Through an agreement with VillageHealth® Disease Management, Humana offers a renal disease management program designed to provide individual care guidance, patient education and coordination of care for eligible Humana-covered patients with late-stage chronic kidney disease and end-stage renal disease.
Enrolled patients are assigned a registered nurse with extensive experience in renal disease. The VillageHealth nurse monitors the patient's health status, facilitates compliance with physician-directed goals, communicates with the patient's physicians and serves as a liaison and advocate for the patient and his or her family. This nursing outreach may be by telephone or in person.
Patient assessment and care planning within the patient's interdisciplinary team are coordinated by the nurse. This team includes the primary care physician, nephrologists and other care specialists.
Case management and care coordination are overseen by a panel of experienced nephrologists.
Patient education includes, but is not limited to, the importance of taking medications as prescribed, management of comorbidities, management of lifestyle issues and identification of patient-selected goals.
Adherence to national evidence-based protocols and guidelines helps prevent the development of other serious conditions.
Eligibility and cost
The program is available to eligible Humana-covered patients in all Medicare lines of business, commercial fully insured groups and Administrative Services Only groups that purchase Humana's clinical programs. It is also available to some Medicaid-covered patients. VillageHealth contacts eligible patients and offers them the opportunity to enroll in the program. VillageHealth will notify a patient's physician if the patient agrees to enroll.
The program is available to patients at no additional cost. Puerto Rico member patients are not eligible for the renal disease management program. Market participation may vary and is subject to change.
For more information about patient eligibility, please call
Assistance is available 24 hours a day, 7 days a week. VillageHealth is a third-party vendor. Participation in the renal disease management program is voluntary. You can learn more about VillageHealth at , opens new window