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KelseyCare Advantage awarded highest rating of 5 out of 5 stars for quality and service by Centers for Medicare & Medicaid Services

 HOUSTON (Oct. 14, 2016) – On Oct. 12, 2016, the Centers for Medicare and Medicaid Services announced that KelseyCare Advantage, a Medicare Advantage plan offered to Houston-area Medicare beneficiaries, earned five out of five stars in an annual assessment of all Medicare Advantage plans. Achieving five stars is challenging and is the highest overall rating for quality and service. KelseyCare Advantage is the only 5-star rated Medicare Advantage and Prescription Drug plan in the greater Houston area and one of three 5-star rated Medicare Advantage and Prescription Drug plans in the country. Very few plans across the country achieve a 5-star rating.

“Earning the highest rating for quality and service from CMS for a third time demonstrates the commitment of each KelseyCare Advantage team member. We continuously strive to provide the highest level of customer service and member experience,” said Marnie Matheny, president of KelseyCare Advantage. “KelseyCare Advantage gets to work with the nation’s first accredited Accountable Care Organization delivering high quality health care and access to Kelsey-Seybold doctors who help us achieve the 5-star level through measured health outcomes rated by Medicare.”

Each year, Medicare uses information from member satisfaction surveys, clinical data, and healthcare providers to give overall performance ratings to Medicare health and prescription drug plans. These ratings help Medicare beneficiaries choose a plan based on quality and performance. A plan can earn from one to five stars. A 5-star rating is considered excellent. The 2017 overall plan rating is based on over 40 healthcare and service quality measures including: detecting illness and keeping members healthy, managing chronic conditions, member satisfaction and customer service.

"We are very excited to once again be designated as a Medicare Advantage 5-star health plan. KelseyCare Advantage and the Kelsey-Seybold Clinic work hard to provide a high-quality healthcare experience for our patients," said Donnie Aga, M.D. Medical Director for KelseyCare Advantage. "We do this through healthcare innovations, concierge style customer service and access to outstanding physicians, nurses, pharmacists and cutting edge technology."

KelseyCare Advantage has held a contract with Medicare since 2008 and currently serves 30,000 Texans in the counties of Fort Bend, Harris, Montgomery and portions of Galveston.  The plan is affiliated with Kelsey-Seybold Clinic, a group of doctors based here in Houston have been serving Houston-area families for more than 65 years. KelseyCare Advantage plans provide all Medicare Part A and B coverage, and some of the plans include Medicare Part D prescription drug coverage, to Houston-area Medicare beneficiaries who want more coverage than traditional Medicare provides.

Medicare-eligible residents in these areas can enroll in a KelseyCare Advantage plan during the Medicare enrollment period between Oct. 15, 2016 and Dec. 7, 2016 with a start date of Jan. 1, 2017. In addition to receiving high-quality care and service, 5-star excellence means that Medicare beneficiaries may enroll in a 5-star plan from Dec. 8, 2016 through Nov. 30, 2017, without having to wait until the next annual enrollment period.

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. To learn more about KelseyCare Advantage, or about the Medicare Star Quality Ratings, visit: or, or call 1-800-MEDICARE (1-800-633-4227).

About Kelsey-Seybold

Kelsey-Seybold Clinic is Houston's premier multispecialty group practice, founded in 1949 by Dr. Mavis Kelsey in Houston's renowned Texas Medical Center. More than 850 physicians and allied health professionals practice at 40 locations in the Greater Houston area. Kelsey-Seybold offers quality medical care in 65+ medical specialties. The organization operates the largest freestanding Ambulatory Surgery Center in the state of Texas and offers state-of-the-art Varian TrueBeam and Varian Edge radiation therapy technology at a nationally accredited Cancer Center. An accredited Sleep Center, comprehensive laboratory services, advanced imaging and diagnostics, 24 onsite Kelsey pharmacies and one specialty pharmacy, and MyKelseyOnline, a secure web portal, are part of its comprehensive offerings. Kelsey-Seybold partners with major insurers to offer value-based commercial health plans. KelseyCare Advantage, a Medicare Advantage plan offered to Houston-area beneficiaries and affiliated with Kelsey-Seybold Clinic, has achieved the coveted 5-out-of-5-star rating from the Centers for Medicare and Medicaid for eight consecutive years.

Kelsey-Seybold has been recognized by the National Committee for Quality Assurance (NCQA) as the nation’s first accredited Accountable Care Organization and is home to a nationally accredited Breast Diagnostic Center and Endoscopy Center.

Kelsey-Seybold Clinic achieved a Net Promoter Score (NPS) of 91. NPS is the global standard for measuring customer loyalty and satisfaction. An NPS score of 70 or higher is considered by industry experts to be "world class" and an indicator of overwhelming customer loyalty.

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