Search for: "Humana Health Plan"
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16 Mar 2015, 9:44 am
In February 2015, a Florida physician and his medical practice were indicted by a federal grand jury for allegedly engaging in a scheme to defraud the Medicare program through a Humana Medicare Advantage plan. [read post]
25 Feb 2015, 5:10 pm
” Guroo is produced by the Health Care Cost Institute (HCCI) working with three big insurance companies: UnitedHealthcare, Aetna and Humana, soon to be joined by a fourth, Assurant. [read post]
23 Feb 2015, 9:57 am
By contrast, under Medicare Advantage, the health plans are paid a set fee monthly for each patient based on a complex formula known as a risk score. [read post]
20 Feb 2015, 11:53 am
She believed the lie that if she liked her plan, she could keep it; suffering from carpal tunnel syndrome for over a dozen years, she was satisfied with her Humana plan, but was forced to find a new ObamaPlan when her plan was cancelled.No problem, thought she, and headed to the 404Care.gov site, where she attempted - for two months! [read post]
9 Feb 2015, 9:00 am
When a beneficiary opts for coverage via an MA plan, Medicare pays the plan a set amount depending on the patient’s health status. [read post]
21 Nov 2014, 5:06 am
(O'Donnell and Ungar, 11/18)Meanwhile, Humana makes paying monthly premiums easier - Modern Healthcare: CVS Accepting Exchange Insurance Payments National health insurer Humana said Tuesday that policyholders who have bought its health plans on a federal or state insurance exchange or through its website can now pay their monthly premiums at any... [read post]
7 Oct 2014, 5:07 am
Insurers sending the notices to some customers include Anthem, one of the largest insurers in the country, Baltimore-based CareFirst, Health Care Services Corporation in Chicago, Kaiser Permanente in Oakland, Calif., Humana in Louisville, Ky., and Golden Rule, an Indianapolis subsidiary of UnitedHealth Group.One reason behind the switch is that insurers determined they can make more money selling plans that comply with the Affordable Care Act, often at higher… [read post]
30 Sep 2014, 6:30 am
A recent article documents furious activity in this sector, involving major health payers such as Aetna, Cigna, United Healthcare, multiple Blues plans, and Humana, among others. [read post]
25 Aug 2014, 9:00 am
The government program will pay the MA plans a monthly amount per beneficiary that is based on these health characteristics. [read post]
1 Aug 2014, 11:44 am
If Medicaid won't cover Kalydeco, find a child only health insurance plan that will.At least one carrier (Humana) will cover the drug as a tier 4 or 5 drug (depending on the plan chosen). [read post]
30 Jun 2014, 10:31 am
"They do note, however, that "additional ACA requirements must be included in all [non-grandfathered] health plans. [read post]
26 Jun 2014, 2:32 pm
-based independent physician group, in 2011; Highmark, a Blue Cross and Blue Shield licensee in Pennsylvania, acquiring West Penn Allegheny Health System, a financially troubled hospital system in Pittsburgh, in 2013; Humana acquiring Concentra, an urgent- and occupational-care provider, in 2010; Humana acquiring SeniorBridge Family Cos., a provider of in-home care for seniors, in 2012; and WellPoint acquiring CareMore Health Group, a Medicare Advantage… [read post]
9 Jun 2014, 12:20 pm
Via email from Humana:"Due to a system limitation of the Federal Marketplace, when a consumer is enrolled in both a medical and dental plan through the Marketplace, termination of one plan automatically terms the other, even if the plans are through different carriers. [read post]
13 May 2014, 10:52 am
On December 28, 2011, Concentra Health Services (Concentra), a national health care provider and subsidiary of Humana Inc., reported to OCR that an unencrypted laptop was stolen from one of its facilities. [read post]
12 Jan 2014, 2:16 pm
Specifically, that young and/or healthy consumers are staying away from these plans in droves:"Humana “now expects the risk mix of members enrolling through the health insurance exchanges to be more adverse than previously expected. [read post]
15 Oct 2013, 1:16 pm
Humana has announced that they are discontinuing so-called "HIPAA plans" in Ohio. [read post]
25 May 2013, 6:55 am
Aetna, Alliant, Blue Cross and Blue Shield of Georgia, Coventry, Humana, Kaiser Foundation Health Plan, and Peach State will offer a range of plans for individuals in Georgia as part of the Affordable Care Act’s exchange, or “marketplace,” which will debut in 2014. [read post]
9 May 2013, 3:31 am
Humana sued GSK for reimbursement, claiming that GSK has a primary plan obligation under the MSP Act to reimburse Humana as a secondary payor. [read post]
23 Apr 2013, 11:25 am
Add up those extra payments and they amount to a $16-billion-a-year subsidy for the health insurance industry. [read post]
16 Apr 2013, 1:55 pm
” Wasn't this health care reform all HIS idea? [read post]
