Humana

Dr. William Shrank, Humana’s Chief Medical and Corporate Affairs Officer, recently spoke with Home Health Care News about “social determinants of health, continuing health care trends and the ongoing alignment of the company’s in-home care operations.”

“We’re increasingly acknowledging and realizing the importance of social context in the health of our members,” he said. “We’re increasingly thinking about whole-person health and how to manage not only the physical health issues or the behavioral health of our members but how to couch it within the social context in which they live.

“We want to better understand the social barriers that influence their ability to achieve their best health. When you put all those things together — with the fact that more complex seniors are living at home and prefer to be cared for at home with personalized health care services — you can see why we’re driven to leverage all of these in-home pieces.

The article noted that Humana “is busy with its many in-home endeavors, which include Humana At Home, Curo Health Services and Kindred at Home.”

“I think one thing that I would want to continually reiterate is that we do not treat physical disease — we treat people,” Dr. Shrank said. “We do not treat behavioral health — we treat people. And you can’t treat a part without looking at the whole.”

Read the entire article here.

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Accolade and Humana announced today an expansion of their existing partnership that includes a $20 million strategic investment from Humana. The investment comes as Humana affirms its commitment to advance member engagement within its offerings for commercial employer groups, leveraging Accolade to strengthen its consumer-optimized health platform.

Humana and Accolade first announced their partnership in March 2019, where both companies agreed to integrate their capabilities to create a differentiated healthcare and benefits experience for individuals and their employers. The companies are expanding their partnership agreement as they continue to create personalized and simplified member experiences and leverage new opportunities around solution flexibility, service delivery, partner integration, and economic value in healthcare.

Specifically, the strategic investment will allow the two organizations to tailor the Humana with Accolade solution for a broader base of fully-insured and ASO prospects and clients. The investment will enable robust integrations and seamless engagement options that make it easy for new members to access convenient and affordable care. Humana and Accolade will also significantly expand geographies in 2020 and beyond, while building out the teams needed to support product and market expansion.

“Accolade is doing highly unique work in the healthcare space, as their connected platform and personalized service create impressive member satisfaction and value for employers,” said Chris Hunter, president of Humana’s Group and Military Segment. “Given our existing relationship, we see the opportunity for Accolade to emerge as a key element of the value proposition for Humana’s employer group business, further enhancing the benefits of the service to our joint customers and their members.”

Humana with Accolade Advantage

Humana recognizes the value of a strengthened relationship with Accolade based on the Accolade service model, supported by an advanced machine learning and intelligence engine that produces highly personalized services across an entire member population. With dedicated Health Assistants and Clinicians, mobile and online messaging, a fully integrated benefits center, member activation campaigns, and intelligent insights, Accolade shows an increase in program utilization among its members. Accolade achieves measurable member satisfaction and cost savings for its employer customers, while reducing complexity, time and waste.

Humana with Accolade brings employers and their health plan members the benefit of Humana’s provider networks and innovative medical, dental, pharmacy, Employee Assistance Program (EAP), Work-life Services, and Go365 wellness reward program capabilities, together with Accolade’s robust member engagement services and integrated health and benefits partner programs. With a mission to dramatically improve member engagement, experience, outcomes and costs in healthcare, Humana with Accolade leverages an open and intelligent platform and a personalized advocacy solution to create a whole person, whole population health offering for its self-funded employer clients, their employees and families.

“Humana has been a supportive and successful partner from day one, and we’re happy to extend our relationship to a level that more deeply aligns our vision and supports our product and service delivery in exciting ways,” said Rajeev Singh, Accolade CEO. “We have long seen the value of industry collaboration, leveraging people-centric innovation, and Humana is a model in the industry with their approach for how companies can align for mutual benefit and success.”

Humana with Accolade is currently available in the Milwaukee, Wis., and Cincinnati, Ohio, areas. For more information on Humana with Accolade or to see a demonstration of their shared solution, please contact inquiries@accolade.com.

SVB Leerink LLC served as exclusive financial advisor to Humana in connection with the transaction.

About Accolade
Accolade is a leader in personalized health and benefits solutions that dramatically improves the experience, outcomes and cost of healthcare for employers, health plans and their members. With a unique blend of compassionate advisors, clinical experts and intelligent technologies, we engage individuals and families in their health, establish trust, and influence their decisions at every stage of care. Accolade connects the widest array of personal health data and programs to present a single point of entry to the most effective health and benefits resources, while coordinating with providers at every step. Accolade consistently achieves 60 and higher Net Promoter Scores, 98% consumer satisfaction ratings, and up to 15% employer cost savings. Accolade has been recognized as one of the nation’s 25 most promising companies by Forbes, a fastest-growing private healthcare company by Inc. 5000, and is consistently rated a Top Workplace across the country. For more information, visit www.accolade.com.

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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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Humana announced today that it is launching the Humana Honor Medicare Advantage plans for 2020. ‘Honor’ underscores Humana’s commitment to veterans and is designed to complement health care provided through Veterans Affairs (VA). Humana Honor also boosts Humana’s Medicare Advantage slate of plans that are available to all Medicare-eligible individuals, which offer affordable health benefits and wellness programs with added convenience and a holistic focus on health and well-being for veterans and their families. Humana Honor Plans are available to anyone eligible for Medicare, but are designed in a way that may complement the benefits a veteran receives through VA Healthcare.

Highlights of Humana Honor Medicare Advantage plans for 2020:

  • All plans are $0 premium, and all but one offer a Part B giveback (premium reduction).
  • Enrolling in Humana Honor may augment VA coverage and help close any gaps in health care coverage.
  • Humana Honor may provide Medicare-eligible veterans with additional health care services and location options.
  • Humana Honor will give veterans access to robust dental coverage.
  • Humana Honor plans offer a broad network, including Urgent Care access.

Humana’s coordinated effort in creating Medicare Advantage plans that enhance options for veterans is an important milestone in helping veterans overcome barriers to achieving their best health.

“The launch of Humana Honor is a natural next step in our commitment to veterans and their families,” said Alan Wheatley, president, Retail Segment at Humana. “Considering care options from multiple sources can be confusing, and we understand that veteran health goes beyond physical symptoms – it’s a state of general well-being that encompasses a healthy body and mind – and our 2020 Humana Honor plans reinforce our ongoing commitment to support the total care our veterans need, not just in the doctor’s office.”

Humana Honor consists of 17 plans, available in 28 states including; Alabama, Arizona, Arkansas, California, Colorado, Delaware, Florida, Georgia, Idaho, Illinois, Indiana, Kansas, Louisiana, Maryland, Michigan, Mississippi, Missouri, Nevada, New Mexico, New York, Ohio, Oklahoma, Oregon, Pennsylvania, South Carolina, Tennessee, Utah and Washington.

Humana has served Medicare beneficiaries for more than three decades, with 8.4 million Medicare members in all 50 states, Washington, D.C. and Puerto Rico, as of June 30, 2019. Slightly over 4 million of those members are enrolled in a Medicare Advantage plan, which often provides them with extra coverage, such as prescription drug coverage and dental, hearing and vision benefits.

Humana has a longstanding relationship with the military community, and is committed to the well-being of all veterans and their families. Since 2012, Humana has built strong national relationships with the Veterans of Foreign Wars (VFW) and American Veterans (AMVETS). Through a partnership with the VFW’s Uniting to Combat Hunger campaign, Humana has helped to raise over 500,000 meals for veterans and communities. The VFW and AMVETS have selected Humana as their national MA/MedSupp/PDP provider1. VFW and AMVETs members are able to select any MA plan, including a Humana Honor plan offered in their respective areas.

Humana Military was awarded the TRICARE East Region contract that covers more than 5.9 million lives across a 30-state region. This is the largest TRICARE contract to date, and it took effect January 1, 2018.

For More Information

For more information about Humana’s 2020 Medicare offerings, visit www.Humana.com/Medicare or call toll-free 1-800-457-4708 (TTY: 711).
Licensed sales agents are available 8 a.m. to 8 p.m. local time, seven days a week.

1 These agreements do not establish any group health plan nor do the agreements obligate any individual VFW or AMVET members to purchase a Humana MA, PDP, or Medicare Supplement product.

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Digital health, virtual care and data analytics are helping Humana transition from “an insurance company with elements of healthcare to a healthcare company with elements of insurance,” said Vishal Agrawal, Humana’s Chief Strategy Officer. He spoke this week at CB Insights’ Future of Health conference in New York.

The event brought together hundreds of executives “from the world’s largest healthcare institutions, most disruptive startups, and most active private equity and venture capital investors.” The goal was to bring participants up to date “on the top trends, including the latest on AI, tech insurgents, wellness, digital health, pharma, regulation and more.”

FierceHealthcare wrote about Vishal’s discussion, and you can read that story here.

The article notes that “Humana operates a mail-order pharmacy, has more than 230 owned or alliance primary care clinics and a large home health care provider, Kindred at Home. And the payer continues to build out capabilities to address members’ social determinants of health.”

Vishal said innovative technology will be critical to supporting those services.

“We’re using technology to enable better care for members,” the article quoted him as saying. “We’re creating a holistic platform for our members, and Medicare Advantage is a financing model that helps to do that, and technology is a key enabler of that journey.”

The article also noted Humana’s launch of digital health hub Studio_h, the company’s work with Doctor on Demand to offer virtual primary care, and an effort with Aspen RxHealth to offer Medicare Advantage patients an app that connects them with pharmacists.

Read the full article here.

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