04.03.2008 14:00:00
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Humana Teams with Green Ribbon Health to Launch Medicare Advantage Complex Care Management Program in Southeast
Humana, Inc. (NYSE: HUM) this month is initiating a new complex care
management program for chronically ill Medicare Advantage beneficiaries
in the Southeast. The integrated care program, which combines both acute
care and chronic care management to Humana Medicare
Advantage PPO and Private Fee for Service beneficiaries in Florida,
North Carolina, South Carolina and Georgia, will expand across an
additional 10 states by the end of September 2008.
Humana’s customized complex care management
model includes a specially trained telephonic and field-based care
management team, consisting of social workers, registered nurses,
skilled health coaches and Humana senior care managers.
The new complex care management program is now available in those
southeastern states at no additional cost to Humana Medicare Advantage
PPO and PFFS beneficiaries. Later this month, Humana plans to roll out
the new program in Kentucky.
"By linking health care and social care, not
only are we allowing our Medicare Advantage beneficiaries to remain as
healthy and independent as possible, but we also are creating the next
generation of public health,” said Dr. Bob
Pope, Humana’s chief medical officer for
Senior Products. "We believe the program will
provide measurable savings year after year, improve health and quality
of life, and increase satisfaction of members and providers.”
Specifically, complex care management is designed to:
Improve quality of life though holistic management
Improve access to care across providers and the community
Improve members’ self-care management skills
Prevent unnecessary hospital stays and emergency room visits; and
Optimize Humana members’ health care
benefits.
"Many Medicare members have multiple
conditions contributing to increased costs due to complications not
handled well by disease specific management,”
said Jean Bisio, chief executive officer of Green Ribbon Health (www.greenribbonhealth.com),
the Tampa-based Medicare Health Support pilot program on Florida’s
west coast started more than three years ago in a joint venture by
Humana and Pfizer Health Solutions.
Green Ribbon Health currently provides care management for about 20,000
chronically ill Medicare Fee for Service beneficiaries in nine West
Central Florida counties, stretching from Tampa Bay to Naples. Green
Ribbon Health is one of five Medicare Health Support pilots in the
United States contracted by the Centers for Medicare and Medicaid.
"Our experience tells us that this population
needs a specific approach that marries acute and chronic care services,”
said Bisio, "and we believe this long-term
commitment to personal care will improve clinical outcomes and save
money -- for the insurer, the provider and the patient.”
Bisio said that chronic illness currently has an economic impact of $1.3
trillion annually in the United States, and that health care experts
project chronic diseases in this country will increase by more than 40
percent by 2023.
To combat that increase, Humana is taking a proven health care
management concept, piloted by Green Ribbon Health in Florida since
November 2005, and expanding this innovative chronic care management
approach to 14 states across the country.
As part of complex care management, Humana employs Green Ribbon Health
registered nurses, social workers and skilled health coaches who work as
a team with Humana senior care managers to personally see to it that the
senior’s medical, as well as personal, needs
are being met.
"We go wherever the senior lives, whether it’s
a home, nursing home, assisted living facility or retirement home to
assess all the member’s issues, not just
their health,” said Bisio.
The integrated care management team handles everything from making sure
members have the right medications and transportation to medical
appointments and shopping, to having safety measures, such as grab bars
and ramps, installed in their homes.
About Humana
Humana Inc., headquartered in Louisville, Kentucky, is one of the nation’s
largest publicly traded health and supplemental benefits companies, with
approximately 11.5 million medical members. Humana is a full-service
benefits solutions company, offering a wide array of health and
supplementary benefit plans for employer groups, government programs and
individuals.
Over its 47-year history, Humana has consistently seized opportunities
to meet changing customer needs. Today, the company is a leader in
consumer engagement, providing guidance that leads to lower costs and a
better health plan experience throughout its diversified customer
portfolio.
More information regarding Humana is available to investors via the
Investor Relations page of the company’s Web
site at http://www.humana.com,
including copies of:
Annual reports to stockholders;
Securities and Exchange Commission filings;
Most recent investor conference presentations;
Quarterly earnings news releases;
Replays of most recent earnings release conference calls;
Calendar of events (includes upcoming earnings conference call dates
and times, as well as planned interaction with research analysts and
institutional investors);
Corporate Governance Information.
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Aktien in diesem Artikel
Humana Inc. | 280,50 | -0,14% |
Indizes in diesem Artikel
S&P 500 | 5 998,74 | -0,38% |