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Posts tagged with "Humana"

National News

Healthcare Stocks Surge on the Biden Bounce After Worst Week Since 2009

The healthcare sector led the market rally on Wednesday following a Super Tuesday Joe Biden victory that drove stocks higher. In an emergency decision, the Fed cut rates 50 basis points on Tuesday, offering little relief for the market that closed down 2.8 percent - erasing any intra-day gains. With Biden the clear representative of...
National News

Humana, Private Equity Firm Announce Plans for Senior Primary Care Centers

This week, health insurance company Humana, Inc. and private equity company Welsh, Carson, Anderson & Stowe announced they will launch a $600 million project in primary care centers specifically for Medicare Advantage beneficiaries. Humana’s Partners in Primary Care already runs primary care facilities in a handful of markets...
Arizona Comings & Goings

Marina Renneke

Marina Renneke is now Managing Corporate Communications for Scottsdale’s Blue Yonder, an International Information and Technology Services Company; she was formerly Humana’s Western Region’s Media Relations and Corporate Communications Professional....
National News

CMS CMO Moves On - Takes Role as Senior VP at Humana

According to Politico, Kate Goodrich, MD, will be responsible for data data and analytics related to improving patient outcomes, cutting out unnecessary spending and alleviating administrative burden on clinicians - at the Centers for Medicare & Medicaid Services (CMS),  she led the implementation of MACRA and value-based incentive...
Arizona News

Arizona MA January Enrollment - 2019-2020 Changes

Arizona's Medicare Advantage market continues to climb with a 38 percent saturation rate; latest numbers following the annual enrollment period shows UnitedHealthcare's AARP branded product still reigns supreme. According to data from the Centers for Medicare & Medicaid Services, UnitedHealthcare/Pacificare's AARP plan reprised...
Arizona News

Humana and Iora Plan Growth in Arizona

Iora Health, which specializes in primary care services for traditional Medicare beneficiaries and Humana Medicare Advantage members, announces that it will open 11 new centers in Texas, Georgia and Arizona. Iora invests in preventive care, using primary care teams to focus on outcomes.  Their relationship with Humana is built on...
National News

Bipartisan Proposal to Fund $25M in Grants for SDOH

This week House lawmakers focused on certain vulnerable populations within Medicaid who need food, housing and transportation - the first such federal proposal on Social Determinants of Health (SDOH). According to reporting by Modern Healthcare, the targeted populations include the homeless, elderly nursing home residents and women...
National News

Humana's Internal Study Confirms Effectiveness of Value-Based Care in MA

An internal study released Tuesday shows Humana’s shift from the traditional fee-for-service (FFS) model to value-based care is cutting costs and improving quality of care for seniors enrolled in its Medicare Advantage (MA) plans. The study found medical costs were almost 16 percent lower for seniors enrolled in Humana MA plans...
Arizona News

Humana Hiring in Glendale, Phoenix and Tempe

The insurer is seeking 90 full-time employees. Positions are available at its Humana Pharmacy operations center in Glendale; dispensing facility in Phoenix; and call center located in Tempe. Humana is hiring for Inbound Customer Service Representatives, Utilization Management Administration Coordinators, Pharmacy Technician and...
Arizona News

Humana's Completion of KMG Sale Means a Hefty Loss for the Insurer

Humana took a $790 million hit after selling off long-time subsidiary KMG America Corporation, but beat analyst estimates with a reported $16 million increase in operating cash flows over the last year. In a second quarter earnings call on Aug. 1, executive at Humana Brian A. Kane acknowledged the losses incurred from the KMG...
Arizona News

Health Systems and Plans Dominate Big Business List in Arizona

According to the latest list from the Phoenix Business Journal, Banner Health, HonorHealth and Dignity Health Arizona rank in the top ten of all employers by number of employees.With over 36,000 full-time employees in Arizona, Banner Health and its $7.8 billion in revenue has long been the top health system in Arizona when it comes to...
National News

Prime Healthcare Given the Green Light to Sue Humana Over MA Contracts

A California court ruling on Friday determined that Humana will not be able to dodge a Medicare Advantage Plan breach of contract suit from Prime Healthcare claiming inadequate reimbursements--underpayments. Prime Healthcare was an in-network provider for Humana between August 2012 to February 2016, during which it claims Humana...
National News

Humana to Reimburse Hospitals with Focus on Quality improvement and Performance

The Hospital Incentive Program, effective January 1, 2018, is for hospitals treating Humana's commercial enrollees.    According to a press release, Humana’s HIP aims to deliver more integrated care and reduce duplicative services, hospital readmissions, and complication rates in acute care inpatient admissions. The program...
Arizona News

Nation's Largest Hospice Provider Could be Coming

Humana, Kindred, Curo, two equity firms and Walmart all in the rumor mill. The $1.4 billion deal brings together the Louisville-based health insurance giant; TPG Capital and Welsh, Carson, Anderson & Stowe, the same group that has offered to buy the home care business of Kindred in Louisville. That deal still must get the green...
National News

Hospitals Fear Walmart-Humana Partnership

Hospitals have been eyeing Walmart nervously for years as it advances into health care. Early-stage deal talks between Walmart and Humana are worrisome. The Bentonville, Ark., retailer already operates pharmacies and primary-care clinics and plans to begin offering lab-testing services. It has also recently increased its direct...
National News

Medicare Advantage Rates to See Boost

CMS said it will increase payments to privately run health plans for the elderly by an average of 3.4 percent next year, almost double the amount it had previously estimated. Insurers such as UnitedHealth Group Inc. and Humana Inc. have big lines of business selling Medicare Advantage plans. Including changes based on how sick or...
UnitedHealthcare, Humana, Optum, Quest Diagnostics and MultiPlan Launching a Blockchain Pilot National News

UnitedHealthcare, Humana, Optum, Quest Diagnostics and MultiPlan Launching a Blockchain Pilot

Blockchain technology seeks to improve the quality of data and reduce the administrative costs associated with insurers getting up-to-date healthcare provider demographic data. Insurers are mandated to get accurate information that is passed on to beneficiaries. The Centers for Medicare and Medicaid Services fines insurers if they do...
Arizona Comings & Goings

Humana Hires Kellogg to Oversee Provider Experience in the Central West Region

Humana announced that it has hired Paula Kellogg as Regional Vice President, Provider Experience for the Central West Region. Kellogg will be responsible for oversight of Humana’s Commercial and Medicare provider networks in Humana’s Central West Region, which encompasses Arizona, Colorado and New Mexico. In this role, he will be...
National News

Medicare Advantage New Buyout Battleground

Medicare Advantage enrollment is projected to rise to 38 million, or 50% market penetration, by the end of 2025. Anthem, Humana and WellCare Health Plans are signaling plans to aggressively grow their Medicare Advantage businesses with the help of mergers and acquisitions. The three health insurers are in a competitive battle with...
Arizona News

Paul Kellogg Named to Key Humana Position

Kellogg hired as Regional Vice President, Provider Experience for the Central West Region. Kellogg will be responsible for oversight of Humana’s Commercial and Medicare provider networks in Humana’s Central West Region, which encompasses Arizona, Colorado and New Mexico. In this role, he will be responsible for building...
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