CareStars › All contracts › H3800
H3800 · Provider Partners Health Plans (PROVIDER PARTNERS HEALTH PLAN OF ILLINOIS): 2027 Star Rating
H3800 (Provider Partners Health Plans, PROVIDER PARTNERS HEALTH PLAN OF ILLINOIS) earned 3.5 stars in the 2027 Medicare Advantage Star Ratings, down from 4.0 in 2026. Parent company: Rifkin Managed Care Holding, LLC. Plan type: Local CCP · offers special needs plans.
2027 overall CMS
3.5
Part C 4.0 · Part D 3.0
2026 overall CMS
4.0
Part C 4.5 · Part D 3.5
Change Calc
-0.5
2027 vs 2026
Members Calc
1,104
CMS county files, October 2026
Open H3800 in CareStars: bonus at stake, measures to fix, local rivalsTalk to Carelytics about H3800
What stands out for H3800
- Most of its members are in Illinois (1,104, 0.1% of Medicare Advantage members in CMS county files there). Calc
- Of the 30 rated contracts with members in Illinois, 18 have a higher 2027 rating and 8 have the same rating. Calc
- Largest other contract in Illinois: H1468 · Humana, 4.0 stars, 136,555 members. Calc
- At 3.5 stars it is half a star below the 4-star line that sets 2028 quality bonus payments. CMS rule
- 11 of its 27 rated measures are at 5 stars; 7 are at 1 or 2 stars. Calc
- Its Part D rating (3.0) is lower than its Part C rating (4.0). CMS
Weakest high-weight measures
Measures with weight 2 or more and the lowest stars. These move the overall rating most.
- Medication Adherence for Diabetes Medications (D08, weight ×3): 1 star, score 84
- Medication Adherence for Hypertension (RAS antagonists) (D09, weight ×3): 1 star, score 77
- Reviewing Appeals Decisions (C31, weight ×2): 1 star, score 58
- Medication Adherence for Cholesterol (Statins) (D10, weight ×3): 2 stars, score 87
- Plan Makes Timely Decisions about Appeals (C30, weight ×2): 2 stars, score 92
All 2027 measure scores Sourced: CMS
| Measure | Weight | Score | Stars |
|---|---|---|---|
| Breast Cancer Screening (C01) | ×1 | 49 | 1 |
| Colorectal Cancer Screening (C02) | ×1 | 74 | 3 |
| Special Needs Plan (SNP) Care Management (C07) | ×1 | 100 | 5 |
| Care for Older Adults - Medication Review (C08) | ×1 | 100 | 5 |
| Care for Older Adults - Functional Status Assessment (C09) | ×1 | 100 | 5 |
| Diabetes Care - Eye Exam (C11) | ×1 | 92 | 5 |
| Diabetes Care - Blood Sugar Controlled (C12) | ×3 | 95 | 5 |
| Kidney Health Evaluation for Patients with Diabetes (C13) | ×1 | 89 | 5 |
| Plan All-Cause Readmissions (C17) | ×3 | 10 | 4 |
| Follow-up after Emergency Department Visit for People with Multiple High-Risk Chronic Conditions (C20) | ×1 | 95 | 5 |
| Complaints about the Health Plan (C27) | ×2 | 0.27 | 4 |
| Members Choosing to Leave the Plan (C28) | ×2 | 5 | 5 |
| Health Plan Quality Improvement (C29) | ×5 | – | 4 |
| Plan Makes Timely Decisions about Appeals (C30) | ×2 | 92 | 2 |
| Reviewing Appeals Decisions (C31) | ×2 | 58 | 1 |
| Call Center - Foreign Language Interpreter and TTY Availability (C32) | ×2 | 94 | 3 |
| Call Center - Foreign Language Interpreter and TTY Availability (D01) | ×2 | 94 | 3 |
| Complaints about the Drug Plan (D02) | ×2 | 0.27 | 4 |
| Members Choosing to Leave the Plan (D03) | ×2 | 5 | 5 |
| Drug Plan Quality Improvement (D04) | ×5 | – | 4 |
| MPF Price Accuracy (D07) | ×1 | 100 | 5 |
| Medication Adherence for Diabetes Medications (D08) | ×3 | 84 | 1 |
| Medication Adherence for Hypertension (RAS antagonists) (D09) | ×3 | 77 | 1 |
| Medication Adherence for Cholesterol (Statins) (D10) | ×3 | 87 | 2 |
| Statin Use in Persons with Diabetes (SUPD) (D11) | ×1 | 97 | 5 |
| Concurrent Use of Opioids and Benzodiazepines (COB) (D12) | ×1 | 16 | 3 |
| Polypharmacy: Use of Multiple Anticholinergic Medications in Older Adults (Poly-ACH) (D13) | ×1 | 17 | 1 |
Where H3800 has members
Illinois (1,104)
Want to move a measure before December 31? Marples, the Carelytics care gap and member engagement platform, ranks the members whose open gaps would move a measure across the next cut point and reaches them by secure text. See how Marples works
Other Rifkin Managed Care Holding, LLC contracts
H4054 · Provider Partners Health Plans · 4.0 starsH4093 · Provider Partners Health Plans · 3.5 starsH4439 · Provider Partners Health Plans · not ratedH4444 · Provider Partners Health Plans · 3.5 starsH9191 · Provider Partners Health Plans · 4.0 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.