Medicare Advantage (MA) provides quality, affordable coverage to millions of seniors across the country. MA plans offer the same benefits as traditional Medicare and more, while improving care delivery and generating savings.
MA by the numbers
Offering better value for every health care dollar, MA is growing rapidly. Bobby Jindal, former governor of Louisiana, recently noted, “Millions of Medicare beneficiaries now get their coverage through private plans under Medicare Advantage—a quiet step forward that brings real benefits.”
Since 2004, the number of seniors choosing an MA plan has tripled. In 2017 alone, more than 20 million seniors – 34.6 percent of Medicare’s enrollees – chose an MA plan. By 2027, 41 percent of all Medicare beneficiaries are expected to be enrolled in MA.
Medicare star ratings and quality measures
The federal government rates MA plans using a star system that evaluates clinical quality, patient satisfaction and regulatory compliance; and provides bonuses to top plans to further enhance benefits. This star rating system is designed to help America’s seniors evaluate the quality of their health care options and incentivize health plans to continuously improve. Plans receive a rating from one to five stars.
ACHP plans: Delivering on quality
ACHP member plans account for 50 percent of the top-scoring, or 5-Star, MA plans nationwide. ACHP plans achieve these high-ratings with an approach to care that differs from other insurance companies: we’re nonprofit, community-based and partner closely with clinical teams. Ninety-seven percent of ACHP MA enrollees are in a plan rated 4 stars or higher.
Leading the way on MA
Quality stars and payments should be earned, and ACHP members have done just that. ACHP member organizations are better at managing chronic conditions, enhancing communication with care teams and increasing cancer screenings. Representatives from our community health plans recently travelled to Capitol Hill to share how they are creating unique programs with seniors’ needs in mind.
UCare, an ACHP member in Minneapolis, Minn., is providing quality care to MA members by addressing social determinants. Through culturally competent messaging and videos in different languages, the plan helps its diverse membership navigate the health care system. UCare is also addressing emotional needs through a senior companion program that provides support and friendship to members who are homebound and isolated. A Metro-Transit-bus-turned-food-market – supported by a grant from UCare – rolls through the region, making strategic stops at senior residences.
Capital District Physicians’ Health Plan (CDPHP) takes a personalized approach to top-notch quality in Albany, N.Y. MA members can take advantage of services such as medication therapy management, case management and care coordination. The programs help seniors better manage chronic illness and provide care tailored to members’ needs. CDPHP also offers some less traditional benefits, including gym memberships and access to free fitness centers, to support a healthy lifestyle. George Knauer, a CDPHP member pictured at left with his care team, says “CDPHP is more than a health insurance company; it’s a health care company.”