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Humana CIO: Allow consumers to get what they want, when they want it

Exec describes how insurer uses analytics to engage with members
Tools

Humana is switching gears, moving away from a health-benefits mindset to one more focused on the consumer.

That's the main takeaway from Humana CIO Brian LeClaire's latest column on CIO.com, in which he emphasizes the company's goal to get consumers what they want, when they want it.

"These trends have elevated technology's prominence in our company, because technology not only enables better care delivery but also helps us develop an integrated care delivery model," LeClaire writes.

Humana's integrated care delivery model focuses on four major aspects: Mobile, social, cloud and analytics. As LeClaire mentions, each component connects to one another with the result fueling the analytics portion, which allows Humana to better understand its members.

And the insurer already is seeing results. LeClaire writes that since integrating electronic prescribing capabilities with a clinical reference engine, Humana was able to alert members when they are about to access an out-of-network provider and then help them find one that is in network.

LeClaire adds that by communicating with members about their weight gains or losses, Humana has been able to lower overall claims costs because it can flag early warnings of conditions such as congestive heart failure.

Such initiatives fit in with Humana's larger mission. Earlier this year, Humana CEO Bruce Broussard wrote in a guest post for Forbes that Humana set a goal to make the communities it serves 20 percent healthier by 2020.

Additionally, Humana's recent sale of Concentra, its occupational health and wellness business, shows that the company intends to integrate its healthcare operations with its core insurance offerings.

For more:
- here's the CIO.com article

Related Articles:
Humana CEO Bruce Broussard: 'Health should be easy'
Humana sells Concentra brand for $1 billion
Humana's Concentra sale shows shift in integration strategy