Humana Releases 'UnHealthy Days' Report

An initiative by Humana (NYSE: HUM) that addresses social determinants of health posted positive results in five of seven target communities in 2018. On average, Humana Medicare Advantage (MA) members in participating communities saw a 2.7% reduction in “unhealthy days” experienced in 2018, according to the insurer’s 2019 Bold Goal progress report. Unhealthy days are tracked using a U.S. Centers for Disease Control and Prevention (CDC) assessment tool called Healthy Days, which measures self-reported mental and physical health for people over a 30-day period. That 2.7% dip is compared to numbers from 2015, when the Louisville, Kentucky-based Humana first announced its “Bold Goal” initiative.

Medicare Advantage Plans Adding Home Care Benefit in 2020

Medicare Advantage Plans May Provide Additional Supplemental Benefits in 2020 On April 27, 2018, the Medicare Drug and Health Plan Contract Administration Group of the Centers for Medicare and Medicaid Services (CMS) issued a memo to Medicare Advantage (MA) Plans about reinterpretation of the definition of "primarily health related" for the purposes of providing supplemental benefits to enrollees. Beginning in CY 2019, CMS expanded the definition of "primarily health related" to include items or services if they are used to: Diagnose or compensate for physical impairments Ameliorate the functions/psychological impact of injuries or health conditions, or Reduce avoidable emergency and health

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