5-Star care1

The only Medicare health plan in DC, MD, and VA rated 5 out of 5 stars for 11 years in a row — 2013-2023.

Your health is one of your biggest priorities — and when you enroll in a Kaiser Permanente Medicare health plan, it becomes one of ours, too. You’ll have an award-winning2 care team who won’t simply treat you when you’re sick but is committed to preventive care to keep you healthy. That’s just part of the reason that our members live 6 years longer than the national average.3

Our dedication, innovation, and skill are reflected in the Medicare Star Quality Ratings we’ve received from the Centers for Medicare & Medicaid Services (CMS). Kaiser Permanente’s Medicare health plan has earned a 5 out of 5 star rating overall in DC, MD, and VA for the last 11 years, from 2013 to 2023.1  You can trust that we’ll partner with you to help make the best decisions for your health.

Award-winning physicians

Hundreds of Permanente doctors are recognized as Top Doctors in Maryland, Virginia, and Washington, DC, publications.2

Cancer accreditation

The 2022 Commission on Cancer, a program of the American College of Surgeons, granted Three-Year Accreditation with Commendation to the Kaiser Permanente cancer care program.

And, our early screening and detection measures for cancer help to improve our members’ health outcomes. As a matter of fact, Kaiser Permanente leads the nation in screening for breast, cervical, and colorectal cancers.4

It shows in the 91% 5-year breast cancer survival rate that our Black members have over the 82% national average, and the 97% 5-year survival rate our Caucasian members have over the 91% national average.5

For colon cancer, our Caucasian and Black members’ 5-year survival rate is 82% compared to the national average of 65% and 58% respectively.6

NCQA’s top-rated Medicare health plan

Our Medicare health plans are rated 5 out of 5 by the NCQA, the highest rating in Maryland, Virginia, and Washington, DC. We’re also rated 5 out of 5 in 29 clinical quality measures, including:7

  • Avoiding high-risk medications for older adults
  • Breast cancer screening
  • Colorectal cancer screening
  • Controlling high blood pressure
  • Diabetes — Eye exams
  • Diabetes — Glucose control
  • Emergency department utilization
  • Follow-up after hospitalization for mental illness
  • Pneumonia shots for adults ages 65 and older

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

2 The physicians who practice at Kaiser Permanente are recognized as Top Doctors in Northern Virginia Magazine (2023), Washingtonian magazine (2022), and Baltimore magazine (2022).

Anthony Finch, MS, M Cabell Jonas, PhD, Kevin Rubenstein, Eric Watson, BA, Sundeep Basra, MPH, Jose Martinez, BS, & Michael Horberg, MD, MAS, FACP (2021). Life Expectancy Trends Among Integrated Health Care System Enrollees, 2014–2017. Permanente Journal, 25(4), 10–17. doi.org/10.7812/TPP/20.286

4 The source for certain health plan measure rates and benchmark (averages and percentiles) data (“the Data”) is Quality Compass® 2022 and is used with the permission of the National Committee for Quality Assurance (“NCQA”). Any analysis, interpretation or conclusion based on the Data is solely that of the authors, and NCQA specifically disclaims responsibility for any such analysis, interpretation or conclusion. Quality Compass is a registered trademark of NCQA. The Data comprises audited performance rates and associated benchmarks for Healthcare Effectiveness Data and Information Set measures (“HEDIS®”) and HEDIS CAHPS® survey measure results. HEDIS measures and specifications were developed by and are owned by NCQA. HEDIS measures and specifications are not clinical guidelines and do not establish standards of medical care. NCQA makes no representations, warranties or endorsement about the quality of any organization or clinician who uses or reports performance measures, or any data or rates calculated using HEDIS measures and specifications, and NCQA has no liability to anyone who relies on such measures or specifications. NCQA holds a copyright in Quality Compass and the Data and may rescind or alter the Data at any time. The Data may not be modified by anyone other than NCQA. Anyone desiring to use or reproduce the Data without modification for an internal, noncommercial purpose may do so without obtaining approval from NCQA. All other uses, including a commercial use and/or external reproduction, distribution or publication, must be approved by NCQA and are subject to a license at the discretion of NCQA. 2022 National Committee for Quality Assurance, all rights reserved. CAHPS is a registered trademark of the Agency for Healthcare Research and Quality (AHRQ). Official plan name per Quality Compass: Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc.

5 KPMAS patients have a higher survival rate compared to the SEER 18 database for black and white races. Cause-specific survival rate is based on breast cancer being listed as the underlying cause of death, as per data collected from the National Death Index (NDI).

6 KPMAS patients have a higher 5-year survival rate compared to the SEER 18 database for both black and white races. Cause-specific survival rate is based on colon cancer or rectal cancer being listed as the underlying cause of death, as per data collected from the National Death Index (NDI).

7 NCQA Medicare Health Plan Ratings 2022.

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