Humana Signs Agreement with Tuality Healthcare

November 26, 2013

For immediate release
Contact:  Gerry Ewing / 503-681-1654

Humana Inc. (NYSE: HUM) and Tuality Healthcare have announced an agreement that provides Humana’s Medicare Advantage (MA) members access to the medical group’s 350-plus physicians.

During the Medicare Annual Election Period (AEP), which began on Oct. 15 and runs through Dec. 7, 2013, Medicare beneficiaries in Washington County will be able to enroll in the Humana Medicare Advantage HMO plan. The open enrollment period ends on December 7, 2013. The new agreement with Tuality Healthcare will take effect Jan. 1, 2014.

“The addition of Tuality Healthcare offers our members in Oregon a wide range of new options for accessing care with their Medicare Advantage plans,” said Oraida Roman, President of Senior Products for Humana’s Intermountain Region. “Geographically, the west side of Portland is an exciting expansion for us, complementing our existing strong relationship with Adventist on the eastside. Tuality is a highly respected healthcare system throughout western Washington County and we are delighted to be affiliated with them.”

Humana’s Medicare Advantage HMO plan in Oregon is rated 4.5 (out of 5) stars for 2014. The Centers for Medicare & Medicaid Services (CMS) uses information from member-satisfaction surveys, health plans, and health care providers to give overall star ratings to plans. The rating system uses more than 50 different quality measures in five categories, including:

  • Staying healthy via preventive services
  • Managing chronic conditions, such as diabetes and high blood pressure
  • Evaluations of a plan’s responsiveness and service
  • Complaints, appeals and voluntary disenrollments
  • Assessments of the quality of customer service

“Tuality Healthcare is very patient minded. We are focused on delivering the Triple Aim – providing better care and creating greater health outcomes for individuals at a lower cost – all while ensuring the patient experience is enhanced,” said Manny Berman President and CEO of Tuality Healthcare. “This is a natural collaboration, given Humana’s excellent programs, and we look forward to a strong, ongoing relationship.”

Tuality has provided care to western Washington County residents since 1918. Today, the organization is the only local, independent, community-governed health care system in the area, offering inpatient and outpatient treatment, specialty services, health education, and more. Its larger facilities include Tuality Community Hospital in Hillsboro and Tuality Forest Grove Hospital.

In addition, Tuality has numerous medical clinics and outpatient facilities, which offer medical care to the communities in western Washington County, such as Aloha, Beaverton, Hillsboro, Forest Grove, Cornelius, and the smaller communities of the Coastal Range foothills.

“The expansion of Humana’s participating hospital and physician network in Oregon is a key to the health care options that we offer to individuals eligible for Medicare,” said Roman. “Our network includes some of the most respected hospitals and physicians in the area, providing a comprehensive range of treatment and diagnostic services.”