What's new

What's New

Read key updates for health care providers and their staff members.

Assistant Surgeon Reimbursement Updated

Humana’s reimbursement policy for a physician acting as an assistant surgeon has changed for Humana commercial plans.

Humana Policies Affect Health Care Professionals and Their Patients

Humana creates operating policies and procedures to help maintain a high level of service to its members and network physicians and other health care professionals.

Find Policies on Prior Authorization, Quantity Limits and Step Therapy

Humana strives to make the prescription process as easy as possible for physicians, health care professionals and their patients. Some prescriptions, however, require more attention than others.

Humana announces changes to 2017 formularies

See lists of commonly used medications that will be impacted by Humana Medicare formulary changes in 2017.

Save Lives with Flu Vaccinations

Flu and flu-related pneumonia combined are the seventh leading cause of death among adults 65 years of age or older. According to a report released by the Centers for Disease Control and Prevention (CDC), these infections contributed to nearly 57,000 deaths in 2013.

Pneumonia Vaccines Protect Young and Old

According to the Centers for Disease Control and Prevention (CDC), pneumococcal pneumonia is the leading cause of vaccine-preventable deaths in the United States. Each year, approximately 1 million people are hospitalized with pneumonia, and 50,000 people die from the disease.

Invalid rejections of institutional claims

Some providers receiving claim rejections in error

Sign Up with Availity to Make Working with Humana Online Easier than Ever

Compliance Requirements for Health Care Providers

The Centers for Medicare & Medicaid Services (CMS) and Humana’s Medicaid contracts mandate that all Humana-contracted entities, including those contracted with Humana subsidiaries, complete compliance requirements.

Preauthorization and Notification Lists Updated for 2017

On Jan. 23, 2017, Humana will update preauthorization and notification lists for all commercial fully insured plans, Medicare Advantage (MA) plans, dual Medicare-Medicaid plans and Medicaid plans.

Simplifying Clinical Quality For Everyone

Humana has simplified our clinical quality measures to a more manageable number that impact patient health.

Find a Healthcare Provider

Access resources

View clinical guidelines, quality-related materials, drug utilization review information and more.

Clinical resources
Addressing fraud, waste and abuse

Addressing fraud, waste and abuse

Learn how to detect and prevent fraud, waste and abuse with free training materials, tools and resources from Humana.

Learn more about Humana’s commitment

Humana’s YourPractice

This bimonthly publication provides updates that make it easier for you to do business with Humana.

View the current issue.