CMS' 5-star Medicare Advantage plans for 2023

CMS released its 2023 Medicare Advantage plan ratings Oct. 6. This year, 57 Medicare Advantage Part D plans earned five star designation, a decline from 2022, when 74 plans earned the designation. 

The ratings are based on 38 quality measures. Read more about the methodology to determine the ratings here. 

Here are the 57 contracts designated as high-performing by CMS: 

"Big six" payers: 

Aetna and Centene did not have any plans rated 5-stars for 2023. 

Cigna 

Healthspring Life & Health Insurance Company  

  • Enrollment: 228,911

Elevance Health 

Healthsun Health Plans

  •  Enrollment: 53,985

Optimum Healthcare

  •  Enrollment: 56,857

Humana 

Humana Health Plan of Ohio 

  • Enrollment: 8,284

Humana Health Benefit Plan of Louisiana 

  • Enrollment: 196,857

Cariten Health Plan 

  • Enrollment: 152,860 

UnitedHealthcare

KS Plan Administrators 

  • Enrollment: 43,987 

Sierra Health and Life Insurance Company (PPO)

  • Enrollment: 44,001

Sierra Health and Life Insurance Company (PPO) 

  • Enrollment: 1,696,070

Care Improvement Plus South Central Insurance Company (PPO) 

  • Enrollment: 2,079

Care Improvement Plus South Central Insurance Company (New York/ PPO) 

  •  Enrollment: 8,992

People's Health 

  • Enrollment: 89,264

UnitedHealthcare Benefits of Texas

  •  Enrollment: 350,815

Care Improvement Plus South Central Insurance Company (HMO) 

  • Enrollment: 89,116

Sierra Health and Life Insurance Company (HMO) 

  • Enrollment: 5,723

 

Payers with multiple five star plans 

Blue Cross & Blue Shield of Rhode Island 

Blue Cross & Blue Shield of Rhode Island (PPO) 

  • Enrollment: 10,470 

Blue Cross & Blue Shield of Rhode Island (HMO) 

  • Enrollment: 56,341

Capital District Physicians Health Plan 

Capital District Physicians Health Plan 

  • Enrollment: 43,497

CDPHP Universal Benefits 

  • Enrollment: 8,617

Highmark 

Highmark Senior Health Company 

  • Enrollment: 185,355

Highmark Choice Company 

  • Enrollment: 64,611

Highmark Senior Solutions Company 

  • Enrollment: 8,905

Highmark Western and Northeastern New York 

  • Enrollment: 23,338

Independent Health Association 

Independent Health Benefits Corp. 

  • Enrollment: 5,691

Independent Health Association

  •  Enrollment: 60,142

Kaiser Permanente 

Kaiser Foundation HP (California) 

  • Enrollment: 1,335,875

Kaiser Foundation HP of Colorado 

  • Enrollment: 113,260

Kaiser Foundation HP of Georgia 

  • Enrollment: 36,895

Kaiser Foundation HP (Hawaii) 

  • Enrollment: 35,305

Kaiser Foundation Health Plan of the Mid-Atlantic States

  •  Enrollment: 109,714

UPMC Health System 

UPMC Health Plan 

  • Enrollment: 153,883

UPMC Health Network 

  • Enrollment: 7,781

University of Wisconsin Hospitals and Clinics 

Quartz Health Plan Corp.

  •  Enrollment: 27,175

Quartz Health Plan MN Corp. 

  • Enrollment: 3,231

 

Other

Alignment Healthcare 

Alignment Health Plan of North Carolina 

  • Enrollment: 1,273

Aultman Health Foundation 

Aultcare Health Insuring Corp. 

  • Enrollment: 14,564

Aware Integrated (Blue Cross Minnesota) 

HMO Minnesota 

  • Enrollment: 8,901

Baylor Scott & White Holdings 

Baylor Scott and White Health Plan 

  • Enrollment: 25,800

BHSH (Beaumont Health Spectrum Health) 

Priority Health 

  • Enrollment: 138,202

BlueCross BlueShield of Tennessee 

BlueCross BlueShield of Tennessee

  •  Enrollment: 138,347

Devoted Health 

Devoted Health Plan of Ohio 

  • Enrollment: 6,985

Essence Group Holdings Corp. (Lumeris) 

Essence Healthcare 

  • Enrollment: 64,129

HealthPartners

HealthPartners 

  • Enrollment: 37,115

Independence Health Group 

Keystone Health Plan 

  • Enrollment: 81,418

Intermountain Healthcare

SelectHealth 

  • Enrollment: 43,380

Lifetime Healthcare

Excellus Health Plan 

  • Enrollment: 94,821

Martin's Point Health Care 

Martin's Point Generations Advantage 

  • Enrollment: 62,324

Medica Holding Company 

Dean Health Plan 

  • Enrollment: 10,457

Medical Mutual of Ohio 

Medical Mutual of Ohio 

  • Enrollment: 9,330

Moses H. Cone Memorial Hospital Corp. 

Care N' Care Insurance Company 

  • Enrollment: 13,944

MVP Health Care 

MVP Health Plan 

  • Enrollment: 28,451

Network Health 

Network Health Insurance Corp.

  •  Enrollment: 69,870

Point32Health 

Tufts Associated Health Maintenance Organization

  • Enrollment: 105,492

Sharp Healthcare

Sharp Health Plan 

  • Enrollment: 10,473

Summa Health 

SummaCare 

  • Enrollment: 22,935

Triton Health Systems 

Viva Health 

  • Enrollment: 52,988

Copyright © 2024 Becker's Healthcare. All Rights Reserved. Privacy Policy. Cookie Policy. Linking and Reprinting Policy.

 

Top 40 articles from the past 6 months