Kaiser Permanente Receives Highest Possible Rating for Medicare Plan in Mid-Atlantic Region

Centers for Medicare & Medicaid Services awarded Kaiser Permanente its highest rating of 5 stars for quality and service

Press Release

ROCKVILLE, Md. — The Centers for Medicare & Medicaid Services announced today that the Kaiser Permanente Medicare plan in the Mid-Atlantic region earned 5 stars, the highest overall rating for quality and service. The Mid-Atlantic region elevated its 4.5-star rating for 2012 to 5 stars for 2013.

“This 5-star rating is a testament to the superior quality and convenience that our members experience,” says Bernadette Loftus, MD, associate executive director for The Permanente Medical Group.

Medicare Star Quality Rating
Five stars

Each year through the Medicare Star Quality Ratings system, CMS rates Medicare health plans (both parts C and D) on a scale of 1 to 5 stars, with 5 stars representing the highest quality. The overall scores are based on more than 50 care and service quality measures across five categories, including staying healthy, managing chronic conditions, member satisfaction, customer service and pharmacy services.

The announcement comes on the heels of the “National Committee for Quality Assurance (NCQA) Health Insurance Plan Rankings 2012-2013,” which named Kaiser Permanente of the Mid-Atlantic States among the top 15 Commercial and Medicare health plans nationwide. In the national Commercial category, Kaiser Permanente of the Mid-Atlantic States jumped 18 spots to No. 15 out of 474 plans. In the Medicare category, Kaiser Permanente ranked 12th out of 395 plans nationwide. The health care provider continues to bring its high quality care to members throughout the Mid-Atlantic region, with two new multi-specialty facilities opening next year.

Six of 11 5-star Medicare plans nationwide are Kaiser Permanente plans (parts C and D) for 2013. Last year, four Kaiser Permanente Medicare 2012 plans received 5-star ratings — California, the Northwest, Colorado and Hawaii. This year, both Kaiser Permanente’s Mid-Atlantic States and Ohio regions were added to the 5-star list.

“We are proud to earn the highest ratings for quality because it reflects Kaiser Permanente’s commitment to achieving the best health outcomes for our members,” said Jed Weissberg, MD, senior vice president, Hospitals, Quality and Care Delivery Excellence, Kaiser Permanente. “We offer the tools and services necessary to help them maintain total health. Our members have the ability to make online appointments, get lab results electronically, access to their complete health records, and email their personal physician directly and securely.”

Kaiser Permanente has participated in the Medicare program since its inception in 1965, and has a long history of providing high-quality care and service to its members.

In addition to receiving high-quality care and service, 5-star excellence means that Medicare beneficiaries may enroll in a 5-star plan from Dec. 8, 2012, to Nov. 30, 2013, without having to wait until the next annual enrollment period.

Medicare beneficiaries can learn more about the Medicare Star Quality Ratings and Kaiser Permanente’s Medicare plans by visiting kp.org/medicarestars or medicare.gov, or by calling 1-800-MEDICARE (1-800-633-4227).

Plan performance summary star ratings are assessed each year and may change from one year to the next. Kaiser Permanente California includes its Northern and Southern California regions. The Northwest  region includes Oregon and Washington. Kaiser Permanente Mid-Atlantic States includes Virginia, Maryland and the District of Columbia.