Humana Tennessee Medicare Advantage HMO Achieves Highest Medicare Stars Quality Rating
October 10 2018 - 5:49PM
Business Wire
Statewide plan receives 5-star rating for
2019
Humana Inc. (NYSE: HUM), one of Tennessee’s leading Medicare
health benefits companies, has achieved 5-stars – the highest
possible rating – from the Centers for Medicare & Medicaid
Services (CMS) for its Humana Gold Plus HMO Medicare Advantage
plan.
The Humana Gold Plus HMO is offered in 50 counties throughout
Tennessee.
“We are very honored to receive this recognition from CMS, and
especially thankful to the more than 125,000 Medicare Advantage
members in Tennessee who have placed their trust in us,” said
Humana Regional President Doug Haaland. “We’re also grateful to the
physicians who partner with us and our 600 employees across
Tennessee who work tirelessly so that we can help our members
achieve their best health and quality of life.”
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
CMS posts the updated ratings, prior to the Medicare Advantage
and Prescription Drug Plan Annual Election Period (AEP), at
www.medicare.gov. The AEP, for plans that are effective January 1,
2019, begins on October 15 and runs through December 7.
Receiving the 5-star rating also means that Medicare
beneficiaries have the flexibility to switch to the Humana 5-star
rated Medicare Advantage HMO plan at any time of the year, using
certain guidelines, rather than being limited to the AEP.
Humana has been offering Medicare Advantage plans in Tennessee
for more than 13 years. Most of their plans feature many health and
wellness benefits at no additional cost, including a 24-hour nurse
line, preventive care and screenings, and a health club
membership.
People who are Medicare-eligible can find out more about
Humana’s 2019 Medicare Advantage plans, including the 5-star HMO in
Tennessee, by calling toll-free 1-800-213-5286 or visiting
www.humana.com/medicare.
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 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, 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.
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Humana Corporate CommunicationsMitch Lubitz,
813-732-0386mlubitz@humana.com
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