Philips and Humana team up to improve care for at-risk Medicare Advantage members

December 4, 2019

  • Collaboration will help support independent living for high-acuity seniors by providing 24/7 access to care
  • Philips’ remote patient monitoring capabilities will be utilized to help Humana care managers deliver interventions for their members with congestive heart failure 

Amsterdam, the Netherlands Royal Philips (NYSE: PHG, AEX: PHIA), a global leader in health technology, today announced a collaboration with Humana Inc. (NYSE: HUM), one of the leading health and well-being companies in the U.S., to help improve care and health outcomes for select high-risk Medicare Advantage members. Through an integrated approach, Humana has implemented two programs that leverage Philips’ medical alert services and remote member monitoring (RMM) solutions to actively monitor at-risk Medicare Advantage members, encourage more timely interventions and improve care delivery.

“Our goal is to continue to find ways to help our Medicare Advantage members stay longer and safer in their homes,” said Susan Diamond, Humana’s Home Business Segment President. “We believe our work with Philips will help offer our members and their caregivers more in-home support and help them to stay engaged and focused on prevention.”

In the face of rising healthcare costs, payers are increasingly realizing the value of population health management, and seeking partnerships with proven experts in the space to help identify vulnerable populations to deliver meaningful insights into patient conditions. Philips connected care solutions will help Humana provide a seamless care experience by connecting services, analytics and devices to help increase patient engagement and access to care. Leveraging Philips’ established solutions, Humana’s care teams can have line-of-sight into members’ wellbeing to help proactively deliver appropriate interventions.

“Forward-thinking companies like Humana are realizing how deploying population health management can enable the industry to influence high-risk, high-cost populations at scale to help them lead healthier lives,” said Carla Kriwet, Chief Business Leader Connected Care, Philips. “As the industry moves beyond traditional care delivery in the hospital to health delivery that starts and ends in the home, Philips’ population health management solutions can enable strong collaboration between care recipients, providers and payers, connecting care and empowering patients.”

Enabling timely, seamless care for seniors
Humana is identifying members who are at-risk and offering them Philips Lifeline medical alert service, including AutoAlert, Lifeline’s proven fall detection technology, supported by Philips CareSage predictive analytics. Early referrals of patients with chronic conditions, and those at risk of falls, can help enable timely care and interventions, while simultaneously improving clinical outcomes [1]. By providing seniors with 24/7 remote access to trained care specialists who can dispatch the right kind of help, this program will help support Humana’s at-risk Medicare Advantage members in their wish to age-in-place. It can also help reduce unnecessary and costly hospital readmissions [2] which in turn can help lead to overall improved patient experience, higher quality of care and more efficient resource utilization. Philips Lifeline is available on select Humana Medicare Advantage plans offered nationwide.

Research shows 57% of Medicare patients are released from the hospital without any direct monitoring by a healthcare professional, contributing to an annual cost of unnecessary readmissions of $17 billion for Medicare patients alone [3]. Philips CareSage predictive analytics, which collects and analyzes data from multiple sources including Philips Lifeline, provides care teams with a line-of-sight into seniors’ wellbeing upon discharge when the risk of readmission is high. By identifying patients who are at risk for emergency transport in an upcoming 30-day period, predictive analytics can help identify early intervention opportunities and thereby enable the delivery of proactive care to help reduce avoidable emergency admissions.

Activating connected care for CHF patients 
The lack of touchpoints with congestive heart failure (CHF) patients outside of a traditional healthcare environment makes managing these members difficult, creating a barrier to timely and effective interventions, and contributing to the $30 billion CHF patients cost the industry nationwide each year [4]. Through the Philips collaboration, Humana has deployed Philips remote member monitoring solution and its connected measurement devices to select CHF members, allowing care managers to monitor and understand meaningful changes in a member’s condition. By giving these members access to advanced virtual care, Philips will empower CHF patients to actively monitor their health from the comfort of their own home.

Humana is identifying a pilot group of members with severe CHF. Philips is providing members with kits that include an interactive tablet that syncs data from connected measurement devices via wireless technology. These devices, including a weight scale, blood pressure monitor and pulse oximeter, allow members to self-manage their condition, and share health information with their care manager daily. This data will be utilized to support Humana care teams in making informed and proactive care decisions with the pilot group in an effort to help to reduce unnecessary readmissions.

Philips Lifeline and Philips’ remote monitoring offerings are part of the company’s broader Population Health Management portfolio, which provides a comprehensive and proactive healthcare delivery strategy to build connected populations for ongoing care. Philips’ innovative care pathway solutions intertwine services, analytics and devices, leveraging consumer and care experience, to help drive improved enrollment, patient compliance and quality outcomes.

[1] Op den Buijs J, Simons M, Golas S, Fischer N, Felsted J, Schertzer L, Agboola S, Kvedar J, Jethwani K. “Predictive Modeling of 30-Day Emergency Hospital Transport of Patients Using a Personal Emergency Response System: Prognostic Retrospective Study.” JMIR Med Inform. 2018 Nov; 6(4):e49
[2] Ibid.
[3] Center for Health Information and Analysis. “Performance of the Massachusetts Health Care System Series: A Focus on Provider Quality.” 2015 Jan
[4] Heidenreich PA, Trogdon JG, Khavjou OA, Butler J, et al. “Forecasting the future of cardiovascular disease in the United States: a policy statement from the American Heart Association.” Circulation. 2011;123(8):933–44

For further information, please contact:

Kathy O’Reilly
Philips Global Press Office
Tel.: +1 978-221-8919
E-mail : kathy.oreilly@philips.com
Twitter: @kathyoreilly

Silvie Casanova
Philips North America
Tel: +1 781-879-0692
E-mail : silvie.casanova@philips.com

Nancy A. Hanewinckel
Humana Corporate Communications
941.585.4763
nhanwinckel1@humana.com

About Royal Philips

Royal Philips (NYSE: PHG, AEX: PHIA) is a leading health technology company focused on improving people’s health and enabling better outcomes across the health continuum from healthy living and prevention, to diagnosis, treatment and home care. Philips leverages advanced technology and deep clinical and consumer insights to deliver integrated solutions. Headquartered in the Netherlands, the company is a leader in diagnostic imaging, image-guided therapy, patient monitoring and health informatics, as well as in consumer health and home care. Philips generated 2018 sales of EUR 18.1 billion and employs approximately 80,000 employees with sales and services in more than 100 countries. News about Philips can be found at www.philips.com/newscenter.

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 with the goal of making 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 website at humana.com.

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