The Centers for Medicare & Medicaid Services evaluates Medicare Advantage plans annually using a one-to-five-star quality rating system, with five stars representing excellent performance. Star ratings are calculated as a composite of measures that address member perceptions of service and care, and how well they were able to talk with their doctor, stay healthy and use prescribed medications.
Samaritan Advantage maintained a four-star rating for the most recent 2022-Star rating, which is generally reflective of services provided in 2020. However, due to the COVID-19 pandemic, most Medicare Advantage plans were granted disaster adjustments allowing plans to use the better of their 2021 or 2022 Star rating for many Star measures. This combined with changes made in prior Star ratings means some of the measures in the 2022 Star rating are reflective of performance as far back as 2018. This greatly benefited plans and led to what is likely a one-time anomaly of unusually high star ratings for Medicare Advantage plans. In fact, the number of five star plans almost quadrupled in the 2022 Star ratings.
Our goal is to continue to improve performance across Samaritan Health Plans and the provider network to earn a five Star for the 2025 Star rating. To achieve this goal, we include Star measures in provider value-based payments, assist with identifying members with a care gap, and created programs to help members manage chronic conditions and stay healthy. We are enhancing our website with helpful information on Star measures and best practices to achieve high performance. We are also offering members incentives to get needed services, focusing on improving member experience and creating a formal Stars program.