Enhanced dental benefits.An out-of-network benefit for dental is being added to certain HMO plans to offer improved access to providers. There are also options for embedded dental, including allowances of $500 or more. Members can use the allowance towar...
providers for services rendered to its members. Humana’s PFFS plan pays 100% of Medicare allowable, less any applicable member copay or coinsurance amount. More on Private-Fee-For-Service How does a PFFS plan work? There is no doctor or hospital ―network‖ or directory for medical care....
The company also shares best practices across provider groups through meetings and conference calls.Aetna looks for providers sharing a common vision, and seeks out the integrated delivery system or physician group that it regards as “the market’s organizer of care,...
It is important to note that investments in the Group and Specialty segment in the quarter, particularly those intended to ease financial stress for providers while positioning the business for long-term success were disproportionate relative to the reduction in non-COVID utilization levels for the...