Contract
H4141

Humana · 2027 Star Ratings

HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC. · Local CCP · offers special needs plans

Parent: Humana Inc.

Summary ratings

Overall
3.5
2026: 4.0−0.5
Part C · health plan
3.5
2026: 4.0−0.5
Part D · drug plan
3.5
2026: 3.5±0

2027 footprint

Members, Sep 2026
125K
2027 plans
7
Open to all ($0 premium)
5 (5)
Counties
89
Special needs plans
Dual-Eligible
Drug coverage
Yes
GA

Domain stars

Domain20272026Change
HD1Staying Healthy: Screenings, Tests and Vaccines4.04.0±0
HD2Managing Chronic (Long Term) Conditions3.04.0−1.0
HD3Member Experience with Health Plan3.04.0−1.0
HD4Member Complaints and Changes in the Health Plan's Performance4.03.0+1.0
HD5Health Plan Customer Service4.04.0±0
DD1Drug Plan Customer Service5.05.0±0
DD2Member Complaints and Changes in the Drug Plan's Performance4.03.0+1.0
DD3Member Experience with the Drug PlanNot enough data available5.0—
DD4Drug Safety and Accuracy of Drug Pricing3.03.0±0

Part C measures · health plan

Measure2027 result2027 starsvs 2026
C01Breast Cancer Screening77%4.0±0
C02Colorectal Cancer Screening77%4.0new spec
C03Annual Flu Vaccine59%2.0±0
C04Improving or Maintaining Physical HealthNot enough data available—
C05Improving or Maintaining Mental HealthNot enough data available—
C06Monitoring Physical Activity59%4.0±0
C07Special Needs Plan (SNP) Care Management80%4.0±0
C08Care for Older Adults – Medication Review97%4.0−1
C09Care for Older Adults - Functional Status Assessment95%5.0—
C10Osteoporosis Management in Women who had a Fracture38%2.0−1
C11Diabetes Care – Eye Exam81%4.0±0
C12Diabetes Care – Blood Sugar Controlled88%3.0−1
C13Kidney Health Evaluation for Patients with Diabetes69%3.0±0
C14Controlling High Blood Pressure83%3.0±0
C15Reducing the Risk of Falling69%4.0±0
C16Improving Bladder ControlNot enough data available—
C17Plan All-Cause Readmissions11%3.0±0
C18Statin Therapy for Patients with Cardiovascular Disease89%4.0+1
C19Transitions of Care74%4.0±0
C20Follow-up after Emergency Department Visit for People with Multiple High-Risk Chronic Conditions60%2.0−1
C21Getting Needed Care833.0−2
C22Getting Appointments and Care QuicklyNot enough data available—
C23Customer Service893.0−1
C24Rating of Health Care Quality863.0−1
C25Rating of Health Plan863.0−2
C26Care CoordinationNot enough data available—
C27Complaints about the Health Plan0.224.0±0
C28Members Choosing to Leave the Plan25%3.0+1
C29Health Plan Quality ImprovementMedicare shows only a Star Rating for this topic5.0+1
C30Plan Makes Timely Decisions about Appeals99%4.0±0
C31Reviewing Appeals Decisions99%4.0±0
C32Call Center – Foreign Language Interpreter and TTY Availability100%5.0±0

Part D measures · drug plan

Measure2027 result2027 starsvs 2026
D01Call Center – Foreign Language Interpreter and TTY Availability100%5.0±0
D02Complaints about the Drug Plan0.224.0±0
D03Members Choosing to Leave the Plan25%3.0+1
D04Drug Plan Quality ImprovementMedicare shows only a Star Rating for this topic4.0+1
D05Rating of Drug Plan884.0−1
D06Getting Needed Prescription DrugsNot enough data available—
D07MPF Price Accuracy931.0±0
D08Medication Adherence for Diabetes Medications87%2.0±0
D09Medication Adherence for Hypertension (RAS antagonists)89%3.0±0
D10Medication Adherence for Cholesterol (Statins)88%3.0±0
D11Statin Use in Persons with Diabetes (SUPD)88%3.0±0
D12Concurrent Use of Opioids and Benzodiazepines (COB)9%4.0—
D13Polypharmacy: Use of Multiple Anticholinergic Medications in Older Adults (Poly-ACH)4%5.0—

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