Humana 2015 Annual Report Download - page 20

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12
Our care management programs take full advantage of the population health, wellness and clinical applications
offered by Transcend Insights and CareHub, our clinical management tool used by providers and care managers across
the company to help our members achieve their best health, to offer various levels of support, matching the intensity
of the support to the needs of members with ongoing health challenges through telephonic and onsite programs. These
programs include Personal Nurse, chronic condition management, and case management as well as programs supporting
maternity, cancer, neonatal intensive care unit, and transplant services.
In addition, we focus on the behavioral aspects of a members' health such as managing stress and work/life balance.
Humana Behavioral Health takes a holistic, mind-and-body approach to behavioral healthcare to address the whole
person, encouraging faster recovery and improving clinical outcomes while reducing costs for both the member and
employer.
Other Businesses
Other Businesses primarily includes our closed block of long-term care insurance policies described below. Total
premiums and services revenue for our Other Businesses was $49 million, or 0.1% of consolidated premiums and
services revenue for the year ended December 31, 2015.
We have a non-strategic closed block of approximately 31,800 long-term care insurance policies associated with
our acquisition of KMG America Corporation in 2007. Long-term care insurance policies are intended to protect the
insured from the cost of long-term care services including those provided by nursing homes, assisted living facilities,
and adult day care as well as home health care services. No new policies have been written since 2005 under this closed
block.
Membership
The following table summarizes our total medical membership at December 31, 2015, by market and product:
Retail Segment Group Segment
(in thousands)
Individual
Medicare
Advantage
Group
Medicare
Advantage
Medicare
stand-
alone PDP
Individual
Commercial
State-
based
contracts
Fully-
insured
commercial
Group ASO
Military
services
Other
Businesses Total
Percent
of Total
Florida 587.4 19.9 320.5 288.4 351.9 168.4 33.8 — — 1,770.3 12.5%
Texas 215.6 68.8 281.4 163.8 — 217.3 107.2 — — 1,054.1 7.4%
Georgia 105.2 2.5 115.0 270.2 — 155.3 18.6 — — 666.8 4.7%
Kentucky 69.9 56.1 203.8 17.6 — 109.3 195.5 — — 652.2 4.6%
Ohio 105.8 155.6 143.5 20.8 — 46.3 70.1 — — 542.1 3.8%
California 64.9 0.1 420.7 13.3 — — — — — 499.0 3.5%
Illinois 81.7 20.8 154.1 11.3 12.0 82.4 95.0 — — 457.3 3.2%
Missouri/Kansas 100.6 3.4 202.0 18.7 — 52.9 9.4 — — 387.0 2.7%
Tennessee 139.8 2.0 97.5 26.5 — 47.0 34.9 — — 347.7 2.5%
Wisconsin 63.2 10.1 95.8 8.5 — 84.2 80.1 — — 341.9 2.4%
Louisiana 147.2 10.9 54.4 20.6 — 67.9 31.7 — — 332.7 2.3%
North Carolina 129.4 37.2 158.4 5.6 — — — — — 330.6 2.3%
Indiana 88.1 3.7 120.2 12.1 — 22.4 17.2 — — 263.7 1.9%
Virginia 111.2 5.5 125.5 8.9 9.8 — — — — 260.9 1.8%
Michigan 48.8 14.1 135.8 19.4 — 6.5 0.5 — — 225.1 1.6%
Colorado 35.2 5.5 83.3 22.7 — 24.8 1.1 — — 172.6 1.2%
Arizona 57.8 1.2 75.3 8.4 — 28.4 1.2 — — 172.3 1.2%
Military services — — — — — — — 3,074.4 — 3,074.4 21.6%
Others 601.6 66.7 1,770.7 120.9 — 65.2 14.4 — 32.6 2,672.1 18.8%
Totals 2,753.4 484.1 4,557.9 1,057.7 373.7 1,178.3 710.7 3,074.4 32.6 14,222.8 100.0%