The Medicare star quality rating for 2019 is based on plans’ performance in up to 45 care and service quality measures across 9 categories.
HONOLULU — The Centers for Medicare & Medicaid Services, a federal agency, has rated Kaiser Permanente Hawaii’s 2019 Medicare plan the highest rating of 5 out of 5 stars in its annual Star Ratings program. Kaiser Permanente is the only Medicare plan in Hawaii and one of just 14 in the nation to receive 5 stars this year.
The Medicare star quality rating for 2019 is based on plans’ performance in up to 45 care and service quality measures across 9 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 from January 1 to September 31, in addition to the regular annual enrollment period of October 15 to December 7.
“From the doctor’s office to the pharmacy to member services, our entire staff is dedicated to providing high-quality, integrated care and coverage to help our kupuna members stay healthy as they age,” said Linda Puu, vice president of Quality, Safety and Care Experience. “We’re proud to be recognized as the leading Medicare plan in Hawaii by CMS, which oversees Medicare administration and has the highest standards for measuring quality of care and health plan performance.”
The CMS rating follows a recent accolade given by the National Committee for Quality Assurance, a leading health care quality assurance organization. Earlier this year, the NCQA Medicare Health Insurance Plan Ratings awarded Kaiser Permanente Hawaii’s Medicare plan with a 5 out of 5 score, making it the only 2019 plan in Hawaii and one of just eight plans nationwide to receive the highest rating.
Data for the Medicare star quality rating is drawn from the Healthcare Effectiveness Data and Information Set, the Consumer Assessment of Healthcare Providers and Systems, 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 1945, 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 more than 12.2 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. For more information, go to: kp.org/share.