Martin’s Point Health Care Among Nation’s Highest-Quality Medicare Advantage Plans for 2019

Martin’s Point Health Care Earns 5 Stars, Among Nation’s Highest-Quality Medicare Advantage Plans for 2019

Medicare beneficiaries living in Maine and New Hampshire have access to one of only 14 Medicare Advantage contracts in the country to earn 5 out of 5 stars from the Centers for Medicare and Medicaid Services (CMS) for 2019. Portland-based Martin’s Point Generations Advantage Prime, Value, Value Plus, and Focus DC plans have earned the highest-possible Overall Plan Rating for quality and service awarded nationally to Medicare Advantage plans. They are the only Medicare Advantage plans in Maine and New Hampshire to achieve Medicare’s 5-Star rating for 2019.

“As an organization we are committed to improving the health of our community and are incredibly proud to offer 5-Star plans to our friends and neighbors here in Maine and New Hampshire,” said Dr. David Howes, President and CEO of Martin’s Point Health Care. “We share this recognition with our over 45,000 Generations Advantage members who took an active role in their own health, as well as our dedicated team of employees and over 15,000 network providers who took such great care of our members. We want to especially recognize the tremendous primary care community here in Maine and New Hampshire for such remarkable care. Achieving this rating was truly a team effort and we could not have done this alone.”

CMS publishes their Star Ratings during the Medicare Annual Enrollment period each year to help seniors compare the level of health care quality and service offered by Medicare Advantage plans. While CMS rated 376 Medicare Advantage contracts nationwide this year, only an elite group of 14, including the Martin’s Point Generations Advantage HMO contract, earned the distinction of a 5-Star Overall Plan Rating. The overall rating is based on nearly 50 care and service quality measures across multiple categories including customer service, member experience, management of chronic conditions, how the plan helps members stay healthy, prescription drug services, and more.

“This rating reflects our commitment to partner with our members and the greater health community to deliver the highest quality care and service possible,” said Dan Hounchell, Vice President of Health Plan Products for Martin’s Point. “We are incredibly proud to represent the health care community here in Maine and New Hampshire as we join only a few other Medicare Advantage plans across the country that have received this distinction. In the end, as a local health plan, our dedication to keeping our family members, neighbors, and friends as healthy as possible is what sets us apart.”

Martin’s Point Generations Advantage plans are the most popular in Maine, serving nearly 45,000 Medicare beneficiaries, and have achieved the highest ratings in the state for seven nine years in a row.

In addition to representing the highest quality recognition given by CMS, the rating also means that Medicare beneficiaries in Maine and New Hampshire may enroll in 5-Star Generations Advantage plan throughout 2019, not only during Medicare’s annual enrollment period (which runs from October 15 – December 7 each year). Medicare allows 5-Star plans a special enrollment opportunity to make it easier for seniors to move into higher quality plans at any time during the year.

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About Martin’s Point Health Care

Martin’s Point is a not-for-profit health care organization based in Portland, Maine. Martin’s Point offers Medicare Advantage and TRICARE® health plans – Generations Advantage serving Medicare beneficiaries in Maine and New Hampshire and the US Family Health Plan serving active-duty and retired military families in Maine, New Hampshire, Vermont, upstate New York and northern Pennsylvania. Martin’s Point also provides primary care services at seven health care centers from Brunswick, Maine to Portsmouth, New Hampshire.

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. Generations Advantage HMO plans (Contract H5591) received a 5-Star Overall Rating and PPO plans (Contract H1365) received a 4.5-Star Overall Rating for plan year 2019. Visit www.Medicare.gov for more information. Martin’s Point Generations Advantage is a health plan with a Medicare contract offering HMO, HMO-POS, HMO SNP, PPO, and Regional PPO products. Enrollment in a Martin’s Point Generations Advantage plan depends on contract renewal. Martin’s Point Health Care complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. ATTENTION: Si vous parlez français, des services d’aide linguistique vous sont proposés gratuitement. Appelez le 1-888-640-4423 (ATS: 711). ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-888-640-4423 (TTY: 711).

 

Martin’s Point’s CEO testifies before Senate Committee on Aging

Innovative, Tailored Care Models for Maine’s Seniors

Washington, DC (October 3, 2018) – Martin’s Point Health Care, based in Portland, Maine, is implementing forward-thinking programs and care models to meet the health care needs of the state’s rapidly growing, mostly rural, and chronically ill senior population. That was the message Martin’s Point President and CEO, David Howes, MD, shared at an October 3 hearing of the Senate Committee on Aging, chaired by Maine Senator Susan Collins.

Maine health care providers, including Martin’s Point, are on the front line of tackling a collection of senior health care challenges other states will face in the years ahead. Maine’s average population age is rising faster than that of any state in the nation. Projections show that, by 2020, those over the age of 65 in Maine will outnumber those under 18—a statistic that is 15 years ahead of the national projected date of 2035. Adding to the complexity of this issue, 31 percent of Maine’s senior population lives below 200 percent of the poverty line and 51 percent lives in rural areas.

In describing their innovative approach to caring for a this progressively aging population, Dr. Howes highlighted the fact that Martin’s Point provides Maine seniors with both direct patient care and Medicare health plans. This unique combination of services allows the organization to leverage health care information to inform targeted and closely managed care, resulting in improved patient outcomes and experience and driving down costs.

 “I regard our [health plan] care management programs as some of our best innovation work at Martin’s Point,” said Dr. Howes. “They continue to illustrate to me that the little things can make a big difference.”

In his Senate testimony Dr. Howes described several programs that illustrate this strategic approach to delivering care, managing costs and helping seniors live independently. These programs feature a care model that emphasizes close care coordination and chronic disease management. Some of the programs included in the testimony include:

  • A home-based comprehensive care program tackling all factors that impact health, including physical, emotional, social and environmental. As part of the program, patients are screened for mental illness, addiction and depression. More than half of invited members in the home-care program are accepting nurses into their home for the first visit and then inviting them back.
  • A pilot program for patients with congestive heart failure, providing in-home assessments, education on symptoms and telemonitoring devices for participants. The effort led to significant improvements in members’ medication adherence, as well as decreased hospital admissions and a nearly 70 percent reduction in readmissions.

To read the full testimony from Dr. Howes, click here.

The Flu and You: 7 Habits to Stay Healthy

This year Maine, like many other states, has been hit especially hard with flu cases. According to a recent Portland Press Herald article, 531 new cases of influenza were reported the week of January 15th, 2018 and many were of a more severe type.

Here are some simple habits you can practice to stay healthy during flu season.

1. Avoid close contact.
Avoid close contact with people who are sick. When you are sick, keep your distance from others to protect them from getting sick too.

2. Stay home when you are sick.
If possible, stay home from work, school, and errands when you are sick. You will help prevent others from catching your illness.

3. Cover your mouth and nose.
Cover your mouth and nose with a tissue when coughing or sneezing. It may prevent those around you from getting sick.

4. Clean your hands.
Washing your hands often will help protect you from germs. If soap and water are not available, use an alcohol-based hand rub.

5. Avoid touching your eyes, nose or mouth.
Germs are often spread when a person touches something that is contaminated with germs and then touches his or her eyes, nose, or mouth.

6. Practice other good health habits.
Clean and disinfect frequently touched surfaces at home, work or school, especially when someone is ill. Get plenty of sleep, be physically active, manage your stress, drink plenty of fluids, and eat nutritious food.

7. Get a Flu Shot (It’s not too late).
The Centers for Disease Control and Prevention (CDC) recommends a yearly flu vaccine as the first and most important step in protecting against flu viruses.

“I strongly advise getting the flu shot this year.  The flu vaccine is not perfect,  but it will make  you less likely to get the flu, and  if you do get it, you will likely get a milder case. The flu is all around us, but it is not too late to get vaccinated. A flu shot now may also  make you less likely to get the flu next year too”, adds Dr. Patrick Connolly, MD from Martin’s Point’s Health Care Center in Portland.

Martin’s Point Health Care patients can call and schedule an appointment for a flu shot at a local Martin’s Point Health Care Center. Generations Advantage members can learn more about your flu shot benefit by clicking here.

“The single greatest advance in medicine in the last 50 years are immunizations. Diseases such as measles, small pox and pox, which used to have devastating effects and killed or crippled  millions of people, have been effectively eradicated thanks to vaccines. Protect yourself,  protect your loved ones, protect your neighbors. Get  vaccinated today!” –  Dr. Patrick Connolly, MD

Visit the CDC website for more information on the Flu and You.

http://www.cdc.gov/flu/consumer/