This is the facility type where members are encouraged to receive immediate care for certain non-emergent conditions, including sore throat, fever without rash, and ear pain
What are Urgent Care Centers?
100
This is the benefit that allows members to receive a monthly allotment of hygiene products and non-prescription medications
What is the OTC Benefit?
100
These are the starting and ending months for Annual Enrollment Period for this year
What are October and December?
100
The age an individual becomes eligible for Medicare = 63
What is Over? Actual: 65
100
The Beatles first number one hit in America
What is I Want to Hold Your Hand?
200
A member who is not yet admitted to the hospital but who is being "watched" by hospital physicians is considered under this status
What is Observation?
200
This program encourages member fitness and activity
What is Silver Sneakers?
200
This risk arrangement is where the IPA is responsible for part A and part B expenses
What is Global risk?
200
The number of CA sales directors plus the number of CA network directors = 5
What is Over? Actual: 6
200
The team the Chicago Cubs beat to win the 2016 World Series title
Who are the Cleveland Indians?
300
The medication, Metformin, is taken for this disease
What is Diabetes?
300
This is the contracted service that delivers meals to members at their home after they have been discharged from the hospital
What is Well Dine?
300
This is the payment Humana receives from CMS that is based on where members live, member risk scores, and plan Star Rating
What is Premium?
300
Number of IPAs CA will be contracted with in 2017 = 50
What is Under? Actual: 46
300
This trivia-based game show originally debuted in 1964
What is Jeopardy?
400
Members are called after being discharged to home from the hospital to reduce this clinical measure
What is the Readmission Rate?
400
This vendor provides Humana members with transportation to PCP visits and other medical services
What is LogistiCare?
400
This is the monthly payment given to an IPA to manage the services for which they have financial responsibility
What is Capitation?
400
Actual membership in 2015 = 60,125
What is Over? Actual: 62,084
400
Through the implementation of Provider Simplicity, the Ops department will also be known as this organization
What is Provider Engagement?
500
This is the term for the Part D coverage period for which members generally pay higher co-pays for their medication…these can also be found at Winchell's
What is the Donut Hole?
500
This program rewards members with gift cards for completing preventive care activities
What is Humana Rewards?
500
Typically transplants and out of area expenses go to this fund
What is the Exclusion Fund?
500
CMS says that the percentage of Americans 65 years or older with diabetes = 30%
What is Under? Actual: 25%
500
This duck-billed animal is the only mammal to lay eggs instead of giving birth