DETROIT, Dec. 1, 2010 /PRNewswire-USNewswire/ -- Health Alliance Plan (HAP) has received the highest star ratings in Michigan for all three Medicare Advantage products from the Centers for Medicare and Medicaid Services (CMS).
The five-star rating system is used by CMS to monitor plans to ensure that they meet Medicare's standards for quality of care and customer service. The ratings provide Medicare beneficiaries with a tool to compare Medicare Advantage plans.
The star ratings are currently based on criteria that show how well the plan performs in a number of categories, including member satisfaction, customer responsiveness and service, and actual quality of care such as how often members get recommended preventive services and chronic disease management.
The rating system adopted in the Health Care Reform legislation continues the use of a five-star rating system by CMS to assist beneficiaries in making the "best choice" when selecting a plan during the annual election period. Beginning in 2012 payments to plans will also be affected by their Star ratings. Star ratings range from 1 star to 5 stars, where a rating of 1 star means "poor" quality, 2 stars means "below average" quality, 3 stars means "average" quality, 4 stars means "above average" quality and 5 stars means "excellent" quality. The ratings appear on the Medicare Web site at www.medicare.gov/find-a-plan.
Only three plans in the nation received a 5 Star rating, and none in Michigan. HAP's Medicare Advantage plans received the following star ratings:
HAP Senior Plus – Henry Ford (HMO)
HAP Senior Plus – Expanded Network (HMO-POS)
Alliance Medicare PPO (HAP)
"Our top-notch team of professionals strive every day to ensure the HAP Medicare Advantage Plans provide caring, responsive customer service, help members receive preventive services and help ensure high quality of care," said Karen Wintringham, HAP vice president, Medicare Programs.
Important information for Medicare beneficiaries
The Medicare Annual Enrollment Period runs from November 15 through December 31, 2010. Coverage for individuals who enroll during this period begins January 1, 2011. Now is the time for Medicare beneficiaries who do not receive coverage through an employer to review their current medical and prescription drug coverage for 2011. Those who have health benefits from an employer group plan should ask the company or union for advice before signing up for any plan.
About Health Alliance Plan (www.hap.org/medicare)
Health Alliance Plan (HAP) is a Michigan-based, nonprofit health plan that serves more than 50,000 Medicare beneficiaries enrolled in HAP Senior Plus (HMO), HAP Senior Plus (HMO-POS), Alliance Medicare PPO, Alliance Medicare Supplement, Alliance Medicare Rx (PDP), and employer-sponsored health plans. HAP partners with leading physicians and hospitals, employers and community organizations to improve the quality of health care and enhance the health and well-being of the lives we touch. HAP offers award-winning preventive services, disease management, wellness programs and customer service. The National Committee for Quality Assurance awarded HAP's commercial HMO and HAP Senior Plus Excellent Accreditation. Health Alliance Plan members rated HAP "Highest in Member Satisfaction Among Commercial Health Plans in Michigan, Three Years in a Row" in the J.D. Power and Associates 2010 Member Health Insurance Plan Study(SM). For more information on this ranking visit: www.hap.org/jdpower.
SOURCE Health Alliance Plan