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Humana Launches Care Support Pilot To Help Medicare Advantage Members Manage Chronic Conditions

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By Author: EMRIndustry
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Humana has launched a pilot called Humana Care Support, formerly known as the Enterprise Clinical Operating Model, for a select group of Medicare Advantage members.

Care Support is customized, integrated and coordinated care management services. The care team will have real-time access to a member’s medical history and integrated clinician workflows through analytics and data integration from Microsoft’s cloud technologies Azure and Power BI.

The pilot is designed to enhance the integrated care members already receive from their providers. Many of Humana’s provider partners are in value-based care agreements serving Medicare Advantage members, which have their own care management capabilities already in place.

Within the pilot, clinician care teams identify, engage and support a select group of Medicare Advantage members living with multiple chronic conditions and complex congestive heart failure and diabetes in Kentucky, Pennsylvania and West Virginia. These multidisciplinary care teams include a nurse, pharmacist, social worker and a behavioral health specialist.

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