CareSource Ohio Recognized for Superior Quality in Healthcare
CareSource Ohio Earns High Rating from CMS
CareSource Ohio recently achieved a remarkable milestone by receiving a 4.5 out of 5-star rating from the Centers for Medicare & Medicaid Services (CMS). This recognition highlights the organization as one of the leaders in the health plan sector, particularly in serving individuals with intricate health care requirements. Notably, fewer than 15% of the participating health plans at the national level have reached this extraordinary standard.
Understanding the CMS Star Ratings
The CMS Star Ratings are an essential tool for Medicare-eligible individuals and their families, allowing them to assess various health plans based on quality measures. This system helps users compare health and drug plans effectively and discover options that cater to their personal health situations.
A Commitment to Members
Dave Thomas, Ohio Market President for CareSource, expressed pride in the recognition, stating, "This award speaks volumes about our dedication to our members' well-being in Ohio. I've seen our team’s commitment to exceptional care first-hand, and this 4.5-star rating is a testament to our integrated approach to care coordination. We strive to fulfill the medical, social, and behavioral health needs of those we serve."
Impact on Members
CareSource Ohio's Dual Eligible Special Needs Plan (D-SNP) currently supports more than 8,400 members, primarily disabled individuals who are enrolled in both Medicaid and Medicare. The recent evaluations have shown significant quality enhancements in member satisfaction, operational efficiency, and health outcomes. CareSource earned top ratings for member experience, satisfaction with health and drug plans, as well as medication adherence for diabetic members. The organization also reported progress in vital areas such as hospital readmission rates and member retention.
Strategic Partnerships
Earlier this year, CareSource further strengthened its capabilities by partnering with Commonwealth Care Alliance (CCA), which has its own solid reputation, receiving a 4-star rating for its Senior Care Options plan aimed at serving older individuals eligible for both Medicare and Medicaid.
Benefits of High Star Ratings
Plans that secure higher star ratings benefit from additional financial incentives that empower organizations like CareSource to enhance their service delivery. These advantages ultimately lead to improved health outcomes and innovative healthcare solutions to better serve their communities.
About CareSource
CareSource stands out as a nonprofit, nationally recognized managed care organization, proudly serving over two million members. The organization administers one of the largest Medicaid managed care frameworks in the United States while offering diverse health insurance products, including Medicaid, Health Insurance Marketplace, and Medicare options. Driven by a mission to enhance healthcare, CareSource is pioneering transformative programs targeting the social determinants of health, fostering prevention, and expanding access to care.
Frequently Asked Questions
What is the significance of the 4.5-star rating?
The 4.5-star rating from CMS signifies CareSource Ohio’s commitment to high-quality care and excellence in service for its members.
Who benefits from CareSource Ohio’s D-SNP plan?
The D-SNP plan primarily benefits individuals who are disabled or dually enrolled in both Medicare and Medicaid.
How does the CMS Star Ratings system work?
The CMS Star Ratings evaluates healthcare plans based on various quality measures, enabling comparisons for Medicare-eligible individuals.
What is the impact of high star ratings?
Higher star ratings provide plans with extra financial incentives, boosting their capabilities to improve health outcomes and innovate services.
What is the mission of CareSource?
CareSource is dedicated to transforming healthcare through innovative programs that address social factors affecting health and expand access to care.
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