Medicare Star Quality Ratings Reflect Humana’s Commitment to Quality Care for Its Members
- 2.4 million, or approximately 74%, of Humana Medicare Advantage members are in 4-plus star contracts
- Humana received a 4.5-star rating for five Medicare Advantage contracts offered in 8 states
- All Humana Medicare Advantage HMO membership in
Florida received a 4.5-star rating - 12 Humana Medicare Advantage contracts received a 4-star rating or above
- All Humana Medicare Advantage contracts received a 3.5-star rating or above
Humana currently serves more than 8.5 million Medicare members in all 50 states,
Humana received a 4.5 star rating on CMS’s 5-Star Rating System for five MA contracts offered in FL, IL, KY, MS, NC, NY, OR, and TN, an increase from one such contract last year. Humana has 12 contracts rated 4 Stars or above and 2.4 million members in 4 Star or above rated contracts to be offered in 2018, representing 74% of our MA membership as of
“Many people with Medicare are living with one or more chronic health conditions,” said
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
Listed below is a breakdown of Humana’s plans that achieved a rating of 4.5 and 4.0 Stars:
Humana 4.5 Star Rated Plans
- H1019
CarePlus Health Plans, Inc. (FL HMO) - H1036
Humana Medical Plan, Inc. (FL, KY, MS, NC, OR HMOs) -
H1468 Humana Benefit Plan of Illinois, Inc. (IL HMO) -
H4461 Cariten Health Plan, Inc. (TN HMO) -
H5970 Humana Insurance Company of New York (NY PPO)
Humana 4.0 Star Rated Plans
-
H0028 CHA HMO, Inc. (HI, IA, NE, SD 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, MI, MN, MS, MO, MT,NE, 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, NE, NH SC,VA , WA HMOs) -
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 web site at humana.com, including copies of:
- Annual reports to stockholders;
-
Securities and Exchange Commission filings; - Most recent investor conference presentations;
- Quarterly earnings news releases;
- 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. Medicare evaluates plans based on a 5-Star rating system. Stars Ratings are calculated each year and may change from one year to the next.
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