CMS’s 2023 5 Star Rating Carriers & Plans for Ohio
Sourced from Aultcare broker email communication on 10/12/22:
We are pleased to announce the Centers for Medicare and Medicaid Services (CMS) awarded PrimeTime Health Plan with a 5 out of 5 star rating for 2023!
This is the second year in a row PrimeTime Health Plan has received the 5-star recognition!
This top rating is a result of PrimeTime Health Plan’s dedication to quality of care and quality of service.
We are excited that a 5-star rating allows our organization to market our plan year-round, which means you can sell our plans throughout the 2023 year.
Additionally, a 5-star rated allows us to enhance plan benefits and programs for our members. These enhancements improve our members’ quality of life and experience with the health plan, leading to continued positive outcomes.
Throughout the rest of the year and into 2023, our representatives will continue to work with you and provide the necessary educational materials to promote PrimeTime Health Plan and its 5-star rated benefits to your clients.
Thank you for your dedication to PrimeTime Health Plan as we show our communities why PrimeTime Health Plan is one of the highest rated Medicare Advantage Plans in Ohio!
Sourced from Devoted broker email communications:
All our eligible Medicare Advantage plans earned top Stars Measure ratings
We’re thrilled to share that 100% of our members in eligible plans are on a plan that has a 4-Star rating or higher from CMS. Here’s how our plans stacked up this year:
- Ohio: 5 out of 5 Stars
- Florida: 4.5 out of 5 Stars
- Texas: 4.5 out of 5 Stars
- Arizona: 4 out of 5 Stars
Our Stars Measure ratings show what Devoted Health is doing is different
We’re committing to providing the best quality care for older Americans through our all-in-one healthcare solution. Our results reflect the exceptional caliber of service and care made possible by our integrated solution and the dedication of our team. Read more about our results.
Ohio HMO plans earned 5 out of 5 Stars
This is a huge feat — and another reason to feel good about selling Devoted Health to your clients.
Very few Medicare Advantage plans earn a 5-Star rating. Only about 11% of the Medicare plans reviewed this year earned that rating. Only 1 other plan earned a 5-Star rating in their first year!
Other big wins across all our markets:
- 5 out of 5 Stars rating on customer service
- 5 out of 5 Stars overall rating of health plan
You can read more about Devoted ratings on devoted.com. Feel free to let your clients know all about our Star ratings.
Sourced from MMO’s Press Release on 10/7/22:
CLEVELAND, Ohio — Medical Mutual’s Medicare Advantage preferred provider organization (PPO) and health maintenance organization (HMO) plans both achieved the Centers for Medicare and Medicaid Services’ (CMS) top rating, 5 out of 5 Stars, for 2023.
This is the second consecutive year in which the Company achieved 5 Stars for its PPO plans. In addition, Medical Mutual elevated the rating of its HMO plans from 4.5 Stars in 2022.
CMS rates plans from 1 to 5 Stars, with 5 representing excellent performance. Insurers are evaluated on what they do to keep members healthy, including preventive screenings and vaccines; how well they help members manage chronic conditions like heart disease and diabetes; how responsive the plan is to making sure members get the care they need; how they help resolve member complaints; and customer service.
The 5-Star rating allows individuals to switch to a Medical Mutual Medicare Advantage plan anytime throughout the year. Lower-rated plans can only accept enrollment during the Medicare Annual Enrollment Period, which runs Oct. 15 through Dec. 7.
In addition, because Medical Mutual’s Medicare Advantage plans come with a Medicare Part D Prescription Drug Plan, we also were evaluated on our members’ overall satisfaction with the drug plan, drug pricing and patient safety.
“Medical Mutual is committed to keeping our members healthy through preventive care and management of chronic conditions. These exceptional ratings reflect that commitment,” said Dr. Tere Koenig, Medical Mutual Executive Vice President and Chief Medical Officer. “We also make member experience a priority. We always strive to provide outstanding customer service.”
“In my short time here at Medical Mutual, I’ve seen how dedicated our team members are to providing the highest quality of care and services to our members,” said President and CEO Steve Glass. “That dedication and genuine consideration allow us to provide an exceptional member experience. We will continue to strive to maintain these high standards.”
Medical Mutual entered the Medicare Advantage market in 2016, earning the highest enrollment of any new plan that year.
About Medical Mutual of Ohio
Founded in 1934, Medical Mutual is the oldest and one of the largest health insurance companies based in Ohio. We provide peace of mind to more than 1.2 million Ohioans through our high-quality health, life, disability, dental, vision and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement and individual plans. Medical Mutual’s status as a mutual company means we are owned by our members, not stockholders, so we don’t answer to Wall Street analysts or pay dividends to investors. Instead, we focus on developing products and services that allow us to better serve our customers and the communities around us and help our members achieve their best possible health and quality of life. For more information, visit the company’s website at MedMutual.com.
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MedMutual Advantage plans are HMO and PPO plans offered by Medical Mutual of Ohio with a Medicare contract. Enrollment in a MedMutual Advantage plan depends on contract renewal. Every year, Medicare evaluates plans based on a 5-Star rating system.
Sourced from UHC broker email communication from 10/14/22:
Star Ratings – First, a reminder: You still have access to our 2022 5-Star plans for enrollments effective Nov 1st and Dec 1st. Anyone who has a Medicare card and lives in the 5 Star Plan’s service area is eligible to enroll into a 5 Star plan if they haven’t already used the 5 Star SEP with us this year.
2023 Star Ratings were released by CMS late last week and UnitedHealthcare will continue to have more people in 4-star plans or higher than any other carrier in the industry. Approximately 81% of our Medicare Advantage members around the country are in 4-star plans or higher for 2023 Star Year Ratings. Additionally, approximately 94% of UnitedHealthcare Dual Special Needs Plan (DSNP) national membership will be in plans rated 4-stars or higher.
In Ohio, UnitedHealthcare is proud to offer plans with 4 Stars, 4.5 Stars and even 5 Stars with the plan specific detail as follows:
Contract H Number # Stars Plan Names
CMS Contract # H0271 4 STARS Full Dual SNP Choice (our statewide PPO for Full Dual Medicare-Medicaid status)
CMS Contract # H8768 4 STARS AARP Medicare Advantage Choice Plan 4 PPO, Choice Flex PPO, Choice PPO, Patriot PPO
CMS Contract # H5253 4.5 STARS AARP Medicare Advantage Plans 5, 6, 2, 3 and Full Dual SNP -059, Partial Dual SNP Select -122
CMS Contract # H5322 5 STARS Full Dual SNP -028 and Partial Dual SNP Select -034
Sourced from Summacare broker communication from 10/9/22:
Summacare is honored and incredibly proud to have received 5 STARS—Medicare’s highest rating for SummaCare Medicare Advantage plans for 2023 in Ohio.
SummaCare has been providing high-quality, cost-effective coverage to our Medicare members for over 25 years. This highest-star rating from CMS underscores the commitment and tremendous dedication that their entire SummaCare team and the incredible network healthcare providers all have to improving the health, well-being and member experience for our members.
This is quite an accomplishment for the entire organization and reflects Summacare’s focus and commitment to delivering the highest-quality service and member experience possible.
This rating demonstrates their commitment to being the trusted and preferred navigator to high quality healthcare that improves the quality of life for members and the communities they serve. As a result of the 5-STAR rating, SummaCare will be able to enroll eligible seniors throughout most of the 2023 calendar year—not just limited to the AEP period.
SummaCare is an HMO and HMO-POS plan with a Medicare contract. Enrollment in SummaCare depends on upon contract renewal. Every year, Medicare evaluates plans based on a 5-Star rating system.
