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H5361 · AmeriHealth (AMERIHEALTH INSURANCE COMPANY OF NEW JERSEY): 2027 Star Rating
H5361 (AmeriHealth, AMERIHEALTH INSURANCE COMPANY OF NEW JERSEY) earned 3.0 stars in the 2027 Medicare Advantage Star Ratings, up from 2.5 in 2026. Parent company: Independence Health Group, Inc. Plan type: Local CCP.
2027 overall CMS
3.0
Part C 2.5 · Part D 3.0
2026 overall CMS
2.5
Part C 3.0 · Part D 2.5
Change Calc
+0.5
2027 vs 2026
Members Calc
2,632
CMS county files, October 2026
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What stands out for H5361
- Most of its members are in New Jersey (2,632, 0.5% of Medicare Advantage members in CMS county files there). Calc
- Of the 22 rated contracts with members in New Jersey, 13 have a higher 2027 rating and 7 have the same rating. Calc
- Largest other contract in New Jersey: H5141 · Clover Health, 5.0 stars, 128,466 members. Calc
- At 3.0 stars it is below the 4-star line that sets 2028 quality bonus payments. CMS rule
- 3 of its 37 rated measures are at 5 stars; 16 are at 1 or 2 stars. Calc
- Its Part C rating (2.5) is lower than its Part D rating (3.0). CMS
Weakest high-weight measures
Measures with weight 2 or more and the lowest stars. These move the overall rating most.
- Diabetes Care - Blood Sugar Controlled (C12, weight ×3): 2 stars, score 81
- Controlling High Blood Pressure (C14, weight ×3): 2 stars, score 78
- Plan All-Cause Readmissions (C17, weight ×3): 2 stars, score 12
- Medication Adherence for Diabetes Medications (D08, weight ×3): 2 stars, score 86
- Medication Adherence for Hypertension (RAS antagonists) (D09, weight ×3): 2 stars, score 87
All 2027 measure scores Sourced: CMS
| Measure | Weight | Score | Stars |
|---|---|---|---|
| Breast Cancer Screening (C01) | ×1 | 74 | 3 |
| Colorectal Cancer Screening (C02) | ×1 | 56 | 1 |
| Annual Flu Vaccine (C03) | ×1 | 70 | 4 |
| Monitoring Physical Activity (C06) | ×1 | 50 | 3 |
| Diabetes Care - Eye Exam (C11) | ×1 | 67 | 2 |
| Diabetes Care - Blood Sugar Controlled (C12) | ×3 | 81 | 2 |
| Kidney Health Evaluation for Patients with Diabetes (C13) | ×1 | 66 | 3 |
| Controlling High Blood Pressure (C14) | ×3 | 78 | 2 |
| Reducing the Risk of Falling (C15) | ×1 | 56 | 2 |
| Improving Bladder Control (C16) | ×1 | 46 | 3 |
| Plan All-Cause Readmissions (C17) | ×3 | 12 | 2 |
| Statin Therapy for Patients with Cardiovascular Disease (C18) | ×1 | 83 | 2 |
| Transitions of Care (C19) | ×1 | 43 | 2 |
| Follow-up after Emergency Department Visit for People with Multiple High-Risk Chronic Conditions (C20) | ×1 | 67 | 3 |
| Getting Needed Care (C21) | ×2 | 80 | 3 |
| Getting Appointments and Care Quickly (C22) | ×2 | 85 | 4 |
| Rating of Health Care Quality (C24) | ×2 | 88 | 4 |
| Rating of Health Plan (C25) | ×2 | 84 | 2 |
| Complaints about the Health Plan (C27) | ×2 | 0.25 | 4 |
| Members Choosing to Leave the Plan (C28) | ×2 | 33 | 2 |
| Health Plan Quality Improvement (C29) | ×5 | – | 3 |
| Plan Makes Timely Decisions about Appeals (C30) | ×2 | 93 | 2 |
| Reviewing Appeals Decisions (C31) | ×2 | 99 | 4 |
| Call Center - Foreign Language Interpreter and TTY Availability (C32) | ×2 | 95 | 3 |
| Call Center - Foreign Language Interpreter and TTY Availability (D01) | ×2 | 100 | 5 |
| Complaints about the Drug Plan (D02) | ×2 | 0.25 | 4 |
| Members Choosing to Leave the Plan (D03) | ×2 | 33 | 2 |
| Drug Plan Quality Improvement (D04) | ×5 | – | 5 |
| Rating of Drug Plan (D05) | ×2 | 86 | 3 |
| Getting Needed Prescription Drugs (D06) | ×2 | 89 | 3 |
| MPF Price Accuracy (D07) | ×1 | 100 | 5 |
| Medication Adherence for Diabetes Medications (D08) | ×3 | 86 | 2 |
| Medication Adherence for Hypertension (RAS antagonists) (D09) | ×3 | 87 | 2 |
| Medication Adherence for Cholesterol (Statins) (D10) | ×3 | 86 | 2 |
| Statin Use in Persons with Diabetes (SUPD) (D11) | ×1 | 86 | 2 |
| 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 H5361 has members
New Jersey (2,632)
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Other Independence Health Group, Inc. contracts
H0279 · Independence Blue Cross · not ratedH0738 · AmeriHealth Caritas VIP Care (HMO-D-SNP) · not ratedH2564 · AmeriHealth Caritas VIP Care (HMO-SNP) · not ratedH3909 · Independence Blue Cross · 4.0 starsH3952 · Independence Blue Cross · 4.0 starsH4227 · VISTA Health Plan Inc. · 3.5 starsH4739 · First Choice VIP Care (HMO D-SNP) · not ratedH6341 · AmeriHealth Caritas VIP Care · not ratedH6378 · AmeriHealth Caritas VIP Care (HMO-D-SNP) · not ratedH6407 · AmeriHealth · not ratedH8212 · AmeriHealth Caritas VIP Care · not rated
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.