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Quality and recognition


Click here to find out more about our Quality program and outcomes

HEDIS® 2017 Performance (Measurement Year 2016)

The Healthcare Effectiveness Data and Information Set (HEDIS®) is a set of standardized health care performance measures. PrimeTime Health Plan uses these measures to assess the care of our members and develop healthy initiatives based on the results.

Cancer Screening
Cardiac Care
Diabetes Care

HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).

Member Satisfaction Survey Results, 2017

PrimeTime Health Plan takes great pride in the services we provide for our members. In order to assess member satisfaction with the many aspects of quality healthcare that we provide, PrimeTime Health Plan utilizes the Consumer Assessment of Healthcare Providers and Systems (CAHPS ®) Survey. This survey was developed by the US Agency for Healthcare Research and Quality (AHRQ).

Customer Service
Getting Care Quickly
Getting Needed Care
How Well Doctors Communicate

CAHPS® is a registered trademark of the Agency for Healthcare Research and Quality (AHRQ).


NCQA Accreditation

PrimeTime Health Plan holds an Accreditation status of Commendable from the National Committee for Quality Assurance (NCQA) for its Medicare Advantage HMO-POS products.The NCQA Accreditation process evaluates how well a health plan manages quality throughout every part of its delivery system - physicians, hospitals, affiliated providers, and administrative services - to continuously improve health care for its members. You can rest assured that the care you receive - from PrimeTime Health Plan and from our network physicians and hospitals - meets or exceeds the industry’s highest standards of quality.

We are extremely proud of our achievements – setting high standards and meeting our goals – and also that you trust that you will receive quality care, programs and services from us.

ncqa seal 2018
The NCQA seal represents NCQA Heal Plan report card year 2017-2018. Click here to visit the NCQA website to learn more.

About NCQA

NCQA is a private, non-profit organization dedicated to improving healthcare quality. NCQA accredits and certifies a wide range of health-care organizations and manages the evolution of HEDIS ®, the performance measurement tool used by more than 90 percent of the nation's health plans. NCQA is committed to providing information regarding health-care quality in order to help consumers, employers, and others make more informed healthcare choices. For more information, visit www.ncqa.org. The Healthcare Effectiveness Data and Information Set (HEDIS®) is a registered trademark of NCQA.

CAHPS® is a registered trademark of the Agency for Healthcare Research and Quality (AHRQ).

Star Ratings

PrimeTime Health Plan is an HMO-POS plan with a Medicare contract. Enrollment in PrimeTime Health Plan depends on contract renewal. Medicare evaluates plans based on a 5-Star Rating system. Star ratings are calculated each year and may change from one year to the next.

PrimeTime Health Plan is a 4 out of 5-Star Rated plan for the 2020 star rating year.

Medicare Plan Star Ratings
Click here to view our Medicare Plan Star ratings sheet.

Last updated:09/25/2018