Designed To Improve the Patient Experience and Health Outcomes, Services to be Available Initially in Four States

December 11, 2019

LOUISVILLE, Ky. —  (BUSINESS WIREopens new window)–Leading health and well-being company Humana Incopens new window. (NYSE: HUM) is expanding its care management portfolio by teaming up with two specialized care management companies to offer personalized, coordinated services for Humana Medicare Advantage and Commercial members with kidney disease who live in four states. Through agreements with Monogram Healthopens new window and Somatusopens new window, Humana will offer care coordination to better diagnose and manage kidney disease toward improving members’ quality of life and their health.

Individuals with chronic kidney disease (CKD) cannot properly filter blood, causing waste and fluid levels that can be dangerously high. According to the Centers for Disease Controlopens new window, CKD affects more than 30 million Americans – many of whom are not aware of their condition – and is the nation’s ninth-leading cause of death. Management of CKD is complex, and failure to appropriately manage the condition may cause worsening health outcomes and considerable symptoms for those with CKD.

“Through this collaboration, we will strengthen care coordination for Humana members with kidney disease. Our partnerships will offer customized care options, and will empower patients with education and engagement tools to better manage their condition,” said William Shrank, MD, MPHS, Humana’s Chief Medical and Corporate Affairs Officer. “This multidisciplinary approach will focus on detecting kidney disease earlier, slowing disease progression, and utilizing therapies that enable members to receive care in the convenience of their own home.”

Teams from the two companies consist of clinicians – including nephrologists, nurses, dietitians, and social workers – who work to break down barriers to integrated kidney care. Services will include care coordination with a member’s primary care physician and nephrologist; in-home health and medication assessments; patient education about treatment options such as home dialysis; and emotional support through counseling.

Monogram Health and Somatus will serve eligible Humana Commercial and Medicare Advantage members as follows:

  • Monogram Health in Louisiana and Mississippi*
  • Somatus in Georgia and Virginia**

“Humana is pleased to be able to offer our members with chronic kidney and end-stage renal disease a range of specific care management services to meet their unique health needs and help them spend more time at home than at a clinical care facility,” said Susan Diamond, Humana’s Segment President, Home Business. “This is a holistic, comprehensive approach to care for members with late-stage kidney disease. Through these agreements, Humana is proud to deepen our longstanding commitment to improve the patient experience and health outcomes, while reducing the cost of care.”

* Services now available

** Services available starting January 1, 2020

About Humana

Humana Inc. is committed to helping our millions of medical and specialty members achieve their best health. Our successful history in care delivery and health plan administration is helping us create a new kind of integrated care with the power to improve health and well-being and lower costs. Our efforts are leading to a better quality of life for people with Medicare, families, individuals, military service personnel, and communities at large.

To accomplish that, we support physicians and other health care professionals as they work to deliver the right care in the right place for their patients, our members. Our range of clinical capabilities, resources and tools – such as in-home care, behavioral health, pharmacy services, data analytics and wellness solutions – combine to produce a simplified experience that makes health care easier to navigate and more effective.

More information regarding Humana is available to investors via the Investor Relations page of the company’s web site at www.humana.comopens new window, including copies of:

  • Annual reports to stockholders
  • Securities and Exchange Commission filings
  • Most recent investor conference presentations
  • Quarterly earnings news releases and conference calls
  • Calendar of events
  • Corporate Governance information
 

Additional Information

Humana is a Medicare Advantage HMO and PPO organization with a Medicare contract. Enrollment in any Humana plan depends on contract renewal. Other providers are available in our network. The provider may contract with other Plans.

About Somatus

Somatus partners with nephrology and primary care groups, leading health plans, and health systems to provide integrated care for patients with, or at risk of developing, kidney disease. As the market leader in value-based kidney care, Somatus’ vertically integrated clinical services and technologies delay or prevent disease progression, improve quality and care coordination, and increase the use of home dialysis modalities and rates of kidney transplantation. Somatus is headquartered in McLean, Virginia, and founded by a team of world-class healthcare operators, successful entrepreneurs, and leading clinicians treating kidney disease. For more information, please visit www.somatus.com.

Disclaimer: The statements contained in this document are solely those of the authors and do not necessarily reflect the views or policies of CMS. The authors assume responsibility for the accuracy and completeness of the information contained in the document. 

Humana Contact

Alissa Krinsky
Humana Corporate Communications
312-441-5576
[email protected]

Somatus Contact

Lara Smith
AVP, Marketing and Communications
[email protected]
571-634-2526