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H4623 · Humana (HUMANA REGIONAL HEALTH PLAN, INC.): 2027 Star Rating
H4623 (Humana, HUMANA REGIONAL HEALTH PLAN, INC.) earned 4.0 stars in the 2027 Medicare Advantage Star Ratings, up from 3.5 in 2026. Parent company: Humana Inc. Plan type: Local CCP.
2027 overall CMS
4.0
Part C 4.0 · Part D 4.5
2026 overall CMS
3.5
Part C 3.5 · Part D 3.5
Change Calc
+0.5
2027 vs 2026
Members Calc
10,142
CMS county files, October 2026
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What stands out for H4623
- Most of its members are in Missouri (10,142, 1.4% of Medicare Advantage members in CMS county files there). Calc
- Of the 28 rated contracts with members in Missouri, 6 have a higher 2027 rating and 10 have the same rating. Calc
- Largest other contract in Missouri: H2802 · UnitedHealthcare, 3.5 stars, 120,976 members. Calc
- At 4.0 stars it is at or above the 4-star line that sets 2028 quality bonus payments. CMS rule
- 8 of its 42 rated measures are at 5 stars; 6 are at 1 or 2 stars. Calc
- Its Part C rating (4.0) is lower than its Part D rating (4.5). 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): 1 star, score 64
- Rating of Health Plan (C25, weight ×2): 2 stars, score 83
- Improving or Maintaining Mental Health (C05, weight ×3): 3 stars, score 84
- Members Choosing to Leave the Plan (C28, weight ×2): 3 stars, score 24
- Members Choosing to Leave the Plan (D03, weight ×2): 3 stars, score 24
All 2027 measure scores Sourced: CMS
| Measure | Weight | Score | Stars |
|---|---|---|---|
| Breast Cancer Screening (C01) | ×1 | 70 | 3 |
| Colorectal Cancer Screening (C02) | ×1 | 75 | 4 |
| Annual Flu Vaccine (C03) | ×1 | 64 | 3 |
| Improving or Maintaining Physical Health (C04) | ×3 | 64 | 1 |
| Improving or Maintaining Mental Health (C05) | ×3 | 84 | 3 |
| Monitoring Physical Activity (C06) | ×1 | 47 | 2 |
| Osteoporosis Management in Women who had a Fracture (C10) | ×1 | 40 | 2 |
| Diabetes Care - Eye Exam (C11) | ×1 | 79 | 4 |
| Diabetes Care - Blood Sugar Controlled (C12) | ×3 | 91 | 4 |
| Kidney Health Evaluation for Patients with Diabetes (C13) | ×1 | 78 | 4 |
| Controlling High Blood Pressure (C14) | ×3 | 88 | 4 |
| Reducing the Risk of Falling (C15) | ×1 | 58 | 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 | 88 | 3 |
| Transitions of Care (C19) | ×1 | 82 | 5 |
| Follow-up after Emergency Department Visit for People with Multiple High-Risk Chronic Conditions (C20) | ×1 | 71 | 3 |
| Getting Needed Care (C21) | ×2 | 83 | 4 |
| Getting Appointments and Care Quickly (C22) | ×2 | 85 | 4 |
| Customer Service (C23) | ×2 | 92 | 4 |
| Rating of Health Care Quality (C24) | ×2 | 87 | 4 |
| Rating of Health Plan (C25) | ×2 | 83 | 2 |
| Care Coordination (C26) | ×2 | 88 | 4 |
| Complaints about the Health Plan (C27) | ×2 | 0.11 | 5 |
| Members Choosing to Leave the Plan (C28) | ×2 | 24 | 3 |
| 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 | 0.11 | 5 |
| Members Choosing to Leave the Plan (D03) | ×2 | 24 | 3 |
| Drug Plan Quality Improvement (D04) | ×5 | – | 5 |
| Rating of Drug Plan (D05) | ×2 | 87 | 4 |
| Getting Needed Prescription Drugs (D06) | ×2 | 92 | 5 |
| MPF Price Accuracy (D07) | ×1 | 95 | 1 |
| Medication Adherence for Diabetes Medications (D08) | ×3 | 91 | 4 |
| Medication Adherence for Hypertension (RAS antagonists) (D09) | ×3 | 92 | 4 |
| Medication Adherence for Cholesterol (Statins) (D10) | ×3 | 92 | 4 |
| Statin Use in Persons with Diabetes (SUPD) (D11) | ×1 | 86 | 2 |
| Concurrent Use of Opioids and Benzodiazepines (COB) (D12) | ×1 | 13 | 3 |
| Polypharmacy: Use of Multiple Anticholinergic Medications in Older Adults (Poly-ACH) (D13) | ×1 | 6 | 4 |
Where H4623 has members
Missouri (10,142)
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Other Humana Inc. contracts
H0028 · Humana · 4.5 starsH0292 · Humana · 4.5 starsH0473 · Humana · 3.0 starsH0963 · Humana · not ratedH1019 · CarePlus Health Plans, Inc. · 4.0 starsH1036 · Humana · 4.5 starsH1396 · Humana · not ratedH1468 · Humana · 4.0 starsH1951 · Humana · 4.5 starsH2237 · iCare · 3.5 starsH2463 · Humana · 4.0 starsH2486 · Humana · 4.0 starsH2875 · Humana · not ratedH3533 · Humana · 3.0 starsH3642 · Humana · not ratedH3767 · Humana · not ratedH4141 · Humana · 3.5 starsH4329 · Humana · not ratedH4461 · Humana · 4.5 starsH4939 · Humana · not ratedH5178 · Humana · not ratedH5216 · Humana · 4.0 starsH5377 · Humana · 4.0 starsH5525 · Humana · 4.0 starsH5619 · Humana · 4.0 starsH5970 · Humana · 3.0 starsH6622 · Humana · 4.0 starsH7284 · Humana · 3.5 starsH7617 · Humana · 4.5 starsH8145 · Humana · 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.