Medicare Stars Most Improved Quality Distinction Measurement Year 2018 Integrated Healthcare Association and its stakeholder partners recognize the following physician organizations for outstanding improvement between Measurement Year 2017 and 2018 in overall star ratings for the quality of care provided to their Medicare Advantage members. MY 2018 MOST IMPROVED RECOGNITION1 • Affiliated Doctors of Orange County • Medical Group • Affinity Medical Group • John Muir Health • All Care IPA • Northern • AltaMed Health Services California Permanente Medical Group: • Angeles IPA o Diablo/Antioch • Associated Hispanic Physicians of o Fremont/San Leandro Southern CA o Fresno • Bakersfield Family Medical o Modesto/Manteca/Stockton Center/Heritage Physician Network o Oakland/Richmond • Beaver Medical Group o Redwood City • Cedars-Sinai Health Associates o Roseville/Sacramento • Cedars-Sinai Medical Group o San Jose • Central Valley Medical Group o Santa Clara • Central Valley Medical Providers o South Sacramento • Chaffey Medical Group o South San Francisco • Choice Medical Group o Vallejo/Vacaville • Desert Oasis Healthcare o • Kaiser Permanente Southern • Dignity Health Medical Group - Inland California Permanente Medical Group: Empire o Baldwin Park • Dignity Health Medical Network - o Downey Santa Cruz o Kern County • Facey Medical Group o Orange County • Greater Covina Medical Group o Panorama City • Greater Newport Physicians o San Diego • Health Care L.A., IPA o Woodland Hills • HealthCare Partners Medical Group • Korean-American Medical Group • High Desert Medical Group • Lakeside Medical Organization • Hill Physicians Medical Group - Bay • Lakewood IPA Region • Loma Linda University Health Care • Hill Physicians Medical Group - San • MemorialCare Medical Group Joaquin Region • Mercy Medical Group/Dignity Health Medical Foundation

1 This year, CMS updated the methodology used for calculating measure cutpoints in their Medicare Advantage Star Ratings program, which increased the number of health plan contracts earning 4 stars or higher. To support industry alignment, IHA uses CMS cutpoints to generate PO level star ratings in the AMP Medicare Advantage program. As a result, a larger number of POs participating in AMP Medicare Advantage earned most improved and high performer recognition in MY 2018.

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• Mission Heritage Medical Groupi UC San Diego Health • Noble AMA IPA • UCLA Medical Group • Nuestra Familia Medical Group, Inc. • UCLA Medical Group - Santa Monica • PIH Health Physicians - Group Bay Physicians Division • Upland Medical Group • Pinnacle Medical Group • Valley Care IPA • Pomona Valley Medical Group • Valley Care Select IPA • Prospect Medical Group • Woodland Healthcare • Prospect Professional Care IPA

Medical Group, Inc. • Santa Barbara Select IPA Medical Group

• Santa Clara County IPA (SCCIPA) • Sante Community Physicians • Scripps Clinic Medical Group

• Scripps Coastal Medical Center • Seaview IPA • Seoul Medical Group

• Sharp Community Medical Group IPA • Sharp Rees-Stealy Medical Group • Sierra Medical Group

• St. Joseph Heritage Medical Group • St. Joseph Hospital Affiliated Physicians • St. Jude Affiliated Physicians • St. Mary IPA • St. Vincent IPA • Sutter Gould Medical Foundation - Gould Medical Group • Sutter Palo Alto Medical Foundation - Mills-Peninsula Division/Mills-

Peninsula Medical Group • Sutter Palo Alto Medical Foundation - Palo Alto Foundation Medical Group • Torrance Health IPA

i1 This year, CMS updated the methodology used for calculating measure cutpoints in their Medicare Advantage Star Ratings program, which increased the number of health plan contracts earning 4 stars or higher. To support industry alignment, IHA uses CMS cutpoints to generate PO level star ratings in the AMP Medicare Advantage program. As a result, a larger number of POs participating in AMP Medicare Advantage earned most improved and high performer recognition in MY 2018.

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