2015 Award Winners for Measurement Year (MY) 2014
MY 2014 Excellence in Healthcare Awards
MY 2014 Quality Most Improved Awards
MY 2014 Medicare Five-Star and Medicare Stars Most Improved Winners to be Announced
Excellence in Healthcare Award
“Excellence in Healthcare” award winners are physician organizations that have been successful at achieving strong quality results while effectively managing costs. To earn this recognition, physician organizations must have performance that ranks in the top 50% for clinical quality and patient experience and cost performance. Cost performance is based on the Total Cost of Care, including adjustments to account for members’ risk and geography. See here for a description of the methodology.
Most Improved Award
“Most Improved” award winners are determined by calculating the relative improvement for each physician organization on the overall achievement score for this year compared to the overall achievement score for last year. The physician
Most Improved Award
“Most Improved” award winners are determined by calculating the relative improvement for each physician organization on the overall achievement score for this year compared to the overall achievement score for last year. The physician organization in each of the eight P4P regions that has the highest relative improvement score for overall quality performance— and does not decrease performance in any quality measurement domain—is recognized as the most improved group in that region.
Medicare Five-Star Award
“Medicare Five-Star” award winners are five-star rated physician organizations, identified by comparing performance on individual Medicare Stars measures against national benchmarks provided by the Centers for Medicare & Medicaid Services (CMS) which were then combined into a weighted overall Stars rating across a set of 14 Part C (Medicare Advantage) and Part D (Prescription Drug Plan) measures.
Medicare Stars Most Improved Award
“Medicare Stars Most Improved” award winners are determined by calculating the relative improvement for each physician organization on the overall Medicare Stars score for this year compared to the overall score for last year. The physician organizations that improved by at least ½ Star overall are recognized as the most improved groups in California.
Quality Performer Award (Discontinued)
In keeping with the national imperative to reduce the cost of the healthcare system while delivering high quality care to consumers, the “Quality Performer” award was discontinued in 2015 after eleven years of awards based on quality and patient experience.
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