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H5163 · Verda Health Plan of Texas (VERDA HEALTH PLAN OF TEXAS INC): 2027 Star Rating
H5163 (Verda Health Plan of Texas, VERDA HEALTH PLAN OF TEXAS INC) earned 2.0 stars in the 2027 Medicare Advantage Star Ratings. Parent company: Verda Healthcare, Inc. Plan type: Local CCP · offers special needs plans.
2027 overall CMS
2.0
Part C 1.5 · Part D 2.0
2026 overall CMS
–
Part C – · Part D 3.0
Change Calc
–
2027 vs 2026
Members Calc
3,880
CMS county files, October 2026
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What stands out for H5163
- Most of its members are in Texas (3,880, 0.2% of Medicare Advantage members in CMS county files there). Calc
- Of the 39 rated contracts with members in Texas, 38 have a higher 2027 rating and 0 have the same rating. Calc
- Largest other contract in Texas: H0609 · UnitedHealthcare, 4.0 stars, 376,529 members. Calc
- At 2.0 stars it is below the 4-star line that sets 2028 quality bonus payments. CMS rule
- 3 of its 31 rated measures are at 5 stars; 22 are at 1 or 2 stars. Calc
- Its Part C rating (1.5) is lower than its Part D rating (2.0). 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): 1 star
- Medication Adherence for Diabetes Medications (D08, weight ×3): 1 star, score 83
- Medication Adherence for Cholesterol (Statins) (D10, weight ×3): 1 star, score 81
- Getting Needed Care (C21, weight ×2): 1 star, score 76
- Customer Service (C23, weight ×2): 1 star, score 85
All 2027 measure scores Sourced: CMS
| Measure | Weight | Score | Stars |
|---|---|---|---|
| Colorectal Cancer Screening (C02) | ×1 | 33 | 1 |
| Annual Flu Vaccine (C03) | ×1 | 64 | 3 |
| Monitoring Physical Activity (C06) | ×1 | 58 | 4 |
| Special Needs Plan (SNP) Care Management (C07) | ×1 | – | 1 |
| Care for Older Adults - Medication Review (C08) | ×1 | 62 | 1 |
| Care for Older Adults - Functional Status Assessment (C09) | ×1 | 85 | 3 |
| Diabetes Care - Eye Exam (C11) | ×1 | 52 | 1 |
| Diabetes Care - Blood Sugar Controlled (C12) | ×3 | 74 | 2 |
| Kidney Health Evaluation for Patients with Diabetes (C13) | ×1 | 60 | 2 |
| Controlling High Blood Pressure (C14) | ×3 | 74 | 2 |
| Transitions of Care (C19) | ×1 | 43 | 2 |
| Getting Needed Care (C21) | ×2 | 76 | 1 |
| Getting Appointments and Care Quickly (C22) | ×2 | 82 | 3 |
| Customer Service (C23) | ×2 | 85 | 1 |
| Rating of Health Care Quality (C24) | ×2 | 83 | 1 |
| Rating of Health Plan (C25) | ×2 | 84 | 2 |
| Complaints about the Health Plan (C27) | ×2 | 1.33 | 1 |
| Members Choosing to Leave the Plan (C28) | ×2 | 33 | 2 |
| Call Center - Foreign Language Interpreter and TTY Availability (C32) | ×2 | 11 | 1 |
| Call Center - Foreign Language Interpreter and TTY Availability (D01) | ×2 | 20 | 1 |
| Complaints about the Drug Plan (D02) | ×2 | 1.33 | 1 |
| Members Choosing to Leave the Plan (D03) | ×2 | 33 | 2 |
| Drug Plan Quality Improvement (D04) | ×5 | – | 1 |
| Rating of Drug Plan (D05) | ×2 | 88 | 4 |
| MPF Price Accuracy (D07) | ×1 | 100 | 5 |
| Medication Adherence for Diabetes Medications (D08) | ×3 | 83 | 1 |
| Medication Adherence for Hypertension (RAS antagonists) (D09) | ×3 | 84 | 2 |
| Medication Adherence for Cholesterol (Statins) (D10) | ×3 | 81 | 1 |
| Statin Use in Persons with Diabetes (SUPD) (D11) | ×1 | 95 | 5 |
| Concurrent Use of Opioids and Benzodiazepines (COB) (D12) | ×1 | 7 | 5 |
| Polypharmacy: Use of Multiple Anticholinergic Medications in Older Adults (Poly-ACH) (D13) | ×1 | 6 | 4 |
Where H5163 has members
Texas (3,880)
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Other Verda Healthcare, Inc. contracts
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.