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Guidance when you need it most
|Traded as||NYSE: HUM
S&P 500 Component
|Industry||Managed health care|
|Founded||Louisville, Kentucky (1961)|
Louisville, Kentucky, United States
|Key people||David A. Jones, Sr. and Wendell Cherry, co-founders
Bruce Broussard, CEO and President
|Employees||52,000 (1Q 2014)|
Humana Inc. is a Louisville, Kentucky-based for-profit American managed health care company that markets and administers health insurance in the United States. Humana has over 13 million customers in the U.S., reported a 2013 revenue of US$41.3 billion, and has over 52,000 employees.
Humana was investigated by U.S. Dept. of Health and Human Services for sending flyers to MediCare recipients that were characterized by the AARP as being deceptive. The company's managed care model has also been criticized for ethical lapses and limitations.
1961-1983: Nursing homes and hospitals
The company was founded by David A. Jones, Sr. and Wendell Cherry as a nursing home company in 1961. Then known as Extendicare, the company became the largest nursing home company in the United States. Extendicare later divested the nursing home chain and moved into purchasing hospitals in 1972, becoming the world's largest hospital company in the 1980s.
The corporate name was changed to Humana Inc. in 1974. Humana experienced growth period in the years that followed, both organically and through the takeover of American Medicorp Inc. in 1978, which doubled the company's size. During the mid-1970s, the company used a fast-track construction process to complete and open one hospital a month. During this period Humana developed the double corridor model for hospital construction. This design minimized the distance between patients and nurses by placing nursing support services in the interior of the building with patient rooms surrounding the perimeter.
1984-present: Health insurance
The 1990s marked Humana's transition into a consumer health benefits company. Humana spun off its hospital operations from the health insurance operations in 1993, creating Galen Health Care, which then merged with Columbia/HCA.
On November 16, 2006, The Centers for Disease Control and Prevention (CDC) and Humana Inc. entered into a partnership with the aim of expanding on traditional private-sector approaches to population health management.
In 2006, Humana launched an education campaign to market Medicare Advantage (MA) and Prescription Drug Plans (PDP) nationwide to Medicare eligible consumers, following the passage of the Medicare modernization act.
In May 2011, Humana announced that they would be using mobileStorm to allow transmission of protected health information to patients. The service is the first HIPAA-compliant messaging platform.
The Humana Building in Louisville, Kentucky is an example of postmodern architecture designed by Michael Graves and completed in 1985. Humana sponsored an architectural competition to determine the design of its headquarters building. Scale models of the participants (including the submissions of Helmut Jahn, I. M. Pei, Michael Graves and others) are contained in a vestibule located directly above the Main Street entrance.
Humana call centers are located in Cincinnati, Ohio and other areas.
The Humana Distaff Handicap is a Grade 1 race for thoroughbred fillies and mares, four-years-old and up. The race is run each spring on Kentucky Derby day at Churchill Downs and set at a distance of 7 furlongs for a purse of $250,000.
Humana Military Healthcare Services
Humana Military Healthcare Services (HMHS) is a wholly owned subsidiary of Humana. Since 2004, HMHS has acted as the Managed Care Support Contractor for the United States Department of Defense Military Health System TRICARE South Region. In 2009, HMHS' Managed Care Support Contract was awarded to United Military and Veterans Services, a subsidiary of UnitedHealth Group. HMHS protested that decision. The protest was upheld in late 2009 by the Government Accountability Office.
In 1987, Humana sued NBC over a story line in the television medical drama St. Elsewhere whereas the hospital was to be sold to a for-profit medical corporation and renamed "Ecumena", with subsequent changes to the hospital, both positive and negative, emanating from that change. Humana was successful at forcing NBC into showing a disclaimer at the beginning of the September 30 episode saying that the drama had no connection whatsoever with Humana.
On May 30, 1996, Linda Peeno, who was contracted to work for Humana for nine months, testified before Congress as to the downside of managed care. In the testimony, Peeno says she was effectively rewarded by her employer for causing the death of a patient because it saved the company a half-million dollars. Peeno stated that she felt the "managed care" model was inherently unethical.
Video of Linda Peeno's testimony appeared in Michael Moore's 2007 documentary Sicko. On June 28, 2007, in a statement about the movie, Humana declared that Peeno was never a Humana "associate" (permanent, full-time employee), but rather a "part-time contractor". Humana also disputed the portions of Congressional testimony that were shown by saying that because the patient's specific healthcare plan didn't cover heart transplants, the denial of coverage was valid.
Humana was also featured in Season One of Moore's The Awful Truth, shown refusing to give a pancreatic failure sufferer authorization for a transplant due to a contradictory policy that stated that all of this man's diabetes related expenses were covered by his plan (his pancreas was failing due to his diabetes) but in another section, it said that it wouldn't cover organ transplants. Moore conducted a fake funeral on the front steps of Humana for the man who was sure to die without the transplant. Three days later, Humana changed their policy and authorized the man's treatment. This scene was the inspiration for Sicko.
On September 21, 2009 the U.S. Department of Health and Human Services opened an investigation into mass mailings sent by Humana to elderly Medicare recipients. The mail was made to appear to contain official information about Medicare Advantage and prescription drug benefit information, but instead alleged that core Medicare benefits could be cut by the Obama administration's healthcare reform, a claim refuted by John Rother, AARP's executive vice president. Douglas Elmendorf, the head of the Congressional Budget Office, later supported the claim that Medicare benefits would be cut. However, his comments were in reference to just one of several bills being drafted in Congress, and CBO estimates of another healthcare reform bill found that changes to premiums would vary. The Centers for Medicare and Medicaid Services instructed Humana to cease all such mailings to Medicare plan members pending an investigation. HHS Secretary Kathleen Sebelius, in a letter to the insurance industry, threatened that bad actors may be excluded from new health insurance markets that will open in 2014. However, in a letter to Kathleen Sebelius, Senate Republicans pointed out that a 1997 directive from the Centers for Medicare and Medicaid Services explicitly allowed HMOs to tell members about legislation and urge them to express opinions.
- "HUMANA INC 2013 Annual Report Form (10-K)" (XBRL). United States Securities and Exchange Commission. February 19, 2014.
- "HUMANA INC 2014 Q1 Quarterly Report Form (10-Q)" (XBRL). United States Securities and Exchange Commission. May 7, 2014.
- "Humana Announces New Corporate Social Responsibility Goals and Issues Report on Recent Progress (press release)". Humana, Inc. 17 April 2014. Retrieved 28 May 2014.
- "Humana Reports First Quarter 2014 Financial Results; Reaffirms 2014 Financial Guidance". Humana Inc. Retrieved 28 May 2014.
- "Financial Statements for Humana Inc". Google.com. Retrieved 2012-05-06.
- "Fortune 500". Money.cnn.com. Retrieved 28 May 2014.
- "CDC and Humana Partner to Create Next Generation of Public Health; Alliance to Leverage Private-Sector Resources to Address Chronic Diseases".
- "America's Most Admired Companies 2008: Industry: Health Care: Insurance, Managed Care | FORTUNE". Money.cnn.com. 2008-03-17. Retrieved 2009-08-05.
- mobileStorm Launches First HIPAA-Compliant, Cloud-based mHealth Communication Platform; Announces Humana as a Beta Client. Smart Phone Health Care. May 27, 2011.
- HIPAA-Compliant mHealth Platform with Humana as Beta. Blue Tooth Marketing. May 27, 2011.
- "LPGA's Nancy Scranton Becomes Humana Ambassador; Veteran Golfer Will Offer Golfing and Lifestyle Tips Targeted to Humana's Female Audience".
- Grand Ole Opry sponsors
- The Humana Foundation: Contributions to Civic and Culture - Actors Theatre of Louisville's Humana Festival of New American Plays
- "Humana lawsuit over `St. Elsewhere' prompts TV disclaimer by NBC". Chicago Sun-Times. 1987-10-01. Retrieved 2009-08-05.
- "Testimony of Linda Peeno, MD about Managed Care in the Healthcare Industry - May 30, 1996". Web.archive.org. Archived from the original on 2008-06-01. Retrieved 2010-10-22.
- "Humana issues statement on Moore's 'Sicko'". Business First. 2007-06-28. Retrieved 2007-07-07.
- Medicare Probes Humana's Letter To Patients About Effects Of Health Reform Medical News Today 23 Sep 2009
- Humana Mailer Targets Elderly, Claims Medicare Benefits To Be Cut Huffington Post. 2009-09-16.
- King, Neil (2009-08-25). "GOP Tees Up Medicare Manifesto". Online.wsj.com. Retrieved 2010-10-22.
- Budget chief says Medicare benefits could be cut ERICA WERNER, Associated Press. September 22, 2009
- The Effect of H.R. 3200 on Medicare Part D Premiums Congressional Budget Office, Director's Blog. August 28, 2009