Over the next 40 years, the U.S. Medicare population is expected to double. In fact, more than 10,000 Baby Boomers turn 65 each day. With 80% of older adults living with one chronic condition, the pressure on our health care system is immense.
Keeping older Americans healthy — not just treating them when they are sick — demands a new approach to health care. To meet the unique health needs of the Medicare population, we need integrated care that ensures doctors are working together to look at a patient’s “whole” health, and a faster transition to a health care system that values healthier outcomes rather than the number of procedures.
Humana is doing just that.
We are a health and well-being company that puts the health of our members at the core of everything we do. Our integrated and value-based care works to keep our members healthy by focusing on “whole health.”
Here’s an example: Humana At Home is transforming health care by ensuring it is fully integrated into a member’s care. By empowering our members to live on their own terms, while providing the in-home services to make sure their care is customized to their needs, we are helping our members live their best health, which leads to better health outcomes and lower costs.
We pair our members living with chronic conditions with a personal Humana care manager who helps them coordinate treatment, access critical social services like transportation to community support and healthy food, and develop action plans to manage chronic conditions. We also offer other programs like Telehealth, which include virtual or over-the-phone visits with a board-certified doctor 24 hours a day / 7 days a week. So many immediate health concerns can be answered right in your home.
Humana At Home is also saving members money in the long-term by decreasing their likelihood of being rehospitalized. Right now, 20 percent of Medicare patients who spend time in a hospital are readmitted to the hospital within 30 days, often because of poor discharge procedures or lack of transitional care. In fact, in 2016 the average hospital stay for older Americans cost $12,000. However, by connecting our members to Humana At Home services like 30-day transitions care service, which provides in-home support for patients transitioning from a hospital to home, the number of Humana members readmitted to hospitals has fallen by 32 percent. This program is providing critical care that keeps members out of the hospital — and saves them from spending more on their health.
Today, Humana and its partners proudly manage the care of hundreds of thousands of patients every day in their homes.
One of our members, Faye Josephine “Jo” Rigsby, shared her experience about managing her health after a stroke using Humana At Home services.
A few years ago, Jo joined the Humana network with a Humana Choice PPO plan. Today, at 78 years old, Jo still lives at home, where she is independent and self-sufficient, and cares for her adult son, who is disabled.
And she intends to keep it that way.
Yet, like the majority of our members, Jo is living with multiple chronic conditions including diabetes, Chronic Obstructive Pulmonary Disease (COPD), and congestive heart failure. After suffering from a stroke, Jo had to spend time recovering in a nursing home, and was skipping her medication due to difficulty making ends meet. To live independently, she needed ongoing medical attention to recover and prevent another stroke from occurring. However, because of Jo’s responsibility to care for her disabled adult son, her difficulty finding reliable transportation to her doctors — and the fact that she just didn’t like going to a doctor to begin with — it was difficult for her to regularly attend in-person appointments and keep up with her care.
That’s when Jo was teamed up with Humana At Home, where she was paired with a care manager — Dawn. Dawn helped Jo live life on her own terms and as a result, she gained Jo’s trust and got Jo more engaged in her health.
“Since Dawn has started calling and talking to her, she has been more likely to go to the doctor, whereas before, you had to practically force her,” Jo’s daughter said. “We kept begging her… I can’t say enough how much it has helped her, especially having to take care of a grown adult son also.”
With Dawn, Jo obtained the critical care and resources needed to improve her health — and prevent herself from having another stroke. Right away, Dawn helped Jo secure a grant with the Patient Access Network Foundation to help pay for her medicine. Together, they also developed an action plan for Jo’s COPD, found her transportation resources to get to the doctor, and helped her begin using Humana’s Mail Order Pharmacy. As a result, Jo was able to improve her health in the comfort of her own home while also caring for her son. She’s lost 15 pounds; her blood pressure is in the normal range, and after 60 years, she has stopped smoking.
“Humana has helped me tremendously,” Jo said. “Now that I am feeling better, I’m really enjoying what I can do. I’m back now to where I can be independent again, and that’s what I want to stay doing.”
For members like Jo, Humana addresses “whole” health. We provide customized plans to help eligible members live their best health, and lower their health care costs. With our Humana At Home program, which has integrated Jo’s at home care with her doctors to treat her chronic conditions and helped her get access to the financial and social resources she needs to stay healthy, Jo is living a healthier life on her own terms.