Martin’s Point Health Care strives to provide our members with health plans that are among the best in the nation.
We are committed to supporting the delivery of care and service that meets the highest standards for safety, effectiveness, and customer experience.
At Martin’s Point Health Care, the Health Plan Quality Department is committed to delivering exceptional health outcomes and member experiences. The department focuses on continuous improvement in healthcare quality, aligning with nationally recognized standards and performance measures to ensure excellence.
Key areas of focus include:
HEDIS (Healthcare Effectiveness Data and Information Set)The department tracks and reports HEDIS measures, a widely used set of performance metrics developed by NCQA. These measures evaluate care quality in areas such as preventive services, chronic disease management, and medication adherence. Martin’s Point utilizes HEDIS data to identify opportunities for improvement and collaborate with providers to enhance patient outcomes.
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Questions or want to learn more? Additional information about our HEDIS program can be found here: |
Martin’s Point uses the CAHPS® surveys to ask members about their experiences with the quality of care and customer service that we provide, i.e., health plans, prescription plans, and care providers.
The surveys focus on factors that members say are important to them, such as getting care easily and quickly, the quality of care provided by their primary care doctor or specialist, the coordination of their health care across the health care system, and overall service quality.
Martin’s Point strives for high performance in the CMS Star Ratings program, which evaluates Medicare Advantage plans across multiple domains, including clinical quality, member satisfaction, and operational performance. Martin's Point works closely with providers to implement strategies that support high-quality care and optimize Star Ratings.
Generations Advantage HMO Plans: Our Prime, Essential, and Alliance plans earned 4.0 out of 5 stars.
Generations Advantage LPPO Plans: Our Select plans earned 3.5 out of 5 stars.
Generations Advantage HMO Plans: Our Prime, Essential, and Alliance plans earned 3.5 out of 5 stars.
Generations Advantage LPPO Plans: Our Select plans earned 3.0 out of 5 stars.
Martin’s Point consistently pursues excellence in NCQA Health Plan Ratings, a benchmark of plan quality and effectiveness.
Achieving strong ratings reflects the organization’s dedication to providing superior care and services.
The National Committee on Quality Assurance (NCQA) has awarded the US Family Health Plan earned 4.0 out of 5 stars for quality performance—this includes earning a rating of 5 out of 5 for Patient Experience measures.
Martin’s Point is proud to maintain NCQA Health Plan Accreditation, demonstrating its adherence to the highest standards in health plan operations, member service, and clinical quality. This accreditation underscores the organization’s commitment to accountability and quality improvement.
NCQA standards provide a roadmap to improvement in multiple areas to keep members healthy:
The National Committee on Quality Assurance (NCQA) has awarded the US Family Health Plan the accreditation status of Accredited for 2025-2028.
Martin’s Point Health Care adopts guidelines for the prevention and treatment of illness and disease from nationally recognized government organizations and medical specialty societies. MPHC reviews and revises these guidelines annually or more frequently if needed.