Athenahealth and Humana Collaborate to Improve Healthcare Outcomes for its Members

Tuesday, January 12, 2021

athenahealth, Inc., a leading provider of network-enabled software and services for medical groups and health systems nationwide, and Humana Inc. (NYSE: HUM), a leading health and well-being company, today announced that the two companies have entered into a multi-year agreement to deliver value-added member insights through athenahealth’s electronic health record (EHR) software, athenaClinicals. The collaboration utilizes intelligence from Humana to empower providers to proactively address patient needs within the native EHR workflows – facilitating care management discussions between providers and patients, making it easier for providers to transition to value-based care programs, and supporting quality program performance goals such as Medicare Advantage Star Ratings.

“At Humana, we constantly strive to help providers deliver better outcomes to members and enhance our providers’ healthcare experience,” said Alan Wheatley, Humana’s Retail Segment President. “Working closely with athenahealth allows us to improve care quality and simplify administrative processes for provider organizations.”

By marrying patients’ medical records with insights from their health plan data, athenahealth and Humana will integrate supplemental and clinical data in real time to give providers the necessary insights to spot potential time-sensitive gaps in patient care. For instance, patients with diabetes can become overwhelmed with numerous annual appointments including blood pressure screenings, blood sugar control tests, eye exams, and medication reviews. Automatic appointment alerts generated by Humana’s data can help providers stay on top of diabetes management – thereby improving diabetic patients’ healthcare experiences and closing care gaps.

“We are pleased to work with Humana as they strive to improve the quality of care delivered to their members through value-based payment models while reducing healthcare costs,” said Bob Segert, chairman and CEO of athenahealth. “Humana is leveraging athenahealth's innovative technology to improve provider's financial health and satisfaction. With this collaboration, we will deliver consistent data-driven insights to physicians at the point of care, to help them assess the best treatment options for every patient, especially those suffering from chronic conditions. Connecting payers and providers is a vital step toward realizing our vision to create a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all.”

This agreement augments Humana's current use of athenahealth's Real-Time Benefits Check, which allows Humana providers to quickly determine a patient’s prescription benefit coverage, provide their patients with accurate costs for their prescriptions at the time of prescribing, and, when appropriate, choose lower-cost treatment options. With this collaboration, providers on the athenahealth network gain access to even more real-time information to close care gaps, create alerts about upcoming preventive services, and help their patients stay on track with their health.

About athenahealth, Inc.

athenahealth partners with medical organizations across the country to drive clinical and financial results. Our vision is to create a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all, and we are pursuing this through our medical record, revenue cycle, patient engagement, and care coordination service offerings. Our expert teams build modern technology on an open, connected ecosystem, yielding insights that make a difference for our customers and their patients. For more information, please visit

About Humana

Humana Inc. (NYSE: HUM) is committed to helping our millions of medical and specialty members achieve their best health. Our successful history in care delivery and health plan administration is helping us create a new kind of integrated care with the power to improve health and well-being and lower costs. Our efforts are leading to a better quality of life for people with Medicare, families, individuals, military service personnel, and communities at large.

To accomplish that, we support physicians and other health care professionals as they work to deliver the right care in the right place for their patients, our members. Our range of clinical capabilities, resources and tools – such as in-home care, behavioral health, pharmacy services, data analytics and wellness solutions – combine to produce a simplified experience that makes health care easier to navigate and more effective.

More information regarding Humana is available to investors via the Investor Relations page of the company’s web site at, including copies of:

Annual reports to stockholders
Securities and Exchange Commission filings
Most recent investor conference presentations
Quarterly earnings news releases
Calendar of events
Corporate Governance information

Jean Borgman

Marvin Hill
Humana Corporate Communications

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