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HealthMetrix Research Selects 2016 Medicare Advantage Plans for Exceptional Benefit Value & Overall Performance


News provided by

HealthMetrix Research Inc.

Oct 15, 2015, 02:00 ET

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COLUMBUS, Ohio, Oct. 15, 2015 /PRNewswire/ -- Medicare Advantage plans in over 90 cities will be recognized for exceptional value in the design of their medical and Part D prescription drug benefits available for 2016 Medicare plan enrollees.  The 2016 Senior Choice Gold Award recipients were selected from Medicare Advantage plans across 46 states based on independent cost-sharing comparisons conducted by HealthMetrix Research Inc. and MedicareNewsWatch.com.  The 2016 Senior Choice Gold Award selections include special recognition for plans achieving at least 4-star overall ratings for quality and performance as reported by the Centers for Medicare & Medicaid Services (CMS). 

According to HealthMetrix Research Inc. president Alan Mittermaier:

"This award is unique by considering both forward-looking independent cost-sharing comparisons along with the recently announced quality and performance ratings.  Each award recipient has demonstrated a commitment to excellence in the design of their 2016 Medicare plan benefits, copayments, deductibles and premiums including the Part D prescription drug benefits.  Over 50% of the award recipients also achieved at least 4-star CMS overall ratings for exceptional performance that sets a higher bar for all Medicare Advantage competitors.  HealthMetrix Research commends these organizations for this distinctive dual recognition."           

The award criteria were based on 2016 benefits and cost-sharing approved by Medicare for the selected plans.  Estimated annual out-of-pocket costs consider beneficiaries' health status (healthy, episodic, chronic) and utilization of the most common health plan benefits (physician office visits, emergency care, hospital care, home health visits, prevention care, prescriptions).  HealthMetrix Research cost-sharing comparisons are available at www.MedicareNewsWatch.com.  HealthMetrix Research neither recommends nor endorses specific Medicare plans.

2016 Senior Choice Gold Award Recipients


Medicare Advantage plans receive overall ratings annually on a 1 to 5 Star scale; 
5 Stars = excellent performance, 1 Star = poor performance.  A minimum 3 Star
rating is required for selection except for plans too new to be rated for 2016.


East

* Past year Senior Choice Gold Award recipient

 

Albany

   Fidelis Care (4 Star)

Baltimore

   Kaiser Permanente* (5 Star)

Boston

   Tufts Health (5 Star)

Bradenton 

   Humana* (4 Star)

Buffalo

   Independent Health* (4.5 Star)

Burlington VT

   MVP  (4.5 Star)

Charleston WV

   Coventry Health Care*

Charlotte NC

   Aetna* (4.5 Star)

Columbia SC

   America's 1st Choice*

Concord NH

   Harvard Pilgrim*

Fort Lauderdale

   Preferred Care Partners*

Fort Myers

   Freedom Health* (4 Star)

Harrisburg

   Aetna* (4 Star)

Hartford

   Aetna (4 Star)

Jacksonville

   Humana (4 Star)

Miami

   WellCare

New Jersey (Bergen, Somerset, Union)
                     (Essex, Hudson, Passaic)

   CarePoint/Clover Health*

New York City (Westchester)
(Bronx, Kings, Manhattan, Queens, Staten Island)

                        (Nassau)

   Affinity
   Amida Care
   Liberty Health Advantage

Orlando

   CarePlus (4.5 Star)

Pensacola

   Humana* (4 Star)

Philadelphia

   Independence Blue Cross (4.5 Star)

Pittsburgh

   Highmark (4.5 Star)

Portland ME

   Martin's Point* (5 Star)

Providence

   Blue Cross Blue Shield* (4 Star)

Raleigh

   Aetna* (4 Star)

Richmond

   Anthem* (4.5 Star)

Rochester

   MVP (4.5 Star) 

San Juan, PR

   PMC Medicare Choice (4 Star)

Sarasota

   Optimum Healthcare (4 Star)

Syracuse

   Aetna* (4.5 Star)

Tallahassee

   WellCare

Tampa-St. Petersburg

   Optimum Healthcare

Washington, DC

   Kaiser Permanente* (5 Star)

West Palm Beach

   Preferred Care Partners

Wilmington DE

   Cigna HealthSpring*



 

Midwest

 

* Past year Senior Choice Gold Award recipient

Baton Rouge

   Humana* (4.5 Star)

Chattanooga

   Clear River

Chicago

   Humana* (4 Star)

Cincinnati

   RiverLink Health

Cleveland

   HealthSpan (4 Star)

Columbus

   MediGold* (4.5 Star)

Dayton

   MediGold* (4.5 Star)

Davenport-Bettendorf-Moline-
Rock Island (Quad Cities)

   Meridian Health Plan*

Des Moines

   Harvest Plains Health

Detroit

   Meridian Health Plan*

Fort Wayne

   Anthem

Grand Rapids

   Meridian Health Plan*

Indianapolis

   Anthem

Jackson MS

   Cigna HealthSpring* (4 Star)

Kansas City

   Coventry Health Care (4.5 Star)

Knoxville

   United Healthcare (4.5 Star)

Lansing

   HealthPlus (4.5 Star)

Little Rock

   QualChoice

Louisville

   Humana (4 Star)

Memphis

   WellCare

Minneapolis-St. Paul

   HealthPartners* (5 Star) 

Nashville

   WellCare

New Orleans

   HMO Louisiana

Oklahoma City

   Coventry Health Care (4 Star)

Omaha

   Heartland Plains Health

Peoria

   Humana* (4 Star)

St. Louis

   Essence Healthcare* (5 Star)

Toledo

   Meridian Health Plan

Wichita

   Coventry Health Care*



West

* Past year Senior Choice Gold Award recipient

Albuquerque

   Blue Cross Blue Shield*

Austin

   Amerigroup* (4 Star)

Bakersfield

   Brand New Day

Billings

   Blue Cross*

Boise

   Humana (4 Star)

Colorado Springs

   Kaiser Permanente* (5 Star)

Denver

   Kaiser Permanente  (5 Star)

El Paso

   Care1st*

Fresno

   Care1st*

Honolulu

   Humana* (4 Star)

Houston

   Cigna HealthSpring (4 Star)

Las Vegas

   Health Plan Nevada (4 Star)

Los Angeles (Los Angeles & Orange)

                     (Riverside & San Bernardino)

                     (Ventura)

   Humana (4 Star)
   Alignment Health*
   Central Health Plan

Modesto

   Alignment Health*

Oakland

   Easy Choice

Phoenix

   United Healthcare (4.5 Star)

Portland

   Regence Blue Cross Blue Shield

Sacramento

   Anthem

Salt Lake City

   Aetna (4.5 Star)

San Antonio

   Aetna

San Diego

   Care1st*

San Francisco

   Care1st*

San Jose

   Alignment Health*

Seattle

   Amerigroup*

Stockton

   Alignment Health*

Tucson

   CareMore*

www.MedicareNewsWatch.com

Contact:   Alan Mittermaier, President - HealthMetrix Research Inc.  614-236-8345      

SOURCE HealthMetrix Research Inc.

Related Links

http://www.medicarenewswatch.com

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