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H5256 · Medical Associates Clinic Health Plan of Wisconsin (MEDICAL ASSOCIATES CLINIC HEALTH PLAN): 2027 Star Rating
H5256 (Medical Associates Clinic Health Plan of Wisconsin, MEDICAL ASSOCIATES CLINIC HEALTH PLAN) did not get an overall 2027 Star Rating from CMS. Parent company: Medical Associates Clinic, P.C. Plan type: 1876 Cost.
2027 overall CMS
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Part C 4.5 · Part D –
2026 overall CMS
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Part C 4.5 · Part D –
Change Calc
–
2027 vs 2026
Members Calc
4,532
CMS county files, October 2026
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What stands out for H5256
- Most of its members are in Wisconsin (3,722, 0.5% of Medicare Advantage members in CMS county files there). Calc
- Largest other contract in Wisconsin: H5253 · UnitedHealthcare, 4.0 stars, 141,727 members. Calc
- 12 of its 22 rated measures are at 5 stars; 4 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.
- Improving or Maintaining Physical Health (C04, weight ×3): 3 stars, score 72
- Health Plan Quality Improvement (C29, weight ×5): 4 stars
- Improving or Maintaining Mental Health (C05, weight ×3): 4 stars, score 85
- Controlling High Blood Pressure (C14, weight ×3): 4 stars, score 88
- Diabetes Care - Blood Sugar Controlled (C12, weight ×3): 5 stars, score 93
All 2027 measure scores Sourced: CMS
| Measure | Weight | Score | Stars |
|---|---|---|---|
| Breast Cancer Screening (C01) | ×1 | 84 | 5 |
| Colorectal Cancer Screening (C02) | ×1 | 83 | 5 |
| Annual Flu Vaccine (C03) | ×1 | 74 | 5 |
| Improving or Maintaining Physical Health (C04) | ×3 | 72 | 3 |
| Improving or Maintaining Mental Health (C05) | ×3 | 85 | 4 |
| Monitoring Physical Activity (C06) | ×1 | 43 | 1 |
| Diabetes Care - Eye Exam (C11) | ×1 | 84 | 4 |
| Diabetes Care - Blood Sugar Controlled (C12) | ×3 | 93 | 5 |
| Kidney Health Evaluation for Patients with Diabetes (C13) | ×1 | 38 | 1 |
| Controlling High Blood Pressure (C14) | ×3 | 88 | 4 |
| Reducing the Risk of Falling (C15) | ×1 | 56 | 2 |
| Improving Bladder Control (C16) | ×1 | 50 | 4 |
| Follow-up after Emergency Department Visit for People with Multiple High-Risk Chronic Conditions (C20) | ×1 | 61 | 2 |
| Getting Needed Care (C21) | ×2 | 87 | 5 |
| Getting Appointments and Care Quickly (C22) | ×2 | 88 | 5 |
| Customer Service (C23) | ×2 | 94 | 5 |
| Rating of Health Care Quality (C24) | ×2 | 91 | 5 |
| Rating of Health Plan (C25) | ×2 | 93 | 5 |
| Care Coordination (C26) | ×2 | 91 | 5 |
| Complaints about the Health Plan (C27) | ×2 | 0 | 5 |
| Members Choosing to Leave the Plan (C28) | ×2 | 2 | 5 |
| Health Plan Quality Improvement (C29) | ×5 | – | 4 |
Where H5256 has members
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Other Medical Associates Clinic, P.C. 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.