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Humana's 2019 Bold Goal Progress Report Details A Focus On Social Determinants of Health and Improved Healthy Days in its Medicare Advantage Population

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  • Five of Humana's seven original Bold Goal communities reduced
    Unhealthy Days
  • Humana Medicare members in San Antonio achieved a 9.8 percent
    improvement
  • Screened 500,000 people for social determinants of health across
    Bold Goal communities and Humana, setting a new goal of 1 million by
    the end of 2019

Humana Inc. (NYSE:HUM) today unveiled the "2019 Bold Goal Progress
Report," which details the company's progress in improving Healthy Days
and chronic conditions in its Medicare Advantage population. The report,
which can also be accessed by clicking here,
is the fourth one that the company has issued since 2016.

This press release features multimedia. View the full release here:
https://www.businesswire.com/news/home/20190422005325/en/

A comprehensive health and business strategy, Humana's Bold Goal is
working to help improve the health of the communities it serves 20
percent by 2020 and beyond. The company reports its learnings and
results across specific conditions and social determinants of health, as
well as in populations through lines of business such as Medicare
Advantage, Group and Medicaid. In Medicare Advantage, 91 percent of
Humana seniors have at least one chronic condition.

Since the beginning of the Bold Goal, Humana has used the U.S. Centers
for Disease Control and Prevention (CDC) health-related quality of life
measurement known as Healthy Days to track and trend progress. Healthy
Days takes into account the whole person by measuring self-reported
mentally and physically Unhealthy Days over a 30-day period.

The use of Healthy Days aligns with Humana's holistic approach to
addressing the impact of social determinants and health-related social
needs on a person's life, such as food insecurity, social isolation and
loneliness. For example, a Humana Medicare Advantage member who is food
insecure can have up to 26.6 Unhealthy Days a month, while someone who
suffers from loneliness can have 24.4 Unhealthy Days a month. Humana's
research also shows that for each Unhealthy Day a person reports, it is
correlated to 10 hospital admissions per thousand, or the potential of
$15.64 per member per month in higher medical cost.

"A large part of Humana's focus is to help people living with multiple
chronic conditions improve their health, which requires an integrated
approach," said Bruce D. Broussard, Humana's President and CEO. "The
Bold Goal is not just our north star; it's a quantitative way for us to
address the holistic needs of multiple populations, and to measure our
progress. This year's report reflects our track record of success in
managing chronic conditions over time. Given current demographic trends,
we expect to see continued demand for a support structure that addresses
social needs, along with clinical ones."

The following key highlights reflect the progress Humana members and the
communities the company serves achieved in 2018.

  • Humana Medicare Advantage members are improving their overall
    health.
    Medicare Advantage members living in the company's
    original seven Bold Goal communities have seen a 2.7 percent reduction
    in their Unhealthy Days since 2015.
  • The first Bold Goal community, San Antonio, is halfway to its 20
    percent healthier goal.
    Since 2015, Humana Medicare Advantage
    members in San Antonio have experienced a 9.8 percent reduction in
    Unhealthy Days.
  • 500,000 members, employees and patients were screened for social
    determinants of health in 2018
    . Humana worked with internal
    business partners, physician practices and community organizations to
    screen for food insecurity and loneliness and refer those who screened
    positive to community resources. They set a new goal of 1 million
    people screened by the end of 2019.

Despite the progress above, new Humana Medicare Advantage members
reported high mentally Unhealthy Days, which offset gains in several of
Humana's Bold Goal communities. In fact, Humana Medicare Advantage
members in Broward County experienced a 3.6 percent increase in
Unhealthy Days, mostly driven by a large increase in membership
reporting high mentally Unhealthy Days and depression.

William Shrank, MD, MSHS, Humana's new Chief Medical Officer, whose
organization is responsible for the Bold Goal, believes the key to
delivering more physically and mentally Healthy Days is to build a
sustainable and scalable integrated care model around the patient where
they live.

"The social barriers and health challenges that our Medicare Advantage
members and others face are deeply personal," said Dr. Shrank. "This
requires us to become their trusted advocate that can partner with them
to understand, navigate and address these barriers and challenges. With
Healthy Days as our barometer, we are able to track and trend population
health, measure outcomes and triage members in unique ways to the
resources they need."

Caraline Coats, Vice President, Bold Goal and Population Health
Strategy, who leads the company's efforts, believes the key to improving
mentally Unhealthy Days among Humana's Medicare Advantage population,
many of whom are living with multiple chronic conditions, can be found
in addressing loneliness, social isolation and behavioral health needs.

"Throughout the country, we are seeing a rise in mental health concerns
as well as loneliness and social isolation, especially in our aging
adult population. In fact, since the 1980s, the rates of loneliness in
adults over the age of 45 have doubled," said Coats. "With the knowledge
that mentally Unhealthy Days and new membership are driving many of our
results, several of our Bold Goal communities are looking at ways to
address this growing need. We've already seen efforts emerge in Tampa
Bay, New Orleans and Louisville."

Please visit www.humana.com/boldgoal for
additional information on Humana's efforts and to learn how to get
involved in one of the community Health Advisory Boards.

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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