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H3916 · Highmark Blue Cross Blue Shield or Highmark Blue S (HIGHMARK SENIOR HEALTH COMPANY): 2027 Star Rating
H3916 (Highmark Blue Cross Blue Shield or Highmark Blue S, HIGHMARK SENIOR HEALTH COMPANY) earned 4.5 stars in the 2027 Medicare Advantage Star Ratings, the same as in 2026. Parent company: Highmark Health. Plan type: Local CCP.
2027 overall CMS
4.5
Part C 4.5 · Part D 4.0
2026 overall CMS
4.5
Part C 4.0 · Part D 4.5
Change Calc
Same
2027 vs 2026
Members Calc
201,261
CMS county files, October 2026
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What stands out for H3916
- Most of its members are in Pennsylvania (201,261, 12.6% of Medicare Advantage members in CMS county files there). Calc
- Of the 41 rated contracts with members in Pennsylvania, 4 have a higher 2027 rating and 6 have the same rating. Calc
- Largest other contract in Pennsylvania: H5522 · Aetna Medicare, 4.5 stars, 234,145 members. Calc
- At 4.5 stars it is at or above the 4-star line that sets 2028 quality bonus payments. CMS rule
- 13 of its 42 rated measures are at 5 stars; 3 are at 1 or 2 stars. Calc
- Its Part D rating (4.0) is lower than its Part C rating (4.5). CMS
Weakest high-weight measures
Measures with weight 2 or more and the lowest stars. These move the overall rating most.
- Drug Plan Quality Improvement (D04, weight ×5): 2 stars
- Improving or Maintaining Physical Health (C04, weight ×3): 3 stars, score 72
- Improving or Maintaining Mental Health (C05, weight ×3): 3 stars, score 83
- Medication Adherence for Diabetes Medications (D08, weight ×3): 3 stars, score 90
- Health Plan Quality Improvement (C29, weight ×5): 4 stars
All 2027 measure scores Sourced: CMS
| Measure | Weight | Score | Stars |
|---|---|---|---|
| Breast Cancer Screening (C01) | ×1 | 79 | 4 |
| Colorectal Cancer Screening (C02) | ×1 | 78 | 4 |
| Annual Flu Vaccine (C03) | ×1 | 70 | 4 |
| Improving or Maintaining Physical Health (C04) | ×3 | 72 | 3 |
| Improving or Maintaining Mental Health (C05) | ×3 | 83 | 3 |
| Monitoring Physical Activity (C06) | ×1 | 48 | 2 |
| Osteoporosis Management in Women who had a Fracture (C10) | ×1 | 46 | 3 |
| Diabetes Care - Eye Exam (C11) | ×1 | 77 | 3 |
| Diabetes Care - Blood Sugar Controlled (C12) | ×3 | 91 | 4 |
| Kidney Health Evaluation for Patients with Diabetes (C13) | ×1 | 70 | 3 |
| Controlling High Blood Pressure (C14) | ×3 | 87 | 4 |
| Reducing the Risk of Falling (C15) | ×1 | 51 | 1 |
| Improving Bladder Control (C16) | ×1 | 43 | 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 | 80 | 5 |
| Follow-up after Emergency Department Visit for People with Multiple High-Risk Chronic Conditions (C20) | ×1 | 65 | 3 |
| Getting Needed Care (C21) | ×2 | 83 | 4 |
| Getting Appointments and Care Quickly (C22) | ×2 | 86 | 5 |
| Customer Service (C23) | ×2 | 92 | 5 |
| Rating of Health Care Quality (C24) | ×2 | 88 | 5 |
| Rating of Health Plan (C25) | ×2 | 88 | 4 |
| Care Coordination (C26) | ×2 | 89 | 5 |
| Complaints about the Health Plan (C27) | ×2 | 0.09 | 5 |
| 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 | 99 | 4 |
| 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 | 0.09 | 5 |
| Members Choosing to Leave the Plan (D03) | ×2 | 5 | 5 |
| Drug Plan Quality Improvement (D04) | ×5 | – | 2 |
| Rating of Drug Plan (D05) | ×2 | 87 | 4 |
| Getting Needed Prescription Drugs (D06) | ×2 | 91 | 5 |
| MPF Price Accuracy (D07) | ×1 | 99 | 4 |
| Medication Adherence for Diabetes Medications (D08) | ×3 | 90 | 3 |
| Medication Adherence for Hypertension (RAS antagonists) (D09) | ×3 | 92 | 4 |
| Medication Adherence for Cholesterol (Statins) (D10) | ×3 | 91 | 4 |
| Statin Use in Persons with Diabetes (SUPD) (D11) | ×1 | 90 | 4 |
| Concurrent Use of Opioids and Benzodiazepines (COB) (D12) | ×1 | 12 | 4 |
| Polypharmacy: Use of Multiple Anticholinergic Medications in Older Adults (Poly-ACH) (D13) | ×1 | 7 | 4 |
Where H3916 has members
Pennsylvania (201,261)
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Other Highmark Health contracts
H3384 · Highmark Blue Cross Blue Shield or Highmark Blue S · 4.0 starsH3957 · Highmark Blue Cross Blue Shield or Highmark Blue S · 4.5 starsH5106 · Highmark Blue Cross Blue Shield · 3.5 starsH5526 · Highmark Blue Cross Blue Shield or Highmark Blue S · 4.5 starsH5932 · Highmark Wholecare Medicare Assured · 3.5 starsH6224 · Highmark Blue Cross Blue Shield · not ratedH7710 · Highmark Blue Cross Blue Shield · 2.5 starsH8166 · Highmark Blue Cross Blue Shield · 3.0 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.