Bold Goal

When Humana started Project San Antonio (the precursor to its Bold Goal), the company recognized Pattie Dale Tye, who was serving as president of Humana’s Large Employer Group Business, as an ideal leader. Pattie Dale’s love of community has been evident throughout her 13 years at Humana. She is now being recognized by Today’s Woman magazine as one of their “Most Admired Woman” finalists.

The award recognizes women in Kentuckiana who have excelled in their careers and community service, making them role models to many. In addition to Pattie Dale’s many contributions to Humana as a respected and admired leader and mentor, she has contributed significantly to the Louisville community through Board service roles with Metro United Way, the Louisville Zoo, Trees Louisville and the Kentucky State Chamber.

Please support Pattie Dale by voting daily between now and March 22 by clicking this link and searching for Pattie Dale in the Corporate category (one vote per email address per day). *Note that the ballot works best in Chrome, Edge, Safari or Firefox internet browsers.

Winners will be honored at an event on June 26 and featured in the June issue of Today’s Woman.

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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 — 5 Lessons from Davos — is reprinted below. To see all of his blog posts, click here.

To help my company reach its bold goal – to help the communities we serve be 20 percent healthier by 2020 because we make it easy for people to achieve their best health – I spend a great deal of time in these communities. I want a localized, firsthand understanding of the best practices that my company can take to address and solve health challenges.

I’m an avid reader and a strong believer in lifelong learning. I also think leaders should look for new venues to gain perspective from those outside their immediate circles but facing similar obstacles. That’s what led me to Davos, Switzerland, last week for the World Economic Forum (WEF).

At WEF, I connected with a wide variety of leaders in government and business from around the world. I participated in a panel – “The New Health Paradigm” – where I discussed addressing chronic disease progression and how the value-based payment model can support the member experience. As a member of WEF’s Health and Healthcare Governors Community, I also spoke about my company’s role in its Atlanta Heart Failure Pilot program, which is designed to improve how congestive heart failure is treated in the Atlanta region.

Listed below are some of my lessons learned and takeaways from Davos:

1. We have many reasons to be optimistic about 2018. It was uplifting to see how leaders from a wide variety of industries are making, or planning to make, strategic investments. For example, a recent survey by PwC found that “for the first time since we began asking the question in 2012, the majority of CEOs surveyed believe global economic growth will ‘improve.’ In fact, the percentage of CEOs predicting ‘improved’ growth doubled from last year.”

My takeaway: It’s an exciting time to be driving change in health care. The euphoria can be scary, because it raises expectations. But the biggest risk is taking no risk at all.

2. Technology is rapidly disrupting industries, even as the world tries to coexist with technology. From social media giants dealing with fake news, to the auto industry being disrupted by self-driving cars, companies are dealing with challenges that will reshape how they operate. Technologies like artificial intelligence (AI) will reshape the world and force companies to cross boundaries that they have not previously considered.

My takeaway: Be prepared to disrupt your company before someone, or some entity, does it to you. AI is going to change the way work is done, and we must help people learn new skills to adapt to this new normal.

3. Balance capital returns with sustainability. I had numerous conversations about the letter that BlackRock CEO Larry Fink sent to CEOs a week before the conference. In his letter, Fink wrote that “society is demanding that companies, both public and private, serve a social purpose. To prosper over time, every company must not only deliver financial performance, but also show how it makes a positive contribution to society. Companies must benefit all of their stakeholders, including shareholders, employees, customers, and the communities in which they operate.”

My takeaway: You don’t have to be a CEO to understand that social purpose is critical to long-term sustainability for any company. In a 21st century environment, all of the core audiences must benefit in order to balance capital returns with sustainability.

4. Davos is a unique place that draws a diverse group of people and cultures. I struck up a conversation at dinner one night with a diplomat from Oman who had been coming to Davos for 25 years. He had a fascinating story: his parents were killed when he was 5 years old, he spent the next 15 years in an orphanage, and he went on to be a fisherman in Alaska. After attending the University of Michigan, he made his way to Oman. During our chat, I thought about how Indian Prime Minister Narendra Modi’s keynote highlighted how Davos is one of those unique places that brings a diverse group of people together to work on issues that have world, business and social consequences.

My takeaway: Davos helped me see the resiliency and the passion that attendees have for solving the world’s social, business and political problems. At an event like this, you can see problems through others’ eyes. If we’re going to unite to solve the world’s problems, forums like Davos – which thrive on diversity and perspective – must become more frequent.

5. Health care has an exciting future, but technology will only take it so far. It was enlightening to see the passion that leaders from across the world harbor for building a healthier world using technology. Establishing standards in data exchange will help facilitate the widespread deployment of easy-to-access electronic medical records. And telemedicine might vastly improve health in India, where care is not easily accessible.

My takeaway: We all welcome technology that improves care, but the decades-old fee-for-service system that creates billions in waste must end. Payment reforms like value-based care – which reward physicians and clinicians for the health of the patients they serve, not the number of services they provide – will be a key element in this transformation.

While Davos is the premier gathering of world leaders, it is only four days out of the year. It’s up to us to keep the momentum and excitement going – in research labs, in boardrooms, in schools and other venues.

Leaders must channel the power of optimism to build a purpose-driven business strategy, one with long-term sustainability that goes beyond the profit model.

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Dr. Wayne Tuckson opens his KET interview of Dr. Bryan Loy, Humana medical director and co-chair of the Louisville Health Advisory Board, with “Health care improvement at the community level is more than a notion. It requires many partners to be effective.”

The audience instantly knows there will need to be some strong evidence that Humana’s Bold Goal – a commitment to improve the health of communities 20 percent by 2020 by making it easy for people to achieve their best health – is making progress.

“If we can get to the social determinants of health and we can get to the behaviors and we can level the disparities around health literacy, then we can get to better outcomes by taking care of each other,” explains Dr. Loy.

Watch the rest of their in-depth conversation about Healthy Days and how Humana and its partners are working to co-create more of them.

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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.

Read Full Article 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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