ACHP Member Companies Excel in Quality Across Medicare, Medicaid, and Commercial Coverage
The Alliance of Community Health Plans (ACHP) member companies have received top marks for quality across multiple coverage areas. The latest CMS Star Ratings show ACHP members earned an average rating of 4.23 Stars compared to non-ACHP carriers at 3.96, with over 87% in plans rated four stars or higher. Peak Health and Kaiser Permanente were among the few nationwide earning five stars for their Medicare Advantage (MA) performance. In addition to strong CMS results, ACHP members also excelled in NCQA ratings across commercial, Medicaid, and Medicare coverage. Five member companies earned 13 of the nation's top 18 five-star contracts from NCQA. Member plans outperformed non-ACHP carriers on a majority of quality measures including prenatal care, diabetes eye exams, adult immunizations, chronic disease management, and post-hospital follow-up. The ACHP emphasizes that its member companies focus on community-based partnerships between health plans and clinicians to improve patient outcomes. The organization is also advocating for policy reforms like the MA STARS Act to modernize quality ratings systems.
Topics: ACHP Member Plans Medicare Advantage NCQA Health Plan Ratings Star Ratings