|For Immediate Release
|October 9, 2015
|Eight 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 twelve plans (contracts) in the country received this rating. Overall, 30 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.
“This recognition reflects our efforts to offer top-notch health care and coverage for members and patients,” says HealthPartners President and CEO Mary Brainerd, which was among the eight ACHP plans receiving 5 stars this year. “Star ratings have become the gold standard for Medicare and for seniors, and we’re proud to be one of the top performers in the country.”
“The value of the star ratings is growing as we are paying for quality and quality is improving,” says ACHP President and CEO Patricia Smith. “The superior year-after-year performance of ACHP member organizations is a direct reflection of our focus on consumers and the health of communities. Our plans have a long-standing commitment to delivering affordable, high-quality coverage and care.”
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’s star rating system considers 44 quality measures, including lowering hospital readmissions, diabetes management and ensuring that members receive recommended cancer screenings. The quality incentive payments are improving quality across the board, with overall scores increasing in all plans.
ACHP members 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.
Plan performance star ratings are assessed each year and may change from one year to the next.
ACHP plans receiving 5 stars for their combined Medicare Advantage and Part D plans:
· Kaiser Permanente California
· Kaiser Permanente Colorado
· Kaiser Permanente Hawaii
· Kaiser Permanente Mid-Atlantic
· Kaiser Permanente Northwest
· Martin’s Point Health Care
· Tufts Health Plan Medicare HMO
ACHP plan receiving 5 stars for its stand-alone Medicare (Part C) plan:
· Dean Health Plan