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H5932 · Highmark Wholecare Medicare Assured (GATEWAY HEALTH PLAN, INC.): 2027 Star Rating
H5932 (Highmark Wholecare Medicare Assured, GATEWAY HEALTH PLAN, INC.) earned 3.5 stars in the 2027 Medicare Advantage Star Ratings, down from 4.0 in 2026. Parent company: Highmark Health. Plan type: Local CCP · offers special needs plans.
2027 overall CMS
3.5
Part C 3.5 · Part D 3.0
2026 overall CMS
4.0
Part C 3.5 · Part D 4.0
Change Calc
-0.5
2027 vs 2026
Members Calc
40,498
CMS county files, October 2026
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What stands out for H5932
- Most of its members are in Pennsylvania (40,498, 2.5% of Medicare Advantage members in CMS county files there). Calc
- Of the 41 rated contracts with members in Pennsylvania, 25 have a higher 2027 rating and 8 have the same rating. Calc
- Largest other contract in Pennsylvania: H5522 · Aetna Medicare, 4.5 stars, 234,145 members. Calc
- At 3.5 stars it is half a star below the 4-star line that sets 2028 quality bonus payments. CMS rule
- 5 of its 43 rated measures are at 5 stars; 12 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.
- Drug Plan Quality Improvement (D04, weight ×5): 1 star
- Plan All-Cause Readmissions (C17, weight ×3): 2 stars, score 12
- Health Plan Quality Improvement (C29, weight ×5): 3 stars
- Diabetes Care - Blood Sugar Controlled (C12, weight ×3): 3 stars, score 86
- Medication Adherence for Diabetes Medications (D08, weight ×3): 3 stars, score 89
All 2027 measure scores Sourced: CMS
| Measure | Weight | Score | Stars |
|---|---|---|---|
| Breast Cancer Screening (C01) | ×1 | 66 | 2 |
| Colorectal Cancer Screening (C02) | ×1 | 66 | 2 |
| Annual Flu Vaccine (C03) | ×1 | 61 | 2 |
| Monitoring Physical Activity (C06) | ×1 | 42 | 1 |
| Special Needs Plan (SNP) Care Management (C07) | ×1 | 50 | 2 |
| Care for Older Adults - Medication Review (C08) | ×1 | 95 | 3 |
| Care for Older Adults - Functional Status Assessment (C09) | ×1 | 73 | 2 |
| Osteoporosis Management in Women who had a Fracture (C10) | ×1 | 45 | 3 |
| Diabetes Care - Eye Exam (C11) | ×1 | 70 | 2 |
| Diabetes Care - Blood Sugar Controlled (C12) | ×3 | 86 | 3 |
| Kidney Health Evaluation for Patients with Diabetes (C13) | ×1 | 60 | 2 |
| Controlling High Blood Pressure (C14) | ×3 | 86 | 4 |
| Reducing the Risk of Falling (C15) | ×1 | 60 | 3 |
| Improving Bladder Control (C16) | ×1 | 44 | 3 |
| Plan All-Cause Readmissions (C17) | ×3 | 12 | 2 |
| Statin Therapy for Patients with Cardiovascular Disease (C18) | ×1 | 86 | 3 |
| Transitions of Care (C19) | ×1 | 69 | 4 |
| Follow-up after Emergency Department Visit for People with Multiple High-Risk Chronic Conditions (C20) | ×1 | 59 | 2 |
| Getting Needed Care (C21) | ×2 | 83 | 4 |
| Getting Appointments and Care Quickly (C22) | ×2 | 84 | 4 |
| Customer Service (C23) | ×2 | 91 | 4 |
| Rating of Health Care Quality (C24) | ×2 | 88 | 4 |
| Rating of Health Plan (C25) | ×2 | 90 | 5 |
| Care Coordination (C26) | ×2 | 89 | 5 |
| Complaints about the Health Plan (C27) | ×2 | 0.19 | 4 |
| Members Choosing to Leave the Plan (C28) | ×2 | 10 | 4 |
| Health Plan Quality Improvement (C29) | ×5 | – | 3 |
| Plan Makes Timely Decisions about Appeals (C30) | ×2 | 100 | 5 |
| Reviewing Appeals Decisions (C31) | ×2 | 99 | 4 |
| 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 | 0.19 | 4 |
| Members Choosing to Leave the Plan (D03) | ×2 | 10 | 4 |
| Drug Plan Quality Improvement (D04) | ×5 | – | 1 |
| Rating of Drug Plan (D05) | ×2 | 88 | 4 |
| Getting Needed Prescription Drugs (D06) | ×2 | 90 | 4 |
| MPF Price Accuracy (D07) | ×1 | 98 | 3 |
| Medication Adherence for Diabetes Medications (D08) | ×3 | 89 | 3 |
| Medication Adherence for Hypertension (RAS antagonists) (D09) | ×3 | 89 | 3 |
| Medication Adherence for Cholesterol (Statins) (D10) | ×3 | 89 | 3 |
| Statin Use in Persons with Diabetes (SUPD) (D11) | ×1 | 88 | 3 |
| Concurrent Use of Opioids and Benzodiazepines (COB) (D12) | ×1 | 18 | 2 |
| Polypharmacy: Use of Multiple Anticholinergic Medications in Older Adults (Poly-ACH) (D13) | ×1 | 10 | 3 |
Where H5932 has members
Pennsylvania (40,498)
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Other Highmark Health contracts
H3384 · Highmark Blue Cross Blue Shield or Highmark Blue S · 4.0 starsH3916 · Highmark Blue Cross Blue Shield or Highmark Blue S · 4.5 starsH3957 · Highmark Blue Cross Blue Shield or Highmark Blue S · 4.5 starsH5106 · Highmark Blue Cross Blue Shield · 3.5 starsH5526 · Highmark Blue Cross Blue Shield or Highmark Blue S · 4.5 starsH6224 · Highmark Blue Cross Blue Shield · not ratedH7710 · Highmark Blue Cross Blue Shield · 2.5 starsH8166 · Highmark Blue Cross Blue Shield · 3.0 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.