Stories
Two Prime Medicare clients win PQA quality award
Alignment Health Plan (AHP) and Florida Blue both recognized for excellence in quality
June 8, 2020Only 24 Medicare contracts in the entire country received this quality award, out of 400 eligible contracts.
AHP and Florida Blue earned a perfect 5 Stars (out of 5 Stars) for their Part D ratings, and for each of these PQA medication measures:
- Diabetes medication adherence
- High cholesterol medication adherence
- High blood pressure adherence
- Medication therapy management
- Statin use in persons with diabetes
What this award means for AHP and Florida Blue
“This award says a lot about AHP and Florida Blue,” says Lilian Vu, regional director, client engagement. “It highlights their commitment to quality and continuous improvement. And it also means that among Prime’s Medicare clients, they are typically the first in line to pilot innovative new programs from Prime. They are always looking to improve.”
“Helping our plans achieve superior Star ratings is one of the ways Prime supports making health care more affordable for Medicare members across the country,” adds Jason Moore, regional director, client engagement.
What high Star ratings mean for Prime-supported Medicare contracts
It’s not surprising that these PQA Awards went to AHP and Florida Blue. Both plans also have high Star ratings from the Centers for Medicare and Medicaid Services (CMS). But they aren’t alone. A total of 19 Prime-supported Medicare contracts earned quality bonus payments based on the 2020 Star ratings released by CMS.
“The quality bonus payments from Star ratings add up to hundreds of millions of dollars. Our health plan clients can use these dollars to improve benefits and/or reduce costs to their members,” explains Rachel Nelson, vice president and general manager of federal programs.
About PQA
PQA is a nonprofit membership organization. It is committed to improving health care quality and patient safety. It develops strategies for measuring and reporting medicine performance.
Related news
Stories
March 26, 2024
Announcing the new issue of Prime’s managed care report, featuring the latest trends and updates in medical and pharmacy benefits
Prime Therapeutics/Magellan Rx (Prime/MRx) today launched the spring edition of Magellan Rx Report…
Stories
March 19, 2024
Healthcare Businesswomen’s Association names Simone Ndujiuba and Jacki Shugart among 2024 Rising Stars
Prime Therapeutics/Magellan Rx’s Director of Clinical Strategy and Innovation Simone Ndujiuba and Senior Program Manager Jacki Shugart honored for female leadership in the health care industry
Stories
February 2, 2024
Prime Therapeutics/Magellan Rx honors World Cancer Day, supports innovative oncology care
Prime is committed to closing gaps in cancer care by delivering meaningful oncology solutions to help people living with cancer.