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Humana Ranked No. 1 in 2009 Claims-Payment Data Review

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Humana Ranked No. 1 in 2009 Claims-Payment Data Review

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June 02, 2010
By Rajani Baburajan
TMCnet Contributor

 

Humana, one of the largest publicly traded health and supplemental benefits companies, was ranked No.1 in overall performance in a review of 2009 claims-payment data conducted by athenahealth and Physician's Practice magazine,.


Company officials said this is the second year in a row and third time in five years Humana ranked No.1. This recognition makes Humana the easiest payer for healthcare providers to do business with, the company said.

Company officials said Humana and athenahealth share common goals to drive innovation that creates cost-saving business transactions for health care providers.

Athenahealth, a provider of Internet-based business services to doctors, and Physician's Practice, a leading practice-management journal for physicians, conduct the rankings annually to grade insurance companies on their transactions with physician offices.

The complete 2010 PayerView Rankings evaluated nearly 140 national, regional and government payers across the U.S., the company said

"We are honored to be named the nation's top payer for the second consecutive year by athenahealth," Bruce Perkins, senior vice president of healthcare delivery systems and clinical processes at Humana said.

Humana reduces fraud and waste in the healthcare delivery system. It makes investments in technology that drive efficiencies, reduce administrative costs and improve customer service.

The company, in tandem with athenahealth, offers solutions such as real-time adjudication, which enables health-plan members to have a claim processed instantly before leaving the doctor's office.

Data for the 2010 rankings was derived from athenahealth's Web-based practice-management platform, athenaCollector. Health insurers are ranked in areas of Financial performance, Administrative performance and Medical-policy simplicity, according to company officials.

The data athenahealth analyzed came from more than 23,000 health care providers in the U.S., roughly 39 million transactions and $7 billion in charges in services billed in 45 states for the full year 2009.

"The good news from athenahealth today is that Humana is continually paying physicians more quickly and accurately than our competitors, while also improving on our own company performance year over year, which results in an increasingly improved experience for our members," Perkins said.

A significant outcome of athenahealth rankings was that Humana improved across all metrics in the ratings, including dropping its 'days in accounts receivable' by nearly 16 percent to an industry-leading 22.4 days. Humana has improved its performance on this metric by more than 25 percent, since the ratings began five years ago, company officials added.

Earlier in April, Human announcedthat eHealth, the parent company ofeHealthInsurance, signed a national Field Marketing Organization distribution agreement to market Humana Medicare products. Under this partnership, eHealth will distribute Humana's Medicare Supplement, Medicare Advantage and Part D products through eHealth's online Medicare platformwww.eHealthMedicare.com.


Rajani Baburajan is a contributing editor for TMCnet. To read more of Rajani's articles, please visit her columnist page.

Edited by Stefania Viscusi

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