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News Release
Providence Medicare Advantage Plans Earn High 2021 Medicare Star Ratings from CMS - 11/20/20

Providence’s Medicare Advantage Plans Continue to Earn High Marks in Quality Care and Service, Remain One of the Highest-Rated Plans in the Region

PORTLAND, Oregon (November 20, 2020) Providence Health Assurance (PHA), a regional not-for-profit health plan serving the Pacific Northwest, today announced that its Medicare Advantage Plans continue to receive high marks, earning an overall rating of 4.5 stars by the Center for Medicare and Medicaid Services (CMS).

“This achievement highlights our commitment to excellence and the collaboration of teams across Providence, including the health plan, medical group and hospitals,” said Robert Gluckman, M.D., chief medical officer, Providence Health Assurance. “We have the privilege of serving more than 62,000 Medicare members, and are proud to continue providing them with outstanding patient-centered care and services.”

Providence Health Assurance is a part of an integrated delivery system for an enhanced member experience. This approach allows members to see physicians both inside and outside of the Providence delivery system, ensuring members can find services that meet their criteria such as cost, quality, location, and more. Additionally, Providence’s open integrated delivery system promotes a coordinated patient journey, providing members with the best possible experience across different points of care.

“We continue to realize strong performances on clinical quality and improvements on medication adherence rates, as well as high marks that we received in our ongoing commitment to measures specific to serving the dual population – just a few of the aspects of our Medicare quality program that we’re proud of,” said Michael White, interim CEO at Providence Health Assurance. “The caregivers across Providence Health Assurance strive to deliver the highest quality of care and it is due to their hard work that we continue to achieve this high level of recognition.”

Since the CMS started tying ratings to payments in 2012, Providence has received consistently high scores across care and quality measurements, making its Medicare Advantage Plans one of the highest rated plans in service areas within Oregon and Washington state. In recent years, new measurement standards from CMS have put a heavier emphasis on customer experience ratings (McKinsey & Company, 2020). This focus demonstrates the value that a member’s experience has on the overall performance of a plan, as consumers who select plans with higher ratings are more likely to have a better experience compared to those who select plans with lower CMS ratings. 

Each year CMS revises its scoring methodology and recalculates its star ratings, which can impact rating outcomes, even if a plan’s overall performance improves or remains the same from the previous year. To determine this year’s ratings, CMS looked at 46 care and quality measures across five categories, including preventive care, managing chronic conditions, customer service, member satisfaction and prescription drugs.

Medicare star ratings are posted at www.medicare.gov. For more information about Providence Medicare Advantage Plans offerings, visit ProvidenceHealthAssurance.com or call 503-574-8000 or 1-800-603-2340. Hours are 8 a.m. to 8 p.m., Pacific Time, seven days a week.

About Providence Health Assurance  

Providence Health Assurance and its affiliates are a part of the integrated delivery system – Providence St. Joseph Health. It provides or administers health coverage to more than 1.2 million program members nationwide. Providence responds to the needs of the community by offering insurance for commercial groups, Medicare, Medicaid, individuals and families as well as care management services, network services, workers’ compensation managed care services and population health program. It works with physicians, hospitals and pharmacies to keep patients healthy, and strives to make health care affordable.

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