Humana Works to Simplify Population Health

As part of its continued strategic endeavor to help healthcare systems, physicians, and care teams transition from fee-for-service to value-based reimbursement models, Humana Inc. has formed Transcend and Transcend Insights.

“Transcend Insights, through Certify, Anvita and nliven, has operated in the healthcare information technology industry by serving as a trusted partner to physicians and their care teams”

With a mutually aligned goal to simplify population health, Transcend and Transcend Insights are focused on serving as trusted partners for healthcare systems, physicians, and care teams, regardless of where they are in their population health journeys:

• Transcend – By leveraging the proven Metcare model as its foundation, Transcend provides resources in care coordination, financial risk management, clinical integration and patient engagement that help physicians improve the patient experience as well as care outcomes. Formerly known as the Humana Management Services Organization (MSO), Transcend meets practices where they are on the path to practicing value-based medicine. Transcend collaborates with physicians, medical groups and integrated delivery systems to successfully transition to value-based care by engaging, partnering and offering practical services and solutions.
• Transcend Insights – Represents the convergence of Humana subsidiaries Certify Data Systems, Anvita Health, and nliven systems and brings more than three decades of combined experience in the health care information technology industry. Transcend Insights provides healthcare systems, physicians, and care teams with advanced community-wide interoperability, real-time health care analytics and intuitive care tools to simplify the complexities of population health. These tools support health care organizations striving to improve the health of their populations, by enhancing the physician and patient experience and reducing costs. Certify and Anvita have established meaningful partnerships with hundreds of integrated health care systems. Today, through Transcend Insights’ technology, more than 17,000 physicians are connected across 590 hospitals.

“The launch of Transcend and Transcend Insights is reflective of Humana’s goal to improve the health of the communities we serve by making it easy for people to achieve their best health,” said Bruce Broussard, Humana’s president and chief executive officer. “Transcend and Transcend Insights reflect the continued evolution of Humana’s Integrated Care Delivery model. As physicians continue on their population health journeys, Transcend and Transcend Insights are strategically positioned to serve as their trusted partners while meeting their evolving population health needs.”

Humana’s goal is to have 75 percent of its individual Medicare Advantage (MA) members covered under value-based relationships by 2017. The company’s investment strategy over the last few years has produced positive results in the form of stronger clinical models, enhanced brands focused on health, a consumer-centric approach, and industry-leading provider risk relationships. For example, Humana recently announced better quality, improved population health, and lower costs results for one million Humana MA members.

Humana’s positive results in population health, combined with the natural synergies of Humana, Transcend, and Transcend Insights, is expected to provide healthcare systems, physicians, and care teams with partners dedicated to simplifying population health through a physician-led, collaborative model.

Transcend’s philosophy and approach were developed by a leadership team with significant, experience in population health, value-based reimbursement models, management services organizations, managed care, clinical practice, and more. Transcend partners directly with physicians to improve patient health outcomes and create greater success for medical practices through a suite of population health management services, building on proven successes with specialty network care management, pharmacy management, clinical studies, and implementation, and training.

Transcend Insights serves healthcare systems, physicians, and care teams by leveraging actionable data to help improve patient care. The company’s commitment to helping people achieve their best health is reflected through its HealthLogix™ platform. Last year, Transcend Insights successfully identified more than 36 million opportunities for care improvement, including 557,000 opportunities to impact drug safety, and 2.3 million opportunities to increase medication adherence.