Over the past 18 months, Kootenai Health has been reviewing its contracts with insurance providers. We found that some contracted insurance providers are much more likely than others to incorrectly deny claims. When claims are incorrectly denied, they must be reviewed and resubmitted to the insurance provider a second time. This causes unnecessary delays, requires extra staff member time, and creates a significant administrative burden that adds additional costs that impact everyone.
During our contract review, we found that Humana Medicare Advantage has one of the highest rates of claim denials at Kootenai Health. For this reason, Kootenai Health has made the difficult but necessary decision to cancel its contract with Humana for Medicare Advantage, effective April 1, 2023.
If you were recently covered by a Humana Medicare Advantage plan, you may be affected by this contract change. If you are currently covered by a Humana Medicare Advantage plan, we strongly recommend that you speak with your insurance broker about the impact Kootenai Health’s contract cancelation may have on your benefits. You may want to talk with your broker about other Medicare Advantage plans that have contracts with Kootenai Health.
If you are comfortable with on-line resources, the Centers for Medicare and Medicaid Services also has a plan comparison tool you might find helpful. It can be found by clicking HERE.
We apologize for any inconvenience this change may cause. We sincerely hope that you will be able to find new coverage with one of Kootenai Health’s contracted plans and we look forward to continuing to meet your health care needs for many years to come. If you have any questions, here are some resources to help: