The buy is part of Humana’s strategy to expand into the provider market; it recently announced it will purchase Florida-based Metropolitan Health Networks, a primary care network of physicians serving more than 87,000 Medicare beneficiaries. Humana in 2010 acquired 300-clinic Concentra Inc. and has since invested in urgent care clinics and a home health vendor, according to Bloomberg News.
Having Certify Data Systems will enable Humana to provide more coordinated care and move it closer to “creating a virtual integrated delivery health care system,” says Brian LeClaire, chief information and service officer for the insurer. The HIE will operate as a subsidiary and continue serving hospitals, physicians and laboratories.
Major insurers who previously bought HIE vendors include Aetna (Medicity) and UnitedHealth Group’s OptumInsight (Axolotl).