Humana Care Support helps provide a more
seamless and integrated care experience for members and supports
providers with enhanced data analytics
Humana Inc. (NYSE: HUM) recently launched a pilot for its new
Humana Care Support, formerly known as the Enterprise Clinical
Operating Model (ECOM), to help support a select group of Medicare
Advantage members.
This press release features multimedia. View
the full release here:
https://www.businesswire.com/news/home/20210217005133/en/
Humana Care Support is Humana’s next generation of customized,
integrated and coordinated care management services that builds on
Humana’s previous care management models. It supports the company’s
efforts to deliver integrated care for Medicare Advantage members,
helping them improve their physical, social and behavioral health
while aging in place.
Within the Humana Care Support pilot, Humana clinician care
teams identify, engage and support a select group of Medicare
Advantage members living with multiple chronic conditions and
complex congestive heart failure and diabetes in Kentucky,
Pennsylvania and West Virginia. These multi-disciplinary care
teams, which bring together a diverse set of experiences and
clinical knowledge, include a nurse, pharmacist, social worker and
a behavioral-health specialist.
Helping members impacted by social determinants of
health
Today, 80 percent of older adults are living with at least one
chronic condition, and 77 percent are living with at least two
chronic conditions. Research has shown that many of these older
adults are more likely to fall behind in managing their health and
suffer from social determinants of health, which are the conditions
in the environments in which people live, learn, work, play,
worship and age that affect a wide range of health, functioning and
quality of life outcomes and risks.
The Humana Care Support pilot builds upon how Humana leverages
the concept of integrated care to address social determinants of
health. For the last several years, Humana has been helping its
members impacted by social determinants of health via its Bold
Goal, which is focused on addressing the needs of the whole person
by co-creating solutions to address social determinants and the
health-related social needs for our members and communities.
In addition, the Humana Care Support pilot is also designed to
enhance and support the integrated care members are already
receiving from their providers. Many of Humana’s provider partners
are in value-based care agreements serving our Medicare Advantage
members have their own robust care management capabilities already
in place and it’s our goal to ensure members receive the primary
and preventive care they need.
Delivering a better consumer experience
For Humana, this new approach is the next step toward becoming a
more customer-centric organization driven by integrated care. The
Humana Care Support consumer experience is co-designed and
constructed in partnership with members, caregivers, front-line
clinicians and non-clinicians. The work is further guided by a
series of simulations with members/caregivers, which provided
valuable insight on their preferences. In addition, the approach
helps care teams working with members and their providers ensure
patient adherence to providers’ treatment plans.
Within the Humana Care Support pilot, multi-disciplinary care
teams support Medicare Advantage members in achieving their best
health by not just looking at the information on their health
history that is detailed in their claims, but also at the social
and environmental needs that can affect their health. By leveraging
the concept of data-enabled personalization, the integrated care
service powered by Humana Care Support allows Humana to understand
and address the unique and complex needs of each member, from
diabetes complication to food insecurity.
Coordinated care supported by analytics
William Fleming, PharmD, Segment President, Clinical and
Pharmacy Solutions, Humana, is highly confident the Humana Care
Support pilot will help Humana Medicare Advantage members and
others live independently in their homes, where they feel
confident, safe and secure. “Long before the pandemic, the home has
become the place where many older adults living with multiple
chronic disease want to receive care and to age in place,” Fleming
said. “Our Humana Care Support pilot will be instrumental in using
best practices in coordinated home health, care management visits
and virtual visits to help our members improve their health.”
The Humana Care Support pilot brings to life a modernized
technology and analytics infrastructure. The care teams will be
supported by Salesforce Health Cloud with a single, comprehensive
view of a member’s medical history and integrated clinician
workflows. Microsoft’s cloud technologies Azure and Power BI power
the analytics, data integration and visualization so teams have
real-time, actionable information on each member’s needs.
Heather Cox, Chief Digital Health and Analytics Officer, Humana,
said Humana Care Support could help Humana deliver a new standard
in personalized and holistic care driven by data and analytics.
“Humana Care Support will help physicians, clinicians and care
teams use predictive and reactive analytics to identify who needs
help,” Cox said. “When you have an understanding of what’s most
important to the member, you can leverage personalization to
deliver comprehensive care that not only addresses medical needs,
but also behavioral, social and financial ones. For example, when
you see that a member is not adherent to their medication, we can
leverage analytics to understand if the right outreach is from a
social worker to explore social determinants of health and
affordability or from a pharmacist to discuss how to mitigate
common side-effects.”
Humana will expand Humana Care Support to Medicare Advantage
members in other states in 2021.
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 that makes
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 web site at
www.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
View source
version on businesswire.com: https://www.businesswire.com/news/home/20210217005133/en/
Alex Kepnes Humana Corporate Communications (502) 287-3567
akepnes@humana.com
Humana (NYSE:HUM)
Historical Stock Chart
From Jun 2024 to Jul 2024
Humana (NYSE:HUM)
Historical Stock Chart
From Jul 2023 to Jul 2024