MVP Health Care’s Medicare Advantage Plans Receive 4.5 Star Designation from CMS

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High star rating recognizes quality of MVP’s Medicare Advantage plans.

Medicare Advantage plans are doing what they were designed to do — effectively providing high quality, affordable care to Medicare beneficiaries. It makes sense to restore appropriate funding for these programs serving many of the nation’s older adults.

The Centers for Medicare & Medicaid Services (CMS) has awarded MVP Health Care a rating of 4.5 stars out of a possible five stars across all of its Medicare Advantage plans. This strong ranking marks the second consecutive year that MVP Health Care’s Medicare plans have been rated between Excellent (five stars) and Very Good (four stars) on the CMS scale.

“We are so proud to have achieved this high ranking from CMS for the second consecutive year,” said Patrick Glavey, MVP’s Executive Vice President of Government Programs. “This truly reflects our diligent efforts to provide high quality plans for our members. We will continue our work to maintain and improve this high level of achievement for the benefit of our members.”

The star rating system is an annual comprehensive measure of health plan quality across the country with the goal of increasing the level of care provided by private plans that contract with Medicare. Plan performance star ratings are assessed each year and may change from one year to the next.

Ratings are based on 48 quality measures, including preventive screenings, managing chronic conditions and customer service for the MVP Medicare Advantage plans. Bonuses are given by CMS to plans for higher quality ratings, which helps restore some of the Medicare Advantage reimbursement cuts included in the Affordable Care Act (ACA).

MVP remains concerned about the impact of significant federal funding cuts scheduled cuts which equate to $145 billion nationally over the next 10 years — and believes Medicare Advantage program funding should be returned to pre-ACA levels.

“Medicare Advantage plans are doing what they were designed to do — effectively providing high quality, affordable care to Medicare beneficiaries. It makes sense to restore appropriate funding for these programs that serve so many of the nation’s older adults,” Glavey said.

MVP Health Care continues to enhance its Medicare Advantage offerings. The company this week unveiled its enhanced Well-Being Program, offering a comprehensive set of preventive care activities and resources to help Medicare members maintain a healthy lifestyle.

At the center of the new program is Well-Being ConnectTM, an online portal that allows members to create a tailored approach to accessing and improving their overall health. Also included are popular existing MVP programs, such as the SilverSneakers® Fitness Program, wellness classes, and outreach designed to help improve the lives of members living with chronic diseases. The Well-Being Program is currently available to MVP Medicare Advantage members in the company’s service footprint.

The CMS 4.5 Stars designation comes on the heels of the recent announcement that MVP Health Care’s Medicare Advantage plans were ranked among the highest nationally by the National Committee for Quality Assurance (NCQA) in its Medicare Health Insurance Plan Rankings 2012-2013.

MVP Health Care is the largest Medicare Advantage provider in upstate New York with more than 100,000 members. MVP offers Medicare Advantage plans in the Buffalo, Rochester, Syracuse, Utica, Albany and Hudson Valley markets, as well as in Vermont. More information about MVP’s Medicare Advantage plans can be found at


About MVP Health Care
Founded in 1983, MVP Health Care is a community-focused, not-for-profit health insurer serving members in the states of New York, Vermont and New Hampshire. Through its operating subsidiaries, MVP Health Care provides fully-insured and self-funded employer health benefits plans, dental insurance, and ancillary products, such as flexible-spending accounts, to more than 650,000 members. For more information, visit

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Robin Wood
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