{"id":49353,"date":"2022-10-07T13:02:04","date_gmt":"2022-10-07T11:02:04","guid":{"rendered":"https:\/\/pharma-trend.com\/en\/96-of-humanas-medicare-advantage-members-are-in-contracts-rated-4-star-or-above-for-2023-66-are-in-contracts-rated-4-5-star-or-higher\/"},"modified":"2022-10-07T13:02:04","modified_gmt":"2022-10-07T11:02:04","slug":"96-of-humanas-medicare-advantage-members-are-in-contracts-rated-4-star-or-above-for-2023-66-are-in-contracts-rated-4-5-star-or-higher","status":"publish","type":"post","link":"https:\/\/pharma-trend.com\/en\/96-of-humanas-medicare-advantage-members-are-in-contracts-rated-4-star-or-above-for-2023-66-are-in-contracts-rated-4-5-star-or-higher\/","title":{"rendered":"96% of Humana\u2019s Medicare Advantage Members are in Contracts rated 4-Star or Above for 2023; 66% are in Contracts Rated 4.5-Star or Higher"},"content":{"rendered":"<div>\n<ul class=\"bwlistdisc\">\n<li>\n<i>Humana received a 5 out of 5-star rating for HMO plans in Louisiana, Tennessee and Kentucky, covering approximately 356,000 members<\/i>\n<\/li>\n<li>\n<i>Humana received a 4.5-star rating for Medicare Advantage contracts offered in 46 states and Puerto Rico, covering more than 3 million members, nearly double last year\u2019s members in plans with this rating<\/i>\n<\/li>\n<li>\n<i>4.9 million, or approximately 96%, of Humana Medicare Advantage members are currently enrolled across in plans rated 4 stars and above for 2023<\/i>\n<\/li>\n<li>\n<i>99% of Humana\u2019s Group Medicare Advantage members in rated contracts will be in 4-star plans or higher for 2023<\/i>\n<\/li>\n<\/ul>\n<p>LOUISVILLE, Ky.&#8211;(BUSINESS WIRE)&#8211;Humana Inc. (NYSE: HUM), one of the nation\u2019s leading health and well-being companies, announced today the <a target=\"_blank\" href=\"https:\/\/cts.businesswire.com\/ct\/CT?id=smartlink&amp;url=http%3A%2F%2Fwww.medicare.gov&amp;esheet=52939581&amp;newsitemid=20221007005126&amp;lan=en-US&amp;anchor=Medicare+Star+Ratings+for+its+Medicare+Advantage+plans&amp;index=1&amp;md5=0450607f090cb5426d1c0ef296ab02ae\" rel=\"nofollow noopener\" shape=\"rect\">Medicare Star Ratings for its Medicare Advantage plans<\/a>, effective Jan. 1, 2023, from the Centers for Medicare and Medicaid Services (CMS).\n<\/p>\n<p><a href=\"https:\/\/mms.businesswire.com\/media\/20221007005126\/en\/660648\/5\/Logo.jpg\"><img decoding=\"async\" src=\"https:\/\/mms.businesswire.com\/media\/20221007005126\/en\/660648\/21\/Logo.jpg\"><\/a><\/p>\n<p>\nWith 4.9 million of Humana\u2019s Medicare Advantage members enrolled in plans rated 4 stars and above, Humana\u2019s Star Ratings continue to reflect the company\u2019s strong focus on ensuring high quality of care, patient-centered clinical outcomes and reliable customer service for its members.\n<\/p>\n<p>\n\u201cWe are proud of Humana\u2019s historical Star Ratings performance, which we have achieved through diligent pursuit of excellence in quality and customer experiences,\u201d said Alan Wheatley, President, Retail Segment at Humana.\n<\/p>\n<p>\nEven before COVID-19, Humana\u2019s strong ratings were a testament to its industry-leading Medicare Advantage plan options, according to George Renaudin, President, Medicare at Humana.\n<\/p>\n<p>\n\u201cWe are pleased to see our ratings have remained strong coming out of the pandemic, particularly as CMS has heightened its focus on patient experience with increased weighting for consumer satisfaction when assessing the quality of plans,\u201d Renaudin said.\n<\/p>\n<p>\nThree of Humana\u2019s contracts received a 5-star rating on CMS\u2019s 5-star rating system, including HMO plans in Louisiana, Tennessee and Kentucky covering approximately 356,000 members. These plans include Cariten Health Plan Inc. in Tennessee, as well as Humana Health Benefit Plan of Louisiana, Inc. in Louisiana and Humana Health Plan of Ohio, Inc. in Kentucky, all of which are receiving the 5-star rating for the second year in a row.\n<\/p>\n<p>\nIn addition, Humana received a 4.5-star rating for seven Medicare Advantage contracts offered in 46 states and Puerto Rico covering more than 3 million members, which is nearly double the number of members in 4.5-star plans in 2022. In all, Humana will offer plans under 47 Medicare Advantage contracts in 2023, 30 of which are rated 4-stars or higher and currently cover 4.9 million members, representing 96% of its existing Medicare Advantage membership in rated contracts as of September 2022. More than 99% of retirees in Humana\u2019s Group Medicare Advantage rated plans remain in 4-star or above contracts for 2023.\n<\/p>\n<p>\nHumana Medicare Advantage member Alan Grofe says he stays with Humana because it consistently has the best plan options for him.\n<\/p>\n<p>\n\u201cEvery time I would take a look at the Medicare opportunities and plans, the first thing I realized (is) that the Advantage plan was the best plan for the dollar. It just really fit well,\u201d said Grofe, a Vietnam veteran and National Senior Games athlete. \u201cIt&#8217;s got the best coverage at the best price. And it&#8217;s proven to be the case. I&#8217;ve stayed with Humana now for years just because of that, and every year I reanalyze and see if there&#8217;s anything better. But every year Humana has been the one.\u201d\n<\/p>\n<p>\n<b><span class=\"bwuline\">About Medicare Advantage<\/span><\/b>\n<\/p>\n<p>\nMedicare Advantage delivers financial savings to members in the form of lower out-of-pocket costs and reduced premiums. Medicare Advantage members reported spending <a target=\"_blank\" href=\"https:\/\/cts.businesswire.com\/ct\/CT?id=smartlink&amp;url=https%3A%2F%2Fbettermedicarealliance.org%2Fwp-content%2Fuploads%2F2022%2F07%2FBMA-State-of-MA-2022-FIN.pdf&amp;esheet=52939581&amp;newsitemid=20221007005126&amp;lan=en-US&amp;anchor=nearly+%242%2C000+less+on+out-of-pocket+costs&amp;index=2&amp;md5=c63187d9926a65a868523ef0390ef120\" rel=\"nofollow noopener\" shape=\"rect\">nearly $2,000 less on out-of-pocket costs<\/a>, compared to fee-for-service Medicare. Medicare Advantage plans also have limits on out-of-pocket costs. These financial protections may be critical for older Americans on fixed incomes.\n<\/p>\n<p>\nUnlike fee-for-service Medicare, Medicare Advantage plans often include affordable prescription drug coverage. For Humana members, 100 percent of the savings achieved through manufacturer rebates and discounts in pharmacy programs are returned to members through lower premiums and improved benefits.\n<\/p>\n<p>\nMedicare Advantage plan members had more than a <a target=\"_blank\" href=\"https:\/\/cts.businesswire.com\/ct\/CT?id=smartlink&amp;url=https%3A%2F%2Fbettermedicarealliance.org%2Fwp-content%2Fuploads%2F2020%2F03%2FBMA_Avalere_MA_vs_FFS_Medicare_Report_0.pdf&amp;esheet=52939581&amp;newsitemid=20221007005126&amp;lan=en-US&amp;anchor=30+percent+lower+level+of+emergency+room+visits%2C+and+40+percent+lower+level+of+inpatient+hospital+care&amp;index=3&amp;md5=2cbe76654cb6b12c8f636e5cc3091d60\" rel=\"nofollow noopener\" shape=\"rect\">30 percent lower level of emergency room visits, and 40 percent lower level of inpatient hospital care<\/a>, compared to beneficiaries with fee-for-service Medicare. In addition to improving health, these outcomes demonstrate real savings for people with Medicare and the health system. Medicare Advantage plans reinvest these savings by expanding supplemental benefits, supporting providers and coordinating care.\n<\/p>\n<p>\n<b><span class=\"bwuline\">About Medicare Advantage Enrollment<\/span><\/b>\n<\/p>\n<p>\nThe Medicare Advantage and Prescription Drug Plan Annual Election Period (AEP) begins Oct. 15 and continues through Dec. 7, 2022. During this enrollment period, people eligible for Medicare can choose Medicare Advantage and Prescription Drug Plans for the upcoming year \u2013 with coverage that takes effect Jan. 1, 2023.\n<\/p>\n<p>\nPeople 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 Dec. 8 through Nov. 30 of the following year.\n<\/p>\n<p>\nFor more information about Humana\u2019s 2022 Medicare offerings, visit <a target=\"_blank\" href=\"https:\/\/cts.businesswire.com\/ct\/CT?id=smartlink&amp;url=https%3A%2F%2Fwww.humana.com%2FMedicare&amp;esheet=52939581&amp;newsitemid=20221007005126&amp;lan=en-US&amp;anchor=www.Humana.com%2FMedicare&amp;index=4&amp;md5=6da039f89496593c34104b51a1541ed7\" rel=\"nofollow noopener\" shape=\"rect\">www.Humana.com\/Medicare<\/a> or call toll-free 1-888-372-2614 (TTY: 711). Licensed sales agents are available 8 a.m. to 8 p.m. local time, seven days a week.\n<\/p>\n<p>\n<b><span class=\"bwuline\">About CMS Star Ratings<\/span><\/b>\n<\/p>\n<p>\nThe 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:\n<\/p>\n<ul class=\"bwlistdisc\">\n<li>\nStaying Healthy: Screenings, Tests and Vaccines\n<\/li>\n<li>\nManaging Chronic (Long Term) Conditions\n<\/li>\n<li>\nMember Experience with Health Plan\n<\/li>\n<li>\nMember Complaints and Changes in the Health Plan\u2019s Performance\n<\/li>\n<li>\nHealth Plan Customer Service\n<\/li>\n<li>\nDrug Plan Customer Service\n<\/li>\n<li>\nMember Complaints and Changes in the Drug Plan\u2019s Performance\n<\/li>\n<li>\nMember Experience with Drug Plan\n<\/li>\n<li>\nDrug Safety and Accuracy of Drug Pricing\n<\/li>\n<\/ul>\n<p>\nAdditional information about the CMS Star Ratings can be found at: <a target=\"_blank\" href=\"https:\/\/cts.businesswire.com\/ct\/CT?id=smartlink&amp;url=https%3A%2F%2Fwww.medicare.gov%2F&amp;esheet=52939581&amp;newsitemid=20221007005126&amp;lan=en-US&amp;anchor=www.medicare.gov&amp;index=5&amp;md5=e9eba57da2b66f3b0a369efb134f6e32\" rel=\"nofollow noopener\" shape=\"rect\">www.medicare.gov<\/a>.\n<\/p>\n<p>\nListed below is a breakdown of Humana\u2019s contracts that achieved a rating of 5.0, 4.5 and 4.0-stars:\n<\/p>\n<p>\n<b><span class=\"bwuline\">Humana 5.0-Star Rated Contracts<\/span><\/b>\n<\/p>\n<ul class=\"bwlistdisc\">\n<li>\nH0292 HUMANA HEALTH PLAN OF OHIO, INC. (KY HMO)\n<\/li>\n<li>\nH1951 HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC. (LA HMO)\n<\/li>\n<li>\nH4461 CARITEN HEALTH PLAN INC. (TN HMO)\n<\/li>\n<\/ul>\n<p>\n<b><span class=\"bwuline\">Humana 4.5-Star Rated Contracts<\/span><\/b>\n<\/p>\n<ul class=\"bwlistdisc\">\n<li>\nH0473 HUMANA INSURANCE COMPANY OF KENTUCKY (TX LPPO)\n<\/li>\n<li>\nH1036 HUMANA MEDICAL PLAN, INC. (FL, KY, MS, NC, OR HMOs)\n<\/li>\n<li>\nH1468 HUMANA BENEFIT PLAN OF ILLINOIS, INC. (IL HMO)\n<\/li>\n<li>\nH4007 HUMANA HEALTH PLANS OF PUERTO RICO, INC. (PR HMO)\n<\/li>\n<li>\nH5216 HUMANA INSURANCE COMPANY (AL, AZ, AR, CO, CT, DE, FL, GA, HI, ID, IL, IN, IA, KY, KS, LA, MA, MD, ME, 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, WY LPPOs)\n<\/li>\n<li>\nH6622 HUMANA WI HEALTH ORGANIZATION INSURANCE CORP. (DE, KY, MD, MN, MS, MT, NC, NJ, NV, OH, OK, PA, VA, WI HMOs)\n<\/li>\n<li>\nR0865 HUMANA INSURANCE COMPANY (IN, KY RPPOs)\n<\/li>\n<\/ul>\n<p>\n<b><span class=\"bwuline\">Humana 4.0-Star Rated Contracts<\/span><\/b>\n<\/p>\n<ul class=\"bwlistdisc\">\n<li>\nH0028 CHA HMO, INC. (AZ, CO, HI, IA, IL, KS, MO, NE, NM, SD, TX HMOs)\n<\/li>\n<li>\nH1019 CAREPLUS HEALTH PLANS, INC. (FL HMO)\n<\/li>\n<li>\nH2237 INDEPENDENT CARE HEALTH PLAN (WI HMO)\n<\/li>\n<li>\nH2486 HUMANA MEDICAL PLAN OF UTAH, INC. (ID, OR, UT, WA HMOs)\n<\/li>\n<li>\nH3533 HUMANA HEALTH COMPANY OF NEW YORK, INC. (NY HMO)\n<\/li>\n<li>\nH4141 HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC. (GA HMO )\n<\/li>\n<li>\nH4623 HUMANA REGIONAL HEALTH PLAN, INC. (MO HMO)\n<\/li>\n<li>\nH5525 HUMANA BENEFIT PLAN OF ILLINOIS, INC. (AL, CA, GA, ID, IL, IN, KY, LA, MT, NC, ND, OH, OR, PA, RI, SC, SD, WV, WY LPPOs)\n<\/li>\n<li>\nH5619 ARCADIAN HEALTH PLAN, INC. (AL, AR, CA, ID, IN, KY, ME, NH, OK, SC, VA, WA, WV HMOs)\n<\/li>\n<li>\nH5970 HUMANA INSURANCE COMPANY OF NEW YORK ( NY LPPO)\n<\/li>\n<li>\nH7284 HUMANA HEALTH INSURANCE COMPANY OF FLORIDA, INC. (FL LPPO)\n<\/li>\n<li>\nH8145 HUMANA INSURANCE COMPANY (AR, CO, GA, IL, IN, IA, KS, KY, MI, MN, MO, MT, NM, NC, ND, OH, OK, PA, SC, SD, TX, VA, WV, WI, WY PFFS \u2013 Full Networks)\n<\/li>\n<li>\nR0110 HUMANA INSURANCE COMPANY (LA, MS RPPOs)\n<\/li>\n<li>\nR0923 HUMANA INSURANCE COMPANY (PA, WV RPPOs)\n<\/li>\n<li>\nR1532 (HUMANA INSURANCE COMPANY (AR, MO RPPOs)\n<\/li>\n<li>\nR3392 HUMANA INSURANCE COMPANY (GA, SC RPPOs)\n<\/li>\n<li>\nR3887 HUMANA INSURANCE COMPANY (MI RPPO)\n<\/li>\n<li>\nR4182 HUMANA INSURANCE COMPANY (TX RPPO)\n<\/li>\n<li>\nR5361 HUMANA INSURANCE COMPANY (IL, WI RPPOs)\n<\/li>\n<li>\nR5495 HUMANA INSURANCE COMPANY (OH RPPO)\n<\/li>\n<\/ul>\n<p>\n<b><span class=\"bwuline\">About Humana<\/span><\/b>\n<\/p>\n<p>\nHumana 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.\n<\/p>\n<p>\nTo 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 \u2013 such as in-home care, behavioral health, pharmacy services, data analytics and wellness solutions \u2013 combine to produce a simplified experience that makes health care easier to navigate and more effective.\n<\/p>\n<p>\nMore information regarding Humana is available to investors via the Investor Relations page of the company\u2019s website at <a target=\"_blank\" href=\"https:\/\/cts.businesswire.com\/ct\/CT?id=smartlink&amp;url=http%3A%2F%2Fwww.humana.com&amp;esheet=52939581&amp;newsitemid=20221007005126&amp;lan=en-US&amp;anchor=humana.com&amp;index=6&amp;md5=a2f6fc8d6bd6f32f9019e72c931e5fb3\" rel=\"nofollow noopener\" shape=\"rect\">humana.com<\/a>, including copies of:\n<\/p>\n<ul class=\"bwlistdisc\">\n<li>\nAnnual reports to stockholders;\n<\/li>\n<li>\nSecurities and Exchange Commission filings;\n<\/li>\n<li>\nMost recent investor conference presentations;\n<\/li>\n<li>\nQuarterly earnings news releases and conference calls;\n<\/li>\n<li>\nCalendar of events; and\n<\/li>\n<li>\nCorporate Governance information.\n<\/li>\n<\/ul>\n<p>\nHumana 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.\n<\/p>\n<p>\nY0040_GCHLTMREN_M\n<\/p>\n<p> <b>Contacts<\/b> <\/p>\n<p>\nLisa Stoner<br \/>\n<br \/>Humana Investor Relations<br \/>\n<br \/>(502) 580-2652<br \/>\n<br \/>e-mail: <a target=\"_blank\" href=\"&#x6d;a&#x69;&#108;t&#x6f;&#58;&#x6c;&#x73;t&#x61;&#109;p&#x65;&#114;&#x40;&#104;u&#x6d;&#97;n&#x61;&#46;&#x63;&#111;m\" rel=\"nofollow noopener\" shape=\"rect\">&#x6c;&#115;&#x74;&#x61;&#109;&#x70;&#101;r&#x40;&#104;u&#x6d;&#97;n&#x61;&#46;c&#x6f;&#109;<\/a><\/p>\n<p>Kelli LeGaspi<br \/>\n<br \/>Humana Corporate Communications<br \/>\n<br \/>(502) 519-5161<br \/>\n<br \/>e-mail: <a target=\"_blank\" href=\"m&#97;&#x69;&#x6c;t&#111;&#58;&#x6b;&#x6c;e&#103;&#97;&#x73;&#x70;i&#49;&#x40;&#x68;&#x75;m&#97;&#x6e;&#x61;&#46;&#99;&#111;&#x6d;\" rel=\"nofollow noopener\" shape=\"rect\">&#107;&#x6c;&#x65;g&#97;&#x73;p&#105;&#x31;&#x40;&#104;&#x75;&#x6d;a&#110;&#x61;&#46;&#99;&#x6f;&#x6d;<\/a>\n<\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Humana received a 5 out of 5-star rating for HMO plans in Louisiana, Tennessee and Kentucky, covering approximately 356,000 members Humana received a 4.5-star rating for Medicare Advantage contracts offered in 46 states and Puerto Rico, covering more than 3 million members, nearly double last year\u2019s members in plans with this rating 4.9 million, or &#8230; <span class=\"more\"><a class=\"more-link\" href=\"https:\/\/pharma-trend.com\/en\/96-of-humanas-medicare-advantage-members-are-in-contracts-rated-4-star-or-above-for-2023-66-are-in-contracts-rated-4-5-star-or-higher\/\">[Read more&#8230;]<\/a><\/span><\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[13],"tags":[],"class_list":{"0":"entry","1":"post","2":"publish","3":"author-business","4":"post-49353","6":"format-standard","7":"category-industry"},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>96% of Humana\u2019s Medicare Advantage Members are in Contracts rated 4-Star or Above for 2023; 66% are in Contracts Rated 4.5-Star or Higher - Pharma Trend<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/pharma-trend.com\/en\/96-of-humanas-medicare-advantage-members-are-in-contracts-rated-4-star-or-above-for-2023-66-are-in-contracts-rated-4-5-star-or-higher\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"96% of Humana\u2019s Medicare Advantage Members are in Contracts rated 4-Star or Above for 2023; 66% are in Contracts Rated 4.5-Star or Higher - Pharma Trend\" \/>\n<meta property=\"og:description\" content=\"Humana received a 5 out of 5-star rating for HMO plans in Louisiana, Tennessee and Kentucky, covering approximately 356,000 members Humana received a 4.5-star rating for Medicare Advantage contracts offered in 46 states and Puerto Rico, covering more than 3 million members, nearly double last year\u2019s members in plans with this rating 4.9 million, or ... 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