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H4093 · Provider Partners Health Plans (PROVIDER PARTNERS HEALTH PLAN OF PENNSYLVANIA, INC): 2027 Star Rating
H4093 (Provider Partners Health Plans, PROVIDER PARTNERS HEALTH PLAN OF PENNSYLVANIA, INC) earned 3.5 stars in the 2027 Medicare Advantage Star Ratings. Parent company: Rifkin Managed Care Holding, LLC. Plan type: Local CCP · offers special needs plans.
2027 overall CMS
3.5
Part C 5.0 · Part D 2.5
2026 overall CMS
–
Part C – · Part D 4.5
Change Calc
–
2027 vs 2026
Members Calc
869
CMS county files, October 2026
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What stands out for H4093
- Most of its members are in Pennsylvania (869, 0.1% of Medicare Advantage members in CMS county files there). Calc
- Of the 41 rated contracts with members in Pennsylvania, 25 have a higher 2027 rating and 8 have the same rating. Calc
- Largest other contract in Pennsylvania: H5522 · Aetna Medicare, 4.5 stars, 234,145 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 20 rated measures are at 5 stars; 5 are at 1 or 2 stars. Calc
- Its Part D rating (2.5) is lower than its Part C rating (5.0). 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 85
- Drug Plan Quality Improvement (D04, weight ×5): 2 stars
- Medication Adherence for Cholesterol (Statins) (D10, weight ×3): 2 stars, score 84
- Medication Adherence for Hypertension (RAS antagonists) (D09, weight ×3): 3 stars, score 89
- Call Center - Foreign Language Interpreter and TTY Availability (C32, weight ×2): 3 stars, score 94
All 2027 measure scores Sourced: CMS
| Measure | Weight | Score | Stars |
|---|---|---|---|
| Colorectal Cancer Screening (C02) | ×1 | 80 | 4 |
| 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 | 89 | 5 |
| Diabetes Care - Blood Sugar Controlled (C12) | ×3 | 95 | 5 |
| Kidney Health Evaluation for Patients with Diabetes (C13) | ×1 | 87 | 5 |
| Follow-up after Emergency Department Visit for People with Multiple High-Risk Chronic Conditions (C20) | ×1 | 95 | 5 |
| Members Choosing to Leave the Plan (C28) | ×2 | 3 | 5 |
| Call Center - Foreign Language Interpreter and TTY Availability (C32) | ×2 | 94 | 3 |
| Call Center - Foreign Language Interpreter and TTY Availability (D01) | ×2 | 94 | 3 |
| Members Choosing to Leave the Plan (D03) | ×2 | 3 | 5 |
| Drug Plan Quality Improvement (D04) | ×5 | – | 2 |
| MPF Price Accuracy (D07) | ×1 | 100 | 5 |
| Medication Adherence for Diabetes Medications (D08) | ×3 | 85 | 1 |
| Medication Adherence for Hypertension (RAS antagonists) (D09) | ×3 | 89 | 3 |
| Medication Adherence for Cholesterol (Statins) (D10) | ×3 | 84 | 2 |
| Statin Use in Persons with Diabetes (SUPD) (D11) | ×1 | 97 | 5 |
| Concurrent Use of Opioids and Benzodiazepines (COB) (D12) | ×1 | 33 | 1 |
| Polypharmacy: Use of Multiple Anticholinergic Medications in Older Adults (Poly-ACH) (D13) | ×1 | 13 | 2 |
Where H4093 has members
Pennsylvania (869)
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Other Rifkin Managed Care Holding, LLC contracts
H3800 · Provider Partners Health Plans · 3.5 starsH4054 · Provider Partners Health Plans · 4.0 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.