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Premier Healthcare Receives Award for Medicare Advantage Quality Achievement

Congratulations to Premier Healthcare for receiving the Medicare Advantage 4.5 Star Award from the Integrated Healthcare Association (IHA) for delivering a high level of quality care for Medicare Advantage beneficiaries in California! SJHMG also received an award from IHA for showing the most improvement since last year’s measurements.

The annual award recognizes California physician organizations and health plans that have earned 4.5 and 5-star ratings for their achievement on quality improvement. Based on the measurement year 2014, six physician organizations earned 5-star ratings, 56 achieved 4.5 stars and 28 improved their overall star rating by at least 1 star. The lists of all award winners are available online at IHA.org.

IHA’s star-rating system is based on a subset of 13 clinical measures that Medicare Advantage plans report to the Center for Medicare and Medicaid Services (CMS) related to clinical quality, member experience and customer service at the physician organizational level. These range from breast and colorectal cancer screenings to eye exams and blood sugar control for patients with diabetes. The clinical quality criteria also include managing osteoporosis in women with a previous fracture and appropriate medication management.

Star ratings are intended to help beneficiaries select higher-quality health plans and assist participating Medicare Advantage health plans to identify performance variations and focus on quality-improvement efforts.