Humana 2012 Annual Report Download - page 6

5 2012 Annual Report
Fourth, we furthered the build-
out of our integrated care
delivery model through our
acquisitions of Metropolitan Health
Networks, Inc., a medical services
organization (MSO), and Certify
Data Systems, as well as through
strategic investments in two other
MSOs, MCCITM and JenCare. These
organizations, combined with our own
CAC medical centers and the 50 primary
care providers acquired by Concentra®
during 2012, form a significant part
of the foundation upon which we will
build a comprehensive, best-practices
integrated care delivery model. This
member-focused model has three
mutually reinforcing elements: care
delivery, coordinated by the primary care
physician; high member engagement;
and clinical and consumer insights
deriving from data-driven information
shared among Humana, our providers
and our members. The model integrates
primary care, home care services,
pharmacy services, well-being (including
innovative incentives and rewards
programs), and data analytics. For our
providers, interest in migrating toward
a payment model based on quality
and cost, in which integrated care is
delivered most efficiently and effectively,
continues to be strong, and the number
of providers migrating to such a model
is large. With the addition of our 2012
physician-related transactions, Humana
now employs, has strategic
investments in, or has MSO
contracts with nearly 2,500
providers nationwide.
To help give these providers the
tools they need to offer our members
optimal care, we acquired Certify, a
pioneer in health information exchange
technology. Certify’s HealthLogixTM
solution provides two-way sharing of
relevant clinical information across
disparate electronic health records
systems, connecting providers and
allowing them to share patient
health information in real time. This
functionality combines with electronic
communication and analytics from
our existing AnvitaTM and CareHub
infrastructure to proactively identify
gaps in care – enhancing care
coordination with our owned,
affiliated, and contracted providers.
And finally, we increased our team
of care management professionals
to 6,700 from 3,800 at the end
of 2011. Among other benefits, this
enabled us to exceed by 5,000 our goal
of 55,000 in-home Medicare Advantage
member health assessments for 2012.
Through swift and accurate assessment
of our members’ health conditions, and
by guiding them to the appropriate care
pathways, we believe we are able to
improve their health status, enhance
their quality of life, enable aging with
grace in their homes, and reduce the
incidence and cost of institutional
health care, thus improving their health
care experience.
Our capital deployment initiatives in
2012 included the issuance of $1 billion
in senior notes. During the year we
also repurchased 6.25 million shares
of Humana stock in open-market
transactions for $460 million, and
declared cash dividends to stockholders
of $1.03 per share for an aggregate
amount of $166 million.
Humana’s
Integrated Care
Delivery Model
A member-
focused model
leveraging three
core elements to
reinforce value for
our providers
and members.
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Individuals
Employer Groups
Government
Clinical and
Consumer Insights
F Real time information
F Integrated / connected
F Relevant / actionable
Care Delivery
F Primary care-centric
F Aligned incentives
F Quality / cost outcomes
Member Experience
F Informed
F Satisfied
F Engaged