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H7020 · HealthSpring (HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.): 2027 Star Rating
H7020 (HealthSpring, HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.) earned 3.0 stars in the 2027 Medicare Advantage Star Ratings, down from 4.0 in 2026. Parent company: Health Care Service Corporation. Plan type: Local CCP · offers special needs plans.
2027 overall CMS
3.0
Part C 3.0 · Part D 3.0
2026 overall CMS
4.0
Part C 4.0 · Part D 4.0
Change Calc
-1.0
2027 vs 2026
Members Calc
15,538
CMS county files, October 2026
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What stands out for H7020
- Most of its members are in South Carolina (15,538, 2.7% of Medicare Advantage members in CMS county files there). Calc
- Of the 22 rated contracts with members in South Carolina, 17 have a higher 2027 rating and 3 have the same rating. Calc
- Largest other contract in South Carolina: H2001 · UnitedHealthcare, 4.5 stars, 127,038 members. Calc
- At 3.0 stars it is below the 4-star line that sets 2028 quality bonus payments. CMS rule
- 3 of its 41 rated measures are at 5 stars; 14 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 Mental Health (C05, weight ×3): 1 star, score 78
- Health Plan Quality Improvement (C29, weight ×5): 2 stars
- Drug Plan Quality Improvement (D04, weight ×5): 2 stars
- Controlling High Blood Pressure (C14, weight ×3): 2 stars, score 73
- Medication Adherence for Diabetes Medications (D08, weight ×3): 2 stars, score 88
All 2027 measure scores Sourced: CMS
| Measure | Weight | Score | Stars |
|---|---|---|---|
| Breast Cancer Screening (C01) | ×1 | 78 | 4 |
| Colorectal Cancer Screening (C02) | ×1 | 77 | 4 |
| Annual Flu Vaccine (C03) | ×1 | 62 | 3 |
| Improving or Maintaining Physical Health (C04) | ×3 | 71 | 3 |
| Improving or Maintaining Mental Health (C05) | ×3 | 78 | 1 |
| Monitoring Physical Activity (C06) | ×1 | 54 | 4 |
| Diabetes Care - Eye Exam (C11) | ×1 | 71 | 2 |
| Diabetes Care - Blood Sugar Controlled (C12) | ×3 | 86 | 3 |
| Kidney Health Evaluation for Patients with Diabetes (C13) | ×1 | 72 | 4 |
| Controlling High Blood Pressure (C14) | ×3 | 73 | 2 |
| Reducing the Risk of Falling (C15) | ×1 | 61 | 3 |
| Improving Bladder Control (C16) | ×1 | 45 | 3 |
| Plan All-Cause Readmissions (C17) | ×3 | 10 | 4 |
| Statin Therapy for Patients with Cardiovascular Disease (C18) | ×1 | 85 | 2 |
| Transitions of Care (C19) | ×1 | 70 | 4 |
| Follow-up after Emergency Department Visit for People with Multiple High-Risk Chronic Conditions (C20) | ×1 | 62 | 2 |
| Getting Needed Care (C21) | ×2 | 83 | 4 |
| Getting Appointments and Care Quickly (C22) | ×2 | 85 | 4 |
| Customer Service (C23) | ×2 | 90 | 3 |
| Rating of Health Care Quality (C24) | ×2 | 87 | 4 |
| Rating of Health Plan (C25) | ×2 | 85 | 3 |
| Care Coordination (C26) | ×2 | 88 | 4 |
| Complaints about the Health Plan (C27) | ×2 | 0.69 | 2 |
| Members Choosing to Leave the Plan (C28) | ×2 | 28 | 3 |
| Health Plan Quality Improvement (C29) | ×5 | – | 2 |
| Plan Makes Timely Decisions about Appeals (C30) | ×2 | 91 | 2 |
| Reviewing Appeals Decisions (C31) | ×2 | 97 | 3 |
| 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 | 0.69 | 2 |
| Members Choosing to Leave the Plan (D03) | ×2 | 28 | 3 |
| Drug Plan Quality Improvement (D04) | ×5 | – | 2 |
| Rating of Drug Plan (D05) | ×2 | 87 | 4 |
| Getting Needed Prescription Drugs (D06) | ×2 | 89 | 3 |
| MPF Price Accuracy (D07) | ×1 | 100 | 5 |
| Medication Adherence for Diabetes Medications (D08) | ×3 | 88 | 2 |
| Medication Adherence for Hypertension (RAS antagonists) (D09) | ×3 | 88 | 3 |
| Medication Adherence for Cholesterol (Statins) (D10) | ×3 | 87 | 2 |
| Statin Use in Persons with Diabetes (SUPD) (D11) | ×1 | 86 | 2 |
| Concurrent Use of Opioids and Benzodiazepines (COB) (D12) | ×1 | 19 | 2 |
| Polypharmacy: Use of Multiple Anticholinergic Medications in Older Adults (Poly-ACH) (D13) | ×1 | 7 | 4 |
Where H7020 has members
South Carolina (15,538)
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Other Health Care Service Corporation contracts
H0107 · Blue Cross and Blue Shield of Montana · 4.0 starsH0354 · HealthSpring · 3.5 starsH0439 · HealthSpring · 3.0 starsH0672 · HealthSpring · 2.5 starsH1666 · Blue Cross and Blue Shield of NM, TX · 3.0 starsH2108 · HealthSpring · 3.0 starsH2752 · HealthSpring · not ratedH3822 · Blue Cross and Blue Shield of IL, NM · 3.0 starsH3949 · HealthSpring · 3.0 starsH4407 · HealthSpring · 4.0 starsH4513 · HealthSpring · 3.5 starsH5410 · HealthSpring · 3.0 starsH7389 · HealthSpring · 2.5 starsH7787 · HealthSpring · 3.0 starsH7849 · HealthSpring · 3.0 starsH8133 · Blue Cross and Blue Shield of Texas · 3.0 starsH8554 · Blue Cross and Blue Shield of OK, TX · 3.0 starsH8634 · Blue Cross and Blue Shield of IL, NM, OK, TX · 3.0 starsH9460 · HealthSpring · 2.5 starsH9706 · Blue Cross and Blue Shield of Texas · 3.5 starsH9725 · HealthSpring · 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.