Humana’s innovative approach to improve clinical outcomes

Posted by Brad Veach Tuesday, February 14, 2017

Humana improved clinical outcomes with a digitally connected network

Coordinating referrals across a disparate provider network is broken.

Long lead times, finding the right provider, efficiently coordinating care, and tracking the timeliness and completion of appointments are everyday obstacles.

These challenges create a time-consuming process, a poor patient experience and untimely access to care. As a result, many patients experience long delays or simply do not follow through on these referrals - correlating to lower clinical outcomes and increased medical costs.

In both fee-for-service and value-based models, such outcomes can have severe consequences.

To address these challenges, Humana created a digitally connected network across its employed primary care physician (PCP) offices and the corresponding affiliated specialist network through MyHealthDirect’s platform. “In our case, where we have valued relationships with specialists, MyHealthDirect helps us recognize and ensure that patients get to the right type of consultant,” says Dr. Yogi Hernandez.

Humana’s innovative approach to connect a digital network across disparate systems has facilitated more timely and convenient referrals, validated the power of real-time analytics to change referral behaviors, and successfully demonstrated that a platform across employed and affiliated providers can improve quality scores and completion rates.

Please join Humana Inc. and MyHealthDirect as they present “Creating Digital Networks To Improve Access and Outcomes” which explores the benefits of greater patient access to specialty care in depth.

Session @HIMSS17: How creating digital networks improves access and outcomes
Speakers: Joshua Morrell, Director, Joint Venture Oversight & Analytics at Humana and Jason Kressel, SVP of Product and Account Management at MyHealthDirect
Location: Orange County Convention Center Booth #6779, C&BI
When: February 21, 2017 from 2:30pm – 3:00pm EST.

Topics: Health Plans, Referral Management, Patient Access, Data Analytics, Calendar Optimization, Lead Times, Provider Utilization, Provider Networks

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