4-Star and Above Contracts for 2020, Reflecting an Enterprise-Wide Focus on Improved Health Outcomes and the Member Experience
- Humana received a 5 out of 5-star rating for its CarePlus Health Plans, Inc. Medicare Advantage HMO contract in Florida for 2020, covering approximately 138,600 members
- 3.7 million, or approximately 92%, of Humana Medicare Advantage members are currently enrolled under contracts with 4-stars and above for 2020
- Humana received a 4.5-star rating for six Medicare Advantage contracts offered in 19 states, covering approximately 1.2 million members
- 18 Humana Medicare Advantage contracts received a 4-star rating or above
- Over 99% of retirees in Humana’s Group Medicare Advantage plans remain in 4-star and above contracts for 2020
LOUISVILLE, Ky.--(BUSINESS WIRE)--Oct. 11, 2019-- 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, 2020, from the Centers for Medicare and Medicaid Services (CMS).
Humana currently serves more than 8.4 million Medicare members in all 50 states, Washington D.C. and Puerto Rico; 4 million of which are Medicare Advantage members and 4.4 million are stand-alone Prescription Drug Plan (PDP) members. 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. In addition, Humana received a 4.5-star rating for six MA contracts offered in 19 states, up from two such contracts in 2019. Humana has 18 contracts rated 4-stars or above and 3.7 million members in 4-star or above rated contracts to be offered in 2020, representing 92% of its existing MA membership as of August 2019. Over 99% of retirees in Humana’s Group Medicare Advantage plans remain in 4-star or above contracts for 2020. This continued improvement in Humana’s Star Ratings demonstrates the company’s ongoing commitment to quality care for its members.
“Our entire organization is rallied around efforts to continuously raise the bar on quality so that we can help the millions of members we serve achieve their best health,” said Alan Wheatley, President, Retail Segment at Humana “We are pleased that this relentless, enterprise-wide focus on driving quality and improved health outcomes was evidenced through strong Star Ratings.”
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 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