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Highlights
Aetna, a CVS Health company, reports that 88% of its Medicare Advantage members are enrolled in plans rated 4 stars or higher for 2025, with 68% in 4.5-star plans.
The company achieved its highest-ever member experience score since the inception of the Quality Bonus Stars Program in 2012.
Aetna maintained a 4.5-star rating for the Aetna National Group PPO for the 13th consecutive year, with other plans also showing significant improvements.
Overview
Aetna, a subsidiary of CVS Health {NYSE:CVS} has announced that a significant portion of its Medicare Advantage members—88%—are enrolled in Medicare Advantage Prescription Drug (MAPD) plans rated 4 stars or higher by the Centers for Medicare and Medicaid Services (CMS) for the year 2025. Among these, 68% of members are enrolled in plans rated 4.5 stars, indicating a strong commitment to quality care and member satisfaction. This announcement marks a notable milestone, as Aetna achieved its highest-ever member experience score since the Quality Bonus Stars Program was initiated in 2012.
Several key plans have contributed to Aetna's impressive performance in this year's ratings. The Aetna National Group PPO (H5522), which serves 1.4 million members, has maintained a 4.5-star rating for the 13th consecutive year, showcasing its consistency in delivering high-quality service. Similarly, the Aetna National Individual PPO (H5521), with 1.1 million members, has improved to a 4.5-star rating.
The Aetna Pennsylvania HMO (H3959) has also achieved a 4.5-star rating, demonstrating near-perfect performance in member experience, while the Aetna Florida HMO (H1609) has earned a 4-star rating with a substantial member base of 155,000.
Aetna's commitment to quality is reflected in its strong performance across all four key domains measured by CMS, as well as in various individual Star measures. The organization’s focus on enhancing member experience and satisfaction positions it as a leader in the Medicare Advantage space, reinforcing its dedication to providing exceptional healthcare services. As the Medicare landscape evolves, Aetna continues to prioritize quality care, aiming to improve health outcomes for its members.
Aetna Celebrates 88% of Medicare Advantage Members in 4-Star or Higher Plans for 2025
2 min read | October 11, 2024 02:05 AM PDT | By
Team Kalkine Media
