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In the News

CarePlus Health Plans, Inc. Achieves Highest Medicare Quality Rating

Released Date: Wednesday, October 10, 2018 5:32 pm EDT

MIAMI--(BUSINESS WIRE (link opens in new window))--CarePlus Health Plans, Inc.’s Medicare Advantage plan in Florida achieved 5-stars – the highest possible rating – from the Centers for Medicare & Medicaid Services (CMS) for the 2019 plan year. This marks the second time that the CarePlus Medicare Advantage HMO, offered statewide in Florida, achieved the 5-star rating.

“Keeping our members healthy is at the heart of all that we do, and we’re honored and proud to have that work recognized by CMS,” said CarePlus Regional President Bruno Piquin. “We’re especially grateful to our more than 117,000 members in Florida, to the caring physicians who partner with us to offer high quality medical care to our members, and to our 900-plus employees who work tirelessly to offer the best possible customer experience for our members.”

The Medicare 5-Star rating system rates the excellence of Medicare plans nationally. A plan may receive a rating between one and five stars, with five stars representing the highest rating. Star ratings are calculated each year and may change from one year to the next.

CMS posts the updated ratings, prior to the Medicare Advantage and Prescription Drug Plan Annual Election Period (AEP), at (link opens in new window). The AEP, for plans that are effective January 1, 2019, begins on October 15 and runs through December 7.

Receiving the 5-star rating also means that Medicare beneficiaries have the flexibility to switch to a CarePlus 5-star rated Medicare Advantage plan at any time of the year, using certain guidelines, rather than being limited to the AEP.

CMS uses information from member-satisfaction surveys, health plans, and health care providers to assign overall Star Ratings to plans. The rating system uses more than 40 different quality measures in five categories, including:

  • Staying healthy: screening tests and vaccines
  • Managing chronic (long-term) conditions
  • Member experience with the health plan
  • Member complaints and changes in the health plan’s performance
  • Health plan customer service

Baptist Health Now in Network in Specific Counties for CarePlus Health Plans Medicare Members

Release Date: Tuesday, October 16, 2018 10:23 am EDT

MIAMI--(BUSINESS WIRE (link opens in new window))--CarePlus Health Plans, Inc. a South Florida-based Medicare Advantage HMO, announced today they have signed agreements with Baptist Health South Florida(link opens in new window) that provide in-network access to their Medicare members, effective Oct.15, 2018.

The agreements encompass all 10 of Baptist Health’s hospitals, its ancillary health facilities and its nearly 500 physicians and other providers, including primary care, cardiology and oncology.

“Baptist Health South Florida is an important part of our strategy to offer our Medicare members a robust network of quality healthcare providers,” said CarePlus Regional President Bruno Piquin.

“We are pleased to work with CarePlus Health Plans to expand access to care for the benefit of the communities we serve,” said Brian E. Keeley, president and chief executive officer of Baptist Health.