5 Star plan:
Humana Received 5-Star Quality Ratings for Two Medicare Contracts Reflecting the Company’s Focus on Quality in both Member Experience and Clinical Outcomes.
- Humana received a 5-star rating for its Medicare Advantage HMO contract in Tennessee and its CarePlus Health Plans, Inc. Medicare Advantage HMO contract in Florida for 2019
- 3 million, or approximately 84%, of Humana Medicare Advantage members are currently enrolled under contracts with 4-plus stars for 2019, including approximately 225,000 members in 5-star contracts
- Humana received a 4.5-star rating for two Medicare Advantage contracts offered in 6 states, covering approximately 550,000 members
- All Humana Medicare Advantage HMO membership in Florida is in 4.5 or 5-star rated contracts
- 12 Humana Medicare Advantage contracts received a 4-star rating or above
- Over 99% of retirees in Humana’s Group Medicare Advantage plans are in 4-plus star contracts
“The continued improvement in Humana’s star quality ratings and the achievement of two 5-star contracts is a reflection of Humana’s unwavering commitment to drive quality and improved clinical outcomes for those we serve.” said Alan Wheatley, President, Retail Segment at Humana “Quality is at the forefront of everything we do and we are pleased that this steadfast commitment throughout the organization is reflected in our 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 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