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Louisville, KY, United States

Albert Tzeel E.,Humana Inc.
American Journal of Managed Care | Year: 2013

Both the prevalence of type 2 diabetes mellitus (DM) and its associated costs have been rising over time and are projected to continue to escalate. Therefore, type 2 DM (T2DM) management costs represent a potentially untenable strain on the healthcare system unless substantial, systemic changes are made. Managed care organizations (MCOs) are uniquely positioned to attempt to make the changes necessary to reduce the burdens associated with T2DM by developing policies that align with evidence-based DM management guidelines and other resources. For example, MCOs can encourage members to implement healthy lifestyle choices, which have been shown to reduce DM-associated mortality and delay comorbidities. In addition, MCOs are exploring the strengths and weaknesses of several different benefit plan designs. Value-based insurance designs, sometimes referred to as value-based benefit designs, use both direct and indirect data to invest in incentives that change behaviors through health information technologies, communications, and services to improve health, productivity, quality, and financial trends. Provider incentive programs, sometimes referred to as "pay for performance," represent a payment/delivery paradigm that places emphasis on rewarding value instead of volume to align financial incentives and quality of care. Accountable care organizations emphasize an alignment between reimbursement and implementation of best practices through the use of disease management and/or clinical pathways and health information technologies. Consumer-directed health plans, or highdeductible health plans, combine lower premiums with high annual deductibles to encourage members to seek better value for health expenditures. Studies conducted to date on these different designs have produced mixed results. Source

Humana Inc. | Date: 2012-11-27

An interactive biometric display system and method for collecting and displaying biometric data. The display system comprises a device for identifying a user and at least one biometric input device (e.g., heart rate sensor). A user provides identifying data via the identifying device and biometric data via the biometric input device. The biometric data (e.g., heartbeat) is measured and recorded with a timestamp. Graphical objects for each user are presented (e.g., a heart) and move around the screen in relation to the biometric data. Attributes of graphical objects (e.g., size, color, color saturation, and height) may vary over time indicating the recency of the data. The display system may further comprise a sound component to play sound related to the biometric data. Visual as well as sound attributes may diminish, fade, or disappear over time and may be refreshed when a new reading for the user is received.

Humana Inc. | Date: 2011-03-02

A computerized method and system for managing a multi-function, integrated account. The account may span multiple legal entities and contain both health and wealth data. The account may contain data pertaining to participants health insurance, supplemental insurance, and other types of insurance (both health and non-health) and may track payment data, claim data, co-pays, etc. as well as data pertaining to the health of participants. Health data may further comprise information pertaining to participants weight, body mass index, blood pressure, and fitness level. The multi-function account comprises financial data such as investment data, brokerage data, mortgage data, and savings, debit, and credit account data. Participants are further rewarded for partaking in certain health and financial activities and for performing certain health and financial tasks. Participants may dial a single telephone number or access a single web site in order to access the health and wealth data of the multi-function account.

A computerized system and method for the creation and management of fundraising events. The system and method support creation of fundraising groups comprising team members that participate in physical activity to raise donations for a certain entity or organization. Individual team members utilize a device (e.g., pedometer) that measures activity during a specified time period. Pledges for donations are made by sponsors that log into a website and pledge to donate a certain amount of money based on the physical activity performed by a fundraising team member. Some fundraising groups may comprise multiple teams. Different teams of the same group may have different fundraising goals or objectives. The website of the system may link a fundraising group to its different fundraising teams. All teams of a fundraising group may raise money for a single entity or the teams of a fundraising group may raise funds for different entities.

Humana Inc. | Date: 2011-03-02

A portable electronic device that assists in the maintenance of a healthy lifestyle by recording biometric measurement data, confirming completion of healthy activities, and generating graphs from biometric measurement data. The device may comprise a speaker for providing instructions to users as to how the portable device is to be used, results of biometric measurements, counting down the time remaining until a biometric measurement has been obtained, etc. The device may connect to a remote computer of a health care facility, health care provider, or insurance provider. Completion data for health activities is recorded. As the user completes measurements or other health activities such as appointments, the third party may provide a code for the user to record in the device to signal completion of the activity. The device may also be used to record data related to a users participation in a rewards program.

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