14 Medicare Advantage Plans Earn 5 Stars
This year, CMS awarded five-star quality ratings to 14 Medicare Advantage plans covering about 5.6 million enrollees. Among the significant perks of being a five-star plan: the ability to enroll members throughout the year rather than only during the seven-week Medicare open enrollment period. That means five-star health plans "are always open for [new] business," says Matthew Eyles, executive vice president of Avalere Health, a healthcare consulting group.
He explains that for many health plans the Medicare Advantage premiums collected tend to be higher than what they command in the commercial marketplace, so being able to market and enroll members throughout the year is attractive.
This year's 5-star plans:
- Kaiser Foundation Health Plans; CA, CO, GA, HI, OR, WA and the Mid-Atlantic states
- KS Plan Administrators; TX
- Group Health Cooperative; WA
- Gunderson Health Plan; IA, WI
- HealthSpring of Florida
- Providence Health Plan; OR and WA
- Medical Associates Health Plan; IA, IL
- Dean Health Plan; WI
One thing I noticed is the lack of for-profit national players among this elite group. Although these big players are willing and able to throw resources at the star rating program, it is simply not that easy to become a five-star plan, explains Eyles.
- Senators Hear How Two-Midnight Rule Harms Patients, Hospitals
- 3 Management Lessons from a Supermarket Debacle
- Medicare Advantage Carriers See 'No Choice' But to Accept Cuts
- Physicians to Appeal 'Docs v. Glocks' Ruling in FL
- IOM Identifies GME Problems, Calls for Finance Changes
- Revenue Cycles Get a Boost from Simple JPEG Files
- Healthcare Costs Start With What We Eat
- CA Fines 8 Hospitals for Medical Errors
- Handshaking Spreads Germs. Get Over It.
- Anatomy of 3 Health System Rebranding Efforts