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H2172 · Kaiser Permanente (KAISER FDTN HLTH PLAN OF THE MID-ATLANTIC STATES): 2027 Star Rating
H2172 (Kaiser Permanente, KAISER FDTN HLTH PLAN OF THE MID-ATLANTIC STATES) earned 4.5 stars in the 2027 Medicare Advantage Star Ratings, the same as in 2026. Parent company: Kaiser Foundation Health Plan, Inc. Plan type: Local CCP · offers special needs plans.
2027 overall CMS
4.5
Part C 4.5 · Part D 5.0
2026 overall CMS
4.5
Part C 4.0 · Part D 5.0
Change Calc
Same
2027 vs 2026
Members Calc
116,284
CMS county files, October 2026
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What stands out for H2172
- Most of its members are in Maryland (75,840, 33.8% of Medicare Advantage members in CMS county files there). Calc
- Of the 12 rated contracts with members in Maryland, 1 has a higher 2027 rating and 1 has the same rating. Calc
- Largest other contract in Maryland: H7379 · CareFirst BlueCross BlueShield Medicare Advantage, 2.5 stars, 44,153 members. Calc
- At 4.5 stars it is at or above the 4-star line that sets 2028 quality bonus payments. CMS rule
- 27 of its 42 rated measures are at 5 stars; 4 are at 1 or 2 stars. Calc
- Its Part C rating (4.5) is lower than its Part D rating (5.0). CMS
Weakest high-weight measures
Measures with weight 2 or more and the lowest stars. These move the overall rating most.
- Improving or Maintaining Physical Health (C04, weight ×3): 2 stars, score 67
- Getting Needed Care (C21, weight ×2): 2 stars, score 78
- Getting Appointments and Care Quickly (C22, weight ×2): 2 stars, score 81
- Plan Makes Timely Decisions about Appeals (C30, weight ×2): 2 stars, score 92
- Improving or Maintaining Mental Health (C05, weight ×3): 3 stars, score 84
All 2027 measure scores Sourced: CMS
| Measure | Weight | Score | Stars |
|---|---|---|---|
| Breast Cancer Screening (C01) | ×1 | 88 | 5 |
| Colorectal Cancer Screening (C02) | ×1 | 87 | 5 |
| Annual Flu Vaccine (C03) | ×1 | 79 | 5 |
| Improving or Maintaining Physical Health (C04) | ×3 | 67 | 2 |
| Improving or Maintaining Mental Health (C05) | ×3 | 84 | 3 |
| Monitoring Physical Activity (C06) | ×1 | 64 | 5 |
| Osteoporosis Management in Women who had a Fracture (C10) | ×1 | 87 | 5 |
| Diabetes Care - Eye Exam (C11) | ×1 | 93 | 5 |
| Diabetes Care - Blood Sugar Controlled (C12) | ×3 | 92 | 5 |
| Kidney Health Evaluation for Patients with Diabetes (C13) | ×1 | 92 | 5 |
| Controlling High Blood Pressure (C14) | ×3 | 91 | 5 |
| Reducing the Risk of Falling (C15) | ×1 | 60 | 3 |
| Improving Bladder Control (C16) | ×1 | 45 | 3 |
| Plan All-Cause Readmissions (C17) | ×3 | 10 | 4 |
| Statin Therapy for Patients with Cardiovascular Disease (C18) | ×1 | 92 | 4 |
| Transitions of Care (C19) | ×1 | 96 | 5 |
| Follow-up after Emergency Department Visit for People with Multiple High-Risk Chronic Conditions (C20) | ×1 | 80 | 4 |
| Getting Needed Care (C21) | ×2 | 78 | 2 |
| Getting Appointments and Care Quickly (C22) | ×2 | 81 | 2 |
| Customer Service (C23) | ×2 | 91 | 4 |
| Rating of Health Care Quality (C24) | ×2 | 87 | 4 |
| Rating of Health Plan (C25) | ×2 | 89 | 5 |
| Care Coordination (C26) | ×2 | 87 | 3 |
| Complaints about the Health Plan (C27) | ×2 | 0.1 | 5 |
| Members Choosing to Leave the Plan (C28) | ×2 | 1 | 5 |
| Health Plan Quality Improvement (C29) | ×5 | – | 4 |
| Plan Makes Timely Decisions about Appeals (C30) | ×2 | 92 | 2 |
| Reviewing Appeals Decisions (C31) | ×2 | 100 | 5 |
| Call Center - Foreign Language Interpreter and TTY Availability (C32) | ×2 | 100 | 5 |
| Call Center - Foreign Language Interpreter and TTY Availability (D01) | ×2 | 100 | 5 |
| Complaints about the Drug Plan (D02) | ×2 | 0.1 | 5 |
| Members Choosing to Leave the Plan (D03) | ×2 | 1 | 5 |
| Drug Plan Quality Improvement (D04) | ×5 | – | 5 |
| Rating of Drug Plan (D05) | ×2 | 94 | 5 |
| Getting Needed Prescription Drugs (D06) | ×2 | 95 | 5 |
| MPF Price Accuracy (D07) | ×1 | 100 | 5 |
| Medication Adherence for Diabetes Medications (D08) | ×3 | 92 | 4 |
| Medication Adherence for Hypertension (RAS antagonists) (D09) | ×3 | 93 | 5 |
| Medication Adherence for Cholesterol (Statins) (D10) | ×3 | 93 | 5 |
| Statin Use in Persons with Diabetes (SUPD) (D11) | ×1 | 94 | 5 |
| Concurrent Use of Opioids and Benzodiazepines (COB) (D12) | ×1 | 3 | 5 |
| Polypharmacy: Use of Multiple Anticholinergic Medications in Older Adults (Poly-ACH) (D13) | ×1 | 5 | 5 |
Where H2172 has members
Maryland (75,840), Virginia (33,871), District of Columbia (6,573)
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Other Kaiser Foundation Health Plan, Inc. contracts
H0524 · Kaiser Permanente · 4.5 starsH0630 · Kaiser Permanente · 4.0 starsH1170 · Kaiser Permanente · 4.5 starsH1230 · Kaiser Permanente · 4.5 starsH2704 · Kaiser Permanente · not ratedH2960 · Kaiser Permanente · 5.0 starsH5050 · Kaiser Permanente · 4.5 starsH8794 · Kaiser Permanente · 4.5 starsH9003 · Kaiser Permanente · 4.5 stars
Sources: CMS 2027 and 2026 Star Ratings data tables (CMS Part C and D performance data); CMS monthly enrollment by contract and county (October 2026). Sourced: CMS marks figures taken from CMS. Calculated marks figures Carelytics added up or compared. Built 2026-10-25.