Aetna achieves an overall average rating of 4.0 stars across all Medicare Advantage plans
79% of Aetna and Coventry Medicare Advantage members are currently in plans rated 4.0 overall stars or higher
HARTFORD, Conn. — Aetna, one of the nation’s leading diversified health care benefits companies, has achieved high 2015 Medicare Star Quality Ratings for its Medicare Advantage (MA) plans.
In the most recent star ratings from the Centers for Medicare & Medicaid Services (CMS), Aetna (including Coventry plans) achieved an overall average rating of 4 stars across its Medicare Advantage plans. Aetna has increased the number of members enrolled in plans with 4 or more stars to more than 79 percent, representing a 17 percent increase from last year.
"Aetna's strong Medicare star ratings reflect our commitment to focusing on our members and working with our providers to help our members achieve their best health," said Nancy Cocozza, president of Aetna's Medicare business. "Aetna is committed to further improving our star rating in all geographies, and we will continue collaborating with providers to create even more value for our members by improving care, quality and patient satisfaction, while reducing costs."
Aetna serves nearly 3.2 million Medicare members nationwide through a robust portfolio of MA plans, Medicare prescription drug plans and Medicare Supplement plans. In addition to achieving an average rating of 4 stars, several of Aetna's MA plans have higher star ratings than last year. Key highlights:
Coventry Health Care, an Aetna company, is offering seven MA plans that achieved a rating of 4.5 stars in Illinois, Iowa, Kansas, Missouri and Pennsylvania;
Aetna and Coventry combined have 19 MA plans available across multiple states with a rating of 4.0 stars or greater; and
All Aetna MA members are in a plan that has at least 3.0 stars, while 99.8 percent are in a plan with a rating of 3.5 stars and above.
Aetna MA plans are available to Medicare beneficiaries for selection during the Medicare Annual Open Enrollment period, which started on October 15 and runs through December 7, and will take effect on January 1, 2015.
CMS's Medicare Star Rating System ranks the performance and quality of Medicare plans to help beneficiaries and their families compare plans in their area. Star ratings are calculated each year using a scale of one to five stars (with five being the best), and may change from one year to the next, depending on how the plan performs.
Medicare health plans are rated on how well they perform on five different categories: members staying healthy; managing chronic conditions of members; member experience with the health plan; member complaints; and health plan customer service. The 2015 ratings are the basis for revenue bonus payments in 2016.
The star ratings are posted at www.medicare.gov. For more information about Aetna's 2015 Medicare offerings, visit www.aetnamedicare.com or call us toll-free at 1-888-247-1028 (TTY: 711). Hours are from 8 a.m. to 8 p.m., local time, seven days a week. For more information about Coventry's 2015 Medicare offerings, visit http://coventry-medicare.coventryhealthcare.com/ or call us toll-free at 1-877-988-3589, (TTY: 711). Hours are from 8 a.m. to 8 p.m., local time, seven days a week.
Data in this release is based on 2015 star ratings data published by CMS; enrollment weighted based on CMS 2014 enrollment. CMS evaluates plans based on a five-star rating system. Star ratings are calculated each year and may change from one year to the next.
Aetna is one of the nation’s leading diversified health care benefits companies, serving an estimated 46 million people with information and resources to help them make better informed decisions about their health care. Aetna offers a broad range of traditional, voluntary and consumer-directed health insurance products and related services, including medical, pharmacy, dental, behavioral health, group life and disability plans, and medical management capabilities, Medicaid health care management services, workers’ compensation administrative services and health information technology products and services. Aetna’s customers include employer groups, individuals, college students, part-time and hourly workers, health plans, health care providers, governmental units, government-sponsored plans, labor groups and expatriates. For more information, see www.aetna.com.
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