CORRECTING & REPLACING 92% of Humana’s Medicare Advantage Members are in 4-Star & Above Contracts for 2021, Reflecting Ongo...
October 08 2020 - 7:55PM
Business Wire
- Humana received a 5 out of 5-star rating for its CarePlus
Health Plans, Inc. Medicare Advantage HMO contract in Florida for
the third consecutive year in 2021, covering approximately 164,300
members
- 4.1 million, or approximately 92%, of Humana Medicare Advantage
members are currently enrolled across 15 contracts with 4-stars and
above for 2021
- Humana received a 4.5-star rating for three Medicare Advantage
contracts offered in 7 states, covering approximately 796,000
members
- Over 99% of retirees in Humana’s Group Medicare Advantage plans
remain in 4-star and above contracts for 2021
Headline of release should read: 92% of Humana’s Medicare
Advantage Members are in 4-Star and Above Contracts for 2021,
Reflecting Ongoing Commitment to Quality Care and Improved Health
Outcomes (instead of Humana’s Medicare Advantage Members are in
4-Star and Above Contracts for 2021, Reflecting Ongoing Commitment
to Quality Care and Improved Health Outcomes).
The updated release reads:
92% OF HUMANA’S MEDICARE ADVANTAGE MEMBERS
ARE IN 4-STAR AND ABOVE CONTRACTS FOR 2021, REFLECTING ONGOING
COMMITMENT TO QUALITY CARE AND IMPROVED HEALTH OUTCOMES
- Humana received a 5 out of 5-star rating for its CarePlus
Health Plans, Inc. Medicare Advantage HMO contract in Florida for
the third consecutive year in 2021, covering approximately 164,300
members
- 4.1 million, or approximately 92%, of Humana Medicare Advantage
members are currently enrolled across 15 contracts with 4-stars and
above for 2021
- Humana received a 4.5-star rating for three Medicare Advantage
contracts offered in 7 states, covering approximately 796,000
members
- Over 99% of retirees in Humana’s Group Medicare Advantage plans
remain in 4-star and above contracts for 2021
Humana Inc. (NYSE: HUM), one of the nation’s leading health and
well-being companies, announced today the Medicare Star Ratings for
its Medicare Advantage (MA) plans, effective January 1, 2021, from
the Centers for Medicare and Medicaid Services (CMS). CMS posts
Star Ratings at www.medicare.gov.
Humana received a 5-star rating on CMS’s 5-star rating system
for its CarePlus Health Plans, Inc. MA plan in Florida for the
third consecutive year, which currently covers approximately
164,300 members. In addition, Humana received a 4.5-star rating for
three MA contracts offered in 7 states. In all, Humana has 15
contracts rated 4-stars or above and 4.1 million members in 4-star
or above rated contracts to be offered in 2021, representing 92% of
its existing MA membership in rated contracts as of September 2020.
Over 99% of retirees in Humana’s Group Medicare Advantage plans
remain in 4-star or above contracts for 2021. With these results,
Humana’s Star Ratings continue to reflect the company’s focus on
quality in both member experience and clinical outcomes.
Also notable is Humana had nine new contracts in 2019 that did
not have enough data available to receive individual Star Ratings
for 2021, which cover approximately 119,300 members. However, CMS
will apply the Humana company average Star Rating of 4.0 to these
contracts for the purpose of calculating Quality Bonus Payments in
2022.
“We are pleased that our Stars scores reflect the company’s
unwavering commitment to quality care and improved health outcomes
for our members,” said Alan Wheatley, President, Retail Segment at
Humana. “The member’s ability to receive quality care has remained
our top priority throughout the global coronavirus pandemic. As we
continue to navigate the pandemic, we are committed to ongoing
investments in benefits and initiatives designed to improve access
to care and ease the financial burden for our members and
appreciate CMS’ shared commitment to putting the member first.”
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 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
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)
Humana 4.5-Star Rated
Contracts
- H1036 Humana Medical Plan, Inc. (FL, KY, MS, NC, OR HMOs)
- H1951 Humana Health Benefit Plan of Louisiana, Inc. (LA
HMO)
- H4461 Cariten Health Plan, Inc. (TN HMO)
Humana 4.0-Star Rated
Contracts
- H0028 CHA HMO, Inc. (AZ, CO, HI, IA, IL, KS, MO, NE, NM, SD, TX
HMOs)
- H1468 Humana Benefit Plan of Illinois, Inc. (IL HMO)
- H2029 Humana Insurance of Puerto Rico, Inc. (PR PPO)
- H2486 Humana Medical Plan of Utah, Inc. (ID, UT, WA HMOs)
- H4007 Humana Health Plans of Puerto Rico, Inc. (PR HMO)
- H4141 Humana Employers Health Plan of Georgia, Inc. (GA
HMO)
- H5216 Humana Insurance Company (AL, AZ, AR, CO, DE, FL, GA, HI,
ID, IL, IN, IA, KY, KS, LA, ME, MD, MA, 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 PPOs)
- H5525 Humana Benefit Plan of Illinois, Inc. (AL, GA, IL, IN,
KY, LA, MT, NC, OH, PA, SC, WV PPOs)
- H5619 Arcadian Health Plan, Inc. (AL, AR, CA, ID, IN, KY, ME,
NH, OK, SC, VA, WA, WV HMOs)
- H5970 Humana Insurance Company of New York (NY PPO)
- H6622 Humana WI Health Organization Insurance Corp (DE, KY, MN,
MS, MT, NV, NJ, NC, OH, OK, PA, VA, WI HMOs)
Humana Unrated Contracts
- H0292 Humana Health Plan of Ohio, Inc. (KY HMO)
- H0473 Humana Insurance Company of Kentucky (TX PPO)
- H2463 Humana Health Plan of Texas, Inc. (AZ HMO)
- H4623 Humana Regional Health Plan, Inc. (MO HMO)
- H5377 Humana Medical Plan of Pennsylvania, Inc. (VA HMO)
- H7284 Humana Health Insurance Company of Florida, Inc. (FL
PPO)
- H7621 Humana Health Plan of California, Inc. (CA, KS, MO
HMOs)
- H8087 HumanaDental Insurance Company (MI PPO)
- H9070 CompBenefits Insurance Company (AR, KS, MO, OK PPOs)
About Humana
Humana Inc. is committed to helping our millions of medical and
specialty members achieve their best health. Our successful history
in care delivery and health plan administration is helping us
create a new kind of integrated care with the power to improve
health and well-being and lower costs. Our efforts are leading to a
better quality of life for people with Medicare, families,
individuals, military service personnel, and communities at
large.
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.
Y0040_GHHKY46EN_M
View source
version on businesswire.com: https://www.businesswire.com/news/home/20201008006029/en/
Amy Smith Humana Investor Relations (502) 580-2811 e-mail:
Amysmith@humana.com
Kelley Murphy Humana Corporate Communications (502) 224-1775
e-mail: Kmurphy26@humana.com
Humana (NYSE:HUM)
Historical Stock Chart
From Aug 2024 to Sep 2024
Humana (NYSE:HUM)
Historical Stock Chart
From Sep 2023 to Sep 2024