HONOLULU — Kaiser Permanente Hawaii has received 5 out of 5 stars from the Centers for Medicare & Medicaid Services for its 2020 Medicare health plan. Kaiser Permanente is the only Medicare plan in Hawaii and one of just 20 in the nation to receive 5 stars this year from CMS, a federal agency and division of the U.S. Department of Health and Human Services.
In addition, Kaiser Permanente’s Medicare health plans are among the highest rated in every region it serves. Kaiser Permanente provides care to nearly 1.7 million Medicare members in 8 states and the District of Columbia.
The Medicare Star Quality Ratings for 2020 are based on plans’ performance in measures related to staying healthy, managing chronic conditions, member experience, customer service, and pharmacy services. CMS, the agency that oversees Medicare administration, assigns a rating to individual Medicare health plans ranging from 1 (lowest) to 5 (highest) stars to provide beneficiaries with a way to assess Medicare plans.
“We’re proud to be recognized as the leading Medicare plan in Hawaii for providing the highest quality care and service to our kupuna members,” said Linda Puu, vice president of Quality, Safety and Care Experience at Kaiser Permanente Hawaii, using the Hawaiian word for “elders.” “Our integrated model of care, which is centered on patients, includes measures like preventive care and management of chronic conditions to improve the health of our members.”
Medicare health plans that earn 5 out of 5 stars can participate in a 5-star special election period and continue to enroll new individual Medicare members from December 8 through November 30 of the following year. Beneficiaries who want to change from their current Medicare health plan to a 5-star plan may switch once per plan year during the 5-star special election period.
Data for the Medicare star quality rating is drawn from the Healthcare Effectiveness Data and Information Set (or HEDIS), the Consumer Assessment of Healthcare Providers and Systems (or CAHPS), Health Outcomes Survey, and CMS administrative data from audits, complaints, and “secret shopping.” For more information about the CMS star ratings, visit medicare.gov. To learn more about the star ratings and see Kaiser Permanente’s ratings by region, visit kp.org/medicarestars.
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 Hawaii in 1958, Kaiser Permanente has a mission to provide high-quality, affordable health care services and to improve the health of our members and the communities we serve. We currently serve 12.3 million members in eight states and the District of Columbia. Care for members and patients is focused on their total health and guided by their personal Permanente Medical Group 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.