CareStars › All contracts › H5294
H5294 · Wellcare (SUPERIOR HEALTHPLAN, INC.): 2027 Star Rating
H5294 (Wellcare, SUPERIOR HEALTHPLAN, INC.) earned 3.5 stars in the 2027 Medicare Advantage Star Ratings, the same as in 2026. Parent company: Centene Corporation. Plan type: Local CCP · offers special needs plans.
2027 overall CMS
3.5
Part C 3.5 · Part D 3.0
2026 overall CMS
3.5
Part C 3.5 · Part D 3.0
Change Calc
Same
2027 vs 2026
Members Calc
16,171
CMS county files, October 2026
Open H5294 in CareStars: bonus at stake, measures to fix, local rivalsTalk to Carelytics about H5294
What stands out for H5294
- Most of its members are in Texas (16,171, 0.8% of Medicare Advantage members in CMS county files there). Calc
- Of the 39 rated contracts with members in Texas, 20 have a higher 2027 rating and 9 have the same rating. Calc
- Largest other contract in Texas: H0609 · UnitedHealthcare, 4.0 stars, 376,529 members. Calc
- At 3.5 stars it is half a star below the 4-star line that sets 2028 quality bonus payments. CMS rule
- 8 of its 43 rated measures are at 5 stars; 9 are at 1 or 2 stars. Calc
- Its Part D rating (3.0) is lower than its Part C rating (3.5). CMS
Weakest high-weight measures
Measures with weight 2 or more and the lowest stars. These move the overall rating most.
- Controlling High Blood Pressure (C14, weight ×3): 2 stars, score 77
- Plan All-Cause Readmissions (C17, weight ×3): 2 stars, score 12
- Medication Adherence for Diabetes Medications (D08, weight ×3): 2 stars, score 87
- Medication Adherence for Hypertension (RAS antagonists) (D09, weight ×3): 2 stars, score 86
- Medication Adherence for Cholesterol (Statins) (D10, weight ×3): 2 stars, score 84
All 2027 measure scores Sourced: CMS
| Measure | Weight | Score | Stars |
|---|---|---|---|
| Breast Cancer Screening (C01) | ×1 | 69 | 2 |
| Colorectal Cancer Screening (C02) | ×1 | 68 | 3 |
| Annual Flu Vaccine (C03) | ×1 | 67 | 4 |
| Monitoring Physical Activity (C06) | ×1 | 52 | 3 |
| Special Needs Plan (SNP) Care Management (C07) | ×1 | 79 | 4 |
| Care for Older Adults - Medication Review (C08) | ×1 | 100 | 5 |
| Care for Older Adults - Functional Status Assessment (C09) | ×1 | 88 | 4 |
| Osteoporosis Management in Women who had a Fracture (C10) | ×1 | 23 | 1 |
| Diabetes Care - Eye Exam (C11) | ×1 | 72 | 3 |
| Diabetes Care - Blood Sugar Controlled (C12) | ×3 | 85 | 3 |
| Kidney Health Evaluation for Patients with Diabetes (C13) | ×1 | 68 | 3 |
| Controlling High Blood Pressure (C14) | ×3 | 77 | 2 |
| Reducing the Risk of Falling (C15) | ×1 | 75 | 5 |
| Improving Bladder Control (C16) | ×1 | 44 | 3 |
| Plan All-Cause Readmissions (C17) | ×3 | 12 | 2 |
| Statin Therapy for Patients with Cardiovascular Disease (C18) | ×1 | 88 | 3 |
| Transitions of Care (C19) | ×1 | 48 | 2 |
| Follow-up after Emergency Department Visit for People with Multiple High-Risk Chronic Conditions (C20) | ×1 | 57 | 2 |
| Getting Needed Care (C21) | ×2 | 82 | 3 |
| Getting Appointments and Care Quickly (C22) | ×2 | 84 | 4 |
| Customer Service (C23) | ×2 | 90 | 3 |
| Rating of Health Care Quality (C24) | ×2 | 89 | 4 |
| Rating of Health Plan (C25) | ×2 | 88 | 4 |
| Care Coordination (C26) | ×2 | 87 | 3 |
| Complaints about the Health Plan (C27) | ×2 | 0.49 | 3 |
| Members Choosing to Leave the Plan (C28) | ×2 | 27 | 3 |
| Health Plan Quality Improvement (C29) | ×5 | – | 3 |
| Plan Makes Timely Decisions about Appeals (C30) | ×2 | 100 | 5 |
| 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 | 0.49 | 3 |
| Members Choosing to Leave the Plan (D03) | ×2 | 27 | 3 |
| Drug Plan Quality Improvement (D04) | ×5 | – | 3 |
| Rating of Drug Plan (D05) | ×2 | 89 | 5 |
| Getting Needed Prescription Drugs (D06) | ×2 | 90 | 4 |
| MPF Price Accuracy (D07) | ×1 | 100 | 5 |
| Medication Adherence for Diabetes Medications (D08) | ×3 | 87 | 2 |
| Medication Adherence for Hypertension (RAS antagonists) (D09) | ×3 | 86 | 2 |
| Medication Adherence for Cholesterol (Statins) (D10) | ×3 | 84 | 2 |
| Statin Use in Persons with Diabetes (SUPD) (D11) | ×1 | 90 | 4 |
| Concurrent Use of Opioids and Benzodiazepines (COB) (D12) | ×1 | 15 | 3 |
| Polypharmacy: Use of Multiple Anticholinergic Medications in Older Adults (Poly-ACH) (D13) | ×1 | 8 | 3 |
Where H5294 has members
Texas (16,171)
Want to move a measure before December 31? Marples, the Carelytics care gap and member engagement platform, ranks the members whose open gaps would move a measure across the next cut point and reaches them by secure text. See how Marples works
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.