Humana Received 5-Star Quality Ratings for Two Medicare Contracts Reflecting the Company’s Focus on Quality in both Member Experience and Clinical Outcomes
- Humana received a 5-star rating for its Medicare Advantage HMO contract in
Tennessee and itsCarePlus Health Plans, Inc. Medicare Advantage HMO contract inFlorida for 2019 - 3 million, or approximately 84%, of Humana Medicare Advantage members are currently enrolled under contracts with 4-plus stars for 2019, including approximately 225,000 members in 5-star contracts
- Humana received a 4.5-star rating for two
Medicare Advantage contracts offered in 6 states, covering approximately 550,000 members - All Humana Medicare Advantage HMO membership in
Florida is in 4.5 or 5-star rated contracts - 12 Humana Medicare Advantage contracts received a 4-star rating or above
- Over 99% of retirees in Humana’s Group Medicare Advantage plans are in 4-plus star contracts
Humana currently serves more than 8.5 million
Humana received a 5-star rating on CMS’s 5-star rating system for two MA contracts offered in
“The continued improvement in Humana’s star quality ratings and the achievement of two 5-star contracts is a reflection of Humana’s unwavering commitment to drive quality and improved clinical outcomes for those we serve.” said
The
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 contracts that achieved a rating of 5.0, 4.5 and 4.0-stars:
Humana 5.0-Star Rated Contracts
H1019 CarePlus Health Plans, Inc. (FL HMO)H4461 Cariten Health Plan, Inc. (TN HMO)
Humana 4.5-Star Rated Contracts
H1036 Humana Medical Plan, Inc. (FL, KY, MS, NC, OR HMOs)H1468 Humana Benefit Plan of Illinois, Inc. (IL HMO)
Humana 4.0-Star Rated Contracts
H0028 CHA HMO, Inc. (AZ, CO, HI, IA, IL, KS, MO, NE, NM, SD, TX 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, ME, MI, MN, MS, MO, MT, NE,NJ, 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, NH SC, VA, WA, WV HMOs)H5970 Humana Insurance Company of New York (NY PPO)H6622 Humana WI Health Organization Insurance Corp (DE, KY, MS,MT, NV , NC, OH, OK, PA, VA, WI HMOs)
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
Y0040_GHHKCDPEN_M
View source version on businesswire.com: https://www.businesswire.com/news/home/20181010005960/en/
Source:
Humana Inc.
Investor Relations:
Amy Smith, 502-580-2811
Amysmith@humana.com
or
Corporate Communications:
Mark Mathis, 312-441-5010
Mmathis@humana.com