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Humana, the next largest provider, counts 5.3 million Medicare Advantage customers; during the six months that ended June 30, almost 80% of Humana’s $51 billion in premium revenues came from ...
Tens of thousands of retired state employees found themselves caught in the middle of insurance disputes this month after Humana — the state health plan’s Medicare Advantage administrator ...
Stormont Vail Health is suing Humana, alleging that the insurance company owes the Topeka hospital more than $850,000 in underpayments. The alleged underpayments stem from a contractual Medicare ...
In 1993, Humana founded Humana Military Healthcare Services (HMHS) as a wholly owned subsidiary. [5] They were awarded their first TRICARE contract in 1995, and began serving military beneficiaries in 1996. [32] From 2004 to 2009, HMHS was the managed care contractor for the Department of Defense Military Health System TRICARE South Region.
The Department of Managed Health Care (DMHC) is a regulatory body governing managed health care plans, including Health Maintenance Organizations (HMOs) and most Medi-Cal managed care plans in California. The DMHC was created as the first state department in the country solely dedicated to regulating managed health care plans and assisting ...
In 1987, Humana followed suit by studying brief behavioral intervention among Medicare recipients in Florida, with the intention of reducing medical utilization among recent widows and widowers. Known as the Bereavement Program, Humana learned after 2 years $1400 could be saved per patient via brief group intervention for bereavement. [46]
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Health insurance company interference is rising, an NBC News investigation found. Doctors say the stakes are highest in cancer care, where delays can be the difference between life and death.