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Medicare Advantage Quality

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  • 17 Jan 2017
  • Awards & Achievements
  • Arch Health

Arch Health Partners Honored for Providing High-Quality Care to Medicare Advantage Patients

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Integrated Healthcare Association’s Medicare Advantage Stars
Recognize High-Performing California Physician Organizations
Poway, Calif.— Arch Health Partners was recognized today for providing high-quality care to Medicare Advantage patients by the Integrated Healthcare Association (IHA), a statewide nonprofit group committed to high-value, integrated care that improves quality and affordability for patients across California and the nation.
Building on the Medicare Advantage (MA) star rating system for health plans, IHA uses a subset of 13 clinical quality measures to collect performance data and assign star ratings to 186 physician organizations based on how well they provided recommended care in 2015 to more than 2 million California seniors and people with disabilities enrolled in MA health maintenance organizations (HMOs).
Clinical quality measures used to calculate the star ratings range from rates of breast and colorectal cancer screenings to eye exams and blood sugar control for patients with diabetes to managing osteoporosis in women with a previous fracture. Collecting these measures at the physician organization level allows IHA to combine data from the six participating health plans to identify performance variations that can help plans and POs target quality improvement efforts.
Each year, IHA recognizes physician organizations that achieve a 4.5- or 5-star rating. Arch Health Partners attained a 4.5 star rating for 2016-17, which reflects care provided to MA patients in 2015.
“We are committed to performance measurement and quality improvement, and we are proud to be recognized for the high-quality care we provide to our Medicare Advantage patients,” said Arch Health Partners CEO Deanna Kryimis.
“Through Medicare Advantage Stars quality measurement, we recognize physician organizations that are committed to providing integrated care that helps make sure their patients get important recommended care,” said IHA President and CEO Jeffrey Rideout, M.D. “We believe California is the only state in the country providing overall MA star quality ratings at the physician organization level, and we applaud all California physician organizations for leading the way in making health care quality more transparent.”
Along with recognizing high-performing physician organizations, IHA partners with the California Office of the Patient Advocate (OPA) to use the physician organization star ratings to report publicly on the quality of care for people enrolled in MA plans. The 2016-17 edition of the OPA Medical Group Medicare Report Card was also released today. An IHA fact sheet has more information on the Medicare Advantage 5-Star Rating System for California Physician Organizations.

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