New research from Humana Inc. and the University of Louisville clearly demonstrates substantial missed opportunities for HPV vaccine administration in young girls. The findings, published in a peer-reviewed paper — “Missed Opportunities for Human Papillomavirus Vaccine Initiation in an Insured Adolescent Female Population,” in the Journal of the Pediatric Infectious Diseases Society — illustrate that efforts are needed to improve vaccination rates to ultimately prevent certain types of cancer.

The results of the study are summarized in this helpful infographic.

Routine HPV vaccination of females has been recommended in the U.S. for a decade, and in males since 2009 by the U.S. Centers for Disease Control and Prevention (CDC). The prime age is 11 to 12 years, but it can be administered as early as age 9, with “catch-up” from 13 to 26 years in females.(1) The human papilloma virus (HPV) can cause cervical and other types of cancer.   Approximately 27,000 HPV-attributable cancers occur each year.(2)

This study evaluated how frequently doctor and provider visits are used as opportunities to administer the HPV vaccine in adolescent girls age 11 to 13 years when other adolescent vaccines, such as the meningococcal conjugate vaccine (MenACWY) or tetanus, diphtheria, and acellular pertussis (Tdap) vaccine, are administered.

Of 14,588 adolescent girls in the study, only 42 percent initiated the HPV vaccination series.  The rates of HPV vaccine varied from 26 percent to 42 percent of provider visits, depending on the type of visit.  Nationally, approximately 88 percent of adolescent boys and girls receive vaccination for Tdap and 79 percent for (MenACWY), but  only 40 percent of girls and 22 percent of boys receive HPV vaccination.(3)

Low vaccination rates are considered a public health concern.  Previous research in this area has identified potential barriers to HPV vaccination, including parents’ attitudes toward the vaccine, inadequate insurance coverage and reimbursement, financial concerns, preference for vaccinating older adolescents, and knowledge gaps. Additional factors might be not receiving a provider’s recommendation, lack of information, concerns about timing of vaccination (child’s age), misconceptions about efficacy and safety, cost and availability.(4)

This study indicates that future research should focus on communication strategies that might facilitate the conceptual ‘bundling’ of HPV vaccine with other adolescent vaccines in the provider’s office.   Additionally, healthcare organizations should develop action plans that help providers avoid missed opportunities, and public health agencies should continue to focus public awareness campaigns on HPV vaccination as a critical element of community cancer prevention strategies.

Read the full study here.

The paper was authored by the following individuals:  Claudia M. Espinosa,1 Gary S. Marshall,1 Charles R. Woods,1 Qianli Ma,2 Derek Ems,2 Irene Nsiah,2 Laura E. Happe,3 and Michael J. Smith1

1 Division of Pediatric Infectious Diseases, University of Louisville School of Medicine, Kentucky;
2 Comprehensive Health Insights, Humana, Louisville, Kentucky;

3 Office of the Chief Medical Officer, Humana, Louisville, Kentucky

1. Centers for Disease Control and Prevention. Recommendations on the use of
quadrivalent human papillomavirus vaccine in males—Advisory Committee on Immunization Practices (ACIP), 2011. MMWR Morb Mortal Wkly Rep
2. CL, Torrone E, Meites E, et al. Sexually transmitted infections among US women and men: prevalence and incidence estimates, 2008. Sex Transm Dis 2013;40:187–93.
3. Regan-Steiner S, Yankey D, Jeyarajah J, et al. National, Regional, State, and Selected Local Area Vaccination Coverage Among Adolescents Aged 13–17 Years — United States, 2014. MMWR. 2015;64(29);784-792.
4. Holman DM, Benard V, Roland KB, et al. Barriers to human papillomavirus vaccination among US adolescents: a systematic review of the literature. JAMA Pediatr 2014; 168:76–82.
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Bruce BroussardIn a series of LinkedIn Influencer blog posts, Humana President and CEO Bruce Broussard shares insights and ideas about the future of health care and discusses the importance of working together to improve the health-care system as well as our own health and well-being. His latest — How seniors can beat “diseases” like loneliness and social isolation — is reprinted below. To see all of his blog posts, click here.

Tivity Health, Inc. (NASQ: TVTY) Chief Executive Officer Donato J. Tramuto and I recently teamed up to draft the following blog post.

Health is personal. You might tell yourself that you alone have the power to make the lifestyle changes to eat better, exercise or meditate.

But getting healthy doesn’t have to be a solo act, because many of us face the same challenges. Individual resolve is important, but momentum is best maintained when we have a friend to encourage us to stay the course.

For many of us with active lives, it’s easy to find people like ourselves, whether it’s at work or through a social activity. But if you’re a senior who is lonely or socially isolated, it’s not easy to find encouragement and change your health.

Seniors face many health challenges that are not just medical

American seniors face significant health challenges. Many of them are living with multiple chronic conditions they may have for the rest of their lives, from diabetes to congestive heart failure. They may be on a fixed income, struggling to pay for prescription drugs.

Despite these challenges, there is also positive momentum in aging. Advances in science are helping America’s seniors live longer and stay active. For example, the Centers for Disease Control & Prevention say life expectancy in the U.S. is 78.8 years, and that could rise.

While seniors are living longer, there are other issues that can affect their health. For example, take the impact of loneliness on seniors. One study found that “loneliness has an equivalent risk factor to health as smoking 15 cigarettes a day, shortening one’s lifespan by eight years.” Research has also shown that social isolation can limit a senior’s ability to improve their health. For example, “6 million adults 65 and older have a disability that prevents them from leaving their homes without help.”

Living with chronic conditions is hard enough. When a senior does not have a support network of friends and family – people to socialize with and share common interests – the will to improve one’s health can be compromised.

As the leaders of Humana and Tivity Health, we’ve had decades of experience helping the senior community. We’ve found that the secret to improving their health is simplicity. It starts by offering them a platform to engage in activities that not only make them healthier, but help them connect with others.

Bringing people together helps improve health

At Humana, we’re helping more than 3.3 million Medicare Advantage members nationwide age with optimism, an approach that goes beyond conventional clinical treatments. Many of our members are living with chronic conditions, but they are more active than previous generations. For Tivity Health, which manages SilverSneakers®, we’re helping millions of people age into Medicare.

Our experience has taught us that social engagement leads to sustainable change. SilverSneakers® memberships, available through countless Medicare Advantage programs, give seniors access to a nationwide network of physical locations, as well as community centers, parks and social locations, where they can meet other people and engage in fitness classes specifically designed for their demographic. One survey found that “49% of active members said they were motivated to continue exercising because they had a friend in the program.”

And it’s more than just walking. SilverSneakers offers a wide variety of exercises and intensity levels, from dance classes to yoga sessions, as well as conventional cardio and weight-focused classes. SilverSneakers has entered into partnerships with more than 14,000 fitness locations nationwide as well as at Humana Guidance Centers. At Humana, SilverSneakers is included at no additional cost to the 3.3 million Humana MA members across the country.

SilverSneakers is a key element of many Humana Medicare Advantage plans because the proactive program takes a holistic approach to capture the senior’s complete health, not just the clinical.

In MA, we take a coordinated care approach, working side-by-side with providers who are in value-based reimbursement models with Humana. That means these providers are reimbursed for the health outcomes of our members (their patients), not just the services they provide. Programs like SilverSneakers perfectly align with the health-focused nature of Medicare Advantage.

Let’s learn from common purpose

The resolve to improve one’s health starts from within, but success requires perseverance and encouragement from friends and others who share the goals. Today, millions of seniors are not getting that support because they are socially isolated or lonely, and this has had a significant impact on their health.

Helping these seniors improve their health and well-being does not always have to start with a prescription or a visit to the doctor. Platforms such as SilverSneakers, supported through Medicare Advantage programs that emphasize health outcomes, can give seniors the social support they need and connect them with others who share a common purpose. This camaraderie ensures that seniors are not alone in their health journey.

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Humana has again been named one of America’s most JUST companies, ranking No. 1 in the Health Care Providers industry on JUST Capital and Forbes magazine’s JUST 100 List.

The JUST 100 measures publicly traded U.S. companies against the American public’s definition of just corporate behavior, and then ranks the companies based on the results. The list shares information on issues Americans care most about – worker compensation and well-being, customer treatment, product impacts, environmental impact, strong communities, job generation, ethical sourcing and supply chains, transparency and more.

“Our responsibility is to leave the communities we serve and the planet in a better place,” said Bruce Broussard, Humana President and Chief Executive Officer. “We’re fortunate that the decisions we made in the past have allowed Humana to have a great brand, recruit a great group of individuals, have customers join us, and to have a great value proposition for society and the people we serve.”

Humana’s CEO was invited to participate in a panel discussion about what makes a JUST company at an event in New York when Just Capital and Forbes unveiled this year’s Just 100 rankings.

Humana ranked No. 1 out of 18 companies within the Health Care Providers industry, which includes health insurers, hospitals, clinics, dentists, opticians, nursing homes, rehabilitation and retirement centers. Within the Health Care Providers industry, Humana ranks first in issues related to workers and communities, thanks to programs such as Volunteer Time Off (VTO), charitable giving matching, paid paternity leave, the Humana Communities Benefit program, as well as detailed reporting on inclusion and diversity efforts.

The 2017 JUST 100 List will appear in the Dec. 23, 2017, print issue of Forbes.

To learn more about Humana’s corporate citizenship efforts, read Humana’s 2017 Corporate Social Responsibility Progress Report.

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At a time in which the health care industry is moving away from fee-for-service models – hundreds of industry professionals signed up for a webinar to learn more about Humana’s approach, best practices and success in value-based care agreements.

On December 6, Vice President Caraline Coats of Humana’s Provider Development Center of Excellence participated as a panelist in FierceHealthPayer’s “Best Practices for Value-Based Payment Arrangements.” Coats was joined by fellow panelist Tom Leyden, Director of Value Partnerships at Blue Cross Blue Shield of Michigan, with FierceMarkets senior editor Leslie Small serving as moderator.

Humana is proud to have been in the value-based space for more than 30 years. Coats, who leads Humana’s efforts in support of physicians and providers in value-based care relationships with the company, provided an overview of the company’s approach – how Humana helps providers as they move from volume to value, and how we’re meeting challenges inherent in the process:

•  The results tell the story. Patients treated by physicians in Humana value-based arrangements experience better health outcomes and lower costs than in traditional fee-for-service models.

•  Humana’s Integrated Care Delivery model brings simplicity and connectivity to the healthcare experience. Through best practices, Humana leverages people, process, and technology to facilitate successful partnerships.

•  Humana develops a long-term understanding of a provider’s needs and capabilities, and meet them along the way on the value-based continuum.

Humana does not believe in a “one-size-fits-all” agreement structure, and offers different relationship options to meet specific provide needs depending on infrastructure, capabilities, and level of commitment in moving from volume to value. This includes a range of possible Partnership Models that range in degree of equity investment.

Those who registered for the webinar come from a wide range of affiliations, representing hospitals, physician practices, pharmaceutical companies, insurers, universities, federal and local health care agencies, law firms, and other entities.

To view or listen to a recording of the webinar, click on this link to “post-register” for the webinar. You’ll then receive an email confirmation with a second link. When you click on that second link, you can view the slides and play the webinar audio.

And for additional information on Humana and value-based care – including services and support; payment models; and results – please visit

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Humana has launched a series of efforts to assist its members, employees and communities in southern California impacted by the Creek, Lilac, Rye and Thomas wildfires.

With these wildfires possibly in your vicinity, your safety and well-being remain a top priority for Humana. We have taken these steps to assist our members:

  • Waiving all requirements for primary care physician (PCP) referrals and prior authorizations for members that identify themselves as being impacted by the fires in counties declared disaster areas.
  • Providing members with the same cost-sharing they would receive from an in-network facility.
  • For members with a pharmacy benefit, suspending restrictions on refills to allow for travel difficulties and evacuations.
  • Opening up our toll-free crisis intervention hotline and counseling services beyond employees and members to include any individual who may need assistance in those communities impacted by the fires. Humana counselors and work/life specialists are available 24 hours a day, seven days a week at 1-866-440-6556 to provide free, confidential assistance to anyone needing help and support in coping with the disaster and its aftermath. Assistance is available in both English and Spanish.

For your safety, please keep the following in mind:

  • Tune in to local television and radio stations. You’ll get the latest weather updates and emergency instructions.
  • Know where to go. If you are ordered to evacuate, know the route to take and have a plan of where you’ll go. Check-in with your friends and family.
  • Keep your car fueled, in good condition and stocked with emergency supplies and a change of clothes.Humana members with questions about services available to them should call the toll-free phone number on the back of their Humana ID card.
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