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Providence Health Assurance Earns 4-Star Rating for 2026 Medicare Advantage Plans

09 октября 2025

4-Star Rating puts Providence Medicare Advantage Plans among top-performing plans nationally in challenging rating environment

Providence Health Assurance (PHA), a division of Providence Health Plan, today announced that its Medicare Advantage plans have earned an overall 4 out of 5 Star rating from the Centers for Medicare & Medicaid Services (CMS) for 2026. This 4-Star rating demonstrates PHA’s continued commitment to quality care and positions its Medicare Advantage offerings among top-performing plans regionally and nationally, even as the industry navigates significant financial and regulatory challenges.

CMS assigns one to five stars to Medicare Advantage plans annually based on over 40 measures across several key categories, including preventive care, managing chronic conditions, member satisfaction, and customer service. For 2026, CMS raised performance thresholds across most measures, making it significantly more challenging for plans to achieve and maintain high ratings.

Despite this more competitive landscape, PHA performed highly across several key quality measures, including earning a perfect, 5-Star rating for Part D call center language services and accessibility. The plan also demonstrated strong clinical quality performance, with high marks in controlling blood pressure and monitoring physical activity.

“This 4-Star rating reflects the dedication of caregivers who work and live in the communities Providence Health Assurance serves,” said Randi Escobedo, head of health care experience and advocacy at Providence Health Plan. “Because we’re part of the communities where beneficiaries receive care, we understand what matters most to the people we serve. This rating demonstrates that our commitment to providing exceptional, personalized care continues to deliver meaningful results.”

The Medicare Annual Enrollment Period for 2026 coverage runs Oct. 15 through Dec. 7, 2025. Providence Health Assurance continues to offer a range of Medicare Advantage plan options designed to meet diverse healthcare needs and budgets across service areas.

“This achievement demonstrates that staying true to our Mission and values continues to drive meaningful results for communities we serve,” said Shannon Drotning, Providence Health Plan consumer and market president. “At a time when the Medicare Advantage landscape is experiencing unprecedented challenges, this [4]-Star Rating shows that Providence Health Assurance remains a stable, quality choice for Medicare-eligible people seeking affordable, high-quality coverage. I’m grateful to all the caregivers who made this possible through their dedication to excellence and compassionate care.”

With a broad choice of plans designed to fit a variety of healthcare needs and budgets, Providence Health Assurance is a preferred Medicare Advantage choice for Medicare-eligible people seeking affordable, high-quality coverage in communities where Providence has served for generations.

Learn more about PHA’s 2026 Medicare Advantage Plans at TheProvidenceAdvantage.com

About Providence Health Assurance
Providence Health Assurance (PHA) and its affiliates are an integral part of a 160-year-old nonprofit health care collective that has set the health and well-being standard for the communities we serve. Providence Health Assurance provides high-quality, affordable coverage to members via plans for small and large groups, self-insured plan sponsors, Medicare, and Medicaid beneficiaries, as well as individuals and families.

Providence Health Assurance is an HMO, HMO‐POS and HMO SNP with Medicare and Oregon Health Plan contracts. Enrollment in Providence Health Assurance depends on contract renewal.

You must continue to pay your Medicare Part B premium.

Every year, Medicare evaluates plans based on a 5-star rating system.

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