For Fourth Consecutive Year, CarePlus Health Plans Attains Medicare’s Highest 5 out of 5-Star Rating for 2022
CarePlus Health Plans, a subsidiary of Humana (HUM), has achieved a 5-star rating from the Centers for Medicare & Medicaid Services (CMS) for its Medicare Advantage HMO plan in Florida. This marks the fifth time the company has received this rating, underscoring its commitment to quality healthcare and customer service. CarePlus has doubled its membership over the last six years, now serving approximately 200,000 members. The company emphasizes collaboration with healthcare providers to enhance member experiences and health outcomes.
- Achieved 5-star CMS rating for the fifth time, reflecting high quality healthcare and customer service.
- Doubled membership to approximately 200,000 members in Florida over six years.
- None.
It’s the fifth time the company’s Medicare Advantage HMO plan in
The 5-star rating recognizes the continued emphasis the company has placed on creating the highest possible quality healthcare and customer service experience for its members. Based on her positive experience, CarePlus member
“Why I like CarePlus in the first place - the medical services are great,” said Sanchez. “And I really like the way they treat you when you call customer service. CarePlus is unique with customer service. And I love it. My plan is not five stars; it is ten or fifteen stars.”
This focus on quality has also led to CarePlus doubling the number of members it serves across
“We’re incredibly proud of our employees and grateful to the Medicare beneficiaries we are privileged to serve,” said
In a continuous effort to improve overall member experience, CarePlus collaborates with its value-based partners on member presentations designed to encourage proactive communications about health care. The goal of these “Patient Experience Circle” presentations is to close the circle between health plan, patient and physician to achieve measurable results for CarePlus members.
In addition to working closely with physicians to ensure members completed important preventive screenings and received routine care, either virtually or in person, throughout the pandemic, Piquin said the company issued at-home tests for CarePlus members in need of colorectal cancer screening and diabetic condition management.
About Medicare Advantage
Medicare Advantage’s unique public-private structure creates an atmosphere of competition that spurs innovation that can help drive down costs and focus care on a person’s whole health.
Medicare Advantage plans are focused on coordinating care for those with multiple chronic conditions, helping lead to cost-effective interventions to address the unique health needs of aging or disabled Americans. These are a few reasons why more than 40 percent of all Medicare beneficiaries choose to be covered by Medicare Advantage plans.
About Medicare Advantage Enrollment
The Medicare Advantage and Prescription Drug Plan Annual Election Period (AEP) begins
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
For more information about enrolling in CarePlus health plans,
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
CarePlus offers Medicare Advantage plans with comprehensive benefits designed to meet a variety of needs. We partner with and support our physicians, pharmacists, dentists, and other healthcare providers who we trust to take good care of our community. Through our partnership with the
CarePlus has supported
For more information, visit CarePlusHealthPlans.com.
Every year, Medicare evaluates plans based on a 5-star rating system.
*According to the
CarePlus is an HMO plan with a Medicare contract. Enrollment in CarePlus depends on contract renewal.
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FAQ
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