Essay Sample on Hamana Inc: Improving Health Through Value-Based Care

Paper Type:  Case study
Pages:  4
Wordcount:  892 Words
Date:  2023-02-23


Hamana Inc. is a reputable health company and a private insurance company that intensifies on promoting the well-being of its enrolled members. Rather than focusing on settling members' medical claims, the company shifted its focus in 2014 to address and improve the deteriorating health status of most of its clients. Through the President and CEO, Hamana Inc utilized value-based payment schemes such as shared savings payment, offering bonuses for preventive care and capitation with a target of increasing the MA covered members to 75% under the value-based payment by 2017. The company has been focusing on making it easier for people to attain the best health possible, majorly focusing on the elimination and managing chronic diseases such as cancer, diabetes, kidney diseases among others. The Hamana Bold Goal focuses on helping the communities enrolled in the Hamana Inc to be 20% healthier by 2020 through partnering with non-profit organizations, physicians, and governmental institutions to find solutions to various complex health situations. The company adamantly utilizes the heath measurement developed by the US Center for Disease Control and Prevention (CDC) to help in assessing the populace of physically and mentally unhealthy days and individual may have over a 30-day period.Further, Hamana empowers its members and associates to effectively fight against the challenges of unhealthier days, increase the client's fitness, adopt a healthy lifestyle and encourage clients' dedication towards health and well-being. Therefore, the acknowledgment of the Hamana Bold Goal would actively help many individuals in a contemporary society characterized by numerous health challenges.

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Attaining the Hamana Bold Goal adequately requires consideration of diverse elements that could actively influence its successful progress or setbacks. For instance, improving community health requires proper trust between the two parties. It is critical for the company to earn the trust of its members. Despite having a positive reputation, accessing medical health and utilizing corporate strategies to embrace togetherness towards a specific goal is a grave element that adamantly can affect the company. Through building positive and strong personal relationships with all the community members, the company would be able to analyze the social determinants that affect each individual and help to improve their members' health status by 2020 rather than only focusing on paying clients' claims.Moreover, to increase the client or consumer engagement Hamana focuses on offering quality health programs and services and develop an evidence-based consumer segmentation to give procedures on the strategies for engaging each segment without discrimination of any individual based on finances, color, originality, or ethnicity. Increasing and elevating consumer experience has become a vital element affecting the company. Many stakeholders have acknowledged and confirmed the consistent discontinuity among various structures of the company from the enrolment of clients, sales, service use, and physician visitations. The company's reputation is highly at stake as it strives to achieve the 20% healthier by 2020 by improving consumer experience, integrating digital platforms and providing collaboration.

Hamana's strategy and aim are noble however it leaves multidimensional loopholes and unanswered questions. Being an insurance, company, many individuals rarely trust such organization, while many medical institutions face challenges offering services to the clients. With increasing population of patients with complex medical conditions that require sophisticated procedures, it is questionable whether the goal is measurable and specific. Creating an impact on community health often takes time, which requires patience, massive finances, clients' commitments, and dedication, which many individuals often lack. Through the Well-Being Index, which measures the ultimate life quality, daily health effects, work, safety, and patients' access to the necessities, it is quite comprehensive that the company would face challenges achieving its goal by 2020. Further, the company needs to address the engagement problem that it has with most of its stakeholders in order to facilitate its achievement of the 20 percent healthier by 2020. Rather than focusing on collecting claims, the company must engage more with the customers and help increase their satisfaction. For instance, the company should ensure timely delivery of services and easy access to their medical practitioners. Moreover, simplifying the digital platform for every individual should be a priority in the company. Despite living in a digital and technologically advanced age, many patients or beneficiaries are not updated on all the sophisticated digital platforms. Hence, the company must simplify their digitization platforms while still maintaining advancement.


Conclusively, the company has numerous options to help in achieving its goal. Not only focusing on the prevailing conditions such as obesity, diabetes, substance abuse, or behavioral health issues affecting the adults but also focusing on eliminating social issues like teen pregnancy, which greatly impact health. Focusing on such angles would lead the company to attain cooperation among the community members and ensure continuity of its dominance within future generations. However, such strategy could have substantially demerits like uncertainty from population health impact on healthy days. The assumption that the company's program would yield positive results by 2020 without considering subsequent setbacks blinds the company's implementation strategy. For instance, the assumption that every client is computer literate and can easily conform to the digital platform consequently affects the company's decision. Hence, it is critical to consider clarity, usability, integration and scalability criteria when choosing an option to ensure every stakeholder benefits from the program.


Ela Vashishtha, Laci Sherman, Monica Kovuri, Liana Cherian, Crystal Bui. (2017). Humana's Bold Goal: 20 Percent Healthier by 2020. The University of North Texas Health Science Center.

Hamana. (2017). Thriving together 2017 corporate social responsibility progress report. Hamana.

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