Rachelle KhalafDirector, Public Relations and Communications
KelseyCare Advantage is one of three Medicare Advantage plans in the nation to have achieved a 5-star rating by Medicare for six consecutive years or more.
HOUSTON (Oct. 18, 2021) – The Centers for Medicare and Medicaid Services (CMS) has again rated KelseyCare Advantage as one of the nation's highest-quality Medicare Advantage plans. For the sixth consecutive year, KelseyCare Advantage has achieved an overall rating of 5 out of 5 stars as part of CMS' annual assessment of 471 eligible Medicare Advantage plans measured across the nation.
KelseyCare Advantage is one of only three Medicare Advantage plans in the United States with the distinction of achieving the CMS 5-star rating for at least six years in a row. Kaiser Permanente and Tufts Health Plans have also achieved national recognition as Medicare Advantage plans achieving the quality metric for six years consecutively. In addition, KelseyCare Advantage is the only plan in the State of Texas to earn "5 stars for six consecutive years." Of all eligible plans across the United States, only 15 percent rated by CMS were rated as 5-star plans for 2022.
"Achieving a 5-star rating by Medicare means you are not only delivering high-quality care to members, but also an exceptional member experience. Receiving a 5-star rating during a year where a global pandemic has, in some cases, shifted the way patients interact with and receive care from their providers is truly remarkable," said Paul O'Leary, M.D., M.S., Medical Director, KelseyCare Advantage.
Each year, CMS rates Medicare Advantage plans based on member satisfaction surveys, health outcomes, and quality of the healthcare provided to give overall performance ratings to Medicare Advantage 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.
"KelseyCare Advantage offers a unique and superior experience for members because our Medicare plan is directly connected to Kelsey-Seybold Clinic's Accountable Care Organization and medical group, allowing us to continually deliver this high-quality, coordinated level of care that is centered around providing convenience, care access, and excellence for our members," said Tony Lin, M.D., C.E.O., chairman of the board of Kelsey-Seybold Clinic.
KelseyCare Advantage is offered in 13 counties including Fort Bend, Harris, Montgomery, portions of Galveston, Austin, Brazoria, Chambers, Grimes, Liberty, San Jacinto, Walker, Waller, and Wharton. The plan is affiliated with Kelsey-Seybold Clinic, a multispecialty medical group practice based in Houston and caring for families in the greater Houston area for more than 72 years.
Medicare-eligible residents in these areas can enroll in a KelseyCare Advantage plan during the Medicare annual enrollment period between Oct. 15, 2021 and Dec. 7, 2021, with an effective date of Jan. 1, 2022. In addition to receiving high-quality care and exceptional customer service, 5-star excellence means that Medicare beneficiaries may enroll in a 5-star plan year-round.
KelseyCare Advantage plans provide all Medicare Part A and B coverage, with plans that also include Part D prescription drug coverage, to Medicare beneficiaries who want more coverage than traditional Medicare provides. Additionally, KelseyCare Advantage will offer new Freedom plans effective Jan. 1, 2022 with a point-of-service (POS) benefit and no monthly premium, allowing members the flexibility to see any provider in the Greater Houston area.
Every year, Medicare evaluates plans based on a 5-star rating system. To learn more about KelseyCare Advantage or about the Medicare Star Quality Ratings, visit www.kelseycareadvantage.com or www.medicare.gov, or call 1-800-MEDICARE (1-800-633-4227). KelseyCare Advantage is offered by KS Plan Administrators, LLC, a Medicare Advantage HMO with a Medicare contract. Enrollment in KelseyCare Advantage depends on contract renewal. Other providers are available in our network.
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 650 physicians and allied health professionals practice at 36 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 seven 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 a Patient-Centered Medical Home. Kelsey-Seybold has many physicians in the Greater Houston area certified for excellence in diabetes and heart and stroke care by the NCQA. In addition to these recognitions, Kelsey-Seybold is home to a nationally accredited Breast Diagnostic Center and Endoscopy Center.
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