{"id":49383,"date":"2022-10-07T16:01:46","date_gmt":"2022-10-07T14:01:46","guid":{"rendered":"https:\/\/pharma-trend.com\/en\/for-second-time-humana-kentucky-medicare-advantage-hmo-plan-achieves-prestigious-5-star-rating\/"},"modified":"2022-10-07T16:01:46","modified_gmt":"2022-10-07T14:01:46","slug":"for-second-time-humana-kentucky-medicare-advantage-hmo-plan-achieves-prestigious-5-star-rating","status":"publish","type":"post","link":"https:\/\/pharma-trend.com\/en\/for-second-time-humana-kentucky-medicare-advantage-hmo-plan-achieves-prestigious-5-star-rating\/","title":{"rendered":"For Second Time, Humana Kentucky Medicare Advantage HMO Plan Achieves Prestigious 5-Star Rating"},"content":{"rendered":"
\n

LOUISVILLE, Ky.–(BUSINESS WIRE)–Humana Inc.<\/a> (NYSE: HUM), one of the nation\u2019s leading health and well-being companies, has announced that its Kentucky HMO plan has received the highest possible quality rating for the 2023 plan year from the Centers for Medicare and Medicaid Services (CMS).\n<\/p>\n

<\/a><\/p>\n

\nThe Humana Health Plan of Ohio, Inc., an HMO plan offered in Boone, Campbell, Grant, Kenton and Pendleton counties in Kentucky, is one of three of Humana\u2019s Medicare Advantage plans in the nation that received a 5-star rating, reflecting Humana\u2019s commitment to high-quality care, patient-centered clinical outcomes and reliable customer service.\n<\/p>\n

\n\u201cWe\u2019re proud to receive this prestigious achievement for the second year in a row,\u201d said Kathie Mancini, Medicare East Central Region President for Humana. \u201cThis rating reflects our strong collaboration with local health providers to help our members get the care they need and deliver the best health outcomes for our members. It recognizes our dedication to the well-being and health of Humana Medicare Advantage members and the Northern Kentucky communities we serve.\u201d\n<\/p>\n

\nHumana Medicare Advantage member Pat Dillon of Erlanger, Kentucky, said the 5-star rating is well-deserved.\n<\/p>\n

\n\u201cResponsiveness is the word I would use to sum up Humana,\u201d Dillon said. \u201cWhen something happens, you can depend on them to follow through. They will contact you regarding any benefit you might be eligible for so that you don’t have to sit and page through material trying to find something that you’re entitled to. They reach out to let you know something is offered, as opposed to you trying to find it on your own.\u201d\n<\/p>\n

\nBill Banks, Vice President of Managed Care for St. Elizabeth Healthcare in northern Kentucky, said the health system is proud to work with Humana to provide high quality care. \u201cWe\u2019re thrilled that this plan has received the highest possible quality rating as we focus on value-based care and patient-centered programs for area residents.\u201d\n<\/p>\n

\nAbout Medicare Advantage<\/span><\/b>\n<\/p>\n

\nMedicare Advantage delivers financial savings to members in the form of lower out-of-pocket costs and reduced premiums. Medicare Advantage members reported spending 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

\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

\nMedicare Advantage plan members had more than a 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

\nAbout Medicare Advantage Enrollment<\/span><\/b>\n<\/p>\n

\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

\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

\nFor more information about Humana\u2019s 2022 Medicare offerings, visit 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

\nAbout CMS Star Ratings<\/span><\/b>\n<\/p>\n

\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