Humana's Your Practice

Humana Ranks Number One
In First Payer Ranking

Dear Physician and Office Staff:

By now, you’ve probably seen and heard the national news announcing Humana as the nation’s easiest health plan with which to do business. The recognition of Humana as number one in the industry by athenahealth, the nation’s second largest claims clearinghouse, and Physicians Practice®, America’s Leading Practice Management Journal, is validation that our commitment to excellence in paying providers timely and accurately is paying off.

The athenahealth/Physicians Practice story highlights your concern with claims being paid timely and accurately — the first time. As we have discussed in recent issues of the magazine, reducing administrative complexity in the health care system plays a large role in the accuracy and timeliness of the payment process, and that is where our efforts have been squarely focused.

We have significantly enhanced our provider Web-connectivity services and continue to build on this foundation to further streamline our payment process efficiencies. For example, providers now have the opportunity to submit claims to Humana via our real-time claims adjudication (RTCA) process. We continue to work with national provider organizations like the Medical Group Management Association (MGMA), to realize not only Humana’s goals, but industry goals of administrative simplification and finding multipayer solutions.

To achieve unit cost superiority, Humana must demonstrate value, defined simply as the ease in which our providers can do business with us. Our growing reputation as the payer of choice — the health plan offering best in class service — enhances our image with you, our providers, hopefully resulting in lower unit costs and improved experiences for our members when they seek medical care.

We are proud of our recent distinction, but we will not stop now. We will continue to work on initiatives to save you time and money, supporting your efforts to focus on caring for your patients.

Sincerely,