Contract
R1532

Humana · 2027 Star Ratings

HUMANA INSURANCE COMPANY · Regional CCP

Parent: Humana Inc.

Summary ratings

Overall
3.5
2026: 2.5+1.0
Part C · health plan
3.5
2026: 3.0+0.5
Part D · drug plan
3.5
2026: 2.5+1.0

2027 footprint

Members, Sep 2026
2,629
2027 plans
2
Open to all ($0 premium)
2 (1)
Counties
190
Special needs plans
None
Drug coverage
Yes
ARMO

Domain stars

Domain20272026Change
HD1Staying Healthy: Screenings, Tests and Vaccines2.02.0±0
HD2Managing Chronic (Long Term) Conditions3.03.0±0
HD3Member Experience with Health Plan4.03.0+1.0
HD4Member Complaints and Changes in the Health Plan's Performance4.02.0+2.0
HD5Health Plan Customer Service5.04.0+1.0
DD1Drug Plan Customer Service5.05.0±0
DD2Member Complaints and Changes in the Drug Plan's Performance4.02.0+2.0
DD3Member Experience with the Drug PlanNot enough data availableNot enough data available—
DD4Drug Safety and Accuracy of Drug Pricing3.03.0±0

Part C measures · health plan

Measure2027 result2027 starsvs 2026
C01Breast Cancer Screening64%2.0±0
C02Colorectal Cancer Screening65%2.0new spec
C03Annual Flu Vaccine60%2.0±0
C04Improving or Maintaining Physical Health78%5.0+3
C05Improving or Maintaining Mental Health81%2.0+1
C06Monitoring Physical Activity39%1.0±0
C07Special Needs Plan (SNP) Care ManagementPlan not required to report measure—
C08Care for Older Adults – Medication ReviewPlan not required to report measure—
C09Care for Older Adults - Functional Status AssessmentPlan not required to report measure—
C10Osteoporosis Management in Women who had a FractureNot enough data available—
C11Diabetes Care – Eye Exam69%2.0±0
C12Diabetes Care – Blood Sugar Controlled85%3.0±0
C13Kidney Health Evaluation for Patients with Diabetes60%2.0±0
C14Controlling High Blood Pressure82%3.0±0
C15Reducing the Risk of Falling56%2.0−1
C16Improving Bladder Control45%3.0+1
C17Plan All-Cause Readmissions11%3.0−1
C18Statin Therapy for Patients with Cardiovascular Disease97%5.0+2
C19Transitions of Care64%3.0±0
C20Follow-up after Emergency Department Visit for People with Multiple High-Risk Chronic Conditions56%2.0±0
C21Getting Needed Care834.0±0
C22Getting Appointments and Care Quickly844.0±0
C23Customer ServiceNot enough data available—
C24Rating of Health Care Quality874.0+2
C25Rating of Health Plan832.0+1
C26Care CoordinationNot enough data available—
C27Complaints about the Health Plan0.115.0+1
C28Members Choosing to Leave the Plan33%2.0+1
C29Health Plan Quality ImprovementMedicare shows only a Star Rating for this topic5.0+4
C30Plan Makes Timely Decisions about Appeals98%4.0−1
C31Reviewing Appeals Decisions100%5.0+2
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 Plan0.115.0+1
D03Members Choosing to Leave the Plan33%2.0+1
D04Drug Plan Quality ImprovementMedicare shows only a Star Rating for this topic4.0+2
D05Rating of Drug PlanNot enough data available—
D06Getting Needed Prescription DrugsNot enough data available—
D07MPF Price Accuracy961.0±0
D08Medication Adherence for Diabetes Medications90%3.0±0
D09Medication Adherence for Hypertension (RAS antagonists)88%3.0+1
D10Medication Adherence for Cholesterol (Statins)89%3.0+1
D11Statin Use in Persons with Diabetes (SUPD)88%3.0±0
D12Concurrent Use of Opioids and Benzodiazepines (COB)13%3.0—
D13Polypharmacy: Use of Multiple Anticholinergic Medications in Older Adults (Poly-ACH)7%4.0—

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