For Second Time, Humana Tennessee Medicare Advantage HMO Plan Achieves Highest Quality Rating
Humana members in the statewide plan are enrolled in a plan with a 5 out of 5-star rating; rating attributed to focus on member care, despite COVID-19 challenges
The top rating does not surprise longtime Humana Medicare Advantage member and Tennessean Betty P. “Humana was putting my health first, they were trying to help me,” said Betty. “They had my health in their interest. I've been with them almost 10 years and they have never failed me.”
“We’re incredibly proud of this repeat achievement, and it is especially meaningful to all of us that we were able to deliver the high quality patient and member experience during a time of unique challenges posed by the pandemic,” said Haaland. “There’s no doubt that it would not have been possible without the quality physicians who partner with us with the goals of delivering the best health outcomes for our members and our dedicated team of employees who work to provide the highest level of personal service.”
According to Haaland, one of the challenges posed by COVID-19 was ensuring that members completed needed preventive screenings and received routine care. To accomplish this, the Humana team helped to arrange virtual visits with physicians, arranged for in-home screenings and exams, and issued at-home tests for certain members in need of colorectal cancer screening and diabetic condition management.
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
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 www.humana.com, including copies of:
- Annual reports to stockholders
Securities and Exchange Commissionfilings
- Most recent investor conference presentations
- Quarterly earnings news releases and conference calls
- Calendar of events
- Corporate Governance information
Humana is a Medicare Advantage HMO 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.