Humana Military Healthcare
is a regional health provider for U.S. military members.
Humana Military Healthcare Services is a third-party administrator of Tricare, the U.S. military's health care program, that offers health insurance benefits to more than 2.6 million active, reserve and retired military members and their families. As of 2011, Humana Military operates more than 80 service centers and 53 military treatment centers in 10 southeastern states and Puerto Rico and has more than 1,500 employees.
History
Humana Military Healthcare Services was founded in 1993 as a wholly owned subsidiary of Humana, Inc. and is headquartered in Louisville, Kentucky. Humana Military formed its partnership with Tricare in 1995 and has been offering high-quality accessible health care to the military sector in several states, including Texas, Alabama, Florida and South Carolina. Nearly one-third of Humana Military's employees are Tricare beneficiaries, including the company's chief executive officer and senior regional executive director.
Growth
When Humana Military and the Department of Defense formed their partnership in 1995, Humana was given responsibility for Tricare's Regions 3 (Southeast) and 4 (Gulf South). In 2001, Humana Military was given Regions 2 (Mid-Atlantic) and 5 (Heartland), nearly doubling its previous coverage. At that point, the company was providing health care services to more than 42 percent of the nation's Tricare members. The DOD also designated Humana Military as the sole administrator of Tricare's Continued Health Care Benefits Program (CHCBP) during 2001. In 2003, Humana Medical was named Tricare's partner for the newly formed South Region, which is the area it currently services.
Partners
As of 2011, Humana Military Healthcare Services has partnered with ValueOptions and PGBA LLC in its health care services. ValueOptions, one of the nation's largest behavioral health providers, provides all of Humana Military's mental health and substance abuse services. PGBA is one of the largest subsidiaries of BlueCross/BlueShield of South Carolina and performs all of Humana Military's claims processing for Tricare's South Region.
Mission and Training
Striving to follow its mission of providing military personnel with high-quality health care, Humana Military requires its employees and associates to undergo regular training and education. Humana Military believes that integrity and ethical behavior should go hand in hand and that its employees and associates should work together as a cohesive unit to achieve those goals. Educational and training programs, including Web-based procurement integrity and ethics and compliance training, are required of the company's employees on an annual basis. Printed material stressing the importance of the company's mission and refresher information are distributed on a monthly and quarterly basis.
Quality Assurance
Humana Military employs several quality assurance programs to ensure the integrity and quality of its services. Several internal audits, including operation and compliance reviews and vulnerability assessment, are used to self-police the company's operations. External audits are also conducted by outside entities, including the Utilization Review Accreditation Commission and independent accountants, to further ensure the quality of Humana Military's functions.
