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nH Predict is a computer program developed by naviHealth that implements an algorithm that has allegedly been used by health insurance companies including United Healthcare and Humana [1] [2] to automatically deny coverage to patients. [3] [4] [5] It is reported to work by cross-correlating patient health records with those of other patients. [6]
The program was originally authorized in Section 701(g) of the National Defense Authorization Act for Fiscal Year 2002 (Public Law 107-107) and is codified in law in 10 USC 1079 (d) through (g). Department of Defense regulations for the ECHO program are found at 32 CFR 199.5 after being published in the August 20, 2004 Federal Register (69 FR ...
Humana disputed portions of her Congressional testimony by saying that because the patient's healthcare plan did not cover heart transplants, denial of coverage was valid. [ 41 ] On September 21, 2009, the U.S. Dept. of Health and Human Services opened an investigation into Humana for sending flyers to Medicare recipients that the AARP ...
Humana is the second-biggest player in the fast-growing market for Medicare Advantage plans, under which private insurers are paid a set rate to manage healthcare for people age 65 and older or ...
The Affordable Care Act of 2010 was designed primarily to extend health coverage to those without it by expanding Medicaid, creating financial incentives for employers to offer coverage, and requiring those without employer or public coverage to purchase insurance in newly created health insurance exchanges. This requirement for almost all ...
Humana plans are Medicare Advantage (Part C) plans. Most Humana plans include basic vision care, with optional additional coverage. Learn more here.
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