DENVER — “I have a family history of melanoma. So, when I saw a nasty looking mole, I was a little worried,” said Martha Johnson, a long-time Kaiser Permanente Medicare member. “Luckily, my Kaiser Permanente providers took care of me quickly. From biopsy and surgery to my follow-up appointment, the kindness and compassion that I felt was huge. Real impressive, first rate, gold-plated care.”
Johnson’s experience is just one of the many reasons why the Centers for Medicare & Medicaid Services rated Kaiser Permanente Colorado’s Medicare Senior Advantage plan 5 out of 5 stars — the highest overall rating for quality and service — for 2018. This is the eighth consecutive year Kaiser Permanente Colorado has received this rating.
“For eight straight years, we’ve been recognized by the Centers for Medicare & Medicaid Services with 5 out of 5 stars. I’m proud of our 7,000 physicians, nurses, and staff who work to make this prestigious designation from the CMS possible. Our employees strive each day to help our members live their healthiest, happiest and longest lives,” said Roland Lyon, president of Kaiser Permanente Colorado.
According to CMS, Kaiser Permanente Colorado is the only Medicare health plan in Colorado that earned 5 out of 5 stars, the highest overall rating. Johnson is one of more than 100,000 Medicare beneficiaries in the state who rely on Kaiser Permanente for high-quality health care with service that is convenient, personalized and simple to use.
Fast facts: Medicare quality stars
What they measure: The overall scores for Medicare quality stars are based on care and service quality measures (Parts C and D) across nine categories, including staying healthy, member satisfaction, managing chronic conditions, customer service and pharmacy services. The star ratings also measure health plans’ compliance performance.
Methodology: Star ratings are calculated each year and may change from one year to the next. The methodology CMS uses for the star ratings is dynamic and continues to change. This means that Medicare health plans must stay ahead of the curve on measures that may be included in the 5-star portfolio, and continually improve their performance to achieve 5 stars.
“We’re proud of this 5-star rating from CMS. With a rapidly growing senior population in Colorado, our physicians know the importance of leveraging coordinated care, the most up-to-date technology and convenient care options which help our members live healthier and longer lives,” said Margaret Ferguson, MD, president and executive medical director for the Colorado Permanente Medical Group — one of the state’s largest medical groups that provides care for the 680,000 Kaiser Permanente members in Colorado.
CMS created the Medicare star quality rating system to provide beneficiaries with a way to assess Medicare plans based on quality of care and service delivery, so they can make an informed decision when choosing a plan. CMS uses the star ratings system to rank Medicare health plans on a scale of 1 to 5 stars, with 5 stars representing the highest quality.
Along with high-quality care and service, another benefit of 5-star plans is a longer enrollment opportunity. Medicare beneficiaries may change to a 5-star Kaiser Permanente individual Medicare plan through a CMS 5-star Special Enrollment Period from Dec. 8, 2017 to Nov. 30, 2018, without having to wait until the next annual enrollment period.
Medicare beneficiaries can learn more about the star ratings and Kaiser Permanente’s Medicare health plans by visiting kp.org/medicarestars.
About Kaiser Permanente Colorado
Kaiser Permanente Colorado is the state’s largest nonprofit health plan, working to improve the lives and health of all Coloradans for 48 years. We are comprised of the Kaiser Foundation Health Plan of Colorado and the Colorado Permanente Medical Group—one of the state’s largest medical groups with more than 1,200 physicians. We provide comprehensive care for our 680,000 Kaiser Permanente Colorado members through 31 medical offices across the state—from Pueblo to Greeley and now in the mountains in Summit and Eagle counties. We are also committed to our social mission and in 2016, proudly directed more than $118 million to community benefit programs to improve the health of all Coloradans. For more Kaiser Permanente news, visit kp.org/share or follow us @kpcolorado or like us facebook.com/kpcolorado.