Kaiser Permanente Medicare Plan in California Gets 5-Star Rating

Press Release
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PASADENA, Calif. — For the fifth consecutive year, Kaiser Permanente’s Medicare plan in California once again has earned 5 stars, the highest overall rating for quality and service for 2016, from the Centers for Medicare & Medicaid Services.

“A 5-star rating from the Centers for Medicare & Medicaid Services is a tremendous recognition of our success in helping our members maximize their total health,” said Edward Ellison, MD, executive medical director of the Southern California Permanente Medical Group. “Our caring, highly-trained physicians and staff partner with patients to achieve their best health outcomes.”

The Medicare Star Quality Ratings, developed by CMS, assigns scores of 1 to 5 stars to Medicare plans. The overall scores are based on care and service quality measures (Parts C and D) across nine categories, including staying healthy, managing chronic conditions, member satisfaction, customer service and pharmacy services. The number of measures used varies by the health plan, and from year to year, but for 2016, CMS based overall scores for each plan on up to 44 unique quality and performance measures. Besides care and service quality, the star ratings also reflect health plans’ compliance performance.

“This recognition speaks to our cutting-edge technology systems and truly makes Kaiser Permanente a model for integrated health care,” said Benjamin K. Chu, MD, MPH, MACP, regional president, Kaiser Permanente Southern California. “Our focus and commitment to quality allows us to consistently deliver safe and reliable care to our members.”

This announcement follows the recently released National Committee for Quality Assurance Medicare Health Insurance Plan Rankings 2014-2015. Kaiser Permanente Southern California and Northern California Medicare plans (with Parts C and D) were the highest-rated in their respective markets.

Kaiser Permanente Colorado, Kaiser Permanente Hawaii, Kaiser Permanente Northwest and Kaiser Permanente Mid-Atlantic States also received 5 stars according to the 2016 Medicare Star Quality Ratings.

In addition to high-quality care and service, another benefit of a 5-star plan is that Medicare beneficiaries may change their health plan to Kaiser Permanente through the 5 Star Special Enrollment Period from Dec. 8, 2015, to Nov. 30, 2016, without having to wait until the next annual enrollment period. All of Kaiser Permanente physicians accept Kaiser Permanente Medicare health plan members.

Medicare beneficiaries can learn more about the Medicare Star Quality Ratings and Kaiser Permanente’s Medicare plans by visiting kp.org/medicarestars or by calling Kaiser Permanente at 1-855-817-5831.

Medicare evaluates plans based on a 5-star rating system. Star ratings are calculated each year and may change from one year to the next.

About Kaiser Permanente Southern California
Kaiser Permanente is committed to helping shape the future of health care. We are recognized as one of America’s leading health care providers and not-for-profit health plans. Founded in 1945, our mission is to provide high quality, affordable health care services to improve the health of our members and the communities we serve. We currently serve more than 4 million members in Southern California. Care for members and patients is focused on their total health and guided by their personal physicians, specialists and team of caregivers. Our expert and caring medical teams are empowered and supported by industry-leading technology advances and tools for health promotion, disease prevention, state-of-the-art care delivery and world-class chronic disease management. Kaiser Permanente is dedicated to care innovations, clinical research, health education and the support of community health. For more information follow us on twitter; @KPSCALNews or go to: www.kp.org/share.