- Humana received a 5 out of 5-star rating for four of its
contracts for 2022, the most in company history, which include HMO
plans in Florida, Louisiana, Tennessee and Kentucky, covering
approximately 527,000 members
- Humana received a 4.5-star rating for eight Medicare Advantage
contracts offered in 33 states and Puerto Rico, covering more than
1.6 million members
- 4.8 million, or approximately 97%, of Humana Medicare Advantage
members are currently enrolled across 32 contracts with 4-stars and
above for 2022
- Over 99% of retirees in Humana’s Group Medicare Advantage plans
remain in contracts rated 4-star or higher for 2022
Humana Inc. (NYSE: HUM), one of the nation’s leading health and
well-being companies, today announced the Medicare Star Ratings for
its Medicare Advantage (MA) plans, effective January 1, 2022, from
the Centers for Medicare and Medicaid Services (CMS). CMS posts
Star Ratings at www.medicare.gov. With these results, Humana’s Star
Ratings continue to reflect the company’s strong focus on ensuring
high quality of care, patient-centered clinical outcomes and
reliable customer service for its members.
Humana increased the number of contracts that received a 5-star
rating on CMS’s 5-star rating system from one contract in 2021 to
four contracts in 2022, the most in the company’s history,
including HMO plans in Florida, Louisiana, Tennessee and Kentucky
covering approximately 527,000 members. These plans include
CarePlus Health Plans, Inc. in Florida, which received a 5-star
rating for the fourth consecutive year, Cariten Health Plan Inc. in
Tennessee, which previously received a 5-star rating in 2019, as
well as Humana Health Benefit Plan of Louisiana, Inc. in Louisiana
and Humana Health Plan of Ohio, Inc. in Kentucky, both of which
received a 5-star rating for the first time.
In addition, Humana received a 4.5-star rating for eight MA
contracts offered in 33 states and Puerto Rico. In all, Humana has
41 rated contracts to be offered in 2022, 32 of which are rated
4-stars or higher and currently cover 4.8 million members,
representing 97% of its existing MA membership in rated contracts
as of September 2021. Over 99% of retirees in Humana’s Group
Medicare Advantage plans remain in 4-star or above contracts for
2022.
“Humana is committed to helping our members achieve their best
health by ensuring high quality of care, improved clinical outcomes
that are patient-centered, and strong customer service,” said Alan
Wheatley, President, Retail Segment at Humana. “Our goal in
Medicare Advantage is to offer industry-leading health plan options
for people with Medicare that allow them to enjoy all the security
of Original Medicare plus valuable added benefits. We are pleased
to once again be recognized by CMS with such high ratings for our
Medicare Advantage plan offerings.”
Throughout the COVID-19 pandemic, Humana has worked to overcome
challenges in health care delivery in order to provide full support
for its members’ health and wellbeing. During this time, Humana
sent reusable face masks to MA and Prescription Drug Plan (PDP)
members, mailed over one million preventive care colon cancer
screening and diabetic condition management in-home test kits to
eligible members, and proactively called and scheduled
approximately 65,000 members in 46 states to receive COVID-19
vaccinations, with a focus on individuals with societal barriers to
scheduling and receiving the vaccine. Commenting on her experiences
with Humana at a vaccination clinic earlier this year, Betty P., a
Humana Medicare Advantage member in Tennessee, said “Humana was
putting my health first, they were trying to help me. They had my
health in their interest. I've been with them almost 10 years and
they have never failed me.”
About Medicare Advantage
Medicare Advantage’s unique public-private structure creates an
atmosphere of competition that spurs innovation that can help drive
down costs and focus care on a person’s whole health.
Medicare Advantage plans are focused on coordinating care for
those with multiple chronic conditions, helping lead to
cost-effective interventions to address the unique health needs of
aging or disabled Americans. These are a few reasons why more than
40 percent of all Medicare beneficiaries choose to be covered by
Medicare Advantage plans.
About Medicare Advantage
Enrollment
The Medicare Advantage and Prescription Drug Plan Annual
Election Period (AEP) begins Oct. 15 and continues through Dec. 7,
2021. During this enrollment period, people eligible for Medicare
can choose Medicare Advantage and Prescription Drug Plans for the
upcoming year – with coverage that takes effect on Jan. 1,
2022.
People eligible for Medicare may make a one-time election to
enroll in a plan offered by an MA organization with a Star Rating
of 5 Stars during the year in which that plan has the 5-star
overall performance rating, provided the enrollee meets the other
requirements to enroll in that plan. This 5-star special election
is available December 8 through November 30 of the following
year.
For more information about Humana’s 2022 Medicare offerings,
visit www.Humana.com/Medicare or call toll-free 1-800-213-5286
(TTY: 711). Licensed sales agents are available 8 a.m. to 8 p.m.
local time, seven days a week.
About CMS Star Ratings
The CMS rating system measures the excellence of Medicare plans
nationally each year. A plan may receive a rating between one and
five stars, with five stars representing the highest rating. CMS
uses information from member-satisfaction surveys, health plans,
and health care providers to assign overall Star Ratings to plans.
The rating system uses more than 40 different quality measures
across nine categories, including:
- Staying Healthy: Screenings, Tests and Vaccines
- Managing Chronic (Long Term) Conditions
- Member Experience with Health Plan
- Member Complaints and Changes in the Health Plan’s
Performance
- Health Plan Customer Service
- Drug Plan Customer Service
- Member Complaints and Changes in the Drug Plan’s
Performance
- Member Experience with Drug Plan
- Drug Safety and Accuracy of Drug Pricing
Additional information about the CMS Star Ratings can be found
at: www.medicare.gov.
Listed below is a breakdown of Humana’s contracts that achieved
a rating of 5.0, 4.5 and 4.0-stars:
Humana 5.0-Star Rated
Contracts
- H0292 HUMANA HEALTH PLAN OF OHIO, INC. (KY HMO)
- H1019 CAREPLUS HEALTH PLANS, INC. (FL HMO)
- H1951 HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC. (LA
HMO)
- H4461 CARITEN HEALTH PLAN INC. (TN HMO)
Humana 4.5-Star Rated
Contracts
- H0028 CHA HMO, INC. (AZ, CO, HI, IA, IL, KS, MO, NE, NM, SD, TX
HMOs)
- H1036 HUMANA MEDICAL PLAN, INC. (FL, KY, MS, NC, OR HMOs)
- H1468 HUMANA BENEFIT PLAN OF ILLINOIS, INC. (IL HMO)
- H4007 HUMANA HEALTH PLANS OF PUERTO RICO, INC. (PR HMO)
- H5525 HUMANA BENEFIT PLAN OF ILLINOIS, INC. (AL, GA, IL, IN,
KY, LA, MT, NC, OH, PA, SC, WV LPPOs)
- H5970 HUMANA INSURANCE COMPANY OF NEW YORK ( NY LPPO)
- H6622 HUMANA WI HEALTH ORGANIZATION INSURANCE CORP. (DE, KY,
MN, MS, MT, NC, NJ, NV, OH, OK, PA, VA, WI HMOs)
- R5495 HUMANA INSURANCE COMPANY (OH RPPO)
Humana 4.0-Star Rated
Contracts
- H0473 HUMANA INSURANCE COMPANY OF KENTUCKY (TX LPPO)
- H2237 INDEPENDENT CARE HEALTH PLAN (WI HMO)
- H2486 HUMANA MEDICAL PLAN OF UTAH, INC. (ID, UT, WA HMOs)
- H2944 HUMANA INSURANCE COMPANY (GA, KS, MO, OK PFFS – Partial
Networks)
- H3533 HUMANA HEALTH COMPANY OF NEW YORK, INC. (NY HMO)
- H4141 HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC. (GA HMO
)
- H4623 HUMANA REGIONAL HEALTH PLAN, INC. (MO HMO)
- H5216 HUMANA INSURANCE COMPANY (AL, AZ, AR, CO, CT, DE, FL, GA,
HI, ID, IL, IN, IA, KY, KS, LA, MA, MD, ME, MI, MN, MS, MO, MT, NE,
NV, NH, NJ, NM, NC, ND, OH, OK, OR, PA, SC, SD, TN, TX, UT, VA, VT,
WA, WV, WI LPPOs)
- H5619 ARCADIAN HEALTH PLAN, INC. (AL, AR, CA, ID, IN, KY, ME,
NH, OK, SC, VA, WA, WV HMOs)
- H7284 HUMANA HEALTH INSURANCE COMPANY OF FLORIDA, INC. (FL
LPPO)
- H8087 HUMANADENTAL INSURANCE COMPANY (MI LPPO)
- H8145 HUMANA INSURANCE COMPANY (AR, CO, FL, GA, IL, IN, IA, KS,
KY, MI, MN, MO, MT, NM, NC, ND, OH, OK, PA, SC, SD, TX, VA, WV, WI
PFFS – Full Networks)
- R0110 HUMANA INSURANCE COMPANY (LA, MS RPPOs)
- R0865 HUMANA INSURANCE COMPANY (IN, KY RPPOs)
- R0923 HUMANA INSURANCE COMPANY (PA, WV RPPOs)
- R1390 HUMANA INSURANCE COMPANY (NC, VA RPPOs)
- R3392 HUMANA INSURANCE COMPANY (GA, SC RPPOs)
- R3887 HUMANA INSURANCE COMPANY (MI RPPO)
- R4182 HUMANA INSURANCE COMPANY (TX RPPO)
- R5361 HUMANA INSURANCE COMPANY (IL, WI RPPOs)
About Humana
Humana Inc. is committed to helping our millions of medical and
specialty members achieve their best health. Our successful history
in care delivery and health plan administration is helping us
create a new kind of integrated care with the power to improve
health and well-being and lower costs. Our efforts are leading to a
better quality of life for people with Medicare, families,
individuals, military service personnel, and communities at
large.
To accomplish that, we support physicians and other health care
professionals as they work to deliver the right care in the right
place for their patients, our members. Our range of clinical
capabilities, resources and tools – such as in-home care,
behavioral health, pharmacy services, data analytics and wellness
solutions – combine to produce a simplified experience that makes
health care easier to navigate and more effective.
More information regarding Humana is available to investors via
the Investor Relations page of the company’s website at humana.com,
including copies of:
- Annual reports to stockholders;
- Securities and Exchange Commission filings;
- Most recent investor conference presentations;
- Quarterly earnings news releases and conference calls;
- Calendar of events; and
- Corporate Governance information.
Humana is a Medicare Advantage HMO, PPO and PFFS organization
and a stand-alone prescription drug plan with a Medicare contract.
Enrollment in any Humana plan depends on contract renewal. Every
year, Medicare evaluates plans based on a 5-star rating system.
Y0040_GHHLEMUEN_M
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version on businesswire.com: https://www.businesswire.com/news/home/20211008005506/en/
Lisa Stoner Humana Investor Relations (502) 580-2652 e-mail:
lstamper@humana.com
Mark Taylor Humana Corporate Communications (317) 753-0345
e-mail: mtaylor108@humana.com
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