Bold Goal

The Commonwealth Fund, a nonprofit private foundation supporting independent research on health policy reform and a high-performance health system, recently reported on the CHRONIC Care Act, which passed in 2018 and made it possible “for Medicare Advantage plans to begin covering services like adult day care, support for family caregivers, pest control, or other benefits that help members maintain or improve their health.”

The story cited Humana’s Bold Goal:

“In 2015, Humana launched the Bold Goal initiative, an effort to improve members’ health 20 percent by 2020 and beyond by identifying the social determinants of poor health and partnering with community organizations to address them. The insurer is working in 14 markets, where thus far some 1 million members have been screened. About 15 percent of Medicare Advantage plan members reported being food insecure and about 37 percent report being socially isolated — both factors that put people at increased risk of getting sick and accruing higher medical spending.

Andrew Renda, M.D., Humana’s associate vice president for population health, was quoted, saying, “When you have someone with a chronic condition and put social needs on top there’s an exponential increase in cost. That’s the perfect storm we’re trying to avoid.”

The story also cited Humana’s efforts in Tampa, where lonely seniors can utilize “grandkids-on-demand;” programs in Kansas City and Knoxville, in partnership with Walgreens, to screen thousands of people for food insecurity; and toolkits to help clinicians identify and address food insecurity.

The story also noted that, “this year, Humana will introduce grocery benefits for 50,000 members in its Medicare Advantage Special Needs Plans (for people eligible for both Medicare and Medicaid).”

Read the full story here.

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Dr. Andrew Renda, Associate Vice President, Population Health at Humana, recently spoke with PopHealth Podcast, “the show by healthcare professionals that explores the challenges facing the American Healthcare system and the innovative minds looking to solve them and move the industry into the future.”

He talked about how he became interested in medicine, population health and public health and what Humana is doing to address gaps in care.

Humana’s Bold Goal is to improve the health of the communities the company serves by 20% by 2020 and beyond. Social determinants of health —  the conditions where people live, learn, work and play that affect a wide range of health risks and outcomes – play a tremendous role in overall well-being.

Dr. Renda shares some insight as to how Humana is addressing barriers and guiding members toward their own best health.

Listen to the interview here.

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Food insecurity is defined as a lack of consistent access to enough food for an active, healthy life. Hunger is just one component of food insecurity. In the United States, food insecurity affects 1 in 9 people.

The San Antonio Food Bank continues to be at the forefront when it comes to food insecurity, pushing the norms and thinking outside the box.

Humana was honored to win the “Hunger Fighter of the Year” award in the category of Money for all their efforts to help the San Antonio Food Bank meet the need of those facing hunger in the San Antonio community.

The award was presented at the San Antonio Food Bank’s annual Harvest of Hope Brunch on Oct. 27, 2019.

Humana has a Bold Goal to improve the communities we serve 20% by 2020 and beyond. To do this, we work with community partners to impact factors like social determinants of health.

Social determinants of health are the complex, integrated, and overlapping social structures and economic systems that are responsible for most health inequities. These social structures and economic systems include the social environment, physical environment, health services, and structural and societal factors in which people live. These factors are beyond what we think of traditional health care, and they can play a major role in an individual’s health risks and outcomes, often acting as a barrier to good health. Key social determinants of health are factors like insufficient transportation, social isolation and food insecurity.

Humana and The Humana Foundation are learning how to effectively address social determinants of health in the communities we serve and for our own health plan members. As part of that work to address social determinants of health, The Humana Foundation partnered with the San Antonio Food Bank in 2018, awarding the organization a Strategic Community Investment to provide local seniors who screen positive for food insecurity with comprehensive services to stabilize their household and address prevalent health issues.

“We really couldn’t be where we are on our Bold Goal journey without the support of community partners like the San Antonio Food Bank,” said Bill White, Texas Medicare President, Humana. “The food bank was the first to step up when we approached the community in 2014, and over the years, we’ve developed a strong relationship that is making an impact in the work we are doing to build a healthier San Antonio.” 

“Humana’s investment in our work is changing lives,” said Eric Cooper, President and CEO of the San Antonio Food Bank. “It is rare to find a corporate partner who engages so holistically like Humana has done. We are a better organization thanks to their support. And families are healthier due to our partnership.”

To learn more about Humana’s Bold Goal in San Antonio visit: populationhealth.humana.com.


From left: Eric Cooper, President and CEO, San Antonio Food Bank; Gloria Rodriguez, Vice President of Medicare Operations, South and West Texas, Humana; Jackie Rivera, San Antonio Market Development Advisor, Humana; Bill White, Texas Medicare President, Humana; Todd Wright, Board Chair, San Antonio Food Bank
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Humana has launched a new Population Health website to highlight the progress the company is making in improving the whole health of communities, health plan members and employees. Through personal stories, inspiring videos and useful toolkits, this website aims to drive more engagement with Humana’s Bold Goal communities, as well as with current and potential partners.

By sharing these resources, we hope to get others involved with our mission to address social determinants of health, the conditions where people live, learn, work and play that affect a wide range of health risks and outcomes. These social determinants — things like poor education, low income or lack of transportation, as well as food insecurity and loneliness — are the barriers to health upstream from our traditional health care system.

In 2015, Humana publicly announced the Bold Goal—a population health strategy to help improve the health of the communities we serve 20% by 2020 and beyond by addressing the social and clinical needs of our members and employees. Humana’s Bold Goal focuses on community and clinical partnerships as well as internal business integration efforts to improve the health needs of the whole person. Humana works with community-based organizations, business and government leaders, healthcare professionals and Humana care teams to identify, screen and refer members to the needed community resources and secure long-term support.

This website includes links to:

  • Our efforts toward clinical integration, giving physicians, clinicians and Humana care teams the tools they need to embed social determinants into their workflow and patient experience so they can screen and refer members to community resources and long-term support.
  • The business impact of shifting from an insurance company with elements of health to a health company with elements of insurance, and our focus on five areas of influence: primary care, home health, pharmacy, behavioral health and social determinants.

Explore the site by starting here.

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Integrating patient care and social determinants of health (SDoH) — the conditions in which people are born, grow, live, work and age – is vital to improving population health, according to a recent article in Managed Healthcare Executive that uses Humana’s work as an example.

The author spoke with Humana’s Caraline Coats, MHSA, vice president of Bold Goal and Population Health Strategy, and Andrew Renda, MD, MPH, associate vice president of population health.

Humana “has made strides in incorporating SDoH into their population health strategies with their Bold Goal initiative, a unique program to help better care for patients with chronic medical conditions,” the article said. “Humana aims to improve the health of the communities they serve by 20% by 2020. Part of that strategy is considering SDoH factors like food insecurity and social isolation in their population health programs.”

“We understand that food insecurity, social isolation, transportation security, and housing are all directly related to health,” Andrew said.  “This program allows us to bring those things into the mainstream of healthcare so we can start treating SDoH for what they are—clinical gaps in care.”

Caraline said healthcare has been too medically focused for too long. “Today, as an industry, we only spend 4% of every healthcare dollar on social health. Everyone knows it’s important to health outcomes, particularly the clinicians. But we needed to find a way to provide the data and resources providers needed so they could treat social health factors too.”

The article said, “After only a few years, Bold Goal is seeing clinical gains. The integration of SDoH information helped to increase the number of self-reported “healthy days” by Medicare Advantage members in Humana communities by 2.7 days. While 2.7 days might not seem like much, Medicare Advantage beneficiaries in communities who did not participate in the Bold Goal program saw a decrease of 0.6 healthy days for the year.”

Read the full article here.

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