December 11, 2023

Our health plans earn high ratings

Kaiser Permanente’s commercial and Medicare health plans are rated either the highest or above average in the state.

Our Medicare plan has been the highest rated in the state by NCQA for 5 years.

Kaiser Permanente continues to be recognized for providing expert, coordinated care and outstanding service to its commercial and Medicare health plan members in Colorado.

It’s an honor to receive, and it brings attention not only to the clinical skills and expertise of our physicians and care teams, but also to the value that Kaiser Permanente brings to our members’ lives every day.

The National Committee for Quality Assurance annual report, released in September 2023, listed Kaiser Permanente’s Medicare plan as the highest rated in the state for the fifth-straight year (excluding 2020, when NCQA did not release plan ratings because of the pandemic). It received 4.5 out of a possible 5 stars. Our commercial plan was among the top-rated plans in Colorado, as well, receiving 4 stars out of 5. No other commercial plan in the state received a 4.5 or 5-star rating. 

"This distinction from NCQA recognizes our dedication to providing the highest-quality care possible to our members,” said Mike Ramseier, regional president.

For 2023, NCQA analyzed nearly 1,100 commercial, Medicare, and Medicaid plans, introducing new measures on health equity along with stratifications of race and ethnicity. Kaiser Permanente supports the NCQA changes that align with our dedication to advancing health equity.

Our culture is grounded in helping our members be as healthy as possible and keeping the patients' needs at the forefront of our decisions.

NCQA is a private, nonprofit organization that works to improve health care quality. NCQA ratings are based on a number of measures that assess how each plan performs when it comes to prevention and equity, treatment, and the patient experience.

“The NCQA ratings illustrate the commitment of our highly skilled physicians and care teams working together across specialties to ensure high-quality, personalized care for our patients,” said Jeff Krawcek, MD, president and executive medical director. 

In October 2023, Kaiser Permanente’s Medicare plans also earned 4.5 out of 5 stars in the Centers for Medicare & Medicaid Services’ 2024 annual Star Ratings, which is considered an above-average rating. The CMS rating prompted U.S. News & World Report, the global authority in health care rankings and consumer advice, to name Kaiser Permanente in Colorado to its 2024 Best Insurance Companies for Medicare Advantage list.

The list identifies private insurance companies that offer highly rated plans to seniors. Companies were recognized if their Medicare Advantage plans received an average rating of 4.5 stars or higher, with none rated below 3.0, across all plans within a state.

The U.S. News & World Report rating highlights companies that are among the best nationally in:

  • Overall coverage
  • Low premium plans
  • Member experience
  • Prescription drug coverage

U.S. News analyzed data from CMS to populate its comparison tool and identify the Best Insurance Companies for Medicare Advantage plans. CMS rates individual plans on a scale of 1 to 5 stars. The U.S. News methodology analyzes insurers in a given state with plans rated 3 stars or higher by CMS.

High-quality, convenient care our members deserve

Amie Baca-Oehlert, a member for 25 years and president of the Colorado Education Association that represents over 39,000 educators across the state of Colorado, believes the convenience and high-quality care that Kaiser Permanente offers is beneficial. “As a working mom and someone who leads a very busy life, the convenience of access to Kaiser Permanente has been tremendous,” Baca-Oehlert said. “And so, if someone were asking me about joining Kaiser Permanente, I would say absolutely.” 

Learn more about NCQA’s ratings and methodology and the other awards and recognition we repeatedly earn for being a great place to get care.