Quality Highlights
Quality matters at Aspirus Health Plan
Our Quality Improvement Program (QIP) supports our mission to deliver direct access to high-value, personalized health care that aims to improve your health and well-being through all your health care needs. QIP drives organizational improvement for excellence through efficiencies, increasing the competitive advantage and building trust and recognition in the community to improve the health status, safety and satisfaction of our members.
We annually review our QIP structure and develop a work plan to define quality-related planning and monitoring of activities as well as clinical and operational improvement. We also regularly evaluate our activities, analyze progress toward our goals and identify new focus areas and opportunities. We evaluate our QIP annually to make sure it is leading to improvements in health outcomes and services provided to our members.
Learn more about our Quality programs
Quality Improvement and Population Health initiatives
Aspirus Health Plan evaluates the needs of our entire membership to connect members with programs and services tailored to their needs. We look at member data, performance data and member experience feedback to identify where we can make improvements. Improvement activities are assessed to make sure they help members stay healthy, manage chronic conditions and achieve their health and wellness goals.
Medicare Star Ratings
Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans on a 5-star rating system, five stars being the highest. These Star Ratings are awarded each year and may change from one year to the next. Star Ratings are based on five health service categories:
- Keeping members healthy through preventive screenings, vaccines and other checkups
- Managing chronic (long-term) conditions
- Member satisfaction with their health plan, drug plan and provider
- Operational performance
- How well plans handle member requests
2025 Star Rating
Aspirus Health Plan Medicare Advantage plans are rated 4 out of 5 stars.
Why do Star Ratings matter?
Star Ratings can be used as a tool to tell which plans in your area are top performers. A plan with a 4-star rating or higher is considered an above average plan. You can use Star Ratings to compare our plan’s performance to other plans to find the one that best meets your needs. You can look up plans and review their ratings on the Medicare website.
Learn more about the Medicare Experience Survey and how we've improved our health plans from your feedback.