(The fact that the public sector is more lucrative for payers than the private sector is the subject of another blog post at some point as it’s just the opposite for providers.
Humana can make more of it for shareholders by dumping its commercial insurance plans and expanding its government insurance plans.
Now, if you believe in Sutton’s Law and Occam’s Razor, the why - with all due respect to the MarCom and investor relations people who wrote Humana’s press release - is money. Here’s the why from Humana, per the company’s press release: “Following a strategic review, the company determined that the Employer Group Commercial Medical Products business was no longer positioned to sustainably meet the needs of commercial members over the long term or support the company’s long-term strategic plans.”Īnd the tears from Humana’s President and CEO Bruce Broussard: “Our commitment to improving the health of those we serve is unwavering.” The first question a healthcare reporter should ask a healthcare executive is: “Will this generate more revenue, or will it reduce your expenses?” If you want to know why, don’t waste your time asking anything else.Ī few weeks ago Humana, the Louisville, Kentucky-based health insurer, made news when it announced that it was leaving the commercial health insurance business over the next two years to instead focus on its government health insurance business, mostly Medicare and Medicaid. I begin with the assumption that anything anyone - hospitals, health systems, medical practices, post-acute care providers, health insurers, drug companies, medical device manufacturers, EHR vendors, suppliers, distributors, GPOs, start-ups, etc. Without realizing it until I sat down to write this blog post, I’ve been using Occam’s Razor and Sutton’s Law as a healthcare journalist for years. The theory says the most obvious or simple explanation is likely the right explanation. It’s like Occam’s Razor, which I didn’t have to look up because someone told me about it years ago. The law is named after bank robber Willie Sutton, who allegedly said, ”Because that’s where the money is,” when asked by a reporter why he robs banks. The law basically says first order the diagnostic tests that will confirm or rule out the most likely diagnosis of a patient’s illness or injury. Twitter: didn’t know this until I looked it up, and that there’s a thing called “Sutton’s Law” that medical schools teach to medical students. We continue to encourage all associates to become vaccinated, as vaccines remain the best and most effective defense against COVID-19.By David Burda, News Editor & Columnist, 4sight Health Please note: Some areas of our business, such as the Primary Care Organization including CenterWell, Conviva, Kindred at Home, onehome, SeniorBridge, Neighborhood Centers, Pharmacy Distribution Centers and others, may be required to adhere to federal, state or local or additional workplace guidelines.
Associates who remain unvaccinated must either undergo weekly negative COVID testing OR wear a mask at all times while in a Humana facility or while working outside of their homes. Humana and its subsidiaries require vaccinated associates who work outside of their home to submit proof of vaccination, including COVID-19 boosters. Our Health and Safety policy is as follows. Humana and its subsidiaries made a promise that we would put the health and safety of our associates, members, patients, and community as our top priority – and we’ve consistently delivered on that promise.
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