CONTACT: Rachel Schwartz
Eight members of the Alliance of Community Health Plans (ACHP) received five 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 for their combined Medicare Advantage and Part D offerings. Overall, 30 Medicare plans (contracts) operated by ACHP members received five, four-and-a-half and four Stars in the combined 2013 Medicare Advantage and Medicare Part D Star Ratings released today by CMS. These high-rated plans are available in 18 states and DC. The ACHP member plans that received five Stars are:
- Group Health Cooperative
- HealthPartners – Group Health Plan
- Kaiser Foundation Health Plan of California
- Kaiser Foundation Health Plan of Colorado
- Kaiser Foundation Health Plan of Hawaii
- Kaiser Foundation Health Plan of the Mid-Atlantic States
- Kaiser Foundation Health Plan of Ohio
- Kaiser Foundation Health Plan of the Northwest
“The star ratings are an important tool for consumers looking for the best health care for their money. The superior performance of ACHP plans is a direct reflection of our long-standing commitment to delivering affordable, high-quality coverage to our members and our communities,” said Patricia Smith, ACHP president and CEO. “By providing high-quality care and service to millions of Medicare beneficiaries, ACHP members are also making sure the federal government – and American taxpayers – are getting the value they demand from Medicare Advantage plans.”
“CMS rewards health plans for a high level of consistent performance, and ACHP’s deep commitment to continuous improvement has paid off as we achieve scores that recognize year after year high performance across all measures,” said Scott Armstrong, chair of the board of ACHP and president and CEO of Group Health Cooperative.
Congress has demanded greater value by creating quality incentive payments in Medicare Advantage to promote health plan efforts to achieve high clinical quality and consumer satisfaction, as well as improved patient outcomes. CMS’ star rating system considers over 50 quality measures, such as lowering hospital readmissions, diabetes management and ensuring that members receive recommended cancer screenings.
Quality incentive payments are improving quality across the board, with overall scores increasing in all plans. Seven ACHP members increased their quality score from the 2012 ratings. ACHP member organizations promote evidence-based practice, engage patients in their care and align incentives with providers to ensure that Medicare patients get the right care when and where they need it.
Visit ACHP.org for more information, including a table of ACHP member plans’ rankings, further analysis of the ratings and rankings, and member stories.
Plan performance star ratings are assessed each year and may change from one year to the next.
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-centered medical homes, accountable health care delivery and use of information technology. To learn more about ACHP, visit www.achp.org.