Humana partnerships

Dr. Roy Beveridge, Humana’s chief medical officer, has again been nominated as one of Modern Healthcare’s 50 Most Influential Physician Executives and Leaders of 2017.

Cast your vote for Dr. Roy Beveridge.
Voting is open through Friday, April 28.

For the second year in a row, Dr. Roy Beveridge is in the running for Modern Healthcare’s 50 Most Influential Physician Executives and Leaders. You can vote for him now by clicking here.

We’re proud of the work Dr. Beveridge does to champion Humana’s Bold Goal and integrated model of health care. He’s been instrumental in working with others to unite physicians, business and government leaders, community organizations, medical associations and academics around population health. The unified group looks at barriers that make health hard and works together to test solutions. Then, Dr. Beveridge, on behalf of the group, shares these solutions and research findings so others in the industry can learn from what we’re doing together to make health a little easier for people.

Check out an article he published last month on Forbes.com that focuses on why investing in improved health and longevity makes financial sense for our business.

About Dr. Roy Beveridge:
Dr. Beveridge is known for his thought leadership on population health, authoring numerous articles on a range of medical topics such as medical oncology, stem cell transplantation, integrated care delivery models and standardization of quality metrics. He is board certified in medical oncology and internal medicine, practicing for more than 20 years. He is a member of many societies, including American Medical Association, American Society of Clinical Oncology, and American Society of Hematology. Previously, he has served on many boards related to medical practice, quality metrics and patient advocacy. He currently serves on Health Care Payment Learning & Action Network guiding committee.

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Forbes.com and other media have taken note of Humana’s Bold Goal progress, reporting on the company’s success in improving the health of the communities it serves.

“Improving the health of an entire community is difficult and no one person or organization can do it alone,” Humana CEO Bruce Broussard told Forbes, which made note of Humana’s Bold Goal communities in San Antonio, Texas; Louisville, Ky.; the Tampa Bay, Fla. area; Broward County, Fla.; New Orleans; Baton Rouge, La.: and Knoxville, Tenn.

The Forbes article noted that “health plan members in participating ‘Bold Goal’ communities decreased their number of unhealthy days by a ‘margin of 3 percent’ from 2015 to 2016. Meanwhile, Humana health plan members across the country decreased their unhealthy days by 2 percent.”

Forbes also quoted Humana’s Chief Medical Officer, Dr. Roy Beveridge, who said, “If you have diabetes and suffer from a behavioral health condition such as depression or are impacted by one of these social determinants, the outcomes are worse and the cost is much higher. When we think about what it takes to manage the health of a population, addressing these social determinants and behavioral health challenges must be done if we want to drive down costs and help people improve their health.”

Read the full Forbes article here.

Other media outlets have also covered the report, including:

FierceHealthcare
Managed Care magazine
Employee Benefit News
American Journal of Managed Care
Business First
Becker’s Hospital Review
Insider Louisville

Read the full 2017 Bold Goal progress report here.

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Focusing on patient outcomes, as opposed to the process of providing care, can help doctors spend more time with the sickest people and keep all of their patients healthier, rather than just caring for them when they are sick. Humana leaders discuss such value-based medicine in a new video.

“We’ve really had a cultural change here at Humana…. not about changing the compensation method for physicians but how we can really help support physicians be successful in value-based care,” says Tim O’Rourke, Segment Vice President and President, Humana Provider Development Center of Excellence.

Dr. Roy Beveridge, Humana’s Chief Medical Officer, agrees, saying, “Our cancer screenings improved. Our treatment of women with osteoporosis has improved… and if you look at all of the different quality metrics that we monitor ourselves and for so many other people, we’ve really improved in a number of great, great areas.”

Another example is the treatment of diabetics. Foot ulcers are a common precursor to amputations in diabetics. By having care managers teach patients to inspect their feet, Humana was able to reduce not only foot ulcers but the amputations themselves.

“I believe the patient plays an incredibly valuable role and we, within Humana , have an obligation to continuously provide technology and information to the patient that truly empowers them to be an advocate of their health care and own their health with their primary care physician,” said Caraline Coats, Vice President, Humana Provider Development Center of Excellence.

Watch the full video here.

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Each year, Phoenix hosts the largest StandDown event in the United States to help homeless veterans. Though Humana associates volunteer in StandDown events across the country, this was the first year associates took part in the Arizona event. On Feb. 9 and 10, the Maricopa County StandDown teamed up with the Arizona Veterans StandDown Alliance (AVSA), a group of community-based organizations coordinated by the Arizona Coalition to End Homelessness, to help more than 2,100 homeless and at-risk military veterans.

The Arizona event, named after the military phrase that lets soldiers know they can relax because they are safe, began in 2001. More than 70 service providers came together at the Veterans Memorial Coliseum inside the Arizona State Fairgrounds to provide on-site support and deliver services quickly, efficiently, and in a veteran-centered framework. This included shelter beds and other basic needs (such as meals, clothing, shoes, hygiene products, showers, and restroom facilities) to help them recuperate from life on the streets. The providers of these services included:

• The Arizona Department of Transportation’s Motor Vehicle Division
• The City of Phoenix Municipal and other Court systems
• The Social Security Administration
• The Department of Economic Security
• The Phoenix VA Health Care System

Humana was represented by 37 associates during the two-day event; they assisted veterans by walking them through the StandDown process, getting them to the organizations and resources that they needed to impact their lives. Humana also had two booths at the event – a table staffed by our veterans recruiting team to discuss careers and a table staffed by our Medicare sales team to discuss health insurance needs.

StandDown events happen in many communities across the country. Get more information on where and when.

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Ten thousand people are aging into Medicare every day, and many of them are dealing with chronic conditions. To serve them best, health care has to evolve away from fee-for-service transactions and toward holistic, integrated, value-based care, Humana leaders say in a new video.

And that care has to extend beyond the doctor’s office, taking into account a person’s community and the many social determinants of health.

“If we are going to actually improve the health of these elderly patients, who will be us in not too distant future, looking at outcomes and being paid based on quality is something that we should all be motivated to do,” said Dr. Roy Beveridge, Humana’s Chief Medical Officer.

According to the Centers for Disease Control and Prevention, chronic conditions cause “7 of 10 deaths each year” and account for “86% of our nation’s health care costs.”

Addressing that will require a more integrated approach and more high-quality engagement between physicians and patients.

“I lost my father when I was young because he had a heart attack and previous to that, he had a stroke… and he didn’t know how to navigate the health care system,” Said Dr. Jimmy Fernandez, Chief Medical Officer, MCCI. “We thought by him going to the emergency room – him getting the care, he’d get the resources and help he needed and truth be told, it was one piece of the puzzle. He didn’t follow up with anyone, and in a short period of time, he died. I’m here to prevent that from happening to my patients.”

Focusing on value, rather than tracking only services rendered, can go a long way.

“Here at Humana we’re making really great progress on our value-based work,” said Mike Funk, Vice President in Humana’s Provider Development Center of Excellence. Results for 2015 “showed a 19% improvement in our quality…and a 20% overall improvement in cost compared to traditional Medicare.”

Watch the full video here.

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