2024 Humana (H4007) Star Rating Details |
Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP) (H4007-030-0)
Benefits & Contact Info
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The Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP) (H4007-030-0) in Camuy, PR: CMS MA Region 30 which includes: PR
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Star Rating Category & Measures | 2024 | 2023 |
Overall Star Rating [?] | 4.5 | 4.5 |
Summary Rating of Prescription Drug Plan Quality [?] | 5 | 5 |
Drug Plan Customer Service | 3 | 5 |
- Call Center — Foreign Language Interpreter and TTY Availability
| 3 | 5 |
Member Complaints and Changes in the Drug Plan’s Performance | 5 | 4 |
- Complaints about the Drug Plan (higher score is better - means fewer complaints)
| 5 | 5 |
- Members Choosing to Leave the Plan (higher score is better - means fewer members leaving)
| 4 | 3 |
- Improvement (if any) in the Drug Plan's Performance
| 5 | 4 |
Member Experience with the Drug Plan | 5 | 5 |
- Members’s Rating of Drug Plan
| 5 | 5 |
- Ease of Getting Prescriptions Filled When Using the Plan
| 4 | 4 |
Drug Safety and Accuracy of Drug Pricing | 4 | 4 |
- Medicare.gov Plan Finder Drug Price Accuracy (higher score is better)
| 3 | 3 |
- Medication Adherence for Diabetes Medications
| 3 | 3 |
- Medication Adherence for Hypertension (RAS antagonists)
| 3 | 3 |
- Medication Adherence for Cholesterol (Statins)
| 2 | 2 |
- MTM Program Completion Rate for CMR
| 5 | 5 |
- Statin Use in Persons with Diabetes
| 5 | 5 |
Summary Rating of Health Plan Quality [?] | 4.5 | 4 |
Staying Healthy: Screenings, Tests and Vaccines | 4 | 4 |
| 5 | 5 |
- Colorectal Cancer Screening
| 5 | 5 |
| 1 | 1 |
- Monitoring Physical Activity
| 4 | 4 |
Managing Chronic (Long Term) Conditions | 4 | 5 |
- Special Needs Plan (SNP) Care Management
| 3 | 3 |
- Care for Older Adults — Medication Review
| 5 | 5 |
- Osteoporosis Management in Women who had a Fracture
| 5 | 4 |
| 5 | 5 |
- Diabetes Care — Blood Sugar Controlled
| 5 | 5 |
- Controlling Blood Pressure
| 5 | 5 |
- Reducing the Risk of Falling
| 4 | 4 |
- Improving Bladder Control
| 4 | NtED |
- Medication Reconciliation Post-Discharge
| 5 | 5 |
- Plan All-Cause Readmissions
| 3 | NoD |
- Statin Therapy for Patients with Cardiovascular Disease
| 5 | 5 |
| 2 | NoD |
- Follow-up after Emergency Department Visit for People with Multiple High-Risk Chronic Conditions
| 2 | NoD |
Member Experience with Health Plan | 4 | 4 |
- Ease of Getting Needed Care and Seeing Specialists
| 4 | 4 |
- Getting Appointments and Care Quickly
| 1 | 1 |
- Health Plan Provides Information or Help When Members Need It
| 4 | 3 |
- Member’s Rating of Health Care Quality
| 5 | 5 |
- Member’s Rating of Health Plan
| 5 | 5 |
- Coordination of Members’s Health Care Services
| 4 | 3 |
Member Complaints and Changes in the Health Plan’s Performance | 4 | 4 |
- Complaints about the Health Plan (higher score is better - means fewer complaints)
| 5 | 5 |
- Members Choosing to Leave the Plan (higher score is better - means fewer members leaving)
| 5 | 5 |
- Improvement (if any) in the Health Plan’s Performance
| 4 | 4 |
Health Plan Customer Service | 5 | 5 |
- Health Plan Makes Timely Decisions about Appeals
| 5 | 5 |
- Fairness of Drug Plan’s Appeal Decisions
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- Availability of TTY Services and Foreign Language Interpretation When Prospective Members Call the Health Plan
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