Becker's Healthcare October 2, 2024
The percentage of Humana Medicare Advantage members enrolled in plans rated 4 stars or higher for 2025 has dropped significantly, which is expected to negatively affect 2026 revenues.
Based on preliminary 2025 MA Star Ratings data from CMS, Humana has approximately 1.6 million, or 25%, of its members currently enrolled in plans rated 4 stars and above for 2025, a reduction from 94% in 2024, according to regulatory documents filed Oct. 2.
The drop was largely driven by the a major contract falling from a 4.5-star rating to 3.5 stars, impacting nearly half of MA membership and most employer group plans.
“Based on the company’s review of the preliminary data provided by CMS, its reduction in Star ratings was...
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