Humana

Humana Changes for 2019: Preauthorization, Notification, and Formularies - 02/27/2019

Humana has made changes for 2019 to its preauthorization and notification lists.


Humana Revises Peer-to-Peer Review - 10/18/2018

Humana has tweaked its peer-to-peer review process for prior authorization requests, giving physicians contracted with its Medicare Advantage plans another opportunity for review before filing a claim.


TDI Fines Humana Over Inadequate Network - 10/12/2018

The Texas Department of Insurance has fined Humana $700,000 and ordered the insurer to take corrective steps for not having enough in-network anesthesiologists in Harris, Bexar, and Travis counties this year.


Humana Peer-to-Peer Review Changing for Medicare Advantage Plans - 10/05/2018

Effective Aug. 1, Humana Medicare Advantage health plans will no longer offer peer to peer reviews after a medical necessity denial. Instead, the company will offer to schedule a peer-to-peer review before Humana issues the denial


Humana Physician Portal to Retire in October - 08/27/2018

Humana will shutter its secure provider portal on Oct. 3. To continue or begin working with Humana online, prepare now by registering for the Availity Provider Portal if your practice doesn’t already have an account.


Payer Roundup, January 2017 - 04/27/2018

In case you missed these — here is a roundup of useful items from health care payment plans’ newsletters and updates, compiled by TMA’s reimbursement specialists. Find out about new preauthorization and payment policies, an evaluation and management code review — and a letter you may get from Novitas Solutions.


Private Payer Round-Up, January 2013 - 04/19/2018

In case you missed these — here is a roundup of useful items from health care payment plans’ newsletters and updates, compiled by TMA’s reimbursement specialists.


Private Payer Round-Up, September 2013 - 04/19/2018

Formulary, preauthorization, and precertification changes and more … TMA’s reimbursement specialists have rounded up these other coding, payment, and policy changes and tips from commercial payers.


Private Payer Round-Up, October 2013 - 04/19/2018

In case you missed these — here is a roundup of useful items from health care payment plans’ newsletters and updates, compiled by TMA’s reimbursement specialists.


Private Payer Roundup — April 2015 - 04/19/2018

In case you missed these — here is a roundup of useful items from health care payment plans’ newsletters and updates, compiled by TMA’s reimbursement specialists. Find out about an automated phone system change, and more.


Private Payer Round-Up, December 2013 - 04/19/2018

In case you missed these — here is a roundup of useful items from health care payment plans’ newsletters and updates, compiled by TMA’s reimbursement specialists.


Private Payer Round-Up, January 2014 - 04/19/2018

In case you missed these — here is a roundup of useful items from health care payment plans’ newsletters and updates, compiled by TMA’s reimbursement specialists.


Medicare-Eligible TRS Retirees Move to New Humana Health Plan - 01/03/2018

As of Jan. 1, all Teacher Retirement System of Texas (TRS) retirees who are eligible for Medicare (as well as their Medicare-eligible dependents) have been transitioned to the TRS-Care Medicare Advantage (MA) plan, which is administered through Humana.


Private Payer Roundup, June 2017 - 06/30/2017

In case you missed these — here is a roundup of useful items from health care payment plans’ newsletters and updates, compiled by TMA’s reimbursement specialists. Find out about new websites, policy updates, and more.


Private Payer Roundup, June 2016 - 06/29/2016

In case you missed these — here is a roundup of useful items from health care payment plans’ newsletters and updates, compiled by TMA’s reimbursement specialists. Find out updated clinical practice guidelines and more.


TMA: Insurance Merger Would Limit Patient Choice, Raise Cost - 06/17/2016

A proposed supersize merger in the Texas health insurance market raises concerns about fewer health care options and higher costs for patients, according to Texas Medical Association’s (TMA’s) Texas Medicine magazine.


TMA Tells DOJ Aetna-Humana Merger Would Be Bad for Texas - 06/17/2016

The Texas health insurance market would suffer from reduced competition and potentially higher prices if the federal government approves the pending merger between Humana, Inc. and competing health insurance company Aetna, Inc.


Private Payer Roundup, March 2016 - 06/03/2016

Here is a roundup of useful items from health care payment plans’ newsletters and updates, compiled by TMA’s reimbursement specialists. Find out about new preauthorization requirements, payment policies, and more.


Bigger Isn't Always Better - 05/20/2016

As Aetna seeks to acquire Humana Inc. in a $37 billion deal, TMA and physicians across Texas worry the merger would weaken their contract negotiating power with health plans while shrinking already narrow provider networks.


Private Payer Roundup, March 2016(1) - 05/15/2016

Here is a roundup of useful items from health care payment plans’ newsletters and updates, compiled by TMA’s reimbursement specialists. Find out about new preauthorization requirements, payment policies, and more.


Private Payer Round-Up, February 2014 - 05/13/2016

In case you missed these — here is a roundup of useful items from health care payment plans’ newsletters and updates, compiled by TMA's reimbursement specialists.


Private Payer Roundup, May 2015 - 05/13/2016

In case you missed these — here is a roundup of useful items from health care payment plans’ newsletters and updates, compiled by TMA’s reimbursement specialists. Find out about a rewards program and information about claims resolution.


Private Payer Roundup, June 2015 - 05/13/2016

In case you missed these — here is a roundup of useful items from health care payment plans’ newsletters and updates, compiled by TMA’s reimbursement specialists. Find out about medical, pharmacy, and payment policy changes, get ICD-10 news, and more.


Private Payer Roundup, March 2016 - 05/13/2016

Here is a roundup of useful items from health care payment plans’ newsletters and updates, compiled by TMA’s reimbursement specialists. Find out about new preauthorization requirements, payment policies, and more.


Private Payer Round-Up, July 2013 - 05/13/2016

In case you missed these — here is a roundup of useful items from health care payment plans’ newsletters and updates, compiled by TMA’s reimbursement specialists. (July 2013)