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National Committee for Quality Assurance (NCQA) awards Humana's Florida plans three-year accreditation status

Humanas Florida service and clinical quality meets or exceeds NCQAs rigorous requirements for consumer protection and quality improvement


Tuesday, January 15, 2008 11:53 am EST



Public Company Information:


MIRAMAR, Fla.--(BUSINESS WIRE)--Humana Medical Plan, Inc of Florida announced today that it has been awarded full three-year accreditation status from the National Committee for Quality Assurance (NCQA) for its Florida Medicare and Medicaid HMO plans and for its commercial HMO/POS combined plans.

NCQA is an independent, non-profit organization dedicated to assessing and reporting on the quality of the nations managed care plans. Humana Floridas accreditation status is based on a voluntary review of how a health plan ensures that its members are receiving high-quality care.

The NCQA accreditation survey process includes rigorous on- and off-site evaluations of more than 60 standards and selected HEDIS performance measures conducted by a team of physicians and managed care experts. A national oversight committee then analyzes the teams findings and assigns an accreditation level based on the performance of the plan against NCQA standards.

The NCQA accreditation process evaluates how well a health plan manages quality throughout every part of its delivery system -- physicians, hospitals, affiliated providers and administrative services -- to continuously improve health care for its members.

Humana is committed to continuous quality improvement, and I believe that has been validated by NCQA, said Michael A. Seltzer, chief executive officer for Humana Florida Medicare and Medicaid Products. Each of our associates, physicians and management contributed to the NCQA accreditation process in some way, so we are extremely proud of this achievement.

Achieving an accreditation status of commendable from NCQA is a sign that a health plan is serious about quality, said Margaret E. OKane, president of NCQA. It is awarded to plans whose service and clinical quality meet or exceed NCQAs rigorous requirements for consumer protection and quality improvement.

This accreditation tells our members that the care they receive and the physicians who provide that care meet or exceed the industrys highest standards of quality, said Humana South Florida Senior Products Medical Director Dr. Terry Smith. Humana has a long and proud tradition of providing high-quality care. Receiving objective recognition of that is rewarding for all of us.

NCQAs mission is to improve the quality of health care. The organization is governed by a board of directors that includes employers, consumers and labor representatives, health plans, quality experts, regulators and representatives from organized medicine.

About Humana Medical Plan, Inc of Florida

Humana Medical Plan, Inc of Florida offers Medicare Advantage, Medicaid and commercial health plans with a membership in excess of more than 1-million members throughout the state. Humana offers four types of Medicare Advantage coverage to people with Medicare that include the Medicare Part D prescription drug benefit (MA-PD) and three standalone PDP options.

About Humana

Humana Inc., headquartered in Louisville, Kentucky, is one of the nations largest publicly traded health benefits companies, with approximately 11.3 million medical members. Humana offers a diversified portfolio of health insurance products and related services through traditional and consumer-choice plans to employer groups, government-sponsored plans, and individuals.

Over its 47-year history, Humana has consistently seized opportunities to meet changing customer needs. Today, the company is a leader in consumer engagement, providing guidance that leads to lower costs and a better health plan experience throughout its diversified customer portfolio.

More information regarding Humana is available to investors via the Investor Relations page of the companys Web site at http://www.humana.com, including copies of:

  • Annual report to stockholders;
  • Securities and Exchange Commission filings;
  • Most recent investor conference presentation;
  • Quarterly earnings news releases;
  • Replays of most recent earnings release conference call;
  • Calendar of events (includes upcoming earnings conference call dates, times, and access number, as well as planned interaction with research analysts and institutional investors);
  • Corporate Governance Information.


Humana Corporate Communications
Mitch Lubitz, 813-287-6180