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CarePlus Health Plans Teams with Sharecare to Offer Members Digital Wellness and Rewards Platform

It’s part of the company’s mission to equip its Medicare Advantage members with easy-to-use tools and resources to manage their health and live healthier lives

Mobile phone showing updated CarePlus site

CarePlus Rewards Program (Photo: Business Wire)

February 22, 2021 09:30 AM Eastern Standard Time

MIAMI--(BUSINESS WIRE (link opens in new window))--CarePlus Health Plans, Inc. , Florida’s largest* Medicare Advantage plan rated 5 out of 5 stars for 2021, and Sharecare(link opens in new window), the digital health company that helps people manage all their health in one place, are collaborating to make it easier for CarePlus Medicare Advantage members across Florida to take an active role in improving their health.

“We’re thrilled to team with Sharecare to inspire our members to live their healthiest lives possible, no matter where they are on their health journey,” said Bruno Piquin, CarePlus Health Plans President. “Access to Sharecare will help our members more easily manage their health and well-being in one place, track their progress, and get rewarded along the way.”

Sharecare’s digital health experience, which includes an easy-to-use mobile app, enables CarePlus members to go from assessment to action. The digital experience starts with the RealAge® test, Sharecare’s clinically validated health risk assessment that shows members the true age of their bodies. It then provides personalized action plans to guide and educate members on health factors that may impact longevity and real-time tracking of daily health goals.

All CarePlus Medicare Advantage plans now offer access to Sharecare. CarePlus members can also use Sharecare to track and redeem CarePlus Rewards for completing certain healthy activities. The CarePlus Rewards program is offered to members free of charge.

“There is an opportunity to leverage the power of personal technology to help Medicare beneficiaries gain better access to care and increase utilization of the critical resources available to them,” said Pam Shipley, Chief Operating Officer at Sharecare. “At Sharecare, we are fiercely committed to bringing much needed scalable innovation to health care, and we are excited to partner with CarePlus by empowering their members to take control of their personal health and well-being, right in the palm of their hand.”

*According to the Centers for Medicare & Medicaid Services (CMS) Medicare Advantage (MA) Membership Reports, January 2021.

CarePlus Health Plans Sends At-home Screening Kits to Members During COVID-19

These actions are part of the company’s plan to help ensure CarePlus Medicare Advantage members in Florida complete important preventive screenings

CarePlus screening kit

CarePlus Screening Kit (Photo: Business Wire)

November 17, 2020 09:33 AM Eastern Standard Time

MIAMI--(BUSINESS WIRE (link opens in new window))--In an effort to increase access to important preventive healthcare screenings, CarePlus Health Plans, Inc. (link opens in new window), Florida’s largest* Medicare Advantage plan rated 5 out of 5 stars for 2021, is mailing in-home preventive screening kits to eligible members. CarePlus, a subsidiary of Humana Inc. (NYSE: HUM), serves more than 166,000* Medicare Advantage members across Florida.

The three in-home tests being mailed to CarePlus Medicare Advantage members focus on screening for colorectal cancer and on diabetic condition management (HbA1c blood sugar test and kidney screening). All CarePlus Medicare Advantage members who have a clinical opportunity for these screenings will automatically receive them in the mail.

After receiving the screening kits at no cost to them, members may complete the tests in the comfort of their homes and mail them back in a pre-paid envelope. The results are sent to members and their primary care physicians in case a follow up is needed.

“As Florida remains in the midst of the COVID-19 pandemic, we know that many of our members may still be wary of leaving home to complete important routine health screenings,” said CarePlus Vice President of Health Services Dr. Madeleine Rodriguez. “Yet, these tests are a vital way to help diagnose colon cancer earlier and prevent complications related to diabetes which, in turn, help improve health outcomes for our members.”

Dr. Rodriguez assured that, while it is a relatively simple process where members complete the tests at home and mail them back for test results, CarePlus will have phone support readily available to assist members.

In addition to mailing these in-home screening kits, during COVID-19 CarePlus continues to take actions to support care for its members, including:

  • Proactive outreach to support members’ social needs. Since March, CarePlus has been reaching out to our managed members in our medical plans to help identify and address social needs.
  • Encouraging members to get their flu shots early this year.
  • Mailing care kits containing two protective face masks to support members’ visits to healthcare providers.
  • CarePlus is waiving Medicare Advantage members' out-of-pocket costs for outpatient behavioral health, on an outpatient, non-facility basis, and telehealth** visits through the end of 2020.

*According to the Centers for Medicare & Medicaid Services (CMS) Medicare Advantage (MA) Membership Reports, October 2020.

** Telehealth benefit may not be offered by all in-network plan providers. Members can check directly with their provider about the availability of telehealth services.

CarePlus Health Plans Medicare Advantage Plan Achieves 5-Stars Third Year in a Row

It’s the third year in a row, and the fourth time overall, that the company achieves the highest possible rating from the Centers for Medicare & Medicaid Services

October 08, 2020 05:30 PM Eastern Daylight Time

MIAMI--(BUSINESS WIRE (link opens in new window))--CarePlus Health Plans, Inc.’s Medicare Advantage members across Florida again can take comfort in knowing that they are enrolled in a health plan that has achieved the highest possible quality rating for the 2021 plan year from the Centers for Medicare & Medicaid Services (CMS). It’s the third year in a row, and the fourth overall, that the company’s Medicare Advantage HMO plan achieved a 5-Star rating. CarePlus is a subsidiary of Humana Inc. (NYSE: HUM).

Bruno Piquin, CarePlus President, attributes the company’s success to its emphasis on creating the best possible member experience.

Orlando area CarePlus member Joan Carucci agrees. “They listen to you. They talk to you, they kid with you, but yet they’re very professional and they’re very knowledgeable. You’re not just a number. You’re very important to them. They call me at least three or four times a year just to ask how I’m doing. In my opinion, my experience, from having been with CarePlus for five-plus years, the transportation, the medicine, the doctors that you can go to in their plan, it’s all fantastic.”

CarePlus currently serves approximately 164,300 members* throughout Florida. CMS Star Ratings are posted at www.medicare.gov (link opens in new window)

“We are a company of close to 1,200 employees who all truly care about the members we serve and remain focused on improving their health outcomes,” said Piquin. “We are extremely thankful to the physicians and pharmacists who partner with us for contributing to our 5 Star rating and for the top quality care they deliver to our members day in and day out. Collaboration with our value-based partners providing quality medical care is key to our continued success.”

The Medicare 5-star rating system rates the excellence of Medicare plans nationally. A plan may receive a rating between one and five stars, with five stars representing the highest rating. Star Ratings are calculated each year and may change from one year to the next.

CMS uses information from member-satisfaction surveys, health plans, and health care providers to assign overall Star Ratings to plans. The rating system uses more than 40 different quality measures in nine categories, including:

  • Staying Healthy: Screenings, Tests and Vaccines
  • Managing Chronic (Long Term) Conditions
  • Member Experience with Health Plan
  • Member Complaints and Changes in the Health Plan’s Performance
  • Health Plan Customer Service
  • Drug Plan Customer Service
  • Member Complaints and Changes in the Drug Plan’s Performance
  • Member Experience with Drug Plan
  • Drug Safety and Accuracy of Drug Pricing

*According to the Centers for Medicare & Medicaid Services (CMS) Medicare Advantage (MA) Membership Reports, September 2020.

PQA Recognizes CarePlus Health Plans with its Excellence in Quality Award

The company’s Medicare Advantage Prescription Drug Plan in Florida is among only 15 plans in the country to receive PQA’s highest recognition

August 26, 2020 10:30 AM Eastern Daylight Time

MIAMI--(BUSINESS WIRE (link opens in new window))--CarePlus Health Plans, Inc., Florida’s largest 5-star Medicare Advantage plan,* has been recognized by the Pharmacy Quality Alliance (link opens in new window) (PQA) with its Excellence in Quality award for exemplary management of medications for its members. CarePlus is a subsidiary of Humana Inc. (NYSE: HUM).

PQA provides two awards, an Excellence in Quality Award and a Quality Improvement Award, which are based on published Centers for Medicare & Medicaid Services (CMS) Medicare Part D Star Ratings. CarePlus is one of only 15 Medicare Advantage Drug Plans (MAPDs) (link opens in new window) in the nation to receive the organization’s top recognition in 2020.

“We are so proud to receive this Excellence in Quality Award from PQA in recognition of the hard work that goes into helping the 160,000 Medicare Advantage members we serve safely adhere to their medications,” said CarePlus President Bruno Piquin. “We are also so thankful for the ongoing collaboration with the physicians who treat our members and partner with us to help our members achieve optimal health.”

PQA’s Excellence in Quality Award recognizes MAPDs and Prescription Drug Plans (PDPs). MAPDs are recognized for achieving at least a 4.5-star Part D summary rating and a 5-star rating on all five PQA medication measures used in the 2020 CMS Star Ratings Program.

The Quality Improvement Award recognizes MAPDs and PDPs that received a 5-star rating on the 2020 CMS Quality Improvement measure and the greatest combined improvement in star ratings from 2019 to 2020 on the four PQA medication measures used in the CMS Program during this period.

Five PQA-endorsed quality measures are used in the 2020 Medicare Part D Star Ratings program, and several others are used as Display measures. Details on these measures are available at pqaalliance.org/medicare-part-d (link opens in new window).

CMS evaluates Medicare plans based on a 5-star rating system. Star Ratings are calculated each year and may change from one year to the next. More information about Star Ratings can be found at Medicare.gov (link opens in new window).

*According to the Centers for Medicare & Medicaid Services (CMS) Medicare Advantage (MA) Membership Reports, September 2020.

CarePlus Health Plans Shares Five Steps Seniors Can Take to Protect Their Health this Hurricane Season

COVID-19 presents new challenges and makes advance preparation even more critical for what experts are saying will be an above average hurricane season

Release Date: May 26, 2020 01:00 PM Eastern Daylight Time

MIAMI--(BUSINESS WIRE (link opens in new window))--.CarePlus Health Plans, Inc., Florida’s largest1 5-star Medicare Advantage plan, is encouraging Floridians, and particularly seniors with chronic medical conditions, to take action now to protect their health during the 2020 Hurricane Season which is being complicated due to COVID-19 and predicted to be above average.

“Planning for hurricane season is always important, especially for seniors with medical conditions like diabetes or COPD, and this year poses new challenges so we all need to prepare now,” said CarePlus Vice President of Health Services Dr. Madeleine Rodriguez. “We certainly don’t want to add stress to a population in Florida already feeling vulnerable during COVID-19. By taking action now, you can more easily rest assured that you and your family will stay safe and healthy this hurricane season.”

According to Dr. Rodriguez, in addition to stocking up on basic supplies like water, flashlights, batteries and non-perishable foods, those actions should include these five steps:

  1. Prepare your emergency kit with flashlights, face masks, food, first aid supplies, hand sanitizer, medicines and more. Include copies of your health insurance cards, identification cards, doctors and pharmacy contact information and medication details. People living with diabetes should include blood glucose testing supplies including lancets, test strips, at least two glucose meters with extra batteries, and a cooler with multiple re-freezable packs. If possible, avoid crowds at the store by using a delivery service.
  2. Take advantage of 30- to 90-day mail order pharmacy services from your health benefits provider to ensure you don’t run out of medicine if businesses are closed or you are away from home.
  3. To avoid forgetting critical medical equipment during emergency evacuations, make a list of what you would need to take with you, such as a cane, walker, glasses, insulin, and hearing aids and batteries.
  4. If you or a loved one require power to operate medical equipment – such as oxygen, nebulizers or sleep apnea masks – be sure to secure a generator or alternate power source early in the season to avoid scrambling for this equipment right before the storm.
  5. Pre-register for a Special Needs Shelter. Special Needs Shelters (link opens in new window) are temporary emergency facilities capable of providing care to residents whose medical condition exceeds the capabilities of the Red Cross Shelter but is not severe enough to require hospitalization. Be sure to pre-register by contacting your county emergency management office now so you can secure a spot in the shelter during an emergency.

“It’s also important that people who need to evacuate bring at least two protective face masks in order to help protect against virus spread,” said Dr. Rodriguez. “Although seniors in Florida have been advised to stay home to avoid exposure to COVID-19, a hurricane headed for your home may pose a much more serious risk. Having people in shelters wear face masks when possible offers more protection.”

Dr. Rodriguez said CarePlus is mailing bilingual care kits, in English and Spanish, containing two protective face masks to each of its 157,000 members and nearly 1,000 employees.

For more information about preparing for hurricane season during COVID-19, and how to protect yourself and others in a public shelter, visit cdc.gov (link opens in new window).

CarePlus Health Plans Once Again Achieves Medicare’s Highest Quality Rating

This marks the second year in a row and the third time overall that CarePlus’ Medicare Advantage health plan in Florida achieved the 5-star rating

Release Date: Friday, October 11, 2019 1:30 pm EDT

MIAMI--(BUSINESS WIRE (link opens in new window))--CarePlus Health Plans, Inc.’s Medicare Advantage plan in Florida achieved 5-stars – the highest possible rating – from the Centers for Medicare & Medicaid Services (CMS) for the 2020 plan year. This marks the second year in a row and the third time overall that the CarePlus Medicare Advantage HMO, offered throughout Florida, received the top rating. CarePlus is a subsidiary of Humana Inc. (NYSE: HUM).

CarePlus currently serves approximately 140,000 Medicare members throughout Florida. The Star Ratings are posted at www.medicare.gov (link opens in new window).

“We recognize that we could not achieve this top rating without the collaboration of the caring primary care physicians who offer high quality medical care to our members,” said CarePlus Regional President Bruno Piquin. “We are especially honored to have CMS recognize CarePlus with its highest quality rating two years in a row, which acknowledges the hard work our employees do to provide the best possible service to our members.”

The Medicare 5-star rating system rates the excellence of Medicare plans nationally. A plan may receive a rating between one and five stars, with five stars representing the highest rating. Star Ratings are calculated each year and may change from one year to the next.

CMS uses information from member-satisfaction surveys, health plans, and health care providers to assign overall Star Ratings to plans. The rating system uses more than 40 different quality measures in nine categories, including:

  • Staying Healthy: Screenings, Tests and Vaccines
  • Managing Chronic (Long Term) Conditions
  • Member Experience with Health Plan
  • Member Complaints and Changes in the Health Plan’s Performance
  • Health Plan Customer Service
  • Drug Plan Customer Service
  • Member Complaints and Changes in the Drug Plan’s Performance
  • Member Experience with Drug Plan
  • Drug Safety and Accuracy of Drug Pricing

People who are Medicare‐eligible can find out more about CarePlus Health Plans by contacting 1-855-450-1352, (TTY 711) from 8 a.m. to 8 p.m. local time, seven days a week, or visiting www.careplushealthplans.com.

CarePlus Health Plans, Inc. Achieves Highest Medicare Quality Rating

Released Date: Wednesday, October 10, 2018 5:32 pm EDT

MIAMI--(BUSINESS WIRE (link opens in new window))--CarePlus Health Plans, Inc.’s Medicare Advantage plan in Florida achieved 5-stars – the highest possible rating – from the Centers for Medicare & Medicaid Services (CMS) for the 2019 plan year. This marks the second time that the CarePlus Medicare Advantage HMO, offered statewide in Florida, achieved the 5-star rating.

“Keeping our members healthy is at the heart of all that we do, and we’re honored and proud to have that work recognized by CMS,” said CarePlus Regional President Bruno Piquin. “We’re especially grateful to our more than 117,000 members in Florida, to the caring physicians who partner with us to offer high quality medical care to our members, and to our 900-plus employees who work tirelessly to offer the best possible customer experience for our members.”

The Medicare 5-Star rating system rates the excellence of Medicare plans nationally. A plan may receive a rating between one and five stars, with five stars representing the highest rating. Star ratings are calculated each year and may change from one year to the next.

CMS posts the updated ratings, prior to the Medicare Advantage and Prescription Drug Plan Annual Enrollment Period (AEP), at www.medicare.gov (link opens in new window). The AEP, for plans that are effective January 1, 2019, begins on October 15 and runs through December 7.

Receiving the 5-star rating also means that Medicare beneficiaries have the flexibility to switch to a CarePlus 5-star rated Medicare Advantage plan at any time of the year, using certain guidelines, rather than being limited to the AEP.

CMS uses information from member-satisfaction surveys, health plans, and health care providers to assign overall Star Ratings to plans. The rating system uses more than 40 different quality measures in five categories, including:

  • Staying healthy: screening tests and vaccines
  • Managing chronic (long-term) conditions
  • Member experience with the health plan
  • Member complaints and changes in the health plan’s performance
  • Health plan customer service

Baptist Health Now in Network in Specific Counties for CarePlus Health Plans Medicare Members

Release Date: Tuesday, October 16, 2018 10:23 am EDT

MIAMI--(BUSINESS WIRE (link opens in new window))--CarePlus Health Plans, Inc. a South Florida-based Medicare Advantage HMO, announced today they have signed agreements with Baptist Health South Florida(link opens in new window) that provide in-network access to their Medicare members, effective Oct.15, 2018.

The agreements encompass all 10 of Baptist Health’s hospitals, its ancillary health facilities and its nearly 500 physicians and other providers, including primary care, cardiology and oncology.

“Baptist Health South Florida is an important part of our strategy to offer our Medicare members a robust network of quality healthcare providers,” said CarePlus Regional President Bruno Piquin.

“We are pleased to work with CarePlus Health Plans to expand access to care for the benefit of the communities we serve,” said Brian E. Keeley, president and chief executive officer of Baptist Health.