Medicare Star Quality Ratings Reflect Humana’s Commitment to Quality Care for Its Members
October 11 2017 - 2:15PM
Business Wire
- 2.4 million, or approximately 74%, of
Humana Medicare Advantage members are in 4-plus star contracts
- Humana received a 4.5-star rating for
five Medicare Advantage contracts offered in 8 states
- All Humana Medicare Advantage HMO
membership in Florida received a 4.5-star rating
- 12 Humana Medicare Advantage contracts
received a 4-star rating or above
- All Humana Medicare Advantage contracts
received a 3.5-star rating or above
Humana Inc. (NYSE: HUM), one of the nation’s leading health and
well-being companies, announced today the Medicare Star Ratings for
its Medicare Advantage (MA) plans from the Centers for Medicare and
Medicaid Services (CMS).
Humana currently serves more than 8.5 million Medicare members
in all 50 states, Washington D.C. and Puerto Rico, 3.3 million of
which are Medicare Advantage members and 5.2 million are
stand-alone PDP members. The star ratings were posted at
www.medicare.gov.
Humana received a 4.5 star rating on CMS’s 5-Star Rating System
for five MA contracts offered in FL, IL, KY, MS, NC, NY, OR, and
TN, an increase from one such contract last year. Humana has 12
contracts rated 4 Stars or above and 2.4 million members in 4 Star
or above rated contracts to be offered in 2018, representing 74% of
our MA membership as of July 31, 2017. All of Humana’s MA contracts
were rated 3.5 Stars or higher, including the company’s Regional
PPO contracts that were previously rated 3-Stars. The increase in
4.5 Star contracts, as well as the higher 3.5 Star rating for
certain contracts, including the company’s Regional PPO contracts,
are expected to result in positive rebate implications for Humana
in 2019.
“Many people with Medicare are living with one or more chronic
health conditions,” said Alan Wheatley, president, Retail Segment
at Humana. “These Star Ratings are the result of Humana’s ongoing
work with physicians and other health care professionals to improve
outcomes and quality of life for our members. In addition, we have
invested in programs, services and tools designed to help people
achieve their best health, and Humana’s Star Quality Ratings
reflect that ongoing commitment.”
The Medicare 5-Star Rating System rates the excellence of
Medicare plans nationally. A plan may receive a rating between one
and five Stars, with five Stars representing the highest rating.
Star Ratings are calculated each year and may change from one year
to the next.
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 in five categories, including:
- Staying healthy: screening tests and
vaccines
- Managing chronic (long-term)
conditions
- Member experience with the health
plan
- Member complaints and changes in the
health plan’s performance
- Health plan customer service
Listed below is a breakdown of Humana’s plans that achieved a
rating of 4.5 and 4.0 Stars:
Humana 4.5 Star Rated
Plans
- H1019 CarePlus Health Plans, Inc. (FL
HMO)
- H1036 Humana Medical Plan, Inc. (FL,
KY, MS, NC, OR HMOs)
- H1468 Humana Benefit Plan of Illinois,
Inc. (IL HMO)
- H4461 Cariten Health Plan, Inc. (TN
HMO)
- H5970 Humana Insurance Company of New
York (NY PPO)
Humana 4.0 Star Rated
Plans
- H0028 CHA HMO, Inc. (HI, IA, NE, SD
HMOs)
- H1951 Humana Health Benefit Plan of
Louisiana, Inc. (LA HMO)
- H4007 Humana Health Plans of Puerto
Rico (PR HMO)
- H5216 Humana Insurance Company (AL, AZ,
AR, CO, DE, FL, GA, HI, IA, ID, IL, IN, KY, KS, LA, MD, MI, MN, MS,
MO, MT, NE, NV, NH, NM, NC, ND, OH, OK, OR, PA, SC, SD, TN, TX, UT,
VA, WA, WV, WI LPPOs)
- H5525 Humana Benefit Plan of Illinois,
Inc. (AL, GA, IL, IN, KY, LA, MT, NC, OH, PA, SC, WV LPPOs)
- H5619 Arcadian Health Plan, Inc. (AL,
AR, CA, ID, IN, KY, ME, NE, NH SC, VA, WA HMOs)
- H6622 Humana WI Health Organization
Insurance Corp (DE, KY, MS, MT, NV, NC, OH, OK, PA, VA, WI
HMOs)
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
humana.com, including copies of:
- Annual reports to stockholders;
- Securities and Exchange Commission
filings;
- Most recent investor conference
presentations;
- Quarterly earnings news releases;
- Calendar of events
- 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. Medicare
evaluates plans based on a 5-Star rating system. Stars Ratings are
calculated each year and may change from one year to the next.
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version on businesswire.com: http://www.businesswire.com/news/home/20171011006098/en/
Humana Inc.Investor Relations:Amy Smith,
502-580-2811Asmith3@humana.comorCorporate Communications:Mark
Mathis, 312-441-5010Mmathis@humana.com
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