News About MOMM

Humana Specialty Benefits' MOMM wears many hats.

MOMM is a program designed to assist stop loss clients of Humana Specialty Benefits [a Humana company] manage their financial health care risk when factors like experimental treatments, rare diagnoses or unusually large claims are a consideration.

The MOMM program is uniquely balanced to reflect optimized outcomes for both the client and the patient. The ultimate goal is to keep patient care and costs in the best possible balance, always seeking to maximize clinical and financial outcomes but never compromising one for the other.

MOMM services provided free of charge for Kanawha Stop Loss clients include: free clinical and financial consultation and specially-negotiated Rewards Programs with preferred vendor partners.

These programs cover such treatment/cost-intensive areas as transplants, case management, disease management, cost negotiation and maternity management, with special emphasis on neonatology.

In addition to the above, MOMM's Predictive Modeling Rewards program uses proprietary software to analyze claims data, thereby identifying a range of potential claim issues, to allow for more timely and effective case management interventions.

Humana Specialty Benefits offers employers significant financial incentives, to generate trial of Predictive Modeling Rewards, with the aim of establishing a pattern of providing better patient care and cost control through the regular use of predictive methodology.

For more information on Humana Specialty Benefits' MOMM program, contact momm@kmgamerica.com.