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H7239 · Prominence Health Plan (PROMINENCE HEALTHFIRST OF FLORIDA INC): 2027 Star Rating
H7239 (Prominence Health Plan, PROMINENCE HEALTHFIRST OF FLORIDA INC) earned 4.5 stars in the 2027 Medicare Advantage Star Ratings. Parent company: Universal Health Services, Inc. Plan type: Local CCP · offers special needs plans.
2027 overall CMS
4.5
Part C 4.5 · Part D 3.5
2026 overall CMS
–
Part C – · Part D –
Change Calc
–
2027 vs 2026
Members Calc
2,742
CMS county files, October 2026
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What stands out for H7239
- Most of its members are in Florida (2,742, 0.1% of Medicare Advantage members in CMS county files there). Calc
- Of the 36 rated contracts with members in Florida, 3 have a higher 2027 rating and 9 have the same rating. Calc
- Largest other contract in Florida: H1036 · Humana, 4.5 stars, 541,186 members. Calc
- At 4.5 stars it is at or above the 4-star line that sets 2028 quality bonus payments. CMS rule
- 9 of its 35 rated measures are at 5 stars; 2 are at 1 or 2 stars. Calc
- Its Part D rating (3.5) is lower than its Part C rating (4.5). CMS
Weakest high-weight measures
Measures with weight 2 or more and the lowest stars. These move the overall rating most.
- Medication Adherence for Cholesterol (Statins) (D10, weight ×3): 3 stars, score 88
- Getting Needed Care (C21, weight ×2): 3 stars, score 81
- Care Coordination (C26, weight ×2): 3 stars, score 86
- Complaints about the Health Plan (C27, weight ×2): 3 stars, score 0.55
- Call Center - Foreign Language Interpreter and TTY Availability (D01, weight ×2): 3 stars, score 95
All 2027 measure scores Sourced: CMS
| Measure | Weight | Score | Stars |
|---|---|---|---|
| Breast Cancer Screening (C01) | ×1 | 86 | 5 |
| Colorectal Cancer Screening (C02) | ×1 | 87 | 5 |
| Annual Flu Vaccine (C03) | ×1 | 59 | 2 |
| Special Needs Plan (SNP) Care Management (C07) | ×1 | 82 | 4 |
| Care for Older Adults - Medication Review (C08) | ×1 | 95 | 3 |
| Care for Older Adults - Functional Status Assessment (C09) | ×1 | 96 | 5 |
| Diabetes Care - Eye Exam (C11) | ×1 | 80 | 4 |
| Diabetes Care - Blood Sugar Controlled (C12) | ×3 | 92 | 5 |
| Kidney Health Evaluation for Patients with Diabetes (C13) | ×1 | 79 | 4 |
| Controlling High Blood Pressure (C14) | ×3 | 88 | 4 |
| Plan All-Cause Readmissions (C17) | ×3 | 9 | 4 |
| Statin Therapy for Patients with Cardiovascular Disease (C18) | ×1 | 87 | 3 |
| Transitions of Care (C19) | ×1 | 76 | 4 |
| Follow-up after Emergency Department Visit for People with Multiple High-Risk Chronic Conditions (C20) | ×1 | 85 | 5 |
| Getting Needed Care (C21) | ×2 | 81 | 3 |
| Getting Appointments and Care Quickly (C22) | ×2 | 85 | 4 |
| Customer Service (C23) | ×2 | 91 | 4 |
| Rating of Health Care Quality (C24) | ×2 | 87 | 4 |
| Rating of Health Plan (C25) | ×2 | 87 | 4 |
| Care Coordination (C26) | ×2 | 86 | 3 |
| Complaints about the Health Plan (C27) | ×2 | 0.55 | 3 |
| Members Choosing to Leave the Plan (C28) | ×2 | 15 | 4 |
| Call Center - Foreign Language Interpreter and TTY Availability (C32) | ×2 | 100 | 5 |
| Call Center - Foreign Language Interpreter and TTY Availability (D01) | ×2 | 95 | 3 |
| Complaints about the Drug Plan (D02) | ×2 | 0.55 | 3 |
| Members Choosing to Leave the Plan (D03) | ×2 | 15 | 4 |
| Rating of Drug Plan (D05) | ×2 | 89 | 5 |
| Getting Needed Prescription Drugs (D06) | ×2 | 89 | 3 |
| MPF Price Accuracy (D07) | ×1 | 100 | 5 |
| Medication Adherence for Diabetes Medications (D08) | ×3 | 91 | 4 |
| Medication Adherence for Hypertension (RAS antagonists) (D09) | ×3 | 91 | 4 |
| Medication Adherence for Cholesterol (Statins) (D10) | ×3 | 88 | 3 |
| Statin Use in Persons with Diabetes (SUPD) (D11) | ×1 | 90 | 4 |
| Concurrent Use of Opioids and Benzodiazepines (COB) (D12) | ×1 | 25 | 1 |
| Polypharmacy: Use of Multiple Anticholinergic Medications in Older Adults (Poly-ACH) (D13) | ×1 | 5 | 5 |
Where H7239 has members
Florida (2,742)
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Other Universal Health Services, Inc. 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.