Medicare STAR Ratings are Out!

You can download the latest Medicare STAR ratings from CMS here and read our brief summary below.

MA-PD Ratings Consistent

STAR ratings for MA-PD plans have remained fairly consistent since 2014, with slightly more companies receiving a 4.5 or 5.0 rating.  However, significantly more MA-PDs received a 4.0 rating in 2016.

Summary of Medicare STAR ratings for MA-PD and PDP plans between 2014 and 2016.

Summary of Medicare STAR ratings for MA-PD and PDP plans between 2014 and 2016.

Number of Plans Continues to Decline

The number of MA-PDs and PDPs that receive a STAR rating from CMS has declined each year.  The number of MA-PDs declined 15% from 2014 to 2016.  The number of PDPs receiving a STAR rating declined 18% from 2014 to 2016.

Top Performing Plans

Kaiser continues excel with five of the 12 MA-PDs receiving a 5-star rating.  Kaiser and Gundersen Health Plan are the only MA-PD plans to receive 5-stars in 2014, 2015 and 2016.  Martin’s Point is the only other 5-star MA-PD plan that remained on the list from 2015.  The 5-star MA-PD plans for 2016 in alphabetical order are:

  • Cigna Healthcare Of Arizona, Inc.
  • Erickson Advantage / Sierra Health And Life Insurance Company, Inc.
  • Essence Healthcare, Inc.
  • Gundersen Health Plan (2014, 2015 and 2016)
  • HealthPartners / Group Health Plan, Inc. (MN)
  • Kaiser Foundation HP, Inc. (2014, 2015 and 2016)
  • Kaiser Foundation HP Of CO (2014, 2015 and 2016)
  • Kaiser Foundation HP, Inc. (2014, 2015 and 2016)
  • Kaiser Foundation HP Of The Mid-Atlantic States (2014, 2015 and 2016)
  • Kaiser Foundation HP Of The NW (2014, 2015 and 2016)
  • Martin’s Point Generations (2015 and 2016)
  • Tufts Associated Health Maintenance Organization

Dean Health Plan, Medical Associates Clinic Health Plan of Wisconsin and Medical Associates Health Plan are the MA-only plans receiving 5-stars in 2016.  Dean Health Plan and Medical Associates Health Plan also received 5-stars in 2014 and 2015.

Amongst PDPs, only Tufts Health Plan and Wisconsin Physicians Service (WPS) received 5-stars for 2016.  WPS also received 5-stars in 2015 and Tufts received 5-stars in 2014.

 

 

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