"We're spending a lot of time at Humana doing some game theory, a variety of different ways to try to understand what different options we have here, depending on the rule -- the specifications of the rules," Alan Wheatley, president of Humana's Medicare, Medicaid and specialty health pl...
Although consumers benefit in many ways from healthcare insurance plans for coverage of their healthcare costs, there are aspects of the health plans and plan administration that are very difficult for consumers to understand. One difficulty many consumers often have is understanding their own financia...
for profit health plans are not allowed in Minnesota, even though the the 600 lb gorilla of health plans, United Health, is based here. It's nice to deal with non-profit hospitals and health plans because you know that whatever actions they undertake, it is probably not driven primarily by...
“And now, with the new benefit design flexibility in MA, BCBS Institute will expand the partnership to members of certain BCBS MA plans beginning later this year — providing rides to-and-from medical appointments, the pharmacy and fitness centers. This is big news for seniors, as...
If you are a patient please stay away from Humana plans. Humana really doesn't seem to care at all about their customers. And they obviously are not investing into the third party call centers they use, the employees sound very unhappy. 15 Feb Posted by Anonymous 2/15/23 5:24AM To...
(iii) a line of business identifier corresponding to a plurality of health plans; (b) storing said formulary data for said plurality of drug formularies in a database; (c) receiving at said server a request for formulary data from said database, said request comprising a line of business ...