On Oct. 13, the Centers for Medicare & Medicaid Services (CMS) released UnitedHealthcare’s 2024 Star Ratings plan year performance for Medicare Advantage plans (including individual, Group Retiree and Dual Special Needs Plans) and Prescription Drug Plans(Part D).
As an agent, what does this mean?
At UnitedHealthcare, the long-term commitment to quality means providing the people they serve with the highest quality benefits, access to care and experience. They continue to have more people in 4 and 4.5-star plans or higher than any other carrier in the industry and over half of members are in a 4.5-star plan or higher. For 2024 Star Year Ratings 79% of our Medicare Advantage members are in 4-star plans or higher.
Approximately 7.3 million of their Medicare Advantage members (or 79% of their total membership) will be in 4-star plans or higher for Contract Year 2024/Star Year 2024. This is more people than any other carrier in the industry. UnitedHealthcare has now led the industry in members in 4+ star plans for 8 years.
These results reflect advancements in their core star performance and remain consistent with long-term planning expectations. While these results may differ from previous years, it is important to note they reflect expected movements from our prior year Star Ratings due to CMS policy and performance calculation changes to the stars program, which increased the threshold for the 4-star rating, with industry average at 71%.
Their focus remains on providing the highest quality care, benefits and experience to help members live their healthiest life. They achieve this through industry-leading value-based care partnerships, personalized member service and care coordination, and innovative customer solutions.
As UHC looks toward 2024, they will continue to focus on innovating and investing in activities that help members use their benefits and access care and medications to improve health outcomes. They will work with providers, pharmacies and other partners to align incentives and create solutions that improve the patient experience, reduce provider burden and continue transforming the health system to better serve members.
Star Ratings will come up in conversations with consumers this Annual Enrollment Period (AEP). Please refer to the Star Ratings Agent FAQ for answers to commonly asked questions you may receive from consumers. You can find it at: Jarvis> Knowledge Center > Learning Lab > Content Library > Star Ratings.
Star Ratings are published by the Centers for Medicare & Medicaid Services (CMS). Access the new Ratings on the Medicare.gov website
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