Humana 2015 Annual Report Download - page 18

Download and view the complete annual report

Please find page 18 of the 2015 Humana annual report below. You can navigate through the pages in the report by either clicking on the pages listed below, or by using the keyword search tool below to find specific information within the annual report.

Page out of 166

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10
  • 11
  • 12
  • 13
  • 14
  • 15
  • 16
  • 17
  • 18
  • 19
  • 20
  • 21
  • 22
  • 23
  • 24
  • 25
  • 26
  • 27
  • 28
  • 29
  • 30
  • 31
  • 32
  • 33
  • 34
  • 35
  • 36
  • 37
  • 38
  • 39
  • 40
  • 41
  • 42
  • 43
  • 44
  • 45
  • 46
  • 47
  • 48
  • 49
  • 50
  • 51
  • 52
  • 53
  • 54
  • 55
  • 56
  • 57
  • 58
  • 59
  • 60
  • 61
  • 62
  • 63
  • 64
  • 65
  • 66
  • 67
  • 68
  • 69
  • 70
  • 71
  • 72
  • 73
  • 74
  • 75
  • 76
  • 77
  • 78
  • 79
  • 80
  • 81
  • 82
  • 83
  • 84
  • 85
  • 86
  • 87
  • 88
  • 89
  • 90
  • 91
  • 92
  • 93
  • 94
  • 95
  • 96
  • 97
  • 98
  • 99
  • 100
  • 101
  • 102
  • 103
  • 104
  • 105
  • 106
  • 107
  • 108
  • 109
  • 110
  • 111
  • 112
  • 113
  • 114
  • 115
  • 116
  • 117
  • 118
  • 119
  • 120
  • 121
  • 122
  • 123
  • 124
  • 125
  • 126
  • 127
  • 128
  • 129
  • 130
  • 131
  • 132
  • 133
  • 134
  • 135
  • 136
  • 137
  • 138
  • 139
  • 140
  • 141
  • 142
  • 143
  • 144
  • 145
  • 146
  • 147
  • 148
  • 149
  • 150
  • 151
  • 152
  • 153
  • 154
  • 155
  • 156
  • 157
  • 158
  • 159
  • 160
  • 161
  • 162
  • 163
  • 164
  • 165
  • 166

10
retains all of the risk of the cost of health benefits. Accordingly, we account for revenues under the current contract net
of estimated health care costs similar to an administrative services fee only agreement.
Wellness
We offer wellness solutions including our Humana Vitality® wellness and loyalty rewards program, health coaching,
and clinical programs. These programs, when offered collectively to employer customers as our Total Health product,
turn any standard plan of the employer's choosing into an integrated health and well-being solution that encourages
participation in these programs.
Our Humana Vitality® program provides our members with access to a science-based, actuarially driven wellness
and loyalty program that features a wide range of well-being tools and rewards that are customized to an individual’s
needs and wants. A key element of the program includes a sophisticated health-behavior-change model supported by
an incentive program.
We also provide employee assistance programs and coaching services including a comprehensive turn-key coaching
program, an enhancement to a medically based coaching protocol and a platform that makes coaching programs more
efficient.
Our Healthcare Services Segment Products
The products offered by our Healthcare Services segment are key to our integrated care delivery model. This
segment is comprised of stand-alone businesses that offer services including pharmacy solutions, provider services,
home based services, clinical programs, and predictive modeling and informatics services to other Humana businesses,
as well as external health plan members, external health plans, and other employers or individuals and are described
in the discussion that follows. Our intersegment revenue is described in Note 17 to the consolidated financial statements
included in Item 8. – Financial Statements and Supplementary Data. The following table presents our services revenue
for the Healthcare Services segment by line of business for the year ended December 31, 2015:
Healthcare Services
Segment
Services Revenue
Percent of
Consolidated
Premiums and
Services Revenue
(dollars in millions)
Intersegment revenue:
Pharmacy solutions $ 20,551 n/a
Provider services 1,291 n/a
Home based services 875 n/a
Clinical programs 203 n/a
Total intersegment revenue $ 22,920
External services revenue:
Provider services $ 515 0.9%
Home based services 140 0.3%
Pharmacy solutions 30 0.1%
Total external services revenue $ 685 1.3%
n/a – not applicable
Pharmacy solutions
Humana Pharmacy Solutions®, or HPS, manages traditional prescription drug coverage for both individuals and
employer groups in addition to providing a broad array of pharmacy solutions. HPS also operates prescription mail
order services for brand, generic, and specialty drugs and diabetic supplies through Humana Pharmacy, Inc., as well
as research services.