|Seven members of the Alliance of Community Health Plans (ACHP) earned 5 Stars from the Centers for Medicare and Medicaid Services (CMS), the highest score awarded to health plans participating in the Medicare program. Only 11 plans (contracts) in the country received this rating. Overall, 28 Medicare plans (contracts) operated by ACHP members received 5, 4.5 and 4 Stars in the Star Ratings released yesterday by CMS; plans offer combined Medicare Advantage (Part C) and prescription drug (Part D) coverage. Additionally, one plan offered by an ACHP member received 5 stars for its stand-alone Medicare plan (Part C). These high-rated plans from ACHP member organizations are available in 18 states and the District of Columbia.
“The Medicare star ratings are an important reflection of the rigorous standards placed on health plans to deliver the highest quality care to the Medicare members that count on them for coverage,” says Patrick Courneya, M.D., executive vice president and chief medical officer for Kaiser Foundation Hospitals and Kaiser Foundation Health Plan. “We are proud to have 5-star plans in our California, Northwest, Hawaii, Colorado and Mid-Atlantic States regions, and a 4.5 star plan in our Georgia region. Our high ratings are achieved through the dedication of our physicians and care teams to deliver proactive care to detect, prevent and treat chronic conditions and diseases through a patient-centered approach.” Read Kaiser Permanente’s press release here.
“The value of the star ratings is growing as more and more beneficiaries are enrolling in high quality MA plans,” says Patricia Smith, ACHP president and CEO. “The superior performance of ACHP member organizations – repeated year after year – is a direct reflection of our long-standing commitment to delivering affordable, high-quality coverage and care to our customers and our communities. Many ACHP members, including Kaiser Permanente, Group Health Cooperative in Seattle, Washington, and Dean Health Plan in Madison, Wisconsin, have received 5-star ratings several years in a row.”
The Alliance of Community Health Plans (ACHP) is a national leadership organization bringing together innovative health plans and provider groups that are among America’s best at delivering affordable, high-quality coverage and care. The community based and regional health plans and provider organizations from across the country that make up ACHP’s membership provide coverage and care for approximately 16 million Americans. These 22 organizations focus on improving the health of the communities they serve and are on the leading edge of innovations in affordability and the quality of care, including patient care coordination, patient-centered medical homes, accountable health care delivery and use of information technology. For more information visit www.achp.org.