Nine Health Plan Alliance member plans achieved high quality ratings for 2017
Health Plan Alliance
11/28/2016
The Health Plan Alliance is proud of its health plan members who achieved high quality ratings from NCQA and the Centers for Medicare and Medicaid Services (CMS) this year.
NCQA 2016-2017 Health Insurance Plan Ratings
In September 2016, NCQA released its ratings of more than 1,000 private, Medicare and Medicaid health insurance plans based on their combined HEDIS®, CAHPS® and NCQA Accreditation standards scores. Health Insurance Plan Ratings 2016–2017 uses the same Ratings methodology from 2015, which classifies plans into scores from 0-5 in 0.5 increments–-a system similar to CMS’ Five-Star Quality Rating System.
Eight Health Plan Alliance member plans were top performers, achieving ratings of 4.5 or 5.0 out of 5.0.
These plans include:
- Geisinger (Commercial, Medicaid & Medicare)
- Gundersen (Commerical & Medicare)
- Health New England (Commercial, Medicaid & Medicare)
- Neighborhood Health Plan (Commercial and Medicaid)
- Network (Medicare)
- Physicians Plus (Commercial)
- Scott & White (Commercial & Medicare)
- Sharp (Commercial)
CMS Star Ratings
CMS publishes the Part C and D Star Ratings each year to: measure quality in Medicare Advantage (MA) and Prescription Drug Plans (PDPs or Part D plans), assist beneficiaries in finding the best plan for them, and determine MA Quality Bonus Payments. Moreover, the ratings support the efforts of CMS to improve the level of accountability for the care provided by physicians, hospitals, and other providers. Medicare Advantage with prescription drug coverage (MA-PD) contracts are rated on up to 44 unique quality and performance measures; MA-only contracts (without prescription drug coverage) are rated on up to 32 measures; and stand-alone PDP contracts are rated on up to 15 measures.
Upcoming Star Rating Webinars
To support our health plan members’ efforts to achieve high quality ratings, the Health Plan Alliance has coordinated two Star Rating webinars for members:
- Health Plan Alliance STAR Report Card
December 2 | 1:30 – 3:00 p.m. CT | Presented by Altegra Health
Learn how Alliance member health plans' performance compares to the national average (Part C & Part D). Registrants will receive the benchmark report as well as their plan-specific report.
Register
- 2017 Star Ratings: Using Emerging Trends to Flourish in the Future
December 14 | 11:00 a.m. – 12:30 p.m. CT | Presented by Gorman Health Group
Join Gorman Health Group Star Ratings and Risk Adjustment experts for a cross-functional review of the 2017 Star Ratings. Despite the many, often significant, changes amidst plan-specific 2017 Star Ratings, there is a surprising amount of stability in the 2017 Star Ratings.
Register