Topics
More on Medicare & Medicaid

21 Medicare Advantage plans earn 5 stars in CMS release of star ratings

Some 77% of Medicare beneficiaries who enroll in Medicare Advantage plans with drug coverage will be in plans with 4 or more stars.

Susan Morse, Managing Editor

CMS has released the Medicare Advantage and Part D star ratings as Medicare open enrollment begins on October 15.CMS has released the Medicare Advantage and Part D star ratings as Medicare open enrollment begins on October 15.

The Centers for Medicare and Medicaid Services has released the Medicare Advantage and Part D star ratings for 2021.

The 21 health plans earning 5 stars include KelseyCare Advantage, Kaiser Permanente, UnitedHealthcare, CarePlus by Humana, Tufts Health Plan, Health Partners, Capital District Physicians' Health Plan, Quartz Medicare Advantage of Wisconsin, Cigna, Health Sun - Anthem, BCBS - Health Now New York and Martins Point.

The lowest rated plans had 2.5 stars and there were only four: Bright Health, AgeWell New York, Prominence Health Plan and Virginia Premier.

HIMSS20 Digital

Learn on-demand, earn credit, find products and solutions. Get Started >>

Prominence HealthFirst of Texas is the only contract getting a low performance warning for consistently low quality ratings of 2.5 or fewer stars from at least 2018 through 2021.

None of the plans were rated 2 stars. The majority were rated at 3.5 and 4 stars, 141 and 110 plans respectively. Another 63 were rated 4.5 stars and 61 at 3 stars.

An estimated 417 plans were rated not applicable, not enough data available or plan too new to be rated.

WHY THIS MATTERS

The star ratings are important to both insurers selling private Medicare Advantage plans and to beneficiaries who are looking for Medicare coverage.

Star ratings reflect a plan's performance and are related to quality bonus payments. CMS rates Medicare Advantage health and drug plans on a rating of 1 to 5 stars, with 1 representing poor performance and 5 stars representing excellent performance.

Medicare Advantage with prescription drug coverage contracts are rated on up to 44 unique quality and performance measures; MA-only contracts (without prescription drug coverage) are rated on up to 32 measures; and stand-alone PDP contracts are rated on up to 14 measures. 

There are no new measures introduced for 2021 star ratings. CMS increased the weight of patient experience/complaints and access measures from 1.5 to 2, reflecting the agency's commitment to put patients first, including their assessments of the care received by plans, CMS said.

CMS has been monitoring the impact of the 2019 Novel Coronavirus public health emergency on star ratings and adopted some changes to address the impact. On March 31, CMs adopted changes to the 2021 star ratings to accommodate disruption to data collection posed by the public health emergency as well as changes to the 2022 star ratings to account for expected changes in plan performance. 

The issues facing the healthcare system, including significant differences across regions and demographic groups, create unique challenges for the 2021 and 2022 star ratings calculations, CMS said. Due to these concerns, CMS eliminated the requirement to submit Healthcare Effectiveness Data and Information Set (HEDIS) and Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey data for the 2021 star ratings and used the data from the prior year.

For consumers, the quality ratings of Medicare Advantage and Medicare Part D drug plans remain strong, according to CMS. 

Most Medicare beneficiaries – about 77% – who enroll in Medicare Advantage plans with drug coverage will be in plans with four or more stars in 2021. That compares with 69% of beneficiaries enrolled in such plans in 2017, CMS said.

However, while there is one more 5 star plan for 2021 compared to 2020, there are fewer total plans in 2021 that rate four stars or higher compared to 2020, 195 to 210, respectively. There's also more 3 star plans, 61 for 2021 compared to 55 in 2020. The number of 2.5 star plans is the same at 4 and in 2020, there was one 1 star plan. 

Almost half – about 49% – of Medicare Advantage plans that offer prescription drug coverage will have an overall rating of four stars or higher, up from about 45% in 2017. 

The average star rating for all Medicare Advantage plans with prescription drug coverage improved to 4.06 out of 5 stars in 2021 from 4.02 in 2017. 

THE LARGER TREND

The annual Medicare open enrollment begins on October 15.

CMS has been promoting private Medicare Advantage plans. In late September, the agency said premiums for MA plans are expected to decline 34.2% from 2017 while plan choice, benefits, and enrollment continue to increase.

More than a third of seniors now choose a Medicare Advantage plan over traditional Medicare.

The Medicare Advantage average monthly premium will be the lowest in 14 years (since 2007) for the more than 26 million Medicare beneficiaries projected to enroll in Medicare Advantage plans for 2021, CMS reiterated with the release of the star ratings. 

Based on current enrollment, about 98% of beneficiaries enrolled in stand-alone prescription drug plans for 2021 will be in plans with 3.5 stars or higher, an increase from about 70% in 2020. 

The average star rating for a stand-alone prescription drug plan rose to 3.58 in 2021 from 3.50 in 2020.

CMS publishes the Medicare Advantage and Part D Star Ratings every year to measure the quality of, and reflect the experiences of beneficiaries in, Medicare Advantage and Part D plans. 

ON THE RECORD

"The historically low premiums for Medicare Advantage plans this year would mean little if they didn't come paired with high-quality care," said CMS Administrator Seema Verma. "Thankfully, President Trump's patient-oriented policies have led to exactly that. With nearly half of Medicare Advantage plans with drug coverage rated at four stars or higher, and more than three-quarters of beneficiaries in Medicare Advantage plans with drug coverage enrolled in such four-star plans, seniors are coming out on top in 2021."

Organization Marketing Name Parent Organization 2021 overall
KelseyCare Advantage  Kelsey-Seybold Medical Group, PLLC  5
Kaiser Permanente  Kaiser Foundation Health Plan, Inc.  5
Kaiser Permanente  Kaiser Foundation Health Plan, Inc.  5
UnitedHealthcare  UnitedHealth Group, Inc.  5
CarePlus Health Plans, Inc.  Humana Inc.  5
Kaiser Permanente  Kaiser Foundation Health Plan, Inc.  5
Kaiser Permanente  Kaiser Foundation Health Plan, Inc.  5
UnitedHealthcare  UnitedHealth Group, Inc.  5
Kaiser Permanente  Kaiser Foundation Health Plan, Inc.  5
UnitedHealthcare  UnitedHealth Group, Inc.  5
Tufts Health Plan  Tufts Health Plan, Inc. 5
HealthPartners  HealthPartners, Inc.  5
CDPHP Medicare Advantage  Capital District Physicians' Health Plan, Inc.  5
Quartz Medicare Advantage  University of Wisconsin Hospitals and Clinics Autho  5
Cigna  CIGNA  5
HealthSun Health Plans, Inc.  Anthem Inc.  5
BlueCross BlueShield of WNY and BlueShield of NENY  HealthNow New York Inc.  5
Martin's Point Generations Advantage  Martin's Point Health Care, Inc.  5
UnitedHealthcare  UnitedHealth Group, Inc.  5
Kaiser Permanente  Kaiser Foundation Health Plan, Inc.  5
Quartz Medicare Advantage  University of Wisconsin Hospitals and Clinics Autho  5
VIVA Medicare  Triton Health Systems, L.L.C.  4.5
UnitedHealthcare  UnitedHealth Group, Inc.  4.5
UnitedHealthcare  UnitedHealth Group, Inc.  4.5
Florida Blue HMO  Guidewell Mutual Holding Corporation  4.5
Humana  Humana Inc.  4.5
Martin's Point Generations Advantage  Martin's Point Health Care, Inc.  4.5
Humana  Humana Inc.  4.5
Peoples Health  UnitedHealth Group, Inc.  4.5
Regence BlueShield of Idaho  Cambia Health Solutions, Inc.  4.5
UnitedHealthcare  UnitedHealth Group, Inc.  4.5
Commonwealth Care Alliance, Inc.  Commonwealth Care Alliance, Inc.  4.5
Blue Cross Blue Shield of Massachusetts  Blue Cross and Blue Shield of Massachusetts, Inc.  4.5
Blue Cross Blue Shield of Massachusetts  Blue Cross and Blue Shield of Massachusetts, Inc.  4.5
HAP Senior Plus  Henry Ford Health System  4.5
PrimeWest Health  PrimeWest Rural MN Health Care Access Initiative  4.5
South Country Health Alliance  South Country Health Alliance  4.5
Blue Plus  Aware Integrated, Inc.  4.5
Medica  Medica Holding Company  4.5
UCare  UCare Minnesota  4.5
HealthPartners  HealthPartners, Inc.  4.5
Essence Healthcare  Essence Group Holdings Corporation  4.5
Aetna Medicare  CVS Health Corporation  4.5
UnitedHealthcare  UnitedHealth Group, Inc.  4.5
MVP HEALTH CARE  MVP Health Care, Inc.  4.5
Excellus Health Plan, Inc.  Lifetime Healthcare, Inc.  4.5
Independent Health  Independent Health Association, Inc.  4.5
Excellus Health Plan, Inc.  Lifetime Healthcare, Inc.  4.5
Independent Health  Independent Health Association, Inc.  4.5
CDPHP Medicare Advantage  Capital District Physicians' Health Plan, Inc.  4.5
HealthPartners UnityPoint Health  HealthPartners UnityPoint Health, Inc.  4.5
Aetna Medicare  CVS Health Corporation  4.5
PrimeTime Health Plan  Aultman Health Foundation  4.5
UnitedHealthcare  UnitedHealth Group, Inc.  4.5
Regence BlueCross BlueShield of Oregon  Cambia Health Solutions, Inc.  4.5
Highmark Inc.  Highmark Health  4.5
Aetna Medicare  CVS Health Corporation  4.5
PMC Medicare Choice  Summit Master Company, LLC  4.5
Humana  Humana Inc.  4.5
Medical Mutual of Ohio  MEDICAL MUTUAL OF OHIO  4.5
Cigna  CIGNA  4.5
UnitedHealthcare  UnitedHealth Group, Inc.  4.5
HealthPartners  HealthPartners, Inc.  4.5
Kaiser Foundation Health Plan of Washington  Kaiser Foundation Health Plan, Inc.  4.5
WellCare  Centene Corporation  4.5
My Choice Wisconsin Health Plan  My Choice Wisconsin, Inc.  4.5
Network Health Medicare Advantage Plans  Network Health, Inc.  4.5
Sharp Health Plan  Sharp Healthcare  4.5
SCAN Health Plan  SCAN Health Plan  4.5
Aetna Medicare  CVS Health Corporation  4.5
UPMC for Life  UPMC Health System  4.5
Optimum HealthCare, Inc.  Anthem Inc.  4.5
UCare  UCare Minnesota  4.5
Capital Health Plan  Guidewell Mutual Holding Corporation  4.5
Blue Cross Blue Shield of Minnesota  Aware Integrated, Inc.  4.5
Regence BlueCross BlueShield of Oregon  Cambia Health Solutions, Inc.  4.5
Indiana University Health Plans - Medicare  Indiana University Health  4.5
Aetna Medicare  CVS Health Corporation  4.5
Scott and White Health Plan  Baylor Scott & White Holdings  4.5
Allwell  Centene Corporation  4.5
Medica  Medica Holding Company  4.5
Fallon Health  Fallon Community Health Plan  4.5
Providence Medicare Advantage Plans  Providence Health & Services  4.5
Dean Advantage, Prevea360 Medicare Advantage  SSM Healthcare Corporation  4.5
Cigna  CIGNA  4.5
Humana  Humana Inc.  4
Blue Cross and Blue Shield of Alabama  BlueCross BlueShield of Alabama  4
Blue Cross and Blue Shield of Montana  Health Care Service Corporation  4
UnitedHealthcare  UnitedHealth Group, Inc.  4
Cigna  CIGNA  4
Blue Shield of California  California Physicians' Service  4
UnitedHealthcare  UnitedHealth Group, Inc.  4
Health Net of California  Centene Corporation  4
Chinese Community Health Plan  Chinese Hospital Association  4
UnitedHealthcare  UnitedHealth Group, Inc.  4
UnitedHealthcare  UnitedHealth Group, Inc.  4
UnitedHealthcare  UnitedHealth Group, Inc.  4
WellCare  Centene Corporation  4
Health Alliance Medicare  The Carle Foundation  4
Humana  Humana Inc.  4
Tribute Health Plans  Select Founders, LLC  4
Aetna Medicare  CVS Health Corporation  4
Harvard Pilgrim Health Care, Inc.  Harvard Pilgrim Health Care, Inc.  4
ArchCare Advantage  Catholic Health Care System  4
UnitedHealthcare  UnitedHealth Group, Inc.  4
SelectHealth  Intermountain Health Care, Inc.  4
Regence BlueShield  Cambia Health Solutions, Inc.  4
Humana  Humana Inc.  4
Scott and White Health Plan  Baylor Scott & White Holdings  4
Senior Whole Health  Magellan Health, Inc.  4
UnitedHealthcare  UnitedHealth Group, Inc.  4
iCare  Independent Care Health Plan Inc.  4
Priority Health Medicare  Spectrum Health System  4
HAP Senior Plus (PPO)  Henry Ford Health System  4
Medica  Medica Holding Company  4
UCare's MSHO  UCare Minnesota  4
Blue Cross and Blue Shield of Minnesota  Aware Integrated, Inc.  4
Humana  Humana Inc.  4
Senior Care Plus  Renown Health  4
Ultimate Health Plans  ULTIMATE HEALTH PLAN, INC.  4
UnitedHealthcare  UnitedHealth Group, Inc.  4
AHF  AIDS Healthcare Foundation  4
Horizon Blue Cross Blue Shield of New Jersey  Horizon Healthcare Services, Inc.  4
Blue Cross and Blue Shield of Nebraska  Blue Cross Blue Shield of Nebraska  4
Healthfirst Medicare Plan  Healthfirst, Inc.  4
BlueCross BlueShield of WNY and BlueShield of NENY  HealthNow New York Inc.  4
Blue Cross and Blue Shield of North Carolina  Blue Cross and Blue Shield of North Carolina  4
Blue Cross and Blue Shield of North Carolina  Blue Cross and Blue Shield of North Carolina  4
ConnectiCare  EmblemHealth, Inc.  4
Paramount Elite/Medicare Plans  Promedica Health System, Inc.  4
Anthem Blue Cross and Blue Shield  Anthem Inc.  4
SummaCare Medicare Advantage Plans  Summa Health System Community  4
MediGold  Trinity Health  4
The Health Plan  The Health Plan of West Virginia, Inc.  4
CommunityCare Senior Health Plan (HMO St Francis Health System & St John Health System  4
UnitedHealthcare  UnitedHealth Group, Inc.  4
Samaritan Advantage Health Plan  Samaritan Health Services  4
Alignment Health Plan  Alignment Healthcare USA, LLC  4
PacificSource Medicare  PacificSource  4
UPMC for Life  UPMC Health System  4
Capital Advantage Insurance Company  Capital BlueCross  4
Cigna  CIGNA  4
Independence Blue Cross  Independence Health Group, Inc.  4
Geisinger Gold  Geisinger Health  4
Highmark Inc.  Highmark Health  4
Medicare y Mucho Más  Summit Master Company, LLC  4
Humana  Humana Inc.  4
Anthem Blue Cross and Blue Shield  Anthem Inc.  4
Humana  Humana Inc.  4
Blue Cross & Blue Shield of Rhode Island  Blue Cross & Blue Shield of Rhode Island  4
VISTA Health Plan Inc.  Independence Health Group, Inc.  4
UPMC for Life Dual  UPMC Health System  4
Cigna  CIGNA  4
UnitedHealthcare  UnitedHealth Group, Inc.  4
Regence BlueCross BlueShield of Utah  Cambia Health Solutions, Inc.  4
Anthem Blue Cross and Blue Shield  Anthem Inc.  4
Regence BlueShield  Cambia Health Solutions, Inc.  4
Asuris Northwest Health  Cambia Health Solutions, Inc.  4
Security Health Plan of Wisconsin, Inc.  Marshfield Clinic Health System, Inc.  4
Humana  Humana Inc.  4
UnitedHealthcare  UnitedHealth Group, Inc.  4
Allwell  Centene Corporation  4
UnitedHealthcare  UnitedHealth Group, Inc.  4
Freedom Health, Inc.  Anthem Inc.  4
Simply Healthcare Plans, Inc.  Anthem Inc.  4
Aetna Medicare  CVS Health Corporation  4
Humana  Humana Inc.  4
VNSNY CHOICE Medicare  Visiting Nurse Service of New York  4
Vantage Health Plan  Louisiana Health Service & Indemnity Company  4
MCS Classicare  Medical Card System, Inc.  4
Humana  Humana Inc.  4
Triple S Advantage  Triple-S Management Corporation  4
Aetna Medicare  CVS Health Corporation  4
Anthem Blue Cross and Blue Shield  Anthem Inc.  4
Blue Care Network  Blue Cross Blue Shield of Michigan Mutual Ins. Co.  4
Gateway Health Medicare Assured  Gateway Health, LLC.  4
Humana  Humana Inc.  4
Medica  Medica Holding Company  4
FirstMedicare Direct  The Carle Foundation  4
Blue Medicare Advantage  Blue Cross and Blue Shield of Kansas City  4
Humana  Humana Inc.  4
Medical Mutual of Ohio  MEDICAL MUTUAL OF OHIO  4
Harvard Pilgrim Health Care of New England, Inc.  Harvard Pilgrim Health Care, Inc.  4
ATRIO Health Plans  ATRIO Health Plans  4
Cigna  CIGNA  4
Aetna Medicare  CVS Health Corporation  4
UnitedHealthcare  UnitedHealth Group, Inc.  4
BlueCross BlueShield of Tennessee  BlueCross BlueShield of Tennessee  4
FirstMedicare Direct  The Carle Foundation  4
Health New England Medicare Advantage Plans  Baystate Health, Inc.  4
UnitedHealthcare  UnitedHealth Group, Inc.  4
MVP HEALTH CARE  MVP Health Care, Inc.  4
UnitedHealthcare  UnitedHealth Group, Inc.  4
UnitedHealthcare  UnitedHealth Group, Inc.  4
UnitedHealthcare  UnitedHealth Group, Inc.  4
WellCare  Centene Corporation  3.5
UnitedHealthcare  UnitedHealth Group, Inc.  3.5
MetroPlus Health Plan  New York City Health and Hospitals Corporation  3.5
UnitedHealthcare  UnitedHealth Group, Inc.  3.5
Cigna  CIGNA  3.5
Aetna Medicare  CVS Health Corporation  3.5
Anthem Blue Cross  Anthem Inc.  3.5
Inter Valley Health Plan  InterValley Health Plan  3.5
Brand New Day  Universal Care, Inc  3.5
Allwell  Centene Corporation  3.5
WellCare  Centene Corporation  3.5
AvMed Medicare  AvMed, Inc.  3.5
UnitedHealthcare  UnitedHealth Group, Inc.  3.5
Health First Health Plans, Inc.  Health First, Inc.  3.5
UnitedHealthcare  UnitedHealth Group, Inc.  3.5
WellCare  Centene Corporation  3.5
Johns Hopkins HealthCare  Johns Hopkins Healthcare LLC  3.5
Regence BlueShield Of Idaho  Cambia Health Solutions, Inc.  3.5
Blue Cross of Idaho  Blue Cross of Idaho Health Services, Inc.  3.5
Blue Medicare Advantage  Blue Cross and Blue Shield of Kansas City  3.5
Anthem Blue Cross and Blue Shield  Anthem Inc.  3.5
Aetna Medicare  CVS Health Corporation  3.5
Piedmont Medicare Advantage  UnitedHealth Group, Inc.  3.5
Aetna Medicare  CVS Health Corporation  3.5
Health Alliance Medicare  The Carle Foundation  3.5
MediGold  Trinity Health  3.5
Cigna  CIGNA  3.5
Care N' Care Insurance Company  Texas Health Resources  3.5
Trillium Medicare Advantage  Centene Corporation  3.5
UnitedHealthcare  UnitedHealth Group, Inc.  3.5
Optima Medicare  Sentara Health Care (SHC)  3.5
WellCare  Centene Corporation  3.5
WellCare  Centene Corporation  3.5
Molina Healthcare of Wisconsin  Molina Healthcare, Inc.,  3.5
Humana  Humana Inc.  3.5
Stanford Health Care Advantage  Stanford Health Care  3.5
Aetna Medicare  CVS Health Corporation  3.5
Presbyterian Health Plan  Presbyterian Healthcare Services  3.5
Amerigroup Community Care  Anthem Inc.  3.5
Blue Cross and Blue Shield of New Mexico  Health Care Service Corporation  3.5
BlueCare Plus Tennessee  BlueCross BlueShield of Tennessee  3.5
Elderplan  Elderplan, Inc.  3.5
UnitedHealthcare  UnitedHealth Group, Inc.  3.5
UnitedHealthcare  UnitedHealth Group, Inc.  3.5
Anthem HealthKeepers  Anthem Inc.  3.5
UnitedHealthcare  UnitedHealth Group, Inc.  3.5
Health Alliance Northwest  The Carle Foundation  3.5
Anthem Blue Cross and Blue Shield  Anthem Inc.  3.5
HEALTH NET COMMUNITY SOLUTIONS, INC.  Centene Corporation  3.5
GlobalHealth  Momentum Health Holdings, LLC  3.5
UnitedHealthcare  UnitedHealth Group, Inc.  3.5
AllCare Advantage  AllCare Health, Inc.  3.5
Blue Cross and Blue Shield of IL, NM  Health Care Service Corporation  3.5
HMSA Akamai Advantage  Hawaii Medical Service Association  3.5
Independence Blue Cross  Independence Health Group, Inc.  3.5
Geisinger Gold  Geisinger Health  3.5
Aetna Medicare  CVS Health Corporation  3.5
Aetna Medicare  CVS Health Corporation  3.5
Keystone Health Plan Central, Inc.  Capital BlueCross  3.5
Blue Cross and Blue Shield of Oklahoma  Health Care Service Corporation  3.5
Triple-S Advantage  Triple-S Management Corporation  3.5
CommunityCare Advantage Medicare Plan (HMO)  St Francis Health System & St John Health System  3.5
WellCare  Centene Corporation  3.5
UnitedHealthcare  UnitedHealth Group, Inc.  3.5
Aetna Medicare  CVS Health Corporation  3.5
UnitedHealthcare  UnitedHealth Group, Inc.  3.5
PacificSource Medicare  PacificSource  3.5
WellCare  Centene Corporation  3.5
Priority Health Medicare  Spectrum Health System  3.5
Banner - University Care Advantage  Banner Health  3.5
UnitedHealthcare  UnitedHealth Group, Inc.  3.5
Highmark Inc.  Highmark Health  3.5
Allwell  Centene Corporation  3.5
UnitedHealthcare  UnitedHealth Group, Inc.  3.5
Anthem Blue Cross and Blue Shield  Anthem Inc.  3.5
OneCare  Orange County Health Authority  3.5
Florida Blue  Guidewell Mutual Holding Corporation  3.5
WellCare  Centene Corporation  3.5
Denver Health Medical Plan, Inc.  Denver Health and Hospital Authority  3.5
Molina Healthcare of Utah & Idaho  Molina Healthcare, Inc.,  3.5
Central Health Medicare Plan  AHMC Central Health LLC  3.5
WellCare  Centene Corporation  3.5
WellCare  Centene Corporation  3.5
Molina Healthcare of California  Molina Healthcare, Inc.,  3.5
Molina Healthcare of Washington, Inc.  Molina Healthcare, Inc.,  3.5
AHF  AIDS Healthcare Foundation  3.5
CareOregon Advantage  CareOregon, Inc.  3.5
Molina Healthcare of Michigan  Molina Healthcare, Inc.,  3.5
Blue Shield of California  California Physicians' Service  3.5
VillageHealth  SCAN Health Plan  3.5
ATRIO Health Plans  ATRIO Health Plans  3.5
Care N' Care Insurance Company  Texas Health Resources  3.5
CareSource  CareSource Management Group Co.  3.5
Blue Cross and Blue Shield of Louisiana HMO  Louisiana Health Service & Indemnity Company  3.5
UnitedHealthcare  UnitedHealth Group, Inc.  3.5
Health Net Health Plan of Oregon, Inc.  Centene Corporation  3.5
Centers Plan for Healthy Living  Centers Plan for Healthy Living, LLC  3.5
Memorial Hermann Health Plan  Memorial Hermann Health System  3.5
Premera Blue Cross Medicare Advantage  Premera  3.5
Medicare y Mucho Más  Summit Master Company, LLC  3.5
Molina Healthcare of Texas, Inc.  Molina Healthcare, Inc.,  3.5
Anthem Blue Cross and Blue Shield  Anthem Inc.  3.5
Cigna  CIGNA  3.5
Blue Cross Blue Shield of South Carolina  BlueCross BlueShield of South Carolina (BCBSSC)  3.5
Molina Healthcare of Florida  Molina Healthcare, Inc.,  3.5
Humana  Humana Inc.  3.5
UnitedHealthcare  UnitedHealth Group, Inc.  3.5
Horizon Blue Cross Blue Shield of New Jersey  Horizon Healthcare Services, Inc.  3.5
Anthem Blue Cross Life and Health Insurance Co.  Anthem Inc.  3.5
The Health Plan  The Health Plan of West Virginia, Inc.  3.5
Blue Cross and Blue Shield of IL, NM  Health Care Service Corporation  3.5
UnitedHealthcare  UnitedHealth Group, Inc.  3.5
University of Maryland Health Advantage  University of Maryland Medical System Corporation  3.5
Health Partners Medicare  Health Partners Plans, Inc.  3.5
Premera Blue Cross Medicare Advantage  Premera  3.5
Vibra Health Plan  Capital BlueCross  3.5
Anthem Blue Cross and Blue Shield  Anthem Inc.  3.5
Blue Cross Blue Shield of Michigan  Blue Cross Blue Shield of Michigan Mutual Ins. Co.  3.5
Allwell  Centene Corporation  3.5
WellCare  Centene Corporation  3.5
CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA  Moses H. Cone Memorial Hospital Corp.  3.5
UnitedHealthcare  UnitedHealth Group, Inc.  3.5
Humana  Humana Inc.  3.5
Humana  Humana Inc.  3.5
Humana  Humana Inc.  3.5
UnitedHealthcare  UnitedHealth Group, Inc.  3.5
UnitedHealthcare  UnitedHealth Group, Inc.  3.5
Florida Blue  Guidewell Mutual Holding Corporation  3.5
Humana  Humana Inc.  3.5
UnitedHealthcare  UnitedHealth Group, Inc.  3.5
Humana  Humana Inc.  3.5
Humana  Humana Inc.  3.5
Anthem Blue Cross and Blue Shield  Anthem Inc.  3.5
Humana  Humana Inc.  3.5
Humana  Humana Inc.  3.5
Anthem Blue Cross and Blue Shield  Anthem Inc.  3.5
Aetna Medicare  CVS Health Corporation  3.5
UnitedHealthcare  UnitedHealth Group, Inc.  3.5
Humana  Humana Inc.  3.5
UnitedHealthcare  UnitedHealth Group, Inc.  3.5
Allwell  Centene Corporation  3
WellCare  Centene Corporation  3
Blue Cross Blue Shield of Arizona Advantage  Blue Cross Blue Shield of Arizona  3
Allwell  Centene Corporation  3
WellCare  Centene Corporation  3
Allwell  Centene Corporation  3
Aetna Medicare  CVS Health Corporation  3
CHRISTUS Health Plan Generations  CHRISTUS Health  3
Cigna  CIGNA  3
WellCare  Centene Corporation  3
Allwell  Centene Corporation  3
Aetna Better Health of Virginia  CVS Health Corporation  3
Blue Cross and Blue Shield of Texas  Health Care Service Corporation  3
AMERIGROUP  Anthem Inc.  3
VillageCareMAX  Village Care of New York, Inc.  3
Golden State  MacArthur Court Acquisition Corp  3
WellCare  Centene Corporation  3
Amerigroup  Anthem Inc.  3
Innovation Health Medicare  Innovation Health Holdings, LLC  3
Clear Spring Health  Group 1001  3
Presbyterian Insurance Company, Inc.  Presbyterian Healthcare Services  3
UnitedHealthcare  UnitedHealth Group, Inc.  3
Aetna Medicare  CVS Health Corporation  3
EmblemHealth Medicare HMO  EmblemHealth, Inc.  3
Humana  Humana Inc.  3
Moda Health Plan, Inc.  Moda Partners, Inc.  3
ATRIO Health Plans  ATRIO Health Plans  3
Johns Hopkins HealthCare  Johns Hopkins Healthcare LLC  3
Arkansas Blue Medicare  USAble Mutual Insurance Company  3
Anthem Blue Cross and Blue Shield  Anthem Inc.  3
Clover Health  Clover Health Holdings, Inc.  3
WellCare  Centene Corporation  3
UnitedHealthcare  UnitedHealth Group, Inc.  3
Health Net Life Insurance Company  Centene Corporation  3
Mercy Care Advantage  Mercy Care  3
Health Choice Arizona  Blue Cross Blue Shield of Arizona  3
Amerigroup Community Care of New Mexico  Anthem Inc.  3
Community Health Plan of WA Medicare Advantage  Community Health Plan of Washington  3
Prominence Health Plan  Universal Health Services, Inc.  3
AlohaCare  AlohaCare  3
EmblemHealth Medicare HMO  EmblemHealth, Inc.  3
UnitedHealthcare  UnitedHealth Group, Inc.  3
ATRIO Health Plans  ATRIO Health Plans  3
Allwell  Centene Corporation  3
WellCare  Centene Corporation  3
Blue Cross and Blue Shield of Texas  Health Care Service Corporation  3
Empire BlueCross BlueShield  Anthem Inc.  3
Blue Cross and Blue Shield of Texas  Health Care Service Corporation  3
Aetna Medicare  CVS Health Corporation  3
Aspire Health Plan  Montage Health  3
Humana  Humana Inc.  3
Molina Healthcare of New Mexico, Inc.  Molina Healthcare, Inc.,  3
Allwell  Centene Corporation  3
Cigna  CIGNA  3
Health Advantage  HMO Partners, Inc.  3
Passport Advantage  University Health Care, Inc.  3
Humana  Humana Inc.  3
Humana  Humana Inc.  3
Humana  Humana Inc.  3
Humana  Humana Inc.  3
Humana  Humana Inc.  3
Bright Health  Bright Health, Inc.  2.5
AgeWell New York  ParkerCare New York, LLC  2.5
Prominence Health Plan  Universal Health Services, Inc.  2.5
Virginia Premier  Virginia Cwlth University Hlth System Authority  2.5

Twitter: @SusanJMorse
Email the writer: susan.morse@himssmedia.com