracting Entities by clicking here.

 

CenterWell Care Solutions - Clinical and Administrative Leaders:

  • Renee Buckingham – President, Humana Primary Care Organization
  • Dr. Vivek Garg – Chief Medical Officer, Humana Primary Care Organization
  • Matt Adkins – Vice President Strategy & Transformation, Humana Primary Care Organization
  • Nick Judd – Vice President & Chief Financial Officer, Humana Primary Care Organization
  • Josh Morrell – Vice President Population Health Operations, Humana Primary Care Organization
  • Jennifer Kuhn – Vice President Practice Management, Humana Primary Care Organization

 

CenterWell Care Solutions - Board of Governors:

  • Renee Buckingham - President, Humana Primary Care Organization
  • Dr. Vivek Garg – Chief Medical Officer, Humana Primary Care Organization
  • Nick Judd – Vice President & Chief Financial Officer, Humana Primary Care Organization
  • Jennifer Kuhn – Vice President Practice Management, Humana Primary Care Organization
  • Caitlin Donovan – Senior Director, National Patient Advocate Foundation 

 

CenterWell Care Solutions, Inc.

500 W. Main St.

Louisville KY 40202

866-716-5930