Aetna’s Stars Are Shining as CMS Announces Medicare Quality Ratings
October 12 2016 - 3:16PM
Business Wire
Aetna Earns High Medicare Star Quality Ratings;
91 Percent of Medicare Advantage Members in 4-Star or Better MAPD
Plans
Aetna (NYSE: AET), one of the nation’s leading health care
benefits companies, once again achieved high Medicare Star Quality
Ratings for its Medicare Advantage Prescription Drug (MAPD) plans
for 2017. Aetna has the highest percentage of Medicare members
enrolled in plans rated 4.0 overall stars among publicly traded
companies*.
“Aetna is extremely proud of our strong Medicare star ratings
which, in an increasingly competitive industry, reflect our
commitment to increasing the number of healthy days for our
members,” said Nancy Cocozza, president of Aetna’s Medicare
business. “We are focused on encouraging our members to work more
closely with their doctors to enhance care coordination and patient
satisfaction, and on improving our members’ overall health care
experience.”
In the most recent star ratings from the Centers for Medicare
& Medicaid Services (CMS), Aetna MAPD plans achieved an overall
enrollment weighted average rating of 4.0 stars for 2017 star
ratings. Aetna has increased the number of members enrolled in
plans with a star rating of 4.0 or higher to 91 percent,
representing a four-percentage point increase from last year.
Key highlights:
- Aetna will offer Individual Medicare
plans in 863 counties across the nation in 2017, and 97 percent of
these counties will have a plan offering rated 4.0 stars or
greater. Aetna serves Medicare beneficiaries nationwide with
Medicare Advantage plans, Medicare prescription drug plans and
Medicare Supplement plans.
- Aetna is expanding to certain counties
in six new states for 2017: Michigan, South Carolina, Tennessee,
Mississippi, Washington and Wisconsin.
- Aetna is entering 134 new counties
nationwide for 2017.
- All 134 new counties will have an Aetna
MAPD plan offering rated 4.0 stars or greater.
The company’s strong 2017 star ratings for its MAPD plans
reflect its commitment to improving member health and experience.
Key highlights:
- Aetna plans averaged over 4.5 stars in
the following individual performance measures: Controlling Blood
Pressure in People with Hypertension, Controlling Blood Sugar in
People with Diabetes, BMI Assessments, Member Complaints, Part D
Appeals Processing & Decisions, Prescription Drug Price
Accuracy and Prospective Member Call Center.
- Aetna plans averaged over 4 stars in
the following individual performance measures: Medication Adherence
for Hypertension, Hospital Readmissions, Members Choosing to Leave
the Plan, Rheumatoid Arthritis Management and Breast Cancer
Screening.
Aetna Medicare Advantage and prescription drug plans are
available to Medicare beneficiaries for selection during the
Medicare Annual Open Enrollment period, which starts on October 15
and runs through December 7. Enrollment becomes effective on
January 1, 2017.
CMS’ Medicare Star Rating System ranks the performance and
quality of Medicare Advantage and Medicare prescription drug plans
to help beneficiaries and their families compare plans. Star
ratings are calculated each year using a scale of one to five stars
(with five being the best), and may change from year to year,
depending on how the plan performs.
Medicare Advantage plans are rated on how well they perform on
five different categories: staying healthy, managing chronic
(long-term) conditions, member experience with the health plan,
member complaints, and health plan customer service. Medicare
Advantage and Medicare prescription drug plans are also rated on
how well they perform on four additional categories: drug plan
customer service, member complaints, member experience with drug
plan and drug safety.
The star ratings are posted at www.medicare.gov. For more
information about Aetna’s 2017 Medicare offerings, visit
www.aetnamedicare.com or call toll-free at 1-888-247-1028 (TTY:
711). For more information about Coventry’s 2017 Medicare
offerings, visit http://coventry-medicare.coventryhealthcare.com/
or call 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.
NOTE: Data in this release is based on 2017 star ratings data
published by CMS on October 12, 2016, and Medicare Advantage and
Medicare prescription drug plan enrollment as of October 2016. CMS
evaluates Medicare Advantage and Medicare prescription drug plans
based on a five-star rating system. Star ratings are calculated
each year and may change from one year to the next.
Aetna Medicare is a PDP, HMO, PPO plan with a Medicare contract.
Our SNPs also have contracts with State Medicaid programs.
Enrollment in our plans depends on contract renewal. See Evidence
of Coverage for a complete description of plan benefits,
exclusions, limitations and conditions of coverage. Plan features
and availability may vary by service area. ©2016 Aetna Inc.
NR_0009_8522
*Includes publicly traded companies with over 250,000 Medicare
Advantage enrollees.
About AetnaAetna is one of the nation's leading
diversified health care benefits companies, serving an estimated
46.3 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 and learn about how Aetna is helping
to build a healthier world. @AetnaNews
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AetnaMedia Contact:Susan G. Millerick,
860-273-0536millericks@aetna.comorInvestor Contact:Joe
Krocheski, 860-273-0896Krosceskij@aetna.com
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