2014 Star ratings are indicators for high-quality Blue Cross Blue Shield of Michigan and Blue Care Network Medicare Advantage plans
Dec. 3, 2013
DETROIT — Blue Cross Blue Shield of Michigan and Blue Care Network’s Medicare Advantage plans were recognized as top-rated plans in Michigan by the U.S. Centers for Medicare & Medicaid Services. BCBSM received an overall 4.0-Star rating out of 5, which is an increase from its 3.5-Star rating for 2013. BCN received an overall 4.5-Star rating for 2014, consistent with its 2013 rating. There was no Medicare Advantage plan in the state of Michigan with higher star ratings than those of BCN Advantage.
Medicare evaluates plans based on a 5-Star rating system. Star Ratings are calculated each year and may change from one year to the next. Star ratings provide an objective method for evaluating health plan quality and performance. This Five-Star Quality Rating System is designed to help consumers, their families, and caregivers compare and select health plans on Medicare.gov/find-a-plan.
“We are proud to have our commitment to our customers honored and affirmed by CMS,” said Betsy Geis, director of medicare government programs for Blue Care Network. “Improving quality leads to better outcomes for Blues members. As we go forward, we will continue to work with providers and members to ensure members received the right care at the right time, and to ensure chronic conditions are well managed, and that members are pleased with the level of service from their health plan and care providers.”
BCBSM and BCN both offer group plans and a range of plans that individuals can purchase on their own. BCBSM offers four individual Medicare Plus BlueSM PPO plans, all of which include Part D drug coverage. It also offers Prescription BlueSM PDP, two stand-alone Part D drug plans. BCN also offers four BCN AdvantageSM HMO-POS plans, one of which is medical only. It also offers BCN Advantage HMO Local, specifically developed for Wayne County and BCN Advantage HMO MyChoice Wellness for Muskegon, Kent and Oceana counties.
Some of the areas Medicare reviews for these ratings include: how members rate plan’s services and care; how network doctors detect illnesses and keep members healthy; how plan helps members use recommended and safe prescription medications.
In an effort to continue to improve patient outcomes and quality of service, BCBSM and BCN are moving toward an outcomes-based partnership with network providers, where payments to doctors and hospitals are partially based on quality and patient outcomes.
Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association. For more information, visit www.bcbsm.com/news and www.mibluesperspectives.com.