The health system began notifying patients about the change in October. North Mississippi Health Services, the parent company of various North Mississippi Medical Center hospitals, said it was allocating too many resources to appealing denials associated with Humana’s MA plans.
In a statement to the Daily Journal, the hospital said: “It is very important that the Humana [MA] members understand that the obligation for providing any requested information to Humana will be the responsibility of the member. NMHS will no longer be in a position to assist in this documentation requirement process.”
Should the contract terminate, Humana MA members will still be able to access NMHS’ emergency care services, and some 4,600 members may be eligible to continue ongoing care.
More articles on payers:
Humana shakes up leadership team: 4 things to know
Judge calls for another hearing on CVS-Aetna deal: 3 things to know
BCBS exec tells Texas business leaders to ‘stand with your carrier’
At the Becker's 11th Annual IT + Revenue Cycle Conference: The Future of AI & Digital Health, taking place September 14–17 in Chicago, healthcare executives and digital leaders from across the country will come together to explore how AI, interoperability, cybersecurity, and revenue cycle innovation are transforming care delivery, strengthening financial performance, and driving the next era of digital health. Apply for complimentary registration now.
