For Second Time, Humana Kentucky Medicare Advantage HMO Plan Achieves Prestigious 5-Star Rating
October 07 2022 - 9:15AM
Business Wire
Humana Inc. (NYSE: HUM), one of the nation’s 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).
The 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’s Medicare Advantage plans in the nation
that received a 5-star rating, reflecting Humana’s commitment to
high-quality care, patient-centered clinical outcomes and reliable
customer service.
“We’re proud to receive this prestigious achievement for the
second year in a row,” said Kathie Mancini, Medicare East Central
Region President for Humana. “This 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.”
Humana Medicare Advantage member Pat Dillon of Erlanger,
Kentucky, said the 5-star rating is well-deserved.
“Responsiveness is the word I would use to sum up Humana,”
Dillon said. “When 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.”
Bill 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. “We’re 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.”
About Medicare Advantage
Medicare 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, 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.
Unlike 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.
Medicare Advantage plan members had more than a 30 percent lower
level of emergency room visits, and 40 percent lower level of
inpatient hospital care, 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.
About Medicare Advantage
Enrollment
The 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 – with coverage that takes effect Jan. 1, 2023.
People 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.
For more information about Humana’s 2022 Medicare offerings,
visit www.Humana.com/Medicare 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.
About CMS Star Ratings
The 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:
- 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
Additional information about the CMS Star Ratings can be found
at: www.medicare.gov.
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.
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Damon Adams Humana Corporate Communications 312-581-5630
dadams33@humana.com
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