Company Overview
Headquartered in Louisville, Kentucky, Humana Inc. (NYSE: HUM) is a
leading (2022 Fortune #40 ranking) health and well-being company
focused on making it easy for people to achieve their best health
with clinical excellence through coordinated care. Our strategy
integrates care delivery, the member experience, and clinical and
consumer insights to encourage engagement, behavior change,
proactive clinical outreach and wellness for the millions of people
we serve across the country. As of December 31, 2022, we had
approximately 17.1 million members in our medical benefit
plans, as well as approximately 5.2 million members in our
specialty products.
During December 2022, Humana realigned certain of its businesses
among its previously reportable segments, Retail, Group and
Specialty and Healthcare Services, into two distinct segments:
Insurance and CenterWell. In addition to the new segment
classifications being utilized to assess performance and allocate
resources, we believe this simpler structure will create greater
collaboration across the Insurance and CenterWell businesses and
will accelerate work that is underway to centralize and integrate
operations within the organization.
Our Strategy
We are committed to addressing the most important health needs of
our millions of medical and specialty insurance members and health
services patients. Our Insurance segment delivers products that aim
to provide affordable, high-quality access to medical, dental,
hearing, vision, and prescription drug care to our members. Our
CenterWell segment delivers health services to customers from a
variety of payors, including Humana, in what we consider the most
significant areas of influence for managing chronic conditions and
total cost of care. These include primary care, home health, and
pharmacy solutions. Together these offerings, underpinned by
leading data, analytics, clinical quality, and commercial
capabilities, enable us to deliver solutions that promote wellness
and advance population health.
The core franchise of our business is Medicare Advantage, which is
one of the fastest growing and most attractive segments of
healthcare. We aim to sustainably grow that business at or above
market growth rates. We plan to achieve this attractive growth rate
by leveraging several differentiated capabilities in our Insurance
segment, including our leadership in value-based care arrangements,
our leading clinical quality as evidenced by our consistently high
Stars performance, our first-mover advantage in interoperability,
data, and analytics solutions, and our award-winning customer
experience. We also have an attractive diversification of insurance
offerings across product offerings (medical, dental, vision,
hearing, prescription drug), and customer segments (Medicare
Advantage, Medicaid, and Military). We also realize that in our
complex industry effective partnership is required to meet the
needs of our diverse customers. We have a proud history of
partnering with multiple stakeholders, including our government
partners at the Centers for Medicare & Medicaid Services
(CMS), distribution and channel partners, care delivery providers,
technology companies, and retailers to name just a few.
Our CenterWell segment includes health service offerings of
significant scale and scope across primary care, home health, and
pharmacy solutions. These businesses deliver healthy revenue,
profit, and attractive growth rates that benefit from the overall
growth of our Insurance segment. These businesses also expand our
addressable market by serving patients from multiple health plans
and Original Medicare in addition to Humana health plan members.
And most importantly, these businesses enable us to participate
directly in the areas of highest influence for successful proactive
management of disease progression. As a result, we are able to
lower avoidable hospital admissions (and readmissions) and lower
inappropriate ER utilization while improving NPS and quality scores
relative to competitive benchmarks.
While our businesses have attractive revenue, margin, and growth
profiles in their own right, the collection of assets we’ve
assembled at meaningful scale position us to create a new kind of
integrated care delivery with the power to address our customers’
most significant needs that impede simpler health care and better
health by (i) making care more predictable, understandable,
and affordable, (ii) addressing medical, behavioral, and
social needs, and (iii) delivering care whenever and wherever
our customers need it. We understand that health care is
complicated and navigating the system can be a confusing and
daunting task. This is particularly true for vulnerable
populations, which tend to over index in the markets we serve. That
is one of the principal reasons why Humana continues to enhance its
integrated care delivery strategy in key areas to enable a better
and more seamless locally delivered health care experience for our
members.
We also understand we operate in an increasingly competitive
environment, and as such, we are continually focused on better
understanding and addressing the unmet needs that matter the most
to our customers. We call this delivering “human care.” Human care
separates Humana from other traditional healthcare companies,
demonstrating that our approach is more caring, personalized, and
simple. We do this by (i) listening to our customers,
(ii) establishing strong partnerships with trusted individuals
who are involved in their care, such as providers and caregivers,
(iii) developing technologies and other solutions that offer
convenient and easy ways for them to engage with their health, and
(iv) leveraging data, analytics, and digital solutions to
improve how they engage and interact with us.
Finally, we aim to be responsible stewards of capital with leading
return on invested capital (ROIC) driven by sustainable organic
growth and strategic M&A. We also plan to continue to innovate
with our government partners to advance the Medicare Advantage and
Medicaid programs to deliver great outcomes for our members and
patients and great value to the taxpayer in one of the finest
examples of public/private partnership in the country. And last,
and most fundamental to our strategy, is the continual focus on
nurturing the culture of the Company and engagement of our
associates, which power all of our efforts to deliver the best
health and simplest experience possible for the members and
patients we are privileged to serve.
|
|
|
|
|
|
|
|
|
|
Company
Overview • 2023 Proxy
Statement | Humana
|
|
|
|
|
|
1 |