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: 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: * 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: View source version on businesswire.com: https://www.businesswire.com/news/home/20200402005238/en/
Ohio-based healthcare provider the Cleveland Clinic has entered the insurance market, with the launch of a number of branded policies in partnership with New York-based insurer Oscar Health. Under the "narrow-network" system, policy-holders will only have access to services from the clinic's own doctors and hospitals. The provider will share the financial risk with Oscar Health. It has also partnered with the Kentucky-based insurer Humana to offer policies with no today premiums to patients on Medicare and Medicaid assistance programmes.