Cleveland Clinic is entering the Medicare Advantage market by partnering with Humana to offer two new health plans, an effort that builds on an existing value-based agreement between the two companies. The partnership will focus on preventive and coordinated care.
Members will have access to the full Cleveland Clinic Health System, including more than 3,500 physicians and researchers, as well as independent doctors who are part of the Cleveland Clinic Quality Alliance.
The two organizations announced that the plans will be offered during this year's MA enrollment period, held between Oct. 15 and Dec. 7, and coverage will begin on Jan. 1.
The partnership will yield two insurance plans in Cuyahoga County, Ohio: an MA health maintenance organization plan for those already in enrolled in Medicare, and an MA dual-eligible special needs plan for people enrolled in both Medicare and Medicaid.
The options are "specifically tailored for northeast Ohio,” Larry Costello, president of Humana senior products in Ohio, said in the announcement.
“By offering broad access to Cleveland Clinic’s extensive resources, our goal is to enable a more seamless, coordinated patient experience and help Ohioans in Cuyahoga County improve their well-being and achieve their best health.”
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Cleveland Clinic has also partnered with health insurance startup Oscar Health to offer plans in Ohio's individual markets. The co-branded products will be available both on and off the state's exchanges.
The Cleveland Clinic-Oscar products will offer a "seamless, guided healthcare experience" for consumers.
Ohio was in the spotlight while debate about the Affordable Care Act raged in Congress, as Anthem's decision to exit the state's exchanges left 18 bare counties. As of the end of August, all of the country's bare counties have been covered for 2018.