Leading the way in awards and recognition

An Oregon-based, not-for-profit health insurance provider, Providence Health Plan is recognized as a national leader in quality, excellence and innovation.

Providence Health Plan recognized for excellence: Highest Medicare ratings for quality and service

Providence Health Plan Medicare Advantage plans have received the highest rating – 5 stars – from The Centers for Medicare & Medicaid Services, or CMS, for 2014.

Through the Medicare Star Quality Rating System, CMS uses information from member satisfaction surveys, plans, and health care providers to give overall performance star ratings to plans. A plan can get a rating between one and five stars. A 5-star rating is considered excellent. The ratings are based on more than 50 care and service quality measures across five categories that include staying healthy, managing chronic conditions, member satisfaction, customer service, and pharmacy services.

“We're honored to receive this important recognition for our Medicare Advantage plans,” said Jack Friedman, chief executive, Providence Health Plan. “The rating acknowledges our commitment to improve care and service in a rapidly changing marketplace.”

The 5-star rating can help guide consumers in making choices about their Medicare coverage for the coming year. “We know that many factors go into a decision about a Medicare plan,” said Friedman, “We are grateful for these excellent ratings, and we believe they reflect our desire to create the best possible experience for our members and customers.”

Medicare evaluates plans based on a 5-Star rating system. Star Ratings are calculated each year and may change from one year to the next.

Named among “most admired” Oregon health care companies

awardsmostadmiredlogoProvidence Health Plan has been honored as a "Most Admired" health care company by The Portland Business Journal. In addition, Providence St. Vincent Medical Center and Providence Portland Medical Center also made the top 10 list for health care organizations.

Providence Health & Services in Oregon was also recognized in the overall top 10 across all industries. The Business Journal compiled surveys from 560 chief executives in Oregon to determine its "Most Admired" rankings. Providence Health Plans has been one of the "Top 10 Most Admired Health Care Companies" in each of the eight years the awards have been presented, beginning in 2006.

No. 1 in customer satisfaction and loyalty

Providence Health Plan was rated No. 1 among health insurers in customer satisfaction within the greater Portland metropolitan area. Providence also is the leading health plan that people are likely to recommend to their family, friends and colleagues. Blue Research, a Portland-based market research firm that specializes in health care, found in its August 2011 report that Providence Health Plans rated statistically higher than all other major health insurers in the area – including Regence, Kaiser Permanente, ODS and UnitedHealthcare – in customer satisfaction and loyalty.

Easing the way with highly integrated health care

Providence Health & Services, Oregon Region, ranks among the top 10 most integrated health systems in the country, according to a list of the top 100 most highly integrated health systems published by IMS Health. Providence continues to demonstrate its leadership nationally in providing streamlined care to members. The rankings for the survey - formerly known as the SDI IHN 100 - are available at www.imshealth.com/ihn100.

A national network of compassionate, quality care

With more than 375,000 members nationwide, Providence offers a robust network to meet the distinct needs of each unique member. Our members have access to nearly 1 million providers coast to coast. 

Disease management

For the past eight years, Providence Care Management has been administered by registered nurses who work directly for Providence Health Plan, with significant measurable outcomes. The program received an award for excellence in disease management outcomes in 2010 for achieving the greatest reduction in coronary artery disease, or CAD, events in the Disease Management Purchasing Consortium's national database. The program also received awards from the consortium in 2010-2011 for:

  • Recognition of commitment to and achievement of validly measured outcomes in the common chronic condition programs categories of asthma; CAD; congestive heart failure, or CHF; chronic obstructive pulmonary disease, or COPD; and diabetes;
  • Recognition as one of the top performers in achieving a valid return on investment in disease management programs; and
  • Achieving the lowest adverse medical event rate in the consortium's national database for disease management programs.

Providence also scores high in member satisfaction, with rates ranging from 96.6 percent to 98.5 percent for members with COPD, diabetes, CHF and CAD.

Award-winning worksite wellness campaign

Providence Health Plan was recognized in May 2011 by the Aster Awards with a gold award in patient education for its "Pick the Low-Hanging Fruit" worksite wellness tool kit. The Aster Awards, which honor medical marketing, recognized this resource for its focus on helping employers successfully implement a healthy eating campaign among employees, in the work place and at home.

Strong financial stewardship

Thanks to overall profitability, conservative financial management and strong reserves, Providence Health Plan, as well as its parent company, Providence Health & Services, continues to receive strong reports from national credit rating agencies. These include:

  • Fitch Ratings - "AA", Outlook: Stable
  • Standard and Poor's - "AA", Outlook: Stable
  • Moody's Investors Services - "Aa2", Outlook: Stable

Compassionate involvement in our community

awardscoporatephilanthropyProvidence Health Plan has been awarded Portland Business Journal's 2013 Corporate Philanthropy "Innovation in Partnership" award, along with Kaiser Permanente and Oregon Community Foundation, for a collaborative to address mental health and substance abuse in Oregon.

"As health care continues to transform, the health care community is facing unprecedented challenges," said Michael White, chief operating officer, Providence Health Plan. "Responding to these challenges requires innovative solutions, partnerships and processes, such as the one we are being honored for today."

Providence Health Plan and Kaiser Permanente partnered with Oregon Community Foundation to allocate $1.2 million in community benefit grants. The grants help fund services through innovative programs addressing the more than 200,000 low-income Oregonians with mental health and/or substance abuse issues.

Responsible stewardship of the environment

Providence Health Plan member materials are available electronically and printed on paper that is at least 50 percent recycled and 25 percent consumer waste.

Providence employees recycle 1,849 tons of materials annually, including enough paper to save 36,000 trees.