Managed Care

 

Quality ratings of Medicare Advantage plans

MANAGED CARE January 2010. © MediMedia USA
News and Commentary

Quality ratings of Medicare Advantage plans

MANAGED CARE January 2010. ©MediMedia USA

The Centers for Medicare and Medicaid Services rates the relative quality of the private plans that are offered to Medicare beneficiaries through the Medicare Advantage program. The score provides an overall measure of a plan’s quality, and a cumulative indicator of the quality of care, access to care, responsiveness, and beneficiary satisfaction provided by the plan.

MA organizations with the highest enrollment in rated plans
Plan name Star rating (out of 5)
Kaiser Permanente 4.07
Highmark 3.83
HealthSpring 3.30
Coventry 3.22
Health Net 3.14
Aetna 3.13
Emblem Health 3.09
UnitedHealth Group 2.92
WellPoint 2.82
Humana 2.76
Note that no statistical comparisons were made between organizations.
Source: Kaiser Family analysis of the 2010 Medicare Health Plan Quality and Performance Ratings.

Meetings

4th Partnering With ACOs Summit Los Angeles, CA October 27–28, 2014
PCMH & Shared Savings ACO Leadership Summit Nashville, TN November 3–4, 2014
2014 Annual HEDIS® and Star Ratings Symposium Nashville, TN November 3–4, 2014
Medicare Risk Adjustment, Revenue Management, & Star Ratings Fort Lauderdale, FL November 12–14, 2014
World Orphan Drug Congress Europe 2014 Brussels, Belgium November 12–14, 2014
Healthcare Chief Medical Officer Forum Alexandria, VA November 13–14, 2014
Home Care Leadership Summit Atlanta, GA November 17–18, 2014
HealthIMPACT Southeast Tampa, FL January 23, 2015