Humana was honored to be asked to participate in the 2019 International Consortium for Health Outcomes Measurement (ICHOM) in the Netherlands. With 1,200 healthcare leaders from across the globe, we were happy to participate as a healthcare company moving those we serve into better outcomes at lower costs by associating with physicians in successful value-based models of care.  

Roy Beveridge, MD, former Humana Chief Medical Officer and current advisor, moderated a panel of experts on the topic of Examples of Value Based Payment Models. More than 200 healthcare leaders attended to hear real-life examples from organizations at the beginning of the VBC journey and others who are farther along. Panelists included Ward Bijlsma, Mengis; Lili Brillstein, Blue Cross Blue Shield; Jeroen van der Wolk, Zilveren Kruis; Erik van Raaij, Erasmus University; and Eva de Boer, Erasmus University. The audience was very engaged, and the discussion was informative.

Dr. Beveridge also participated on a signature panel of thought leaders on the topics of Value Based Health Care. This panel was presented for all 1,200 conference attendees and was moderated by Herb Riband, Stanford University. Panelists included: Pall Jonsson, The National Institute for Health and Care Excellence; Nathalie Moll, European Federation of Pharmaceutical Industries and Associations; and Jan Kimpen, Philips.

One conference attendee called Humana “one of the most advanced insurance companies in the U.S.” based on our value-based care and social determinants work. Dr. Beveridge shared many insights, one of which was, “fee-for-service models are inherently wasteful and inhibit innovation; and most importantly, they don’t produce the best outcomes for patients. We have to push the boundaries and think of healthcare really differently. In some U.S. states, we have been working in value-based care models for 20 years; in others, we’re just getting started.”

Finally, on Friday, ICHOM and Humana will co-host a thought-leadership breakfast for a select group of 30 conference attendees to share thoughts on the importance of having a global population measure and propose that the CDC’s Healthy Days tool may be a good option. It’s a self-report measure that is critical in understanding the patient experience and while simple, is correlated with health outcomes. Highlights from this thought-leadership conversation will be captured as a white paper or issue brief for publication.

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Bruce Broussard

In 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 — Our journey for change…— is reprinted below. To see all of his blog posts, click here.

In every part of the business and public community we are all striving to find ways to improve our physical and mental health. Often I comment, no one organization will solve this problem, but working together – private and public organizations. In the context of working together, I thought it would be interesting to share some of our learnings over the last year. 

 In April 2015, my fellow Humana employees and I announced a Bold Goal: improve the health of the communities we serve 20 percent by 2020. Yet the Bold Goal is not just a journey; it’s become a passion that supports our Integrated Care strategy. We experience our Bold Goal every day. It challenges us to do our best, to rethink what we’re doing to address health, and to discuss what we’ve learned in these communities.

Sharing our learnings

The Bold Goal is aspirational, but it’s deeply accountable because we’re measuring our progress. We’re using the Centers for Disease Control and Prevention tool called Healthy Days, asking Humana Medicare Advantage members how many mentally and physically Unhealthy Days they’ve had in the last month.  

I’m motivated by this measurement as it provides a holistic view of how we’re doing in assisting our members. Rather than just providing a view of a member’s physical/clinical health, Healthy Days provides a glimpse of their level of happiness and life satisfaction, which ultimately is the underlying purpose of health—to live a full and happy life. 

At Humana, our strategy is to assist members in their journey of health by simplifying the experience and being proactive in helping them with their day-to-day health care and life needs. The core of our approach includes integrating five areas that are the most impactful in influencing health outcomes – Primary care, Pharmacy, Behavioral Health, Home Health and Social Determinants of Health.  

We’ve seen firsthand the impact of focusing on these areas and have also learned that it’s critical to address them through a holistic approach to health. For example, we have 2 million individual Medicare Advantage members who are being cared for by primary care physicians in value-based agreements, and through a holistic focus on health, they’ve had the benefit of more Healthy Days. In Knoxville, this holistic approach led to a 1.5 Unhealthy Days reduction since 2015 by addressing poverty and diabetes. Another good example: Last year we helped our MA members have 89,000 fewer days in the hospital, or said differently—more days at home.

What we have also learned most in our Healthy Days measurement is the impact that social determinants of health have on an individual’s happiness. More specifically, the most impactful – affordability, loneliness, social isolation and food insecurity – can have a serious effect on a person’s health. That’s why we’re working directly with local organizations in our Bold Goal communities to address those needs.

The best way to explain the work of our Bold Goal—and what Humana stands for as a company—is to share with you our learnings about how we’re working to make a difference in the lives of our members.

Meet “Betty”

I would like to share with you our experience helping “Betty,” a 78-year-old Humana Medicare Advantage member who is single and joined Humana a few years ago. Betty is independent and self-sufficient, and she enjoys cooking and gardening. She has children and more than a dozen grandchildren and great-grandchildren.

Yet Betty, like the majority of our members, is living with multiple chronic conditions such as diabetes, COPD and CHF. To make her situation even more complicated, Betty is caring for her adult son, who is disabled, so staying well and having more Healthy Days is a priority for her.

Based on a predictive model, we told Betty there was a high likelihood she would have a stroke within the year, but regrettably, she didn’t engage in the proposed clinical interventions. Sadly, she had a stroke and had to recover in a nursing home.

After Betty returned home, she was more open to intervention. She was enrolled in the Humana At Home telephonic chronic care management program, where she met Dawn, a Humana care manager assigned to help her. Dawn helped Betty live life on her own terms and as a result, she gained Betty’s trust and got Betty more engaged in her health.  

Betty is now independent, back in her home and taking care of her son. Dawn also helped Betty address her fear of doctors, develop an action plan for COPD, find transportation resources, and enroll in Humana’s Mail Order Pharmacy. Dawn gave her the tools to take care of herself where she wants to be – at home. As a result, Betty’s story is a happy one—she’s better able to afford her medications; Social Services has helped with other social and financial resources; her A1C is down; she’s lost 15 pounds; her blood pressure is in normal range; and she has stopped smoking after 60 years.

For people like Betty, we have learned that the biggest motivating factor for engaging in their health is not necessary about seeing improvements in their physical health. Instead, it really comes down to life goals. For Betty, it’s about staying well and having more healthy days so she can be there for her son. So for us to help Betty and others, we need to understand both the health and life needs of our members.  

Medicare Advantage is the right platform

Betty’s Medicare Advantage plan helped her regain her health—and her life. We have learned that this deeply integrated, experience-based system helps remove complexity from the system and incentivizes whole-person health.

More and more seniors like Betty are turning to Medicare Advantage because, on average, it leads to better health and a better experience. In fact, seniors, including those who receive their health care through their employer, are choosing Medicare Advantage in greater numbers than ever before. The program today has over 22 million members.

In a country where everyone is looking for ways to solve our nation’s health care challenges, Medicare Advantage is a proven public/private partnership that’s helping people like Betty live healthier lives.

If you would like more details on what we’ve learned and have shared serving our members in the communities we serve, please check out our annual 2019 Bold Goal Progress Report.

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The Humana stop on the Check Your Blind Spots unconscious bias tour was a huge success, hosting hundreds of associates and advancing our conversation around Inclusion and Diversity.

More than 350 people toured the bus, and 336 people took the I Act On pledge to check their own bias, speak up for others and show up for all. 

“This was an engaging and fun experience,” said Maria Hughes, SVP and Chief Inclusion and Diversity Officer. “It was great to see the strong turnout and hear the buzz among associates as they toured the displays, used the technology, and talked about what they learned. The tour is designed to highlight the biases and blind spots we all have, and to empower all of us to have difficult conversations and learn from one another.”

The bus uses immersive, interactive technologies, including virtual reality and gamification techniques, to expose participants to the nuances of unconscious bias. Elements include:

  • Immerse yourself in virtual reality designed to help you see multiple points of view and learn your blind spots
  • Watch videos and take quizzes explaining the concept of biases that may go unnoticed and ways to work against them
  • Leverage tools that allow you to watch as your reflection fades away to reveal a different person staring back at you

“Our associates come from all different walks of life, all different values, different areas,” said Derrick Carr, a Supervisor in Billing & Enrollment, who toured the bus. “So it’s very important for me to be a part of this to make sure that my blinders are not on and that I’m looking at every side of every angle. Inclusion and Diversity is a strong part of what Humana is trying to do.”

The day’s activities also included information booths for the 9 Network Resource Groups (NRGs) as well as Louisville’s Local Inclusion & Diversity Council. All associates are welcome to join, learn, and serve as advocates for the NRGs

The Check Your Blind Spots tour was created by CEO Action for Diversity & Inclusion, the largest CEO-driven business commitment to improve diversity and inclusion within the workplace in the country. Humana is a proud signatory of the CEO Action coalition.

To read more about the tour, and to sign the I Act On pledge, click here.

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LOUISVILLE, Ky.– Doctor On Demand® and Humana Inc. today announced the launch of On Hand, an innovative and affordable health plan that centers on comprehensive virtual primary care. This new plan design represents a paradigm shift in healthcare where patients will have access to comprehensive, quality care from doctors without having to visit a doctor’s office, available at significantly lower monthly premiums.

“By partnering with Doctor On Demand, Humana is leading the market with a modern approach to meeting the health plan needs of employers and employees,” said Chris Hunter, Humana’s Group & Military segment president. “Through virtual care delivery, On Hand gives employers the opportunity to affordably offer healthcare benefits to employees without sacrificing comprehensive, quality care.”

Employers and members who elect On Hand as their primary care plan will gain access to a breadth of in-network virtual care services, as well as an expanded clinical care team to help navigate the healthcare system. Patients will have one dedicated primary care physician and access to preventive care, urgent care and behavioral health all through convenient video visits. Patients will also get access to their digital health records and have more control over how they are shared. If needed, patients will receive doctor or specialist referrals for in-person visits that stay within Humana’s network, all supported by the clinical care team to help seamlessly coordinate continued care.

Virtual care not only improves access, but also creates new opportunities to provide high-value health insurance for lower-premium costs. On Hand costs significantly less than the average standard plan today. There is also $0 copay for doctor visits using Doctor On Demand and a $5 copay for common labs and prescriptions.

On Hand features include:

  • A dedicated primary care provider that creates a stronger patient-provider relationship
  • Access to board-certified physicians, psychiatrists, psychologists, and nurse practitioners
  • Wellness visits to track overall patient health, as well as detect any health concerns
  • In-network referrals and care coordination resulting in lower costs
  • Standard medical device kit consisting of a digital blood pressure cuff, thermometer, and log
  • Video visits and secure messaging

“By offering full mind and body care through our expanded clinical care team and fully-integrated technology platform, we’re putting the patient first and introducing continuity of care not previously available through virtual care solutions,” said Hill Ferguson, CEO of Doctor On Demand. “We’re thrilled to partner with Humana to offer this new health plan, one that improves access to high-quality care while reducing overall healthcare costs to the consumer and the health plan alike.”

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Humana has earned a perfect score of 100 in the Human Rights Campaign Foundation’s 2019 Corporate Equality Index, the national benchmarking tool on corporate policies and practices pertinent to lesbian, gay, bisexual, transgender and queer employees. This is the sixth time Humana has received the honor.

The distinction puts Humana among the “Best Places to Work for LGBTQ Equality.”

The CEI rating has four key pillars:

  • Non-discrimination policies across business entities
  • Equitable benefits for LGBTQ workers and their families
  • Internal education and accountability metrics to promote LGBTQ inclusion
  • Public commitment to LGBTQ equality

“We’re proud of our culture of inclusion,” said Maria Hughes, Senior Vice President and Chief Inclusion and Diversity Officer at Humana. “We’re committed to a healthy work environment, where all associates are comfortable and confident being their whole selves. By fostering an affirming work environment, Humana makes it possible for all associates — including our LGBTQ colleagues — to give 100 percent of their efforts at work as we create innovative and strategic answers to solve the challenges of health care.”

Humana’s leaders are advocates and allies for all associates. President and CEO Bruce Broussard chairs the company’s Executive I&D Council. Humana’s Pride Network Resource Group (NRG) is committed to helping shape an inclusive world – in and outside of Humana.

Pride is a voluntary, self-driven group of Lesbian, Gay, Bisexual, Transgender, Queer and Ally associates from across the organization. The group’s mission is this:  Through influence and inspiration, we aim to support personal well-being so that people can live life fully by being who they are.

That commitment to inclusion translates directly to healthier members and healthier communities. By leveraging associate insights, Humana creates personalized experiences that make it easier for people to achieve their best health.

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