Overview

We know living and aging well is important. We designed our Healthy Behaviors Program to:

  • Encourage and reward healthy behaviors
  • Help you take steps toward being and staying healthy
  • Help you reach your health and wellness goals

Our Healthy Behaviors Program includes seven types of activities that eligible members can complete to earn a reward:

  1. Health risk assessment (HRA) – Offers qualifying members an incentive to complete the assessment.
  2. Baby well visit (BWV) – Encourages the frequency of child well visits to a primary care physician during the first 18 months of a baby’s life
  3. Moms First prenatal and postpartum – Rewards qualifying members who take advantage of prenatal and postpartum education and care management to help decrease the risk of pregnancy complications (such as preterm delivery) associated with high-risk pregnancies
  4. Pediatric well visit (PWV) – Encourages a yearly pediatric well visit for members between the ages of 2 and 21
  5. Humana Family Fit – Rewards obese and overweight members who enroll in and complete a 6-month weight management program AND who complete a biometric screening with their PCP at the end of the 6-month period
  6. Smoking cessation – Offers members who smoke counseling,medication therapy, and a reward to help them quit smoking
  7. Substance abuse – Offers members who drink and/or use drugs counseling, medication therapy, and a reward to help them live a drug- and/or alcohol-free life

Performance

Each year, we review our Healthy Behaviors Program. The chart below reflects program enrollment and completion from July 2018 through June 2019.

Program Enrollment Completion Health risk assessment* 8,669 8,669 Baby well-visit 5,272 3,021 Pediatric well-visit 10,792 8,985 Moms First prenatal and postpartum 4,971 932 Humana Family Fit 16 2 Smoking cessation 72 4 Substance abuse 58 2

*Note: The HRA counts began in December with the roll out of our new contract.

Clinical success measures

Baby/Pediatric Well Visit

  • Increased PCP engagement/encounters, and improved early detection of illness or developmental delays and improved adherence to treatment (as applicable), leading to lowered emergency room (ER) visits and inpatient (IP) utilization (risk adjusted)

Moms First Prenatal and Postpartum

  • Increased compliance with prenatal and postpartum appointments, which increased early identification of preterm and postpartum risk and complications, and reduced ER admissions, preterm deliveries, and adverse outcomes

Substance Abuse/Smoking Cessation

While success measurement data is not available for this evaluation period, the program aims to:

  • Increase health outcome education, awareness, and consequences related to smoking and substance abuse

We anticipate having available data for future reporting.

Family Fit

While success measurement data is not available for this evaluation period, the program aims to:

  • Increase health outcome education, awareness, and consequences related to obesity

We anticipate having available data for future reporting.

Next steps

To promote member engagement AND improve health outcomes, we have:

  • Increased efforts to promote (such as through a call campaign or member education) and enroll members into the Healthy Behaviors Program
  • Devoted new resources to better focus on these important strategic outcomes
  • Placed more attention and emphasis on all Healthy Behavior Program activities
  • Developed new partnerships with clinical personnel

We also continue to collaborate with The Agency of Health Care Administration (AHCA), vendors, and other community engagement programs to help improve the health and well-being of our members.

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