SmartResultsSM
Your strategy for healthier outcomes
SmartResults is a bold new solution to employers' healthcare cost dilemma. SmartResults is a three-year partnered approach among Humana, brokers, employers, and employees designed to deliver healthier outcomes and long-term claims cost control.
SmartResults: a smart choice for self-funded companies
SmartResults is currently available to self-funded accounts with 300 or more employees. Humana will put 40 percent of its benefit-administration fees at risk based on service and claims cost. As part of the program, Humana predicts the claims cost target to be no more than 6 to 9 percent, well below the 11 percent national average increase in health insurance premiums over the past five years.
How SmartResults works
SmartResults offers a long-term approach that:
- Integrates with an employer's existing plan design
- Improves health outcomes through a proven combination of engagement and intervention strategies
- Streamlines administration using its comprehensive turn-key solution for programs, reporting, and service
Humana's financial guarantee
Humana is so confident SmartResults will work for you that we offer these financial guarantees. We will:
- Put 40 percent of Humana's base administrative fees at risk based on:
- per member per month total claims cost
- service performance
- Set second- and third-year trend factors as low as 6 percent*
- Cap employer's administrative fee for years two and three
- Set aggregate stop-loss trend target as low as 6 percent**
*As low as 6 percent with 100 percent fulfillment of employer commitment.
**Stop loss-guarantees are not available in Florida at this time.
SmartResults: three simple steps to lock in future savings
SmartResults makes it easy for employers and employees. With SmartResults:
- Employers choose the strategy they and their employees are comfortable with
- Employers and employees work together for employee engagement and improved health outcomes
- Employers work with their broker and Humana to monitor their progress using a "scorecard" and reinforcing action plans as needed
Humana works to ensure SmartResults success
Humana supports employers every step of the way with:
- Strategic relationship team to consult, develop, and oversee action plan tailored to company's needs
- Employee communications support with newsletters and other communication vehicles
- Tracking results with the SmartResults Scorecard through quarterly reviews and plan adjustments as needed
