To answer your question, I am not sure. All I can tell is that LTIH or most of HAH is being restructured. More money is being directed to the consumer need- transportation, meals, discharge planning and chronic disease management. I don't see room for prevention. The new MA plans are offering more support in meals, transportation. OTC is being reduced or eliminated, Health coaches are diverted and serviced through Go365 and a questionnaire. Logistic care services are being increased and premiums are being reduced. The consumer spoke and they don't want excessive calls. Review the new plans. 2018 proposes new services to consumers to meet their needs. It does not include an a large workforce of PHC, SS, CHE's; it involves a new business model that is revolved around clinical management. My wonder is, does clinical management include social support and a holistic view of the elderly, their caregivers? Does that mean all of Humana is now working toward the license... RN's, LCSW, MD's and Psychiatrists as suggested by the new CEO, new legislation and consumer needs. Just a thought... but in the end the consumer and the market is going to drive the direction of this monster. Not our rantings about how bad we have it.