Medical Group Report Card for Medicare Advantage Members 2020-21 Edition


There are 178 medical groups listed in the Medical Group Medicare Report Card. These medical groups have contracts with the commercial health plans listed in OPA’s HMO Report Card and serve Medicare Advantage members.

To see the clinical ratings in the Medical Group Medicare Report Card:


1. You can choose one of the 39 counties listed.

There are 19 counties without any medical groups serving Medicare Advantage members listed in the Report Card.



or

2. You can choose the first letter of the medical group’s name.




IHA Medicare Stars Quality Recognition:
Each year the Integrated Health Care Association (IHA) recognizes medical groups that earned the highest overall star ratings for quality of care to its Medicare Advantage members. To earn the IHA Medicare Stars Quality Recognition, medical groups must earn an overall star rating of 4.5 or 5 stars. A complete list of winners can be found here.

Note: This year, the Center for Medicare and Medicaid Services updated the methodology used for calculating measure cutpoints in their Medicare Advantage Star Ratings program, which increased the number of health plan contracts earning 4 stars or higher. Select the link 'About the Medicare Medical Group Ratings' below for more information on the methodology.




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