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

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

PORTLAND, Ore., Oct. 9, 2025 /PRNewswire/ -- 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.