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Tri-Care Contracts Still Not Defined – Aetna and United Bids Still in
Limbo From the GOA
=====================================================================

Posted Jan 21 2010 7:08am

You think getting a claim paid today is difficult, well let’s step
back a little further on the the Tri-Care bids and these 2 situations
are still up in the air. Healthnet and Humana protested the bids and
thus far the GAO is still looking into the matter. Aetna supposedly
cheated with hiring a former Tri-Care official to prepare it’s bid.
image

I think we need some monitoring and auditing here with insurance
companies as the bid process is also becoming an administrative
nightmare too. BD

Humana appears to have won at least some measure of victory in its
push to keep its Tricare membership, but it's unclear whether it
will win another five-year contract to administer Tricare benefits
in the southern region. Tricare Management Activity, which runs
Tricare, had failed in its bid evaluations to account adequately
for how much Humana's network discounts could save the government.

Tricare is the government health plan for military service
members, their families and survivors. Commercial insurers are
contracted to administer the benefits domestically in three
regions: South, North and West.

The GAO also upheld Health Net's protest of the bid process for
the next five-year Tricare contract for the North region, but the
final award of that contract also is pending.

The reviewers recommended that TMA assess whether Aetna, which
originally won, should be disqualified because of "appearance of
impropriety" created when Aetna hired a former Tricare official to
help prepare its bid.

amednews: Humana not assured of regaining Tricare contract :: Jan. 18,
2010 ... American Medical News

« Prev West Coast Hospital Using iPods With Voalte System To
Communicate – Replaced the Pagers Next » United Healthcare Who
Announced 4th Quarter Profits Just Under a Billion Signs Contract with
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