Medicare Plan Ratings 2019
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November 1, 2018

CMS and NCQA Rate Medical Associates Medicare Plans Among Nation’s Best

Dubuque, Iowa – Medical Associates Health Plans received the highest marks in both the Centers for Medicare & Medicaid Services’ (CMS) annual star quality ratings and the National Committee for Quality Assurance (NCQA) Health Plan Ratings, and is again one of the nation’s elite when it comes to providing care and service to its Medicare members.

According to the Centers for Medicare & Medicaid Services’ 2019 Star Quality Ratings, Medical Associates Medicare plans in Iowa and Illinois received 5 out of five (5) stars for overall quality and service, CMS’ highest rating. Medical Associates Wisconsin Medicare plan earned 4.5 out of five (5) stars, CMS’ second-highest rating.

For eight consecutive years (2012-19), Medical Associates Medicare health plans have been rated 4.5 stars or higher. For 2019, CMS rated nearly 400 health plans (with Part C), and Medical Associates is the only 5-star plan in Iowa and Illinois. Only five other medical plans in the nation received 5 stars!

Star ratings make choices easier
CMS developed the Medicare Star Quality Ratings to help beneficiaries compare plans and identify those who consistently deliver high quality care and service. The overall star rating combines scores for the types of services each plan offers. For plans covering health services, the overall score for quality of those services covers many different topics that fall into five categories: staying healthy, managing chronic (long term) conditions, member experience with the health plan, member complaints and changes in the health plan’s performance, and health plan customer service. A 5-star Medicare plan is identified by CMS as providing high quality and value for Medicare beneficiaries. Every year, Medicare evaluates plans based on a 5-star rating system. 

The 5-star Medicare rating is a reflection of Medical Associates Health Plans’ long time commitment to its members and to the community. Members have convenient access to local customer service, quality improvement, disease management, claims processing, and a 24-hour nurse phone line.

“Earning consistently high scores in the CMS star ratings is a tremendous achievement and demonstrates our success in keeping our senior members healthy and active,” stated John Tallent, Chief Executive Officer of Medical Associates Clinic & Health Plans. “We work diligently to provide high-quality, patient-centered care that is consistent with the highest nationally accepted standards.”

In addition to Medical Associates’ high ratings by CMS, the National Committee for Quality Assurance (NCQA), rated Medical Associates Iowa/Illinois plan 5 out 5, the highest rating, and our Wisconsin plan 4.5 out of 5. According to the NCQA Health Insurance Plan Ratings 2018-2019 report, out of 418 Medicare plans studied, there are only eight plans in the country that received the highest rating.

NCQA’s Health Insurance Plan Ratings 2018–2019 compare the quality and services health plans in the United States and provide consumers with a practical and meaningful guide to understanding their health care options and choosing the best health plans for themselves and their families.

About Medical Associates Health Plans
Established in 1982, Medical Associates was the Tri-State’s first health maintenance organization. Today, we offer comprehensive health benefits to over 400 employers and nearly 42,000 members and are consistently rated as one of the best health plans in Iowa. The Medical Associates Medicare plan enrolls over 15,000 Medicare members residing in Iowa, Wisconsin, and Illinois, and is one of only a handful of medical plans nationwide to consistently receive 4.5-5 stars from the Centers for Medicare and Medicaid Services (CMS). It is our mission to provide superior healthcare and an excellent patient experience.