Capital Health Plan’s Medicare Plans Achieve 4.5 Stars for Health Care Quality

 Capital Health Plan (CHP) has once again been recognized as a national health care leader, earning a 4.5-out-of-5-star rating from the Centers for Medicare & Medicaid Services (CMS). This announcement follows the recent recognition that CHP earned a 4.5-rating from the National Committee for Quality Assurance (NCQA) for both its Commercial and Medicare products.

The 4.5-star outcome in the CMS Star Ratings for 2024 validates Capital Health Plan’s commitment to quality while solidifying its position as a top-rated plan in Florida. CHP is a leading plan in Tallahassee, according to the CMS ratings, and is among only a small percentage of plans in the country to receive this coveted rating.

“Our recent CMS Star Ratings reflect our continued focus on quality care, clinical outcomes, and industry-leading customer service for our valued members,” said Sabin Bass, President and CEO. “Our continued emphasis on quality care and service has enabled our consistent high performance in star ratings, even as ratings for many other plans across the country are falling.”

Added Ken Boutwell, CHP’s board chairman: “These rankings are a testament to the dedication and hard work of the entire CHP team. Our high ratings from CMS and NCQA showcase our unwavering commitment to delivering top-notch health care to our community. It’s an honor to be recognized and continues to drive us in our ongoing pursuit of excellence.”

Published annually, the CMS Star Ratings help Medicare consumers make health care decisions that best suit them. Measurements of the quality of health and pharmacy services in Medicare Advantage prescription drug plans can provide consumers and caregivers with insight into the comparative benefits, costs, and quality of various plans, assisting with decision-making. CHP earned its rating in part through its results on clinical indicators, as well as survey feedback directly from its members.

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Capital Health Plan (CHP) is committed to offering affordable, comprehensive health care to its members. Now in its 41st year, CHP has grown to serve over 135,000 members in the Florida Panhandle and has an extensive physician network that includes three exclusive CHP health centers that provide preventive, primary, and specialty care services. Based in Tallahassee, it is an independent licensee of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield companies. For more information, visit www.capitalhealth.com.

Centers for Medicare & Medicaid Services (CMS) is part of the U.S. Department of Health and Human Services (HHS). Medicare evaluates plans based on a 5-star rating system. Star Ratings are calculated each year and may change from one year to the next.

The National Committee for Quality Assurance (NCQA) is a private, nonprofit organization dedicated to improving health care quality. NCQA accredits and certifies a wide range of health care organizations and recognizes clinicians in key clinical areas. NCQA’s HEDIS® is the most widely used performance measurement tool in health care. NCQA’s website (https://www.ncqa.org/) contains information to help consumers, employers, and others make informed health care choices.