Press Release

RELEASE — ACHP Plans Earn Top CMS Medicare Advantage Quality Ratings

ACHP’s nonprofit, community-based health plans again achieve highest marks in government program measuring quality 

Washington, D.C. (October 11, 2021) – The Alliance of Community Health Plans’ (ACHP) non-profit member companies continue to lead the industry in critical health measures and exceptional customer experience for Medicare Advantage beneficiaries. 23 of ACHP’s 24 member companies with a Medicare Advantage plan received 4 stars or above in the Centers for Medicare and Medicaid Services’ (CMS) 2022 Star Quality Ratings, and one third of all health plan contracts awarded 5 stars were offered by ACHP members.

“Across the board, ACHP’s provider-aligned plans have again earned the top rankings for offering the highest quality coverage and care. This is a testament to how placing patients at the center delivers better value and outcomes,” said ACHP President and CEO Ceci Connolly. “At a time when American families need critical support during the COVID-19 crisis, ACHP plans are delivering peace of mind.”

ACHP members offering contracts which earned the top score of 5 stars include AultCare Health Plans, Capital District Physicians’ Health Plan (CDPHP), Dean Health Plan, HealthPartners, Independent Health, Kaiser Permanente, Martin’s Point Health Care, Point32Health, SelectHealth, UCare and UPMC Health Plan. Medicare Advantage is the only government health care program that measures and rewards high-quality, efficient, coordinated coverage and care, once again recognizing the superior coverage provided by ACHP members.

UCare President and CEO Mark Traynor, whose plan earned a top rating, said, “We are proud to be among the best Medicare plans in the nation. Throughout the year, we work diligently with our large network of quality providers — as well as members and community partners — to improve our members’ experience, accessibility and quality of care. Our efforts are validated by our 5-Star Rating.”

ACHP member companies outperform other health plans on member experience; drug safety and accuracy of pricing; preventive measures including screening, tests, and vaccines; and managing chronic conditions. ACHP members also outperform other payers in the provision of annual flu vaccines, medication adherence for hypertension and cholesterol; getting appointments and care quickly; and customer service.

Independent Health President and CEO Michael W. Cropp, M.D., whose plan earned a top rating, said, “Independent Health is very proud to be among a select group of health plans in the nation – and the only one in Western New York – to receive 5 stars from CMS for every Medicare Advantage plan that it’s offering in 2022. Our 5-Star Rating is a testament to our collaborative efforts with health care providers to ensure our members receive the care they need as well as our long-standing commitment of providing outstanding customer service.”

322 Medicare Advantage contracts offered by ACHP member companies received 4 stars and above. ACHP applauds these health plans for their success providing value for American families. However, the highest quality Medicare Advantage plans in the nation are not able to receive and share with their seniors the full benefits of providing superior value due to a glitch in the Medicare Advantage quality payment program. ACHP calls on Congress to pass a simple policy fix — the bipartisan, bicameral Medicare Advantage Quality Payment Relief Act — to ensure millions of seniors don’t miss out on enhanced health care services and reduced premiums.

About ACHP

The Alliance of Community Health Plans (ACHP) represents the nation’s top-performing non-profit health plans to improve affordability and outcomes in the health care system. ACHP member companies serve more than 23 million Americans in 36 states and the District of Columbia. Members are provider-aligned health organizations that provide high-quality coverage and care to tens of millions of Americans. They are leading the industry in practical, proven reforms around primary care delivery, value-based payment and data-driven systems improvement. Learn more at the ACHP website and follow us on Twitter for the latest health insights.