![]() “PHP Medicare is set apart from other Medicare Advantage plans through our strong focus on physician engagement throughout our clinically integrated networks,” said PHP Chief Medical Officer Peter Graham, M.D. While PHP Medicare is entering its fourth plan year in 2023, it has been eligible to receive a CMS Star Rating for the last two years, achieving 4.5 stars each time. An excellent Star Rating of 5 stars reflects the support PHP Medicare provides its member to access important health screenings like mammography and care of chronic diseases like diabetes. Of note, PHP Medicare earned 5 stars for both breast cancer screening and diabetes care for blood sugar control. Of the 36 clinical measures reviewed, PHP achieved 4 or 5 stars in 26 of the measures. This is evaluated through clinical outcomes. In addition to member experience, CMS evaluates the quality of care provided by the health plan. In fact, of those who enroll in a PHP Medicare plan, 93% stay with the plan (CMS 2021 disenrollment data, August 2021). PHP Medicare was awarded 5 stars for customer service for both health plan and drug plan customer service. Member experience with PHP Medicare was awarded 4 stars. A member’s evaluation of their plan now has twice the weight in the overall Star Rating than it did in previous years. CMS now places a higher value on the member experience in the Star Ratings. One of the more significant changes is in member experience. All Medicare beneficiaries can view and compare CMS Star Rating information at .ĬMS made several changes between the 2022 and the 2023 Star Ratings. ![]() In addition, The Star Ratings measure outcomes, patient experience, and access to care.Įach year, Star Ratings are released to help Medicare beneficiaries make informed healthcare decisions while researching options during the Medicare open enrollment period, which begins on Oct. The Star Ratings focus on person centered care, safety, affordability, wellness, and other meaningful care measures. The CMS Star Rating system is designed to help consumers research and compare Medicare health and drug plans, with Star Ratings ranging from a low of 1 to a high of 5. ![]() ![]() The rating means members enrolled in PHP Medicare Advantage plans - PHP Advantage, Sparrow Advantage, Covenant Advantage, and University of Michigan Health Advantage - have access to high quality Medicare Advantage plans offered by a locally-owned, community-based health plan. Physicians Health Plan (PHP) announced today it’s earned a Medicare quality rating of 4.5 Stars (out of 5) from the Centers for Medicare & Medicaid Services (CMS). ![]()
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