Optima Health Medicare Ranked Among Top National Plans
Ranking among the top Medicare Advantage Prescription Drug plans in
"A first time Star Rating of 4.5 is very rare, and a very significant result," said
The current CMS Star Rating strategy is designed to support three all-encompassing goals: better care, healthier people and communities, and lower-cost care. Particularly, the ratings provide a measurement of quality across nine domains of member outcomes and experience with a
In the Part C domain "Staying Healthy: Screening, Tests and Vaccines," Optima Medicare achieved 5 Stars, the highest possible rating, for all quality measures that contribute to its overall Star Rating. These measures encompass whether members received an annual flu vaccine and appropriate screenings for certain cancers, monitored their physical activity and assessed adult BMI. Five-Star Ratings were also achieved for measures within "Managing Chronic Conditions," including control of blood sugar and blood pressure, and lowered hospital readmission rates.
To help achieve good outcomes and consistent good health for members,
One tool used by CMS to capture Star Ratings is the Consumer Assessment of Healthcare Providers and Systems (CAHPS). Optima Medicare CAHPS scores for "Member Experience with Health Plan" also contributed to 5-Star Ratings for members' opinions of how easy it is to get needed care and how quickly they could get it; as well as their rating of health care quality, and how well the plan coordinates care.
For the Part D domain "Member Experience with the Drug Plan," Optima Medicare achieved 5 Stars for members' rating of the drug plan. The company also achieved 5 Stars for measures within "Drug Safety and Accuracy of Drug Pricing," for providing accurate prescription drug pricing information and ensuring members with hypertension regularly fill their blood pressure medication.
CMS Star Ratings provide information for
Optima Medicare is an HMO with a
About
(1) The membership figure includes
Read the full story at http://www.prweb.com/releases/2016/11/prweb13845973.htm
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