Humana Healthy Horizons Recommended by Indiana Family and Social Services Administration to Serve Medicaid Beneficiaries
March 08 2023 - 09:00AM
Business Wire
Kentucky-based company one of four recommended
to provide Medicaid managed care for people across the Hoosier
state
Leading integrated health and wellness company Humana Inc.
(NYSE: HUM) has been notified by the Indiana Family and Social
Services Administration (FSSA) that FSSA is recommending Humana be
awarded a contract to deliver health care in the state’s Managed
Long Term Services and Supports (MLTSS) program, Indiana Pathways
for Aging (Pathways). Humana’s Medicaid division — Humana Healthy
Horizons — expects to begin administering the coverage in 2024.
Building on our success improving health and delivering value,
Humana Healthy Horizons will leverage its person-centered approach
to improve the health and well-being of Indiana’s Medicaid MLTSS
members. With a deep presence throughout the state, local teams of
Humana employees will work closely with the provider community to
deliver high quality services. The program will use advanced
technology and data analytics to measure quality performance, guide
outcomes improvement and identify potential health disparities in
the population, with a focus on the needs of the individual.
“It’s our privilege to have been selected to serve Indiana
Medicaid members,” said Humana Healthy Horizons President John
Barger. “At Humana, we are proud of our approach to care that is
centered on the needs and desires of our members and their health.
In partnership with states, providers and communities, we focus on
their physical and mental health and well-being and address needs
like transportation, nutrition, housing and social connection.
Together, we help our MLTSS members stay in their homes and remain
connected to the communities they love.”
Humana is one of four health plans recommended for award as part
of a statewide Medicaid managed care procurement issued last year.
The state contract will provide for an initial four-year term of
service that takes effect in 2024, with the option of renewal terms
thereafter.
The awards also allow managed care organizations to continue
serving those dually eligible for Medicaid and Medicare through
Medicare Advantage Dual Special Needs Plans (D-SNPs), while
ensuring plans deliver a seamless, integrated health care
experience for D-SNP members.
As of Dec. 31, 2022, Humana serves a total of nearly 350,000
Hoosiers through Humana Medicare Advantage plans, Medicare
prescription drug plans, commercial group and ASO health plans, and
the TRICARE military health care program as administered by Humana.
Humana’s participation in Indiana’s Medicaid program will allow the
company to bring its services to more people across the state.
About Humana Healthy
Horizons
Humana manages Medicaid benefits for more than 1 million members
nationally under the Humana Healthy Horizons™ brand, which reflects
our expertise in managing complex populations, our commitment to
creating solutions that lead to a better quality of life for our
members, and our efforts to deliver human care that makes the
healthcare experience easier, more personalized and more
caring.
During more than two decades of serving people with Medicaid,
Humana and Humana Healthy Horizons have developed a wide range of
capabilities to serve children, parents, childless adults, and
beneficiaries that are aged, blind or disabled. We integrate
physical health, behavioral health, pharmacy, long-term care, and
social services for a whole-person approach to improve the health
and well-being of our members and the communities we serve.
Humana Healthy Horizons serves Medicaid enrollees through the
following programs:
- Medicaid Managed Care (MMC)
- Managed Long Term Services and Supports (MLTSS)
- Medicare Advantage Dual-eligible Special Needs Plans (D-SNPs)
and Medicare Prescription Drug Plans (PDPs)
Humana Healthy Horizons is a Medicaid Product offered by
affiliates of Humana Inc.
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.com, 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
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version on businesswire.com: https://www.businesswire.com/news/home/20230308005223/en/
Mark Mathis Humana Corporate Communications mmathis@humana.com
312-441-5010
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