97% of Humana’s Medicare Advantage Members Are in Contracts Rated 4-Star or Higher for 2022, Reflecting Strong Commitment to Quality of Care, Patient-Centered Clinical Outcomes and Customer Service
- 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 andKentucky , 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 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
In addition, Humana received a 4.5-star rating for eight MA contracts offered in 33 states and
“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
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
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
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
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
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
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.
View source version on businesswire.com: https://www.businesswire.com/news/home/20211008005506/en/
Humana Investor Relations
(502) 580-2652
e-mail: lstamper@humana.com
(317) 753-0345
e-mail: mtaylor108@humana.com
Source: