The 23 Medicare plans receiving 5 stars from CMS

CMS released 2018 Star Ratings for Medicare Advantage and Part D plans, with approximately 73 percent of all Medicare Advantage enrollees with prescription drug coverage enrolled in a plan earning an overall rating of four stars or higher.

The star ratings measure Medicare Advantage and Part D plan quality and determine Medicare Advantage quality bonus payments. This year, no plan will receive a low performance denotation for the first time since CMS began measuring plans with consistently low performance for at least three years in a row.

Below are the 23 plans receiving a five-star rating, the highest possible, in alphabetical order.

Medicare Advantage with prescription drug coverage

Anthem Health Plans of New Hampshire (Manchester)
Enrollment: 2,003
Service area: Nonemployer group plans in 41 Georgia counties, 46 counties in Kentucky and five counties in New Hampshire; employer group plans in most of the U.S.

Blue Cross and Blue Shield Of Minnesota (Eagan)
Enrollment: 251,069
Service area: 87 counties in Minnesota

Capital District Physicians' Health Plan (Albany, N.Y.)
Enrollment: 3,954
Service area: 62 counties in New York state

Dean Health Plan (Madison, Wis.)
Enrollment: 2,517 
Service area: Seven Wisconsin counties  

Gundersen Health Plan (Onalaska, Wis.)
Enrollment: 14,827
Service area: Five counties in Iowa, 14 counties in Wisconsin

Healthsun Health Plans (Coconut Grove, Fla.)
Enrollment: 39,534
Service area: Two counties in Florida

Kaiser Foundation Health Plan (Honolulu)
Enrollment: 31,427
Service area: Three counties in Hawaii

Kaiser Foundation Health Plan (Oakland, Calif.)
Enrollment: 1.1 million
Service area: 31 counties in California

Kaiser Foundation Health Plan of Colorado (Denver)
Enrollment: 108,915 
Service area: 17 counties in Colorado

Kaiser Foundation Health Plan of the Mid-Atlantic States (Rockville, Md.)
Enrollment: 73,415
Service area: District of Columbia, 11 counties in Maryland, nine counties in Virginia

Kaiser Foundation Health Plan of the Northwest (Portland, Ore.)
Enrollment: 89,048
Service area: Nonemployer group plans in nine Oregon counties and four counties in Washington; employer group plans in one Oregon county and one Washington county

KS Plan Administrators (Pearland, Texas); offers KelseyCare Advantage
Enrollment: 31,481
Service area: Nonemployer group plans in four counties in Texas; employer group plans in 251 Texas counties

Optimum Healthcare (Tampa, Fla.)
Enrollment: 53,203
Service area: 25 counties in Florida

Providence Health Assurance (Portland, Ore.)
Enrollment: 52,895 
Service area: 15 counties in Oregon and three counties in Washington state

Tufts Associated Health Maintenance Organization (Watertown, Mass.)
Enrollment: 101,005
Service area: 10 counties in Massachusetts

Medicare Advantage only 

Medical Associates Clinic Health Plan (Dubuque, Iowa)
Enrollment: 3,460
Service area: Four counties in Wisconsin

Standalone prescription drug plans 

Anthem (Indianapolis) and Blue Cross Blue Shield plans of Massachusetts (Boston); Rhode Island (Providence); Vermont (Montpelier)
Enrollment: 165,585
Service area: Nonemployer group plans in one region in central New England; employer group plans in 37 regions

Dean Health Insurance (Madison)
Enrollment: 40,407
Service area: 35 regions

Excellus Health Plan (Rochester, N.Y.)
Enrollment: 8,644 
Service areas: 39 regions

Health Alliance Medical Plans (Urbana, Ill.)
Enrollment: 704
Service area: 39 regions

HealthPartners (Bloomington, Minn.)
Enrollment: 1,350 
Service area: 34 regions

Tufts Insurance Company (Watertown)
Enrollment: 9,296 
Service area: 35 regions

Wellmark Blue Cross Blue Shield (Des Moines, Iowa) and Blue Cross Blue Shield plans of Minnesota; Montana (Missoula); Nebraska (Omaha); North Dakota (Fargo); Wyoming (Cheyenne)
Enrollment: 288,169
Service area: Nonemployer group plans in one region in the upper Midwest and Northern Plains; employer group plans in 33 regions 

More articles on payer issues:
Vanderbilt University Medical Center inks contract with Cigna, now covered under 2018 ACA exchange
Cleveland Clinic enters third integrated payer partnership since June, this time with Anthem
Molina's new CEO is former Aetna CFO Joseph Zubretsky: 4 things to know

© Copyright ASC COMMUNICATIONS 2017. Interested in LINKING to or REPRINTING this content? View our policies by clicking here.

 

Top 40 Articles from the Past 6 Months