Bold Goal has reported on Humana’s value-based care report, noting that “As Humana Moves Doctors To Value-Based Pay, Medicare Costs Fall.”

“Humana’s shift from fee-for-service medicine to value-based payments for doctors is reducing costs and improving quality of care for seniors enrolled in Medicare Advantage plans,” the story said, citing the study.

The study found that “medical costs were 15% lower in Humana Medicare Advantage plans that paid physicians via value-based models last year compared to costs of those in traditional fee-for service Medicare,” the story noted.

Other highlights of the study include the fact that providers in value-based reimbursement model agreements with Humana had 26 percent higher Healthcare Effectiveness Data and Information Set (HEDIS®) scores compared to providers in standard Medicare Advantage settings based on an internal attribution method. Also, Humana Medicare Advantage members affiliated with providers in value-based reimbursement model agreements experienced 6 percent fewer hospital inpatient admissions and 7 percent fewer emergency department visits than members in standard Medicare Advantage settings. The number of preventive screenings was 8 percent higher for breast cancer and 13 percent higher for colorectal cancer.

“The Humana study is the latest evidence of the potential value-based models have at slowing or reducing spending on Medicare,” Forbes wrote.

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You can access the full value-based care report here.

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HealthLeaders Media recently wrote about Humana’s Bold Goal and the company’s efforts to improve health and well-being and help communities make better use of their own powerful resources.

Dr. Roy Beveridge, Humana’s Chief Medical Officer, noted that members usually stay with Humana for seven to eight years, giving the company a chance to improve their health.

“The more we improve their health, their lives improve. But also, the better it is for us financially,” he told the publication. “We learned years ago that we have these phenomenally, wonderfully aligned interests. The healthier we make our population, the better off we are financially and obviously the better it is for the patient.”

Dr. Beveridge and Pattie Dale Tye, segment vice president at Humana and leader of the Bold Goal initiative, spoke about the importance of local partners.

The article noted that “the Bold Goal program incorporates grocery stores, pharmacies, local governments, gyms, transportation sources, and other factors that can affect an individual’s health.”

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As Humana makes progress toward its Bold Goal – to make the communities it serves 20 percent healthier by 2020 by making it easy for people to achieve their best health – the community of San Antonio has led the way.

The city, Humana’s first and most mature Bold Goal community, has experienced a 9 percent increase in the number of Healthy Days, surpassing the trajectory goal for 2017.

Dr. Sandra Delgado, Vice President and Chief Medical Officer – TRICARE, and Pattie Dale Tye, Vice President and Leader of Humana’s Bold Goal under the Office of the Chief Medical Officer, have been chronicling San Antonio’s success in The Wharton Healthcare Quarterly.

Read their latest update here.

“The results in our 2017 progress report reflect wide-ranging collaboration in San Antonio between the San Antonio Health Advisory Board (HAB), which is made up of physicians, business leaders, non-profit organizations, government officials and public health organizations, and a Board of Directors, made up of Humana senior leadership,” the two leaders wrote. “Such a wide range of partners is key, because health isn’t just about seeing a doctor once or twice a year. There are numerous environmental, social, psychological, and economic issues that impact a person’s health and are often the root cause of illness. Health can’t just be about reacting to disease; we have to be proactive in preventing disease and promoting well-being.”

This is their third in a series of articles. You can read the first here and the second here.


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Humana once again served as a platinum sponsor of Síclovía in San Antonio, giving thousands of people the opportunity to participate in healthy activities in streets free of cars.

Humana also served as the Presenting Race Sponsor of the event’s 5k.

Síclovía is San Antonio’s version of an event called Ciclovía that originated in Bógota, Colombia, about 30 years ago. Síclovía is a free event that temporarily closes several streets to cars and makes the streets available to residents for recreational and sport activities. Participants can bike, run, skateboard or do anything else without worrying about cars.

Humana Guidance Centers promoted their programs and events, and Humana One representatives gave away four FitBit Activity Trackers, offered BMI calculations, and hosted games. There was also plenty of buzz about this year’s Humana Rock ‘n’ Roll San Antonio Marathon, taking place Dec. 5-6.

Total well-being requires good health on several levels – physical, mental, emotional, social and financial. The power of health and wellness programs, such as Síclovía, can address those various needs and help people take an active role in their own health.

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Humana and the Bill, Hillary and Chelsea Clinton Foundation Wednesday announced a partnership to help improve the health of Adams County, Mississippi, by 20 percent by 2020. The multi-year initiative from Humana and the Clinton Foundation’s Health Matters Initiative (CHMI) will work with people in Adams County, in and around Natchez, Miss., to remove barriers to well-being and improve the health of Mississippians.

“Health Matters applauds its partner Humana and the leadership of Natchez and Adams County for their systems-change approach to address the health and well-being of its residents,” said Rain Henderson, Chief Executive Officer, Clinton Health Matters Initiative. “Using a collective impact model to engage stakeholders at all levels of this initiative ensures that there is a seat at the table for everyone and sustainable solutions can be as diverse as the citizens of their community.”

The commitment stems from a pledge made at the 2014 Clinton Health Matters Initiative conference in January of this year. Humana and the Clinton Foundation announced at that time that the two organizations would jointly select a community to improve health. This continues a partnership between the two organizations that began several years ago, with the “Humana Challenge in partnership with the Clinton Foundation” PGA TOUR event, and the Humana Foundation’s offering of wellness grants and website resources to 51 California schools where the Clinton Foundation’s Alliance for a Healthier Generation is active.

“We want to make it easy for people to achieve their best health,” said Humana President and CEO Bruce Broussard. “In Adams County, Humana and the Clinton Foundation are committed to a multi-year partnership to co-create new health solutions with the county’s leaders and citizens. Throughout our partnership we’ll work together to build innovative solutions that can eventually be applied to communities across the country and around the world. The plan we build together will be a plan that the people of Adams County can get excited about as they work to improve their health.”

Recently, the partners agreed to focus their efforts on Mississippi, a state that faces more health challenges than most. Adams County continues to demonstrate some of the poorest health outcomes in the state, and like many areas throughout the United States, the county has seen an increase in the number of people suffering from poor health and facing barriers to improvement. In the face of these challenges, leaders in Adams County want to drive change and have shown an openness to trying fresh approaches to healthy living and disease prevention.

“We’re excited about this partnership and the great potential it holds for Adams County,” said Natchez Mayor Larry L. “Butch” Brown. “We’re looking forward to working with Humana and the Clinton Foundation, as well as leveraging our local talent and resources, to empower the people of this community to improve their health and well-being.”

Humana and the Clinton Foundation are both already engaged in significant work in Mississippi.

One year ago, when the state faced a potential health insurance challenge Humana deployed the “Covering Mississippi” initiative to give residents more information about their health plan options under the Affordable Care Act. The Covering Mississippi tour provides free, private health insurance education and enrollment assistance to residents in local communities and is continuing this year.

The Clinton Foundation is active in the state through the Alliance for a Healthier Generation’s Healthy Schools Program and the Healthy Out-of-School Time Initiative. The Alliance for a Healthier Generation, founded by the American Heart Association and the Clinton Foundation, works to reduce the prevalence of childhood obesity and to empower kids to develop lifelong, healthy habits.

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