For Second Time, Humana Tennessee Medicare Advantage HMO Plan Achieves Highest Quality Rating
October 08 2021 - 2:19PM
Business Wire
Humana members in the statewide plan are
enrolled in a plan with a 5 out of 5-star rating; rating attributed
to focus on member care, despite COVID-19 challenges
Leading health and well-being company Humana Inc. (NYSE: HUM)
today announced that its statewide Humana HMO Medicare Advantage
plan in Tennessee has once again achieved the highest possible
5-star rating from the Centers for Medicare & Medicaid Services
(CMS). The 5-star Humana HMO plan, which also attained the highest
rating for 2019, today is offered in all of Tennessee’s 95
counties. The plan is one of four Humana plans in the nation that
received a 5-star rating, which reflects Humana’s commitment to
high quality care, patient-centered clinical outcomes and reliable
customer service.
The top rating does not surprise longtime Humana Medicare
Advantage member and Tennessean Betty P. “Humana was putting my
health first, they were trying to help me,” said Betty. “They had
my health in their interest. I've been with them almost 10 years
and they have never failed me.”
Doug Haaland, Humana’s Medicare President for Tennessee and
Alabama, attributes the highest rating to a focus on member
engagement and strong partnerships with physicians who worked
closely with Humana’s more than 136,500 members on the Tennessee MA
HMO plan to ensure member care was not disrupted during the
pandemic.
“We’re incredibly proud of this repeat achievement, and it is
especially meaningful to all of us that we were able to deliver the
high quality patient and member experience during a time of unique
challenges posed by the pandemic,” said Haaland. “There’s no doubt
that it would not have been possible without the quality physicians
who partner with us with the goals of delivering the best health
outcomes for our members and our dedicated team of employees who
work to provide the highest level of personal service.”
According to Haaland, one of the challenges posed by COVID-19
was ensuring that members completed needed preventive screenings
and received routine care. To accomplish this, the Humana team
helped to arrange virtual visits with physicians, arranged for
in-home screenings and exams, and issued at-home tests for certain
members in need of colorectal cancer screening and diabetic
condition management.
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
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 web site at
www.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
- Corporate Governance information
Humana is a Medicare Advantage HMO 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.
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Nancy A. Hanewinckel Humana Corporate Communications
941.585.4763 nhanewinckel1@humana.com
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