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Tag: Humana

Humana buys second home care provider


Humana buys another home care provider

June 15, 2021HME News Staff

LOUISVILLE, Ky. – Humana has signed a definitive agreement to acquire onehome, a provider of a variety of home-based services, from WayPoint Capital Partners.  onehome has been operating a value-based model in Florida and Texas, and has served Humana members since 2015.  “At Humana, we are implementing a strategy to build a new value-based home health model that will improve patient outcomes, increase satisfaction for patients and providers, and provide greater value for...

Humana, M&A, onehome, Private Equity, Value-Based Care

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Specialty Providers

Roche, Humana settle kickback allegations

February 10, 2021HME News Staff

INDIANAPOLIS - Roche Diagnostics and Humana have agreed to settle a whistleblower lawsuit for $12.5 million, after the government declined to intervene in the case.  Roche was charged with violating the Anti-Kickback Statute and False Claims Act, causing false claims to be submitted to the Medicare Advantage program and defrauding taxpayers, in a lawsuit filed in 2014 in the U.S. District Court for the Northern District of Illinois by a former employee of the company.  Humana...

Diabetes Testing Supplies, Humana, Roche Diagnostics Corp.

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Also Noted

AAH updates: Humana, Indiana Medicaid, telehealth

September 10, 2020HME News Staff

AAHomecare is drafting a response to Humana's decision to make changes in its authorization process for non-invasive ventilators, including providing only a 90-day initial authorization and requiring compliance data to extend authorization. The association has a number of concerns with the change, including how it will impact patients, how it might result in re-hospitalizations, how it's inconsistent with Medicare requirements, and how it's a more restrictive authorization process during a public...

aahomecare, Humana

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Philips connects care for Humana

December 10, 2019HME News Staff

AMSTERDAM - Royal Philips is collaborating with Humana to improve care and health outcomes for select high-risk Medicare Advantage members. Humana has implemented two programs that leverage Philips' medical alert services and remote member monitoring solutions. “Our goal is to continue to find ways to help our Medicare Advantage members stay longer and safer in their homes,” said Susan Diamond, president of Humana's Home Business Segment. “We believe our work with Philips will help...

Connected Care, Humana, Medical alert services, Philips, Remote monitoring

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Tricare still source of frustration

June 21, 2019Theresa Flaherty, Managing Editor

SAVANNAH, Ga. - More than a year after Humana Military took over the Tricare East contract, there are still billing issues, providers report.Provider David McLeod, for example, has been told he must submit a certificate of medical necessity every time he submits a claim for a CPAP device because the claims processor doesn't have the ability to attach a CMN already on file.“Essentially they are saying that, for us to get paid, we have to go through the whole process of submitting paperwork for...

Home Medical Equipment, Humana, TRICARE

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Humana opens first of six pharmacies

January 29, 2016HME News Staff

New Braunfels, Texas - Humana opened its first community pharmacy in Texas at the Partners in Primary Care medical practice. The new pharmacy, an extension of Humana's mail-order prescription drug service, will provide clinical support and full pharmaceutical services to Humana customers. The insurance company intends to open a second pharmacy in Texas and four more in Florida over the next few months.

Community Pharmacy, Humana

Also Noted

NCPA rejects 'merger mania'

September 10, 2015HME News Staff

WASHINGTON - The National Community Pharmacists Association (NCPA) supports today's hearing examining the consolidation in the healthcare marketplace, conducted by the House of Representatives Subcommittee on Regulatory Reform, Commercial and Antitrust Law. Of particular concern: the proposed Anthem-Cigna and Aetna-Humana mergers. “Policymakers cannot allow the 'merger mania' gripping the nation to proceed in a way that harms patients and the community pharmacists who serve them,” said...

Aetna, Anthem, Cigna, Humana, Mergers, National Community Pharmacists Association

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Humana, CareCentrix join audit free-for-all

June 12, 2015Tracy Orzel

YARMOUTH, Maine - HME providers and billing experts are reporting a recent spike in audits by insurance giant Humana and health plan manager CareCentrix.“I open the mail here for one reason,” said Robert Slama, CEO of Lakeland, Fla.-based Medi-Healthcare, who's been audited by both companies. “I want to see the amount of recoupments going on.”Why the sudden scrutiny?“They got wind that they could get a lot of money back,” said billing consultant Sylvia Toscano,...

CareCentrix, Humana

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Where do Humana's new prices leave Apria

July 24, 2013Liz Beaulieu, Editor

LAKE FOREST, Calif. - Apria Healthcare may have a lot to lose from Humana's decision to use pricing from Round 2 of competitive bidding for its Medicare Advantage plans starting July 1.Back in 2011, the insurance giant sent shock waves through the industry when it named Apria its “provider of choice” in multiple states and terminated relationships with “several providers.”When contacted by HME News, Lisa Getson, executive vice president of government relations and corporate...

Apria, Humana, round 2 of competitive bidding

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Humana follows Medicare's lead

June 7, 2013Liz Beaulieu, Editor

LOUISVILLE, Ky. - When it comes to the steep cuts Medicare plans to implement as part of Round 2 of competitive bidding, industry stakeholders have been waiting for the other shoe to drop.In the wake of the announcement of the cuts—on average, 45% below the current fee schedule—there have been reports of private payers and Medicaid programs looking to slash pricing. But now, it looks like it's happening on a much bigger scale.Health insurance giant Humana on May 30 notified providers...

aahomecare, Choice Medical Supply, CMS, Competitive Bidding, DME, HME, Humana, Medicaid, Medicare, Medicare Advantage

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