How a commitment to senior-focused healthcare, customer service and a value-based care model make Humana Medicare Advantage stand out

Healthcare isn’t one-size-fits-all, which is why Humana has adopted a senior-focused care model that addresses the unique needs of older adults. This senior-centered approach is a big part of the Humana difference.

The main features of Humana’s senior-focused care model include:

• Primary care centers customized to meet older adults’ needs
• Longer appointment times and more frequent visits with providers (doctors spend 50% more one-on-one time with patients)
• Integrated care with greater coordination across specialists
• Home healthcare solutions that support aging in place

Humana’s approach to customer service sets it apart. In fact, 70% of clients cite service as the reason for recommending Humana to others.

“The feedback we hear is that the customer received the most complete or appropriate answer and understands what to expect next,” says Brent Hagewood, Associate Vice President, Group Medicare Operations.

A value-based care (VBC) model prioritizes patient results, preventive care and care coordination.

This benefits members, plan sponsors and providers:

• Members enjoy a Learn more about better patient experience and improved health outcomes, including more time spent with primary care physicians (PCPs), more preventive screenings and a greater focus on chronic disease prevention. VBC patients have between 3% and 11% more preventive screenings compared to fee-for-service patients.
• Plan sponsors enjoy lower costs because members aligned with VBC providers have fewer preventable inpatient admissions, fewer hospital readmissions and lower rates of high-risk medication use.
• Clinicians are incentivized in a VBC system because they are Learn more about rewarded based on quality of care and improvements in patient health, rather than the number of services delivered (as in the fee-for-service model).

Humana’s member-first model means taking a whole-person approach to care. Whole-person care addresses a member’s physical, behavioral, cognitive, social and financial needs in addition to their healthcare needs.

Humana’s member-centric model also addresses barriers to care. Here’s how:

• Digital barriers: Humana screens Medicare Advantage members for digital health literacy, ensuring all members can access telehealth, online portals and other healthcare solutions. Humana also provides education programs to help members navigate digital platforms, improving access to care.
• Social barriers: The SilverSneakers^® fitness program gives members the opportunity to exercise in a group setting. Through CenterWell Senior Primary Care^® clinics, members have access to local activity centers offering opportunities for socialization.
• Geographic barriers: Humana Group Medicare provides access to remote care through telehealth benefits, including mental health telehealth coverage.
• Transportation barriers: Through CenterWell Primary Care Anywhere, members can receive senior primary care services within the comfort of their own home. Seniors also have access to 12 one-way trips following hospital discharge (to a plan-approved location).

“We know that increasing access to primary care services is critical to our efforts to deliver better health outcomes for our patients,” says Dr. Kate Goodrich, Humana’s Chief Medical Officer.