health-care system

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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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 is investing $1.84 million to address social determinants of health in two communities – Knoxville, Tenn., and Jacksonville, Fla.

In Knoxville, the Humana Foundation will invest $1,020,000 in the Truck2Table pilot program and is partnering with InterFaith Health Clinic and Catapult 4D to address East Tennessee health barriers.

In Jacksonville, the Humana Foundation will invest $820,000 in the Health-Smart program and partner with the University of Florida to address social isolation and food insecurity.

Health-Smart brings together two existing health and wellness centers, six Health-Smart church centers and local stakeholders to create holistic health centers for minority, underserved and/or low-income Jacksonville seniors. The program features the Health-Smart Behavior Program and leverages Social Connections and Food Security Empowerment Coaches to increase participants’ physical, mental and spiritual health and well-being, social connections and food security. The program also includes Health-Smart group sessions led by trained coaches, connections to food security resources and job-seeking assistance, disease screening and referral as well as health insurance enrollment.

These investments are part of the Foundation’s new Strategic Community Investments work. Through the program, the Foundation will invest $7 million in 2018 in nonprofit organizations operating in seven communities: San Antonio, Texas; Louisville, Ky., Baton Rouge, La.; Knoxville, Tenn.; Tampa Bay, Fla.; Jacksonville, Fla.; and Broward County, Fla.

In each of these communities, Humana is pursuing its “Bold Goal” to improve the health of the communities Humana serves 20 percent by 2020.The Humana Foundation is investing in nonprofit organizations that address food security, social connection, post-secondary success (sustained employment) and asset security, four social determinants of health that significantly impact people’s overall health and well-being. Social determinants are the conditions under which people are born, grow, live, work and age that impact overall health and well-being.

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 InterFaith Health Clinic
InterFaith Health Clinic was established in 1991 to serve the low-income, working uninsured and underserved and to date has provided over 400,000 patient encounters to more than 24,000 individual patients. InterFaith provides comprehensive access to medical, dental, mental health, and prescription drug services and charges patients according to a sliding fee scale based on household size and income. With a small paid staff and a large network of volunteers, InterFaith receives financial support from individuals, foundations, area churches, city and county governments, civic organizations, the United Way of Greater Knoxville, and the state of Tennessee.

About Catapult 4D
Catapult 4D is a Knoxville-based development company specializing in health technology. Believing that a healthy business case can also provide great benefit to society, Catapult 4D strives to connect key players across sectors to identify achievable solutions to complex problems. The team at Catapult 4D is committed to social entrepreneurship, strategic thinking, and remaining nimble in a fast-paced environment. For more information, visit www.Catapult4D.com or contact media@catapult4d.com.

About the University of Florida
The University of Florida, the state’s flagship university, serves almost 56,000 students from 49 states and most countries. With five professional schools and 200 research, service and education centers, bureaus, and institutes on a single 2,000-acre campus, UF offers educational opportunities matched by only seven universities worldwide. UF alumni total more than 415,000, with alumni residing in every U.S. state and more than 150 nations. It is ranked No. 8 in the most recent U.S. News and World Report’s list of public universities.

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Humana’s Dr. Colette Edwards writes in Becker’s Hospital Review that “there is much promise to make (1) higher quality, (2) medically appropriate, (3) cost-effective, (4) person-centered holistic care a reality – without burning out clinicians!”

Edwards, who is Director, Associate Well-Being Experience, Associate Well-being Experience and Insights, offers four “leadership hacks” – related to honest leadership, self-reflection, diversity and human connection — to overcome these tumultuous times in healthcare.

Read the article here.

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