Regence is pleased to announce that all its Medicare Advantage plan offerings earned strong Star Ratings from the Centers for Medicare & Medicaid Services (CMS) based on care quality and performance. This means 100% of Regence members across the health plan’s four-state footprint – Idaho, Oregon, Washington and Utah – will be enrolled in a 2022 Medicare Advantage plan that earned at least 4 to 4.5 stars.
A measure of health plan quality, CMS Star Ratings* are based on approximately 40 different performance indicators that evaluate care quality and member experience. These annual ratings, which range from 1 (low) to 5 (high), help Medicare Advantage consumers and their families compare plans during the CMS Annual Election Period (Oct. 15 through Dec. 7) or when they become eligible for Medicare. CMS Star Ratings also provide data transparency and incentives to improve health outcomes and patient care quality. Achieving a rating of 4 stars or higher is confirmation that a health plan is performing above average compared to other plans.
All seven of Regence’s Medicare Advantage PPO and HMO offerings earned 4 to 4.5 stars:
- Idaho – HMO 4.5 Stars; PPO 4 Stars
- Oregon – PPO 4.5 Stars, HMO 4.5 Stars
- Utah – PPO 4.5 Stars
- Washington – PPO 4 Stars, HMO 4.5 Stars
Each measure CMS uses for its Star Ratings aligns with one of five core areas: staying healthy with preventative screenings, managing chronic conditions, member experience, customer service, and drug safety and pricing accuracy.
Regence achieved high scores across all its health plans in critical areas like providing an exceptional member experience, receiving very few member complaints, and addressing the needs of potential Medicare beneficiaries contacting Regence call centers.
“We strive for excellence in every area and today’s announcement is meaningful because it means our members recognize our Medicare offerings deliver a noticeable benefit to their well-being, “says Kathleen Faulk, Regence’s senior vice president and general manager of government programs. “While having 100% of our Medicare Advantage members enrolled next year in a plan with four stars or higher is a major achievement, we remain committed to improving the performance and quality of our health plans.”
Moving forward Regence will continue to invest in the Medicare programs offered to members. For 2022, Regence expanded its Medicare benefits and coverage by holding insulin costs at a $35 monthly copay and offering programs focused on nutrition, social connection, and home safety and support.
Those interested in learning more about Regence Medicare Advantage plan benefits and coverage can visit regence.com/go/shop. Regence Medicare plan advisors are also available by calling 1 (844) REGENCE or 1 (844) 734-3623 (TTY:711), 7 a.m. to 6 p.m. Monday through Friday and Saturdays 9 a.m. to 3 p.m. Pacific time during Medicare’s annual election period (Oct. 15 through Dec. 7); otherwise, plan advisors are available 8 a.m. to 5 p.m. Monday through Friday.
*Every year, Medicare evaluates plans based on a 5-star rating system.
Regence serves approximately 3.3 million members through its health plans in Idaho, Oregon, Utah and Washington. Each Regence health plan is a nonprofit independent licensee of the Blue Cross and Blue Shield Association. Regence is part of a family of companies dedicated to transforming health care by delivering innovative products and services that change the way consumers nationwide experience health care. For more information, please visit regence.com.