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Apoyo para dejar de fumar para los afiliados de Medicare Last year, Humana introduced Humana Active OutlookSM, a program designed to improve eligible Humana Medicare members' health across physical, mental, psychological, spiritual, emotional and financial dimensions. Now Humana is introducing a new component of the Humana Active Outlook Program: QuitNet® Comprehensive, a smoking cessation program with online and telephonic counseling and resources. According to the Centers for Medicare & Medicaid Services (CMS), 9.3 percent of the population 65 years and older smoke cigarettes. About 300,000 people over age 65 die each year of smoking-related diseases. Many older adults want to quit smoking; according to CMS, more than half of smokers over 65 said that they would like to give up cigarettes. QuitNet is specially designed to help older adults give up cigarette smoking successfully. QuitNet is provided by Healthways, the leading and largest provider of specialized, comprehensive Health and Care SupportSM programs and services. The QuitNet program combines Web-based and telephonic support, along with printed materials and the option of nicotine replacement therapy (NRT), if needed. Enrolled Humana members can access www.QuitNet.com/Humana at any time to take advantage of the following:
QuitNet members may also take advantage of telephonic coaching. A telephonic coach calls the member near his or her quit date, and follows up with support afterward. QuitNet members may also participate in regularly scheduled group telephone sessions with other members and smoking cessation experts. Interested members can also learn about medications approved by the Food and Drug Administration (FDA) for smoking cessation support, such as nicotine patches, gum and lozenges. Enrolled QuitNet members can receive one full cycle of medication at no additional charge, delivered right to their homes. Humana Medicare Advantage and Medigap members can take advantage of this smoking cessation program free of charge. Physicians are encouraged to discuss the QuitNet program with their Humana Medicare-insured patients who smoke, and support their efforts in the program. The QuitNet program is one more way Humana is seeking to deliver personalized initiatives to improve Medicare members' health. To learn more about QuitNet, visit www.QuitNet.com/Humana. To learn more about Healthways, visit www.healthways.com. Se facilita la determinación de elegibilidad para vacunas Earlier this year, Humana contracted with Dispensing Solutions, Inc. (DSI) eDispense Vaccine Manager to give Humana participating physicians access to a Web portal to process claims for vaccines administered to Part D members, including ZOSTAVAX® (Zoster Vaccine Live). ZOSTAVAX® is a frozen Part D covered vaccine used for adults 60 years old or older to help prevent shingles. Physicians who are contracted with eDispense can submit Humana member information to eDispense through the Web portal and receive eligibility status, member cost share information and submit a claim in real time for reimbursement, based on the member's Part D benefit coverage. Humana believes a relationship with Dispensing Solutions' eDispense Vaccine Manager will:
Humana participating physicians who want information about enrolling should visit http:\\enroll.edispense.com. For questions about eDispensing Solutions, please call (866) 522-EDVM (866-522-3386). Actualización del identificador nacional de proveedores (NPI) By now, health care providers are aware of the upcoming changes due to the National Provider Identifier (NPI) mandate. The Centers for Medicare & Medicaid Services (CMS) reports that as of April 23, 2007, more than 2 million health care providers have obtained their NPI. While NPI was mandated for use by all covered entities (excluding small health plans) by May 23, 2007, CMS issued guidelines on April 2, 2007, that clarified the deadline for implementation of the NPI regulation. Under this guidance, CMS will protect covered entities from enforcement action for a period of 12 months, not to exceed May 23, 2008, if they continue to demonstrate a "good faith" effort to come into compliance. CMS characterized "good faith" as development and implementation of a contingency plan that could include accepting legacy provider numbers on Health Insurance Portability and Accountability Act (HIPAA) transactions in order to maintain operations and cash flows. Guidance for the industry concerning the contingency plan is available on the CMS Web site. Visite www.cms.hhs.gov and click on "Regulations and Guidance," and then "National Provider Identifier Standard (NPI)." Click on the document entitled "Guidance on Compliance with the HIPAA National Provider Identifier Rule."
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