Humana 2013 Annual Report Download - page 21

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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, integrated behavioral health services, 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 16 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, 2013:
Healthcare Services
Segment
Premiums and
Services Revenue
Percent of
Consolidated
Premiums and
Services Revenue
(dollars in millions)
Intersegment revenue:
Pharmacy solutions ........................ $13,079 n/a
Provider services ......................... 1,120 n/a
Home based services ...................... 326 n/a
Integrated behavioral health services .......... 126 n/a
Total intersegment revenue ............. $14,651
External services revenue:
Provider services ......................... $ 1,127 2.8%
Home based services ...................... 94 0.2%
Pharmacy solutions ........................ 59 0.1%
Integrated behavioral health services .......... 2 0.0%
Total external services revenue .......... $ 1,282 3.1%
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
RightSourceRx®, as well as research services.
Provider services
Our subsidiary, Concentra Inc.®, acquired in 2010, delivers primary care, 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.
Our CAC Medical Centers, or CAC, in South Florida operate full-service, multi-specialty medical centers
staffed by primary care providers and medical specialists practicing cardiology, endocrinology, geriatric
medicine, internal medicine, ophthalmology, neurology, and podiatry.
Our subsidiary, Metropolitan Health Networks, Inc., or Metropolitan, and our noncontrolling equity interest
in MCCI Holdings, LLC, or MCCI, both acquired in 2012, are Medical Services Organizations, or MSOs, that
coordinate medical care for Medicare Advantage beneficiaries and Medicaid recipients, primarily in Florida and
Texas. These MSOs represent key components of our integrated care delivery model which we believe is scalable
to new markets.
11