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
