#United States #St. Louis #Medicare Advantage #U.S. News #Essence Healthcare

Essence Healthcare Achieves Top Ratings in Medicare Advantage

Essence Healthcare has once again demonstrated its excellence in the healthcare industry by earning high Star ratings from the Centers for Medicare and Medicaid Services (CMS) for 2025. With an impressive 4.5 out of 5 stars for its Health Maintenance Organization (HMO) plan and 4 out of 5 stars for its Preferred Provider Organization (PPO) plan, Essence Healthcare has solidified its position as a leading Medicare Advantage plan provider in the United States.

Understanding the Star Ratings

The CMS Star Ratings system is an essential measure that evaluates Medicare Advantage plans based on quality and performance across several critical areas, including member satisfaction, management of chronic conditions, and preventive care initiatives. The rating system helps consumers make informed choices regarding their healthcare, with higher-rated plans recognized for demonstrating quality care and exceptional member experiences. Plans that achieve 4 or 5 stars confirm their compliance with strict standards established by CMS, thus placing them among the best in the country.

Recognition from U.S. News

Adding to its accolades, Essence Healthcare has also been recognized by U.S. News & World Report as the Best Insurance Company for Medicare Advantage for 2025 specifically in Missouri and Illinois. This acknowledgement further emphasizes the company’s dedication to providing quality service and meeting the needs of its members.

Commitment to Quality and Innovation

Dr. Saria Saccocio, Chief Medical Officer at Essence Healthcare, remarked, "Our strong CMS Star ratings and recognition as a Best Insurance Company for Medicare Advantage reflect our unwavering commitment to quality, innovation, and patient-centered care. We strive to advance healthcare quality, empower our physician partners, and deliver exceptional experiences for our members."

Essence Healthcare’s HMO plan has been ranked in the 95th percentile nationally, putting it among the top five percent of Medicare Advantage plans available. In addition, the Essence Healthcare HMO plan received a perfect score of 5 stars in all Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey measures, showcasing high levels of member satisfaction.

These high ratings come during a year that has seen new, more rigorous standards implemented by CMS, marking the fifth consecutive year that Essence's HMO plans have scored 4.5 stars or higher.

The Essence Healthcare Difference

Serving approximately 60,000 individuals, Essence Healthcare is dedicated to providing comprehensive and affordable health insurance tailored to the specific needs of Medicare members. Their Medicare Advantage plans encompass complete hospital, medical, and prescription drug coverage and include additional benefits not typically covered by Original Medicare.

The company utilizes top-tier population health services and technology, backed by Lumeris, to enhance its capabilities and service delivery. Its HMO plans (H2610 contract) have achieved a 5-out-of-5-star Overall Plan Rating for the years 2022-2024 and a 4.5-star rating for 2025. Meanwhile, its PPO plans (H6200 contract) earned a 4-star Overall Plan Rating for 2025.

Despite the achievement, it's important to note that plans under Essence's H3189 and H4620 contracts did not have enough data to receive a star rating.

Future Availability

In 2025, residents in Illinois, Missouri, Arkansas, Ohio, Kentucky, and Indiana will have access to Essence's award-winning Medicare Advantage plans, signaling the company's ongoing effort to expand its reach and provide quality healthcare options.

Conclusion

For individuals searching for a stellar Medicare Advantage option, Essence Healthcare stands out as a top contender, backed by its high star ratings and recognitions for quality service. To learn more about the plans available and their commitment to high-quality healthcare, visit Essence Healthcare. Enrollments in Essence Healthcare depends on contract renewal, and it's crucial for prospective members to review their eligibility and available options.

By prioritizing its members and maintaining high standards of care, Essence Healthcare continues to excel in the ever-evolving landscape of healthcare insurance.