Photo cred via Humana

Humana Announces Health Care Provider Initiative to Help Ease Financial and Administrative Stress During Coronavirus Pandemic

Originally posted on Humana.com

Leading health and well-being company Humana Inc., 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 the 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.

 

Latest News

Calm App Available to Kaiser Permanente Members at No Cost

Originally published on KaiserPermanente.org. The meditation and sleep app, part of Kaiser Permanente’s self-care portfolio, supports people looking for ways to manage stress and build resilience, particularly in uncertain times.  OAKLAND, Calif., May 19, 2020 — Kaiser Permanente announced it has added Calm, a leading app for mindfulness meditation and…

Dow Collaborates with Multiple Partners to Develop and Donate Level 2 Medical Isolation Gowns

Originally posted on Dow.com Collaboration included Magna International, Inc., 3M, Cadillac Products Packaging Company, DuPont, Fitesa, Landaal Packaging Systems, Plastixx FFS Technologies, Shurtape and Volkswagen 100,000 isolation gowns to be donated to healthcare professionals For healthcare professionals battling the COVID-19 pandemic, isolation gowns are among the most used and needed…

Hershey Stockholders Elect Victor L. Crawford To Company Board

Originally published on thehersheycompany.com. HERSHEY, Pa., May 18, 2020 (GLOBE NEWSWIRE) — The Hershey Company (NYSE: HSY) today announced the election of Victor L. Crawford to its board of directors. Crawford is the newest Hershey board member and was elected at the company’s recent Annual Stockholder’s Meeting. Victor L. Crawford Crawford brings deep executive and leadership experience to…

Novartis Discusses Navigating Cancer During COVID-19

Originally published on LinkedIn. Watch the recent discussion between Susanne Schaffert, PhD and President of Novartis Oncology and Pat Garcia-Gonzalez, Founder and CEO of The Max Foundation, a patient advocacy group, to learn how they are helping people living with CML stay safe and get the support and treatment they need.

Nielsen Publishes Asian American Consumer Report for Asian American and Pacific Islander Heritage Month

Originally published on nielsen.com. REPRESENTATION MATTERS Asian Americans are a driving force in the U.S., both as cultural influencers and powerful consumers. Your representation within the products and media you love begins with data. At Nielsen, we provide a cultural narrative for diverse communities through our research. Below you will…