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Health Resources Member Evaluation Guidance and Support Analysis and Feedback
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Analysis

Analysis and Feedback

To increase the value and success of our Health Resources, Humana conducts ongoing analysis of program metrics. Gathering data on members' health, claims, and program experiences allows us to strengthen our offerings and develop new programs that benefit participants and employers.

Insight Drives Fine-Tuning of Offerings

Analysis of Health Resources programs gives employers the information they need to make smart decisions about the services they offer.

Historic view of interactions

Client Reporting
Humana’s client reporting package shows a historic view of how Health Resources interacted with employees. For example, reporting for Maximize Your Benefit shows how many members were reached through VAT, e-mail, and mail. More important, it shows how effective the program was in promoting use of lower-cost alternatives.

Converting data into forward looking strategies

VerisightSM
Understanding the relationship between historic and future costs is essential to strategic health benefits management. Verisight puts Humana’s advanced analytic capabilities and technology to use for employers by providing an interactive multi-color visual of current and historic trends. This analysis allows for better understanding of the core drivers of costs in a population. Verisight also allows for utilization benchmarking of health trends against national, regional, and even industry standards.

Medical Director Consultation
The regional-based medical director provides clinical insight and consultation that allows for a strategic approach to managing healthcare trends.Through Verisight and other tools, the medical director examines the underlying conditions and cost drivers specific to a customer's employee base that may differ from industry norms. Especially beneficial in larger populations, the medical director then serves as partner and consultant, working with each company to craft a strategy that addresses issues of concern.

Keeping an eye on the future drivers of trend

Clinical Pipeline Analysis and Cost Trend Detection
This approach is a link to the future. Humana has established a process to perform ongoing environmental analysis of emerging treatments, technologies, service delivery methods, pharmaceuticals, and more. Quicker identification of new developments in cost drivers allows Humana to better project future cost implications and establish new Health Resources services for members.
These programs and tools are not insurance products and are not guaranteed under any contract. Humana is not required to provide these services.