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H4537 · Wellcare (WELLCARE HEALTH INSURANCE COMPANY OF OKLAHOMA, INC): 2027 Star Rating
H4537 (Wellcare, WELLCARE HEALTH INSURANCE COMPANY OF OKLAHOMA, INC) earned 2.5 stars in the 2027 Medicare Advantage Star Ratings. Parent company: Centene Corporation. Plan type: Local CCP.
2027 overall CMS
2.5
Part C 2.5 · Part D 2.5
2026 overall CMS
–
Part C – · Part D 3.5
Change Calc
–
2027 vs 2026
Members Calc
0
CMS county files, October 2026
Open H4537 in CareStars: bonus at stake, measures to fix, local rivalsTalk to Carelytics about H4537
What stands out for H4537
- At 2.5 stars it is below the 4-star line that sets 2028 quality bonus payments. CMS rule
- 4 of its 28 rated measures are at 5 stars; 19 are at 1 or 2 stars. Calc
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
- Complaints about the Health Plan (C27, weight ×2): 1 star, score 1.82
- Members Choosing to Leave the Plan (C28, weight ×2): 1 star, score 49
- Complaints about the Drug Plan (D02, weight ×2): 1 star, score 1.82
- Members Choosing to Leave the Plan (D03, weight ×2): 1 star, score 49
All 2027 measure scores Sourced: CMS
| Measure | Weight | Score | Stars |
|---|---|---|---|
| Breast Cancer Screening (C01) | ×1 | 60 | 1 |
| Colorectal Cancer Screening (C02) | ×1 | 67 | 2 |
| Annual Flu Vaccine (C03) | ×1 | 57 | 2 |
| Monitoring Physical Activity (C06) | ×1 | 39 | 1 |
| Diabetes Care - Eye Exam (C11) | ×1 | 58 | 1 |
| Diabetes Care - Blood Sugar Controlled (C12) | ×3 | 87 | 3 |
| Kidney Health Evaluation for Patients with Diabetes (C13) | ×1 | 59 | 2 |
| Controlling High Blood Pressure (C14) | ×3 | 76 | 2 |
| Reducing the Risk of Falling (C15) | ×1 | 55 | 2 |
| Transitions of Care (C19) | ×1 | 57 | 3 |
| Follow-up after Emergency Department Visit for People with Multiple High-Risk Chronic Conditions (C20) | ×1 | 40 | 1 |
| Getting Needed Care (C21) | ×2 | 82 | 3 |
| Rating of Health Plan (C25) | ×2 | 86 | 3 |
| Complaints about the Health Plan (C27) | ×2 | 1.82 | 1 |
| Members Choosing to Leave the Plan (C28) | ×2 | 49 | 1 |
| 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 | 1.82 | 1 |
| Members Choosing to Leave the Plan (D03) | ×2 | 49 | 1 |
| Drug Plan Quality Improvement (D04) | ×5 | – | 2 |
| Rating of Drug Plan (D05) | ×2 | 87 | 3 |
| MPF Price Accuracy (D07) | ×1 | 100 | 5 |
| Medication Adherence for Diabetes Medications (D08) | ×3 | 84 | 1 |
| Medication Adherence for Hypertension (RAS antagonists) (D09) | ×3 | 85 | 2 |
| Medication Adherence for Cholesterol (Statins) (D10) | ×3 | 86 | 2 |
| Statin Use in Persons with Diabetes (SUPD) (D11) | ×1 | 81 | 1 |
| Concurrent Use of Opioids and Benzodiazepines (COB) (D12) | ×1 | 0 | 5 |
| Polypharmacy: Use of Multiple Anticholinergic Medications in Older Adults (Poly-ACH) (D13) | ×1 | 13 | 2 |
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Other Centene Corporation contracts
H0029 · Wellcare · 2.5 starsH0062 · Wellcare · not ratedH0074 · Wellcare · 3.0 starsH0111 · Wellcare · 3.5 starsH0174 · Wellcare · 3.5 starsH0270 · Wellcare · not ratedH0351 · Wellcare · 3.5 starsH0562 · Wellcare · 3.5 starsH0712 · Wellcare · 3.5 starsH0724 · Wellcare · not ratedH0908 · Wellcare · 3.5 starsH0913 · Wellcare · 3.0 starsH1032 · Wellcare · 4.0 starsH1112 · Wellcare · 3.5 starsH1215 · Wellcare · 2.5 starsH1416 · Wellcare · 3.0 starsH1664 · Wellcare · 3.0 starsH1862 · Wellcare · 2.5 starsH1914 · Wellcare · 3.0 starsH2162 · Wellcare · not ratedH2174 · Wellcare · 2.5 starsH2491 · Wellcare · 3.5 starsH2775 · Wellcare · 3.0 starsH2816 · Wellcare · 4.0 starsH2853 · Ascension Complete · not ratedH2915 · Wellcare · 3.5 starsH3499 · Wellcare · 3.0 starsH3561 · Wellcare · 3.5 starsH3975 · Wellcare · 3.0 starsH4073 · Wellcare · 3.5 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.