Bold Goal

Humana’s value-based care report has shown how physician practices in value-based agreements are increasing preventive care, improving health outcomes and quality measures, and lowering overall health care costs for Humana Medicare Advantage (MA) members.

This video features a panel discussion of care professionals discussing the report.

Written by physicians, the report details the clinical and economic impact of integrated care delivery, examining patient care and the experience of physicians. The report, which can be accessed here, also details physician progress controlling blood sugar, blood pressure and medication adherence for people with diabetes.

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Thanks to the generous support of the San Antonio community, the “March Out Hunger” food drive collected close to 94,000 pounds of food to help combat food insecurity in our military and veterans community.

The food drive was hosted by the Veterans of Foreign Wars of the U.S. VFW Texas District 20; Humana, a leading health and well-being company; and the San Antonio Food Bank.

Food insecurity is defined as a lack of consistent access to enough food for an active, healthy life. In the United States, food insecurity affects 1 in 8 people.

The two-month long food drive aimed to bring awareness to the fact that 1 in 5 households served by a local food bank has at least one member who has served, or is currently serving, in the U.S. military.

“When we think of our military and veteran community, we don’t often think of hunger or food insecurity,” said Bill White, Texas Medicare President for Humana. “As part of our Bold Goal work to make San Antonio 20 percent healthier by 2020, Humana was able to partner the VFW and the San Antonio Food Bank together to impact food insecurity locally. It’s partnerships like this that will help improve the health and well-being of San Antonians.”

The food drive also included a Veterans Resource Fair hosted on Nov. 17 at the San Antonio Food Bank and a rucksack march during the San Antonio Rock ‘n’ Roll Marathon Series on Dec. 2. Rucksack march participants carried 35 pounds of food in a backpack for 1.3 miles to bring awareness to food insecurity.

“At the San Antonio Food Bank, food donations are critical to the ongoing mission of collecting and redistributing food to individual and families who do not know where their next meals are coming from. The veteran population has a definite need and this program is assisting our network of partners to serve 58,000 meals weekly,” said Eric Cooper, President and CEO of the San Antonio Food Bank.

“Earlier this year I was shocked and saddened to discover the impact food insecurity has on America’s veterans, and I knew the VFW had to step up and fight this disheartening injustice,” said VFW National Commander B.J. Lawrence. “No one should be food insecure – especially our veterans – and we’re honored to work alongside Humana and community champions like the San Antonio Food Bank to help do our part in this important initiative.”

Earlier this year, Humana partnered with Feeding America (the national network of regional food banks) to stage a series of events throughout the year that will drive food donations and raise awareness of food insecurity with a focus on helping veterans. In addition, Humana is a national affiliate partner of the VFW.

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Leaders from Humana and the University of Houston – who recently announced a long-term strategic partnership to train health care professionals in population health and value-based care as a means of improving health outcomes – met recently in Houston to build relationships and set priorities for their goal of advancing the science of primary care.

More than 50 leaders from both organizations gathered to advance collaboration on the Humana Integrated Health System Sciences Institute at the University of Houston, which will unite the Colleges of Medicine, Nursing, Pharmacy, Social Work and Optometry. A $15 million gift over 10 years from Humana will help defray start-up and operational costs for the College of Medicine, as well as fund endowed chairs for each of the five colleges.

On December 6, Humana will host an event on the University of Houston campus to formally kick off the Institute. This event will be focused primarily on students, culminating with a student poster competition to advance thought leadership in three core areas important to the institute:

• Inter-professional education and Integrated Care Delivery
• Population health and social determinants of health
• Value-based care and innovative reimbursement models

Participants in the event will include UH students, faculty and staff, as well as community leaders, Humana leaders and clinicians.

“We are thrilled with how this partnership with the University of Houston and Humana has started,” said Tray Cockerell, Director of Strategic Relationships in the Office of the Chief Medical Officer. “Our colleagues at the university are passionate about working together to train a new generation of clinicians in an educational model that focuses on integrated care delivery and value-based reimbursement, as well as improving health outcomes primarily focused on the underserved population in Houston and the rest of Texas.” Cockerell added, “This relationship with the University of Houston is a fantastic way for us to advance the science of Primary Care.”

The ultimate goal is to graduate physicians, nurses, pharmacists and other health care professionals who are trained in population health and have a propensity for primary care and for working with the underserved. The result will be better healthcare in Houston, the U.S. and beyond.

Humana brings to the partnership more than 50 years of experience in care delivery and health plan administration, along with an integrated-care model that improves health and well-being and lowers costs. The University of Houston brings world-class academics, ground-breaking research and an innovative approach to health education.

The University of Houston is an ideal partner to advance and support Humana’s integrated care delivery approach. The relationship enables Humana to play a formative role in shaping the new medical school, which includes UH’s new college of Medicine, as well as existing colleges of Nursing, Pharmacy, Social Work and Optometry. The partners will engage in research that furthers treatment models and the overall advancement of clinical sciences in primary care, nursing, visual health, social work and pharmacy, including the delivery of high-value care and value-based payment models. The program will train health professionals to thrive in and shape health systems based on evidence-based approaches developed through the Institute’s research.

There will be a strong emphasis on engaging the local community and improving social determinants of health, such as loneliness, social isolation and food insecurity.

Both Humana and the University of Houston expect that the partnership will yield abundant opportunities for collaboration, including:

• Adjunct professorships and teaching opportunities for Humana subject matter experts
• Opportunities to partner in shaping curricula in a wide range of topics, including value-based payment, home-based care, population health, data analytics and more
• Partnership on research and publications
• The establishment of value-based care clinic labs for University of Houston health sciences students and medical residents
• Internships and rotation programs to provide practical experience

The partnership will also build a talent pipeline of graduates who believe in, train in and will practice population health.

The UH College of Medicine is scheduled to admit 30 students in its inaugural class in 2020, pending approval by the Texas Higher Education Coordinating Board and Texas Legislature, and accreditation by the Liaison Committee on Medical Education, ultimately growing to full enrollment of 480 students.

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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 — 21st Century Solutions for 20th Century Problems — is reprinted below. To see all of his blog posts, click here.

We all know health care is being transformed: from the emergence of remote, real-time monitoring to the continued adoption of value-based-care payment models, disruptive technologies are improving health care.

Yet despite the progress, health care is facing challenges.

Take demographics, such as population. Each day, 10,000 Americans turn 65, and the number of people over 65 is expected to grow from 46 million today to 98 million by 2060. We’ll need more caregivers, as there are now about 34.2 million people who have provided care to an adult age 50 or older.

Now look at the health of those people. Three in four Americans over the age of 65 are living with multiple chronic conditions. Unlike episodic treatment, caring for those with chronic conditions requires proactive prevention, assistance with lifestyle decisions, and multiple specialists to treat complex, serious diseases such as congestive heart failure, diabetes, etc.

So with more unhealthy people over the age of 65, how do we prepare primary care physicians, nurses, social workers and caregivers to handle this wave of change?

Primary care physicians are the centerpiece

These population and health factors are putting significant demands on nurses, social workers, pharmacists and primary care physicians who assist people living with chronic conditions.

Research has shown growing demand for these key professions. For example, there is a projected shortfall of between 14,800 and 49,300 primary care physicians by 2030.

These demographic and health challenges require the health care system to evolve – away from episodic care and toward holistic health, where the care for a person living with multiple chronic conditions is managed by the primary care physician.

If we’re to help prepare the next generation of health professionals, their education and training must evolve as well. Clinical models that slow disease progression and payment models that incentivize quality and cost savings must be integrated into the system. In addition, daily workflows that allow more time with fewer patients are essential.

Yet it’s not just the clinical. It’s important to partner with local charities and community agencies to address social determinants of health – food insecurity, social isolation and loneliness.

Medical schools are starting to change

Today, a select number of medical schools are evolving their curriculums to help the next generation of clinicians, including primary care physicians, embrace holistic health.

Holistic care is most effective when care is integrated, which occurs when multiple clinicians (e.g., physicians, nurses, pharmacists, social workers and optometrists) are all aligned in a value-based model and working with one another to deliver a better patient experience and better outcomes. We need to build an integrated educational system to care for patients in this value world, and everyone has to work well together to make this a reality.

Recently, Humana and the University of Houston’s newly established College of Medicine announced that we’re going to build the Humana Integrated Health System Sciences Institute at the University of Houston. We’ll train physicians and other clinicians in integrated care delivery through a collaborative partnership with a focus on “advancing population health, improving health outcomes and expanding the use of value-based payment models.”

The new school will also integrate Nursing, Optometry, Pharmacy and Social Work. Social workers will be an integral element for taking care of underserved populations because they’re a key link between patients and community resources.

Working, thinking and building differently

Better management of chronic conditions, and addressing the social determinants of health that amplify them, is essential for transforming our health care system.

If we want to help primary care physicians and clinicians, then all entities in health care — universities, industry and government — must band together to advance the science of primary care. We’re moving to a consumer-focused health care system that’s integrated and personalized, and it will improve the health of the people it’s meant to serve.

Advancing care means we have to work differently, think differently and build differently.

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The Humana Foundation, philanthropic arm of Humana Inc. (NYSE: HUM) for the past 37 years, is investing nearly $7 million in 2018 in organizations that are focused on helping people who struggle with issues ranging from food security to social connectedness to financial independence. The contributions will go to nine organizations in seven Humana ‘Bold Goal’ communities across the U.S. These are communities where Humana is working to achieve a goal of helping people improve their health 20 percent by 2020.

The new Humana Foundation strategic investing program addresses health equity and social determinants of health through partnerships and collaborations with local organizations to create measurable results. Social determinants of health are the conditions under which people are born, grow, live, work and age that impact overall health and well-being. The Foundation recently completed a series of local announcements highlighting the new investments.

“The Humana Foundation’s new Strategic Community Investments will have a tangible impact on the health and well-being of communities across the U.S. by collaborating with local organizations across all sectors,” said Walter Woods, CEO of the Humana Foundation. “We look forward to celebrating the successes of our partner organizations as they report targets and milestones of their projects in the coming year.”

The new Humana Foundation investments include funds for capacity building and enhancing organizational learning around health equity. The investments include:

Louisville, Ky.: The Family Scholar House received a $560,000 grant for its HEROES program, expanding existing programs and reaching more individuals, families and senior citizens to assess and address barriers including social isolation, food insecurity and lack of post-secondary educational attainment. Metro United Way also received a $770,000 grant to expand its pilot financial literacy program, improving financial independence and providing families and residents experiencing economic distress with financial literacy coaching.

San Antonio: Older Adults Technology Services (OATS) received a $1.02 million grant to address social isolation via a Senior Planet San Antonio program, which reduces isolation and loneliness and increases social connections by engaging seniors through free access to internet-connected technology and training courses. The San Antonio Food Bank also received a $833,000 grant to impact food insecurity and social isolation by creating a Senior Wellness Intervention Model program, assisting seniors who screen positive for food insecurity with comprehensive services that stabilize their household and address prevalent health issues.

Baton Rouge, La.: Healthy BR received a $720,000 grant to fight food insecurity and social isolation via the Geaux Get Healthy project. Funded by grants from both the Humana Foundation and Blue Cross Blue Shield of Louisiana Foundation, the project will address food deserts by saturating areas with the highest rates of food insecurity and health disparities with numerous access points for purchasing fresh food at an affordable price.

Knoxville: Tenn.: InterFaith Health Clinic, in a collaborative partnership with Catapult 4D, received a $1.02 million grant to address social determinants of health and health equity barriers via the Truck2Table pilot program, which will improve the health and quality of life of uninsured and underserved people by providing affordable access to healthy food.

Tampa: Wholesome Wave received a $620,000 grant to fund Wholesome Communities Florida: Waking Up to Wellness, a cross-sector collaboration designed to transform affordable access to healthy food.

Jacksonville, Fla.: The University of Florida received a $820,000 grant to promote social connection and food security among minority, underserved and low-income seniors, as well as asset security and post-secondary success resources for their families.

Broward County, Fla.: AARP Foundation received a $540,000 grant to improve food security for older adults and their families via a program that will work with health clinics to screen older patients for food insecurity and diet-related disease and help people apply for Supplemental Nutritional Assistance Program (SNAP) benefits.

Each organization receiving a Humana Foundation Strategic Community Investment in 2018 will have an opportunity to receive continuing funding for one or two additional years based on the specific results they achieve during the first year of the respective programs.

“We’re excited about getting the new strategic investment program started, and even more excited to see how the organizations will put the contributions to such good use,” Woods added. “We’ll be in close contact with each organization over the year ahead as we plan for the second year of this program and determine where our investment dollars will make the greatest impacts in 2019 and beyond.

About the Humana Foundation

The Humana Foundation was established in 1981 as the philanthropic arm of Humana Inc., one of the nation’s leading health and well-being companies. Located in Louisville, Ky., the Foundation seeks to co-create communities where leadership, culture, and systems work to improve and sustain positive health outcomes. For more information, visit humanafoundation.org.

Humana and the Humana Foundation are dedicated to Corporate Social Responsibility. Our goal is to ensure that every business decision we make reflects our commitment to improving the health and well-being of our members, our employees, the communities we serve, and our planet.

About Humana

Humana Inc. is committed to helping our millions of medical and specialty members achieve their best health. Our successful history in care delivery and health plan administration is helping us create a new kind of integrated care with the power to improve health and well-being and lower costs. Our efforts are leading to a better quality of life for people with Medicare, families, individuals, military service personnel, and communities at large.

To accomplish that, we support physicians and other health care professionals as they work to deliver the right care in the right place for their patients, our members. Our range of clinical capabilities, resources and tools – such as in-home care, behavioral health, pharmacy services, data analytics and wellness solutions – combine to produce a simplified experience with the goal of making health care easier to navigate and more effective.

More information regarding Humana is available to investors via the Investor Relations page of the company’s website at humana.com, including copies of:

• Annual reports to stockholders
• Securities and Exchange Commission filings
• Most recent investor conference presentations
• Quarterly earnings news releases and conference calls
• Calendar of events
• Corporate Governance information.

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