On average, the study population reported seven physically unhealthy days and four mentally unhealthy days, with a third of patients reporting zero unhealthy days. COPD and depression had the biggest incremental impacts on HRQoL with 2.93 and 2.41 excess physically unhealthy days and 1.08 and 4.02 excess mentally unhealthy days, respectively.Patients who reported more unhealthy days had higher adjusted health care utilization (doctor visits and hospitalizations) and higher costs. Not completing diabetic eye exams and LDL cholesterol screening or not having good control of diabetes (measured by hemoglobin A1c) was associated with significantly more physically unhealthy days after adjusting for potential other factors affecting HRQoL. Similarly, not completing diabetic eye exams and not controlling LDL cholesterol in diabetes were associated with significantly more mentally unhealthy days. In addition, nonadherence with angiotensin converting enzyme inhibitors or angiotensin receptor blockers and oral diabetes medications was associated with significantly more physically and mentally unhealthy days. The study evaluated a Medicare Advantage population of 55,681 individuals who had a mean age of 75 years, were 56 percent female and 87 percent white. Hypertension and congestive heart failure were the most and least prevalent chronic conditions (73 percent and 12 percent), respectively. Humana is creating population-level health care interventions that can potentially reduce the burden of chronic disease and improve overall wellbeing. Future studies will use Healthy Days data to investigate the impact of such interventions. Humana remains committed to its Bold Goal of improving the health of the communities served by 20 percent by 2020. Authors of the study are Tristan Cordier, M.P.H.; S. Lane Slabaugh, Pharm.D.; Eric Havens, M.A.; Jonathan Pena, M.S.; Gil Haugh, M.S.; Vipin Gopal, Ph.D.; Andrew Renda, M.D.; Mona Shah, Ph.D.; and Matthew Zack, M.D. About Humana Inc. 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 that makes 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 www.humana.com, including copies of:
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