Improving member experience demonstrated in CMS-certified survey
CHATTANOOGA, Tenn. — BlueCross BlueShield of Tennessee’s Medicare Advantage PPO product has maintained its 4- out of 5-Star quality rating from the Centers for Medicare and Medicaid Services (CMS) for the third year in a row.
CMS releases its annual quality ratings based on customer satisfaction surveys, plan operations and quality outcomes covering 50 measures. Those measures include whether members get their recommended care and screenings, how well their chronic health conditions are controlled and how satisfied they are with their overall health plan experience.
The BlueCross Medicare Advantage PPO received strong marks in all areas, including the highest possible rating for customer service.
“This achievement lets us know we are on the right path in our efforts to improve the member experience and reinforce the overall effectiveness of our programs,” said Todd Ray, senior vice president of senior products for BlueCross. “We remain committed to helping members connect with their doctors to receive the quality care they need, and providing support our members need to lead active, healthy lives.”
The BlueCross Medicare Advantage team collaborates with members and providers to improve health outcomes. Some of those efforts include:
• Partnering with providers on value-based reimbursement programs that make it easier for physicians to get patients in for needed screenings and follow-up care
• Implementing programs that encourage members to get CMS-recommended tests and treatments as appropriate.
• Assisting members in activities such as scheduling checkups or coordinating home based assessments if they are unable to get to their doctor’s office.
Dr. J.B. Sobel, vice president and chief medical officer for senior products at BlueCross, said the achievement was made possible through a sustained focus on improving members’ health and wellbeing.
“This 4-STAR rating substantiates our ongoing efforts to provide our members with peace of mind and help them effectively manage their own health,” he said. “Our quality, medical, and care management teams will continue doing their best to ensure members have access to quality care at the best value.”
BlueCross BlueShield of Tennessee’s mission is to provide peace of mind through better health. Founded in 1945, the Chattanooga-based company is focused on serving more than 3.4 million members in Tennessee and across the country. BlueCross BlueShield of Tennessee Inc. is an independent licensee of the BlueCross BlueShield Association. For more information, visit the company’s website at bcbst.com.