(FORT WORTH, Texas – Oct. 17, 2019) — Care N’ Care (HMO/PPO) Health Plan announced today that its PPO products have received a four-star rating by the Centers for Medicare & Medicaid Services (CMS). The star rating system provides an overall snapshot of a plan’s quality and performance and was established by CMS to measure the experiences Medicare beneficiaries have with their health plan.
“The Star Rating System is a valuable tool to help educate consumers on quality and to make quality data more transparent and comparable between plans,” said Care N’ Care CEO Wendy Karsten. “Providing Care N’ Care members with access to quality care, meaningful health benefits and exceptional customer service has always been our top priority; and we are incredibly gratified that our commitment to these goals has been recognized by Medicare with this high rating.”
The overall star rating is based on three categories: medical care, member experience and plan administration. Medical care reflects how well the plan’s network providers manage member health, including providing regular screenings, vaccines and other basic health services as well as how well a plan manages chronic care conditions (such as diabetes or arthritis) of its members. Member experience is based on member satisfaction, changes in a health plan’s year-to-year performance, customer service and information gleaned from member surveys. Plans can earn a rating between one and five stars with the stars rating recalculated each year.
By receiving a four-star rating, Care N’ Care will receive additional funding from CMS, which Karsten says the plan will apply directly into “even better benefits for our members.” Care N’ Care, along with all Medicare Advantage plans, announced its 2020 benefits on Oct. 1.
“Stars achievement is truly a team effort, and our high rating is a great testament to the combined efforts of our employees, our provider partners and our members themselves who are diligent in their attention to their own good health,” said Karsten. “This achievement underscores our passion and ongoing commitment for keeping seniors healthy and inspires us to continue to provide great care and outstanding customer service in 2020 and beyond.”
Of particular note, Karsten cited Care N’ Care’s Part D prescription drug program that showed an improvement factor of .750 over the prior year, resulting in the plan’s Part D receiving a score of 4.5. “Director of Pharmacy Services Shane Greene and his entire team worked tirelessly throughout the year to monitor and improve the care our members were receiving,” said Karsten. “They made sure all our data was submitted, worked on closing gaps in care, and continuously looked for ways to connect with our providers and members in an effort to improve care. It was wonderful to see their efforts rewarded with such a high score.”
Care N’ Care is a Medicare Advantage health plan providing North Texas Medicare beneficiaries in Tarrant, Johnson, Dallas, Collin, Denton, Rockwall, Hood, Wise and Parker counties affordable alternatives that improve and simplify Medicare coverage. With both PPO and HMO health plans, Care N’ Care offers all of the traditional benefits included in original Medicare plus additional benefits and services, including a personal Customer Experience Team to serve as the single point of contact and trusted partner throughout the member’s healthcare experience. For more information about Care N’ Care and its Medicare Advantage health plans, visit cnchealthplan.com.
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Care N’ Care Insurance is an HMO and PPO plan with a Medicare contract. Enrollment in Care N’ Care depends on contract renewal. Every year Medicare evaluates plans based on a five-star rating system. Y0107_20_086_M