Priority Health receives top ratings from State of Michigan for its Medicaid health plans (2024)

Priority Health is the only Medicaid plan in the Lower Peninsula to receive 4 out of 4 apples

(GRAND RAPIDS, Mich. — November 9, 2023) Priority Health has received the highest possible quality rating from the Michigan Department of Health & Human Services (MDHHS) for its Michigan Medicaid health plans. Priority Health’s Medicaid plan is the only one in the Lower Peninsula to receive four out of four apples.

Priority Health, a nationally recognized nonprofit health plan serving more than 1.3 million members, offers several Medicaid plans for individuals and families in Michigan, including MIChild, Healthy Michigan Plan, and Children's Special Health Care Services (CSHCS).

“I want to thank our teams for their dedication to providing the best possible care for our most vulnerable populations,” said Praveen Thadani, president of Priority Health. “We are deeply honored to receive this top rating. Whether it’s through our unique maternal and infant health programs, or hands-on care from our community health workers, we are committed to helping our members live happy and healthy lives.”

In the rankings released from MDHHS, plans were rated using a scale of apples, with four apples indicating an “above average” performance when compared to the average of all Michigan Medicaid health plans. Priority Health earned an overall rating of four apples based on performance in the following categories:

  • Doctors’ communication and service: Priority Health members feel doctors spend time with them and their children. They connect well with members. They use virtual care options for faster answers and quick care when needed.
  • Getting care: No-cost services make sure members have access to in-person care. Members also have virtual options.
  • Keeping kids healthy: Children in the plan get regular checkups and important vaccines that help protect them against serious illness.
  • Living with illness: The plan brings care to the homes of members with chronic illness–from testing supplies mailed to members with diabetes to visiting families with asthma to check their home for triggers.
  • Taking care of women: Women in the plan are provided with pre- and post-natal care to improve health for both mom and baby. It also joins with media to help increase early screenings completed for cancers.

Additional Honors

Priority Health was also recently recognized as a top performer by the National Committee for Quality Assurance (NCQA) for its accredited Medicaid, Medicare and commercial health plans. In NCQA’s Medicare Health Plan Ratings 2023, Priority Health’s Medicare HMO/POS plans each received 4.5 stars (out of 5), making them the top-rated Medicare plans in Michigan and among the highest-rated plans in the nation. In a separate rating, Priority Health’s Medicare plans recently earned 4.5 stars (out of 5) from the Centers for Medicare and Medicaid Services, the highest rating granted to a Michigan-based plan this year.

This news comes during the annual enrollment period (AEP) for Medicare, taking place now through December 7, and open enrollment period (OEP) for individual and family health plans, taking place now through January 16, 2024. To shop plans, visit PriorityHealth.com

Priority Health receives top ratings from State of Michigan for its Medicaid health plans (2024)

FAQs

Priority Health receives top ratings from State of Michigan for its Medicaid health plans? ›

— November 9, 2023) Priority Health has received the highest possible quality rating from the Michigan Department of Health & Human Services (MDHHS) for its Michigan Medicaid health plans. Priority Health's Medicaid plan is the only one in the Lower Peninsula to receive four out of four apples.

Where does Priority Health rank in Michigan? ›

Priority Health's Medicare HMO/POS plans received 4.5 stars (out of 5), making them the top-rated Medicare plans in Michigan and among the highest-rated plans in the nation. Priority Health's Medicare PPO plans received 4 out of 5 stars.

What are the star ratings for Priority Health? ›

Aim for the stars with Priority Health

And, our PPO plans were awarded 4.5 stars (out of 5) by CMS.

How many Medicaid members does Priority Health have? ›

— October 11, 2023) Priority Health, a nationally recognized nonprofit health plan serving more than 1.3 million members, has again been recognized as a top performer by the National Committee for Quality Assurance (NCQA) for its accredited Medicaid, Medicare and commercial health plans.

What is Priority Health in MI? ›

We're a nationally recognized nonprofit health benefits company focused on improving the health and lives of one million members across Michigan.

Which is the best Medicaid plan in Michigan? ›

Reasons to choose Priority Health

We are one of the top-rated Medicaid plans in Michigan, with a rating of 4 out of 5 in NCQA's Medicaid Health Insurance Plan Ratings 2022-2023.

What is the market share of Priority Health Michigan? ›

Grand Rapids-based Priority Health ranked second with a 12% statewide market share. The only state that was less competitive than Michigan in 2022 was Alabama, where the Blue Cross Blue Shield plan has an 86% market share, according to the AMA.

What is the highest health star rating? ›

The Health Star Ratings are voluntary and range from ½ to five stars. The more stars the healthier.

Is priority health a medicare advantage plan? ›

If you prefer, you may enroll in Priority Health Medicare Advantage plans through the CMS Online Enrollment Center at medicare.gov. Priority Health has HMO-POS and PPO plans with a Medicare contract.

What is star rating in health insurance? ›

Each rated health plan has an overall "star rating" from 1 - 5 stars (5 is the highest performing health plan). A health plan's overall rating is based on the quality of health care services and members' experiences with their health plan.

Who did Priority Health merge with? ›

Total Health Care and Priority Health announce the completion of a merger, allowing the companies to work together to provide improved care and access for current and future members.

What is the largest Medicaid managed care plan? ›

The largest five Medicaid MCOs (Centene, Anthem, United, Amerigroup, and WellCare) enrolled 39 percent of all Medicaid managed care members.

Who bought Priority Healthcare? ›

Express Scripts said it will pay $1.3 billion for Florida specialty pharmacy company Priority Healthcare. The move is expected to strengthen St. Louis-based Express Scripts' position in a field it entered only a year ago with the acquisition of CuraScript.

Can I use Priority Health outside of Michigan? ›

Your Priority Health insurance can be used at any outside of Michigan facility. However, your provider may not be aware of Priority Health if they are located outside of Michigan.

Is Priority Health part of Cigna? ›

Cigna and Priority Health have entered into a Strategic Alliance. This partnership enables us to leverage the best capabilities of both organizations, and deliver a health care experience in Michigan's Lower Peninsula that is more predictable and simplified for providers and customers.

Is Priority Health owned by Spectrum health? ›

Spectrum Health's subsidiaries included hospitals, treatment facilities, urgent care facilities, as well as physician practices that served the western Michigan area. Priority Health was a subsidiary health plan with one million members.

What is the #1 ranked hospital in Michigan? ›

The number 1 hospital in Michigan is University of Michigan Health-Ann Arbor.

Who is top priority in the healthcare field? ›

Ethics for Health Professionals Ch 2: Top Priority, The Patient.

What is the best hospital in Michigan to work for? ›

4 Best Hospitals to Work at in Michigan
  • Henry Ford Health System. Henry Ford pioneers many procedures, which provides their staff with many opportunities to learn. ...
  • University of Michigan Health System. ...
  • St. ...
  • Beaumont Hospital Troy.
Jun 14, 2024

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