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Several Medicare Advantage Plan contracts with Humana lapsed on Oct. 31 after weeks of tense conflict. For patients covered by these plans, WakeMed could remain out-of-network “well into 2024 ...
Humana Inc. is a for-profit American health insurance company based in Louisville, Kentucky. In 2023, the company ranked 42 on the Fortune 500 list, [ 2] which made it the highest ranked (by revenues) company based in Kentucky. It is the fourth largest health insurance provider in the U.S. [ 3]
Humana, the next largest provider, counts 5.3 million Medicare Advantage customers; during the six months that ended June 30, almost 80% of Humana’s $51 billion in premium revenues came from ...
A Humana spokesperson said the company was still working with WakeMed to reach a resolution. In the meantime, Humana said it would work with the impacted members to find new in-network providers.
Medicare Advantage ( Medicare Part C, MA) is a type of health plan offered by Medicare-approved private companies that must follow rules set by Medicare. Most Medicare Advantage Plans include drug coverage (Part D). Under Part C, Medicare pays a sponsor a fixed payment. The sponsor then pays for the health care expenses of enrollees.
v. t. e. In the United States, an independent practice association ( IPA) is an association of independent physicians, or other organizations that contracts with independent care delivery organizations, and provides services to managed care organizations on a negotiated per capita rate, flat retainer fee, or negotiated fee-for-service basis.
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