Humana 2015 Annual Report Download - page 19

11
Provider services
We operate full-service, multi-specialty medical centers, primarily in Florida, staffed by primary care providers
and medical specialists practicing cardiology, endocrinology, geriatric medicine, internal medicine, ophthalmology,
neurology, and podiatry.
We also operate Transcend, a Medical Services Organization, or MSO, that coordinates medical care for Medicare
Advantage beneficiaries primarily in Florida, Arkansas, Alabama and Kansas. Transcend provides resources in care
coordination, financial risk management, clinical integration and patient engagement that help physicians improve the
patient experience as well as care outcomes. Transcend collaborates with physicians, medical groups and integrated
delivery systems to successfully transition to value-based care by engaging, partnering and offering practical services
and solutions. Transcend represents a key component of our integrated care delivery model which we believe is scalable
to new markets. In addition, we own a noncontrolling equity interest in MCCI Holdings, LLC, a privately held MSO
headquartered in Miami, Florida, that primarily coordinates medical care for Medicare Advantage beneficiaries in
Florida, Texas and Georgia.
Programs to enhance the quality of care for members are key elements of our integrated care delivery model. We
believe that technology represents a significant opportunity in health care that positively impacts our members. Our
Transcend Insights business focuses on population health and wellness capabilities across the sector and serves health
care systems, physicians and care teams by leveraging actionable data to help improve patient care. We help care teams
and patients transition from a reactive approach to care to one that proactively promotes health and long-term wellness.
We have enhanced our health information technology capabilities enabling us to create a more complete view of an
individual’s health, designed to connect, coordinate and simplify health care while reducing costs. These capabilities
include our health care analytics engine, which reviews billions of clinical data points on millions of patients each day
to provide members, providers, and payers real-time clinical insights to identify evidence-based gaps-in-care, drug
safety alerts and other critical health concerns to improve outcomes. Additionally, our technology connects Humana
and disparate electronic health record systems to enable the exchange of essential health information in real-time to
provide physicians and care teams with a single, comprehensive patient view.
On June 1, 2015, we completed the sale of our wholly owned subsidiary, Concentra Inc., or Concentra, that delivered
occupational medicine, urgent care, physical therapy, and wellness services to employees and the general public through
its operation of medical centers and worksite medical facilities.
Home based services
Via in-home care, telephonic health counseling/coaching, and remote monitoring, we are actively involved in the
care management of our customers with the greatest needs. Home based services include the operations of Humana At
Home, Inc., or Humana At Home®. As a chronic-care provider of in-home care for seniors, we provide innovative and
holistic care coordination services for individuals living with multiple chronic conditions, individuals with disabilities,
fragile and aging-in-place members and their care givers. We focus our deployment of these services in geographies,
such as Florida, with a high concentration of members living with multiple chronic conditions. The clinical support
and care provided by Humana At Home® is designed to improve health outcomes and result in a higher number of days
members can spend at their homes instead of in an acute care facility. To that end, we have accelerated our process for
identifying and reaching out to members in need of clinical intervention. At December 31, 2015, we enrolled
approximately 590,300 members with complex chronic conditions in the Humana Chronic Care Program, a 40.3%
increase compared with approximately 420,700 members at December 31, 2014, reflecting enhanced predictive
modeling capabilities and focus on proactive clinical outreach and member engagement, particularly for our Medicare
Advantage membership. We believe these initiatives lead to better health outcomes for our members and lower health
care costs.
Clinical programs
We are committed to the integrated physical and mental health of our members. Accordingly, we take a holistic
approach to healthcare, offering care management, behavioral health services and wellness programs.