AmeriHealth Caritas’ Two Dual Eligible Special Needs Plans Improve Star Rating to an Overall 4.5 out of 5 from the Centers for Medicare & Medicaid Services
PA Plans Nationally Recognized for Exceptional Commitment to Quality
AmeriHealth Caritas, a national leader in Medicaid managed care and other health care solutions for those most in need, announced that its two Medicare Advantage dual eligible special needs (HMO D-SNP) plans in
“Keeping our members well can’t happen without maintaining a robust provider network whose health care professionals care deeply for our members and stress the importance of regular exams,” said
“Star ratings tell us about the quality of service we are providing and our plan responsiveness,” said
CMS’ nationally recognized quality rating system looks at Medicare Part C (health plan services) and Part D (drug plan services). CMS uses information from member satisfaction surveys, health plans, and health care providers to give overall performance Star Ratings to plans. The Star Ratings program emphasizes areas such as preventive medicine, early disease detection, customer service and benefits supporting chronic condition management. The program’s goal is to raise the quality of care and strengthen protections for Medicare beneficiaries.
AmeriHealth Caritas’ two Medicare Advantage dual eligible special needs (HMO D-SNP) plans in
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The Consumer Assessment of Healthcare Providers and Systems (CAHPS) scores were a particular area of strength for the two D-SNP plans in
Pennsylvania in the areas of both Customer Service and Rating of the Health Plan, each earning five stars. -
Significant improvement was noted in the following additional areas:
- Members’ medication adherence for hypertension, cholesterol and diabetes
- Call Center performance
- The plans helped members stay healthy through increased colorectal screenings and flu vaccinations
- Members’ chronic conditions for rheumatoid arthritis and statin therapy for cardiovascular disease were better managed
- Members got better quality care more quickly.
AmeriHealth Caritas has offered the HMO D-SNP plans since 2013. They began operating statewide in
Note: Every year, Medicare evaluates plans based on a 5-star rating system. Information in this press release is based on 2022 Star Ratings data published by CMS on
About AmeriHealth Caritas Family of Companies
AmeriHealth Caritas is one of the nation’s leaders in health care solutions for those most in need. Operating in 12 states and the
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Tel: 1-267-674-9182
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Source: AmeriHealth Caritas
Medicare and Medicaid Programs; Patient Protection and Affordable Care Act; Interoperability and Patient Access for Medicare Advantage Organizations and Medicaid Managed Care Plans, State Medicaid Agencies, CHIP Agencies and CHIP Managed Care Entities, Issuers of Qualified Health Plans on the Federally-Facilitated Exchanges, and Health Care Providers
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