Aetna, which is a CVS Health company (NYSE: CVS), released a statement today stating that 87% of its Medicare Advantage (MA) members are currently enrolled in 2024 Medicare Advantage Prescription Drug (MAPD) plans that have been rated 4 stars or higher (out of 5 stars) by the Centers for Medicare and Medicaid Services (CMS). This is a significant achievement as the CMS measurement criteria this year were considerably more stringent.
“We are committed to delivering outstanding experiences and driving improved health outcomes for our Medicare Advantage members,” said CVS Health President and CEO Karen S. Lynch. “Our strong 2024 Star Ratings for Aetna are a result of focused execution and seamless collaboration across our entire company. We remain unwavering in our efforts to drive continuous improvement to support our members now and well into the future.”
Our Star Ratings success is largely driven by the improved overall Star Rating (4 stars) of the Aetna National PPO contract. Highlights of the National PPO performance that benefits member health outcomes include:
- Improving by nearly one star since last year in the Member Experience (CAHPS) survey domain, where we made significant investments
- Sustaining 4+ star performance in the HEDIS and Operations domains in the face of the measurement being significantly harder year-over-year in these domains
- Achieving 5 stars in Care Coordination and delivering a 5-star performance for low member complaints and low disenrollment rates
- Attaining 5 stars in key measures like Breast Cancer Screening, Controlling Blood Pressure, Diabetes Eye Exam and the Annual Flu Vaccine
- Delivering a strong 5-star performance in the Part D quality improvement measure that assesses yearly improvements across all Part D measures
“These results also reflect the dedication of the entire Aetna Medicare team, who is deeply committed to providing exceptional service to our members every day,” said Terri Swanson, president of Aetna Medicare.
“This commitment, coupled with a thoughtful focus on benefits that matter most, enables us to offer individual MA members more choices, added value and greater flexibility to help with everyday expenses. Our team stands ready to guide consumers across the country to choose a high-quality plan that’s right for their individual needs.”
