Humana Announces Health Care Provider Initiative to Help Ease Financial and Administrative Stress During Coronavirus Pandemic
April 02 2020 - 7:00AM
Business Wire
Leading health and well-being company Humana Inc. (NYSE: HUM)
today announced actions designed to help provide financial and
administrative relief for the health care provider community facing
unprecedented strain during the coronavirus pandemic.
First, Humana is implementing simplified and expedited claims
processing, in order to get reimbursement payments to providers as
quickly as possible and help ease their financial concerns.
In addition, the company is expanding its policy of suspending
prior authorization and referral requirements, instead requesting
notification within 24 hours of inpatient (acute and post-acute)
and outpatient care. This is applicable for:
- All providers (regardless of network affiliation) for patient
care related to COVID-19.
- In-network providers, for patient care not directly related to
COVID-19.*
These policies are applicable for covered plan benefits under
individual and group Humana Medicare Advantage, Medicaid, and
commercial employer-sponsored plans. The company is taking these
actions in response to the pandemic, and will reassess as
circumstances change. Providers may visit
https://www.humana.com/provider/coronavirus for more
information.
“Humana is committed to supporting clinicians by providing
practical solutions to help alleviate administrative burden and
boost system viability during these extraordinary times,” said
William Shrank, M.D., M.S.H.S., Humana’s Chief Medical Officer.
“This initiative is of utmost importance to us in enabling health
systems and the physician community to devote as much time and
resources as possible to frontline patient care.”
The company’s announcement today is part of an ongoing effort to
provide resources and assistance to providers and members affected
by COVID-19. Humana also is:
- Waiving the member responsibility for copays, deductibles or
coinsurance associated with COVID-19 testing, including related
visit costs in a range of clinical settings such as a physician’s
office, urgent care center or emergency department.**
- Waiving member responsibility for copays, deductibles or
coinsurance related to the covered treatment of COVID-19, including
inpatient hospital admissions.**
- Waiving member responsibility for copays, deductibles or
coinsurance for all telehealth services delivered by
participating/in-network providers and accepting
audio-only/telephone and audio-video visits for reimbursement.
- Allowing early prescription refills, so members can prepare for
extended supply needs – an extra 30- or 90-day supply as
appropriate
- Providing a member-support line with specially trained call
center employees to help support members with specific coronavirus
questions and concerns, including live assistance with
telehealth.
- Lifting administrative requirements for members infected with
coronavirus and for all patients in settings where capacity is
stretched by the needs of those infected by coronavirus. The change
allows for unencumbered movement from inpatient hospitals to safe,
medically appropriate post-acute care settings, including home
health, long-term acute care hospitals, skilled nursing facilities,
etc.
* Exceptions include transplant and genetic procedures, as well
as pharmacy coverage.
** For commercial employer-sponsored plans, includes fully
insured and select self-funded plans.
About Humana
Humana Inc. is committed to helping our millions of medical and
specialty members achieve their best health. Our successful history
in care delivery and health plan administration is helping us
create a new kind of integrated care with the power to improve
health and well-being and lower costs. Our efforts are leading to a
better quality of life for people with Medicare, families,
individuals, military service personnel, and communities at
large.
To accomplish that, we support physicians and other health care
professionals as they work to deliver the right care in the right
place for their patients, our members. Our range of clinical
capabilities, resources and tools – such as in-home care,
behavioral health, pharmacy services, data analytics and wellness
solutions – combine to produce a simplified experience that makes
health care easier to navigate and more effective.
More information regarding Humana is available to investors via
the Investor Relations page of the company’s web site at
www.humana.com, including copies of:
- Annual reports to stockholders
- Securities and Exchange Commission filings
- Most recent investor conference presentations
- Quarterly earnings news releases and conference calls
- Calendar of events
- Corporate Governance information
View source
version on businesswire.com: https://www.businesswire.com/news/home/20200402005238/en/
Alissa Krinsky Humana Corporate Communications
akrinsky@humana.com Amy Smith Humana Investor Relations
amysmith@humana.com
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