Medicare Star Quality Ratings Reflect Humana’s Commitment to Helping People Achieve Their Best Health
-
2.5 million Humana Medicare Advantage members in 4-plus star
contracts, the most of any
Medicare Advantage carrier -
Humana received a 4.5-star rating for sixMedicare Advantage contracts offered in nine states, up from five such contracts last year -
18
Humana contracts received a 4-star rating or above -
Humana rated highly in customer service categories
Across all Humana MA plans,
People with
CMS’ methodology for assigning Star Ratings generally includes revisions from year to year with changes that typically include addition of certain quality measures and the retirement of others. This year, CMS also changed the way it sets the thresholds used to award Star Ratings for certain measurements. CMS removed pre-set 4-star thresholds, and now all thresholds are based on how plans compare to each other, regardless of size, geography and type of plan.
“While changes in the rating system led to some adjustments in Humana’s
ratings, we remain committed to working with health care professionals
to help our members achieve their best health,” 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 via preventive services
- Managing chronic conditions, such as diabetes and high blood pressure
- Evaluations of a plan’s responsiveness and service
- Complaints, appeals and voluntary disenrollments
- Assessments of the quality of customer service
Listed below is a breakdown of Humana’s plans that achieved a rating of 4.0 and 4.5 stars and that will be offered in 2016:
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H1951 Humana Health Benefit Plan of Louisiana, Inc. (La. HMO) -
H1019 CarePlus Health Plans, Inc. (Fla. HMO) -
H4461 Cariten Health Plan, Inc. (Tenn. HMO) -
H6622 Humana WI Health Organization Insurance Corp (Del., Mont., Va., Wis. HMOs) -
H5216 Humana Insurance Company (Mich., Wis. LPPO) -
H1468 Humana Benefit Plan of Illinois, Inc. (Ill. HMO)
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H6609 Humana Insurance Company (Ala., Ark., Ariz., Colo., Del., Ga.,Hawaii ,Idaho , Ind.,Iowa , Kan., Ky., La., Md., Minn., Miss., Mo., Mont., Neb., Nev., N.M., N.C., N.D.,Ohio , Okla., Ore., Pa., S.C., S.D., Tenn.,Texas ,Utah , Va., Wash., W.Va. LPPOs) -
H2649 Humana Health Plan, Inc. (Ariz., Colo., Ill., Kan., Mo., N.M., Texas HMOs) -
H1036 Humana Medical Plan, Inc. (Fla., Ky., Miss., N.C., Ore. HMOs) -
H2012 Humana Health Plan, Inc. (Ala., Ark.,Idaho , Ind., Ky., Neb., S.C., Va., Wash. HMOs) -
H8145 Humana Insurance Company (Ala., Ark., Ariz., Colo., Fla., Ga.,Idaho , Ill., Ind.,Iowa , Kan., Ky., Mich., Minn., Miss., Mo., Mont., N.M., N.C., N.D.,Ohio , Okla., Ore., Penn., S.C., S.D.,Texas , Va., Wash., Wis., W.Va. PFFS) -
H0028 CHA HMO, Inc. (Hawaii ,Iowa , Neb., S.D. HMOs) -
H5525 Humana Benefit Plan of Illinois, Inc. (Ala., Ga., Ill., Ind., Ky., La., Mont., N.C.,Ohio , Penn., S.C., W.Va. PPOs) -
H1406 Humana Health Plan, Inc (Ill. HMO) -
H2949 Humana Health Plan, Inc. (Nev. HMO) -
H1510 Humana Insurance Company (Ind. LPPO) -
H5619 Arcadian Health Plan, Inc. (Calif.,Maine , N.H. HMOs) -
H5415 Humana Health Insurance Company of Florida, Inc. (Fla. LPPO)
For more information about Humana’s 2016
About
More information regarding
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-
Securities and Exchange Commission filings; - Most recent investor conference presentations;
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View source version on businesswire.com: http://www.businesswire.com/news/home/20151008006554/en/
Source:
Humana Corporate Communications
Mark Mathis, 312-441-5010
mmathis@humana.com
or
Humana
Investor Relations
Regina Nethery, 502-580-3644
rnethery@humana.com