HONOLULU — Kaiser Permanente Hawaii earned the highest rating of 5 out of 5 stars for its 2017–2018 Medicare program by the Centers for Medicare & Medicaid Services. Kaiser Permanente has been recognized with a 5-star rating six times since 2012, and is the only 2018 plan in Hawaii to receive the highest overall score.
The Medicare star quality rating for 2018 is based on plans’ performance in up to 45 care and service quality measures across nine categories. CMS assigns a rating to individual Medicare health plans ranging from 1 (lowest) to 5 (highest) stars based on measures related to staying healthy, managing chronic conditions, member experience, customer service and pharmacy services. Five-star plans can participate in a Special Enrollment Period and continue to enroll individual (direct pay) Medicare members between the annual enrollment window, from Dec. 8, 2017, to Nov. 30, 2018.
“Our integrated model allows us to provide coordinated and patient-center care, delivering better outcomes and a positive patient experience,” said Linda Puu, RN, vice president, Quality, Safety and Care Experience, Kaiser Permanente Hawaii. “Our staff and physicians work as a team to provide exceptional care that helps Hawaii’s seniors stay healthy.”
The CMS star ratings follows a recent recognition by the National Committee for Quality Assurance, a leading health care quality assurance organization. Earlier this year, the NCQA Health Insurance Plan Ratings 2017–2018 awarded Kaiser Permanente’s Medicare plan a rating of 5 out of 5, the highest rating in the state.
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 Hawaii has a mission to provide high-quality, affordable health care services and to improve the health of our members and the communities we serve. 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 Hawaii is dedicated to care innovations, clinical research, health education, community health, and providing patient-centered total health for the people and communities of Hawaii.