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Humana Announces 2009 Humana Preferred Network in Southeast Wisconsin, Exclusive Health Plan for Business Health Care Group

Broader network expands choices for consumer


Tuesday, August 5, 2008 8:58 pm EDT



Public Company Information:


MILWAUKEE--(BUSINESS WIRE)--Humana Inc. (NYSE: HUM) today announced details of the 2009 Humana Preferred network, available exclusively to the Business Health Care Group (BHCG) member companies. The Humana Preferred network includes many of the areas most efficient physicians and well-known hospitals. This is the first renewal in the three-year history of the BHCG - Humana relationship, marking the first network change since 2005.

The Humana Preferred network offers lower costs by including participating physicians who have shown the ability to guide members through treatment using resources most efficiently.

We have expanded the presence of our 2009 Humana Preferred network, giving consumers more choices in more areas for a better overall health care experience. As a result of this process we are confident that this will help BHCG continue making progress of bringing health care costs closer to the Midwest average, said Kristine Seymour, president of Humanas Wisconsin commercial market operations.

Consumers can receive the highest level of benefits by selecting one of more than 4,500 physicians and 30 area hospitals participating in the Humana Preferred network. The most significant change was the addition of St. Nicholas in Sheboygan, Physicians Health Network and St. Josephs in West Bend and the West Bend Clinic, which expands the network presence. The other health systems and provider groups that will continue to provide care to Humana Preferred network participants are as follows: Aurora HealthCare and Medical Groups, Beloit Hospital and Physician Group, Columbia St. Marys Hospital and Physician Group, Childrens Hospital and Medical Group, Fort Atkinson Hospital and Physicians, Froedtert and Community Memorial Hospital, Medical Associates, Medical College of Wisconsin, Mercy Health System, ProHealth Care, Watertown Hospital and Physician Group, United Hospital Systems and Medical Group.

Consumers using the Humana Preferred network will also have out-of-network coverage for non-participating health care providers. In addition to the Humana Preferred network, Humana will continue to provide a variety of care-management programs, including Humanas innovative Personal Nurse program, as well as online information to help consumers make educated health care buying decisions.

The expanded Humana Preferred network will be available exclusively to BHCG member companies for effective dates beginning January 1, 2009. Humana will next evaluate bids from hospitals and health systems in 2011 for inclusion in the network for 2012 2014. Humana will re-evaluate physicians twice each year and will make changes to the list of physicians included in Humana Preferred network on an annual basis.

Humana today also announced the 2007 cost results for BHCG self-funded member companies, reporting a 2-year aggregate decrease of 9 percent per health plan member when compared to 2005 base year costs. In 2007 the self-funded member companies experienced in aggregate a 6.1 percent increase in medical costs (prior to benefit application) which is approximately 4 percent less than the Milwaukee market trend. This result, coupled with the 13.7 percent reduction reported for 2006 (restated to 14% in 2007), produces a cumulative 2-year savings of $32 million for the self-funded member companies.

About Humana

Humana Inc., headquartered in Louisville, Kentucky, is one of the nations largest publicly traded health benefits companies, with approximately 11.5 million medical members. Humana offers a diversified portfolio of health insurance products and related services through traditional and consumer-choice plans to employer groups, government-sponsored plans, and individuals.

Over its 47-year history, Humana has consistently seized opportunities to meet changing customer needs. Today, the company is a leader in consumer engagement, providing guidance that leads to lower costs and a better health plan experience throughout its diversified customer portfolio.

More information regarding Humana is available to investors via the Investor Relations page of the companys web site at http://www.humana.com, including copies of:

  • Annual reports to stockholders;
  • Securities and Exchange Commission filings;
  • Most recent investor conference presentations;
  • Quarterly earnings news releases;
  • Replays of most recent earnings release conference calls;
  • Calendar of events (includes upcoming earnings conference call dates and times, as well as planned interaction with research analysts and institutional investors);
  • Corporate Governance Information.


Humana Corporate Communications
Amanda Dvorchak Harris, 312-441-5361