Humana Military Decision Catches Attention of Federal Lawmakers

Humana Military Decision Catches Attention of Federal Lawmakers

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A recent decision by military health insurer, Humana Military, to cut ties with some specialists working with Samaritan Medical Practice has caught the attention of federal lawmakers.

In a statement, Sen. Chuck Schumer says, “My office is in close contact with Samaritan, which has a long history of providing quality specialty care and will be working diligently with all parties to forge a better solution."

Sen. Kirsten Gillibrand is also weighing in, saying, “I am very concerned about the announced disruption in referrals to specialists from Fort Drum to Samaritan Medical Practice. I intend to do everything that I can to ensure healthcare services work for the Fort Drum community.”

On Wednesday, Fort Drum Medical Command announced Humana will no longer refer its patients to 10 out of 45 specialists working with Samaritan Medical Practice. You can see the the list of affected services and doctors here.

Those specialists provide a variety of services including radiation oncology, vascular surgery, OB/GYN and gastroenterology.

The separation comes after negotiations over reimbursement rates fell through. Samaritan officials say Humana Military wants to pay less than the rate set by Congress.

In a statement, a spokesperson from Humana Military said, ”Access to affordable, quality care is the first priority for our beneficiaries. Humana Military made numerous attempts to negotiate terms with a private group of specialists affiliated with Samaritan Medical Practice. Despite our efforts, this group declined our repeated offers.”

Samaritan is hoping to resolve the issue by inviting Humana back to the negotiating table.

Meanwhile, Fort Drum Medical Command is planning an open forum next Thursday at 5 p.m. to answer questions from Humana patients.

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