We use cookies to understand how you use our site and to improve your experience. This includes personalizing content and advertising. To learn more, click here. By continuing to use our site, you accept our use of cookies, revised Privacy Policy and Terms of Service.
You are being directed to ZacksTrade, a division of LBMZ Securities and licensed broker-dealer. ZacksTrade and Zacks.com are separate companies. The web link between the two companies is not a solicitation or offer to invest in a particular security or type of security. ZacksTrade does not endorse or adopt any particular investment strategy, any analyst opinion/rating/report or any approach to evaluating individual securities.
If you wish to go to ZacksTrade, click OK. If you do not, click Cancel.
Anthem Gets High Medicare Star Quality Ratings from CMS
Read MoreHide Full Article
Anthem Inc. recently announced that it has received high Medicare Star Quality Ratings from the Centers for Medicare & Medicaid Services (“CMS”). The ratings have been assigned for the insurer’s Medicare Advantage (MA) plans for 2017.
The superior ratings from CMS acknowledge the company’s continued investments to strengthen its Medicare program. The ratings take into account that approximately 51% of Anthem’s MA members will be enrolled in plans with four stars or higher for 2017 as against 22% members enrolled in such plans in 2016.
Anthem regularly undertakes initiatives to improve the quality and reach of its MA plans. The frequent restructuring of its product portfolio to meet the changing health insurance demands of customers is also notable. Anthem’s prioritization on continuous reframing of its MA plans has not only helped it to retain its existing customers but also has paved the way to achieve a bigger market share.
In order to deliver high quality services to its customers, Anthem has been investing in its MA programs. Moreover, the company has working to broaden its product portfolio, expand its services area, increase the number of staffs involved in practicing the local health plan and strengthen provider and member engagement.
Anthem believes that its efforts have been correctly identified by CMS as is evidenced by the aforesaid star quality ratings. We expect these ratings to further motivate Anthem to continue delivering services to ensure complete customer satisfaction.
CMS’ Medicare Star Rating system is based on two parameters – quality and performance of the concerned business segment. Hence, MA plans are rated on the basis of their ability to help members stay healthy, the extent to which they assist members in managing chronic diseases, their ability to ensure positive member experiences and member satisfaction as well as their capability of providing effective customer service.
On the other hand, Medicare Prescription Drug plans are rated on their performance on drug plan customer service, the frequency and extent of member complaints, member experience with drug plan and the safety assured by the drug. A scale of one to five stars (with five being the best) is used for the calculation of star ratings.
Aetna Inc. too has received high Medicare Star Quality Ratings for its Medicare Advantage Prescription Drug (MAPD) plans for 2017 from the CMS. This upgrade reflected Aetna’s increased member base in plans with a star rating of four or higher than 91%, representing a 4 percentage point increase from last year.
Humana Inc. (HUM - Free Report) , however, witnessed a downgrade in the CMS star quality ratings for 2018. This is because Humana’s membership in four-star or higher rated plans as of Jul 31, 2016 has declined to 37% from the year-ago level of 78%.
Cigna Corp. (CI - Free Report) has also received star quality ratings from CMS as approximately 20% of MA customers were in a four stars or higher rated plan. However, it is unlikely to have any financial impact in 2016 or 2017 as these ratings apply to plans for 2018.
Beyond this Analyst Blog, would you like to see Zacks' best recommendations that are not available to the public? Our Executive VP, Steve Reitmeister, knows when key trades are about to be triggered and which of our experts has the hottest hand. Click to see them now>>
See More Zacks Research for These Tickers
Normally $25 each - click below to receive one report FREE:
Image: Bigstock
Anthem Gets High Medicare Star Quality Ratings from CMS
Anthem Inc. recently announced that it has received high Medicare Star Quality Ratings from the Centers for Medicare & Medicaid Services (“CMS”). The ratings have been assigned for the insurer’s Medicare Advantage (MA) plans for 2017.
The superior ratings from CMS acknowledge the company’s continued investments to strengthen its Medicare program. The ratings take into account that approximately 51% of Anthem’s MA members will be enrolled in plans with four stars or higher for 2017 as against 22% members enrolled in such plans in 2016.
Anthem regularly undertakes initiatives to improve the quality and reach of its MA plans. The frequent restructuring of its product portfolio to meet the changing health insurance demands of customers is also notable. Anthem’s prioritization on continuous reframing of its MA plans has not only helped it to retain its existing customers but also has paved the way to achieve a bigger market share.
In order to deliver high quality services to its customers, Anthem has been investing in its MA programs. Moreover, the company has working to broaden its product portfolio, expand its services area, increase the number of staffs involved in practicing the local health plan and strengthen provider and member engagement.
Anthem believes that its efforts have been correctly identified by CMS as is evidenced by the aforesaid star quality ratings. We expect these ratings to further motivate Anthem to continue delivering services to ensure complete customer satisfaction.
ANTHEM INC Price
ANTHEM INC Price | ANTHEM INC Quote
CMS’ Medicare Star Rating system is based on two parameters – quality and performance of the concerned business segment. Hence, MA plans are rated on the basis of their ability to help members stay healthy, the extent to which they assist members in managing chronic diseases, their ability to ensure positive member experiences and member satisfaction as well as their capability of providing effective customer service.
On the other hand, Medicare Prescription Drug plans are rated on their performance on drug plan customer service, the frequency and extent of member complaints, member experience with drug plan and the safety assured by the drug. A scale of one to five stars (with five being the best) is used for the calculation of star ratings.
Aetna Inc. too has received high Medicare Star Quality Ratings for its Medicare Advantage Prescription Drug (MAPD) plans for 2017 from the CMS. This upgrade reflected Aetna’s increased member base in plans with a star rating of four or higher than 91%, representing a 4 percentage point increase from last year.
Humana Inc. (HUM - Free Report) , however, witnessed a downgrade in the CMS star quality ratings for 2018. This is because Humana’s membership in four-star or higher rated plans as of Jul 31, 2016 has declined to 37% from the year-ago level of 78%.
Cigna Corp. (CI - Free Report) has also received star quality ratings from CMS as approximately 20% of MA customers were in a four stars or higher rated plan. However, it is unlikely to have any financial impact in 2016 or 2017 as these ratings apply to plans for 2018.
Anthem presently carries a Zacks Rank #4 (Sell). You can see the complete list of today’s Zacks #1 Rank (Strong Buy) stocks here.
Confidential from Zacks
Beyond this Analyst Blog, would you like to see Zacks' best recommendations that are not available to the public? Our Executive VP, Steve Reitmeister, knows when key trades are about to be triggered and which of our experts has the hottest hand. Click to see them now>>