MetroPlusHealth Achieves 4-Star Medicare Rating for Second Year Running

MetroPlusHealth Achieves 4-Star Medicare Rating

MetroPlusHealth has announced that for the second consecutive year, its Medicare Advantage plans have been awarded an overall 4-Star rating from the Centers for Medicare & Medicaid Services (CMS). This recognition underscores the organization's enduring commitment to delivering high-quality care to its members in New York City. The rating encompasses all of MetroPlusHealth's Medicare Advantage plans, including the MetroPlus Advantage Plan (HMO D-SNP), MetroPlus Platinum Plan (HMO), and MetroPlus UltraCare (HMO D-SNP).

Every year, Medicare assesses health plans based on a 5-Star rating system, evaluating various aspects such as quality of care, medication management, and overall member experience. In the recent 2027 Medicare Star Ratings, MetroPlusHealth achieved 4 Stars for Part C and 4.5 Stars for Part D prescription drug coverage, emulating its 4-Star performance in the previous year. This sustained success reflects consistent performance across crucial criteria affecting member care and satisfaction.

Dr. Talya Schwartz, President and CEO of MetroPlusHealth, remarked, "Earning a 4-Star Medicare Advantage rating for the second consecutive year reflects meaningful, sustained progress. This recognition is a testament to the dedication of MetroPlusHealth’s teams and providers across New York City and our unwavering commitment to improving health outcomes for our members."

The Medicare Star Ratings program allows beneficiaries to compare plans when making coverage choices. MetroPlusHealth's strong ratings reflect an emphasis on clinical care, effective medication management, and patient-centered service. For 2027, the organization demonstrated a solid focus on health outcomes while ensuring a dependable and responsive service structure for its members.

Dr. Sanjiv Shah, Chief Medical Officer of MetroPlusHealth, expressed, "This continued 4-Star performance showcases the diligent work happening every day within our clinical teams and the wider organization. Whether it’s helping members manage chronic conditions or supporting informed health decisions, our aim is to provide the necessary support for them to lead healthier lives."

MetroPlusHealth’s Medicare Advantage plans offer one of the most competitive benefit packages available, which includes not only extensive medical and prescription drug coverage but also supplementary benefits for added support. The MetroPlus Advantage Plan (HMO D-SNP) features annual Flex Card benefits worth $3,120, along with generous transportation services such as 50 round trips to medical appointments each year, and a budget of $2,000 annually for hearing aids. These initiatives are designed to foster greater health, independence, and overall well-being among members.

Moreover, MetroPlusHealth's Medicare Advantage plans benefit from a strong partnership with NYC Health + Hospitals, the largest municipal healthcare system in the country. This collaboration enhances coordinated care and ensures broad access to providers, all while tailoring services to meet the needs of New York City's diverse community.

MetroPlusHealth, a subsidiary of NYC Health + Hospitals, has been providing affordable and quality healthcare for over 40 years. The organization is dedicated to addressing social determinants of health, being the only health plan in New York State to dedicate specific resources to ensure members' access to food, housing, and transportation. Currently, MetroPlusHealth serves nearly 700,000 members, with a robust network of over 34,000 providers, including more than 40 hospitals and urgent care centers.

For further details on MetroPlusHealth and its Medicare plans, visit the MetroPlusHealth website. The company continues to emphasize its commitment to enhancing health outcomes and advancing quality care for its members across New York City.