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The plan also achieved a 91%-member satisfaction rating for 2023, according to the Centers for Medicare & Medicaid Services (CMS). It is the fifth year in a row that SCAN has scored 90% or higher. Overall, SCAN's California CMS Star rating announced by CMS in October 2023 reflected a decline to 3.5 from 4.5 stars.
For Medicare Advantage plans, ratings are based on these factors: Member experience. Customer service. Plan performance. Support of chronic conditions. Resources to help promote good health ...
The star rating is designed to help you select the best Part C or Part D plan for you. It’s also used to internally evaluate the performance of plans that contract with Medicare.
NCQA's web site includes a summary of HEDIS results by health plan. NCQA also collaborates annually with U.S. News & World Report to rank HMOs using an index that combines many HEDIS measures and accreditation status. The "Best Health Plans" list is published in the magazine in October and is available on the magazine's web site.
Medicare Advantage (Medicare Part C, MA) is a type of health plan offered by private companies which was established by the Balanced Budget Act (BBA) in 1997. This created a private insurance option that wraps around traditional Medicare .
CMS lowered the rating of the contract with Humana to 3.5 from 4.5 in 2024, and the individual ratings of its hundreds of plans have also decreased. Humana has had a reputation for being among the ...
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