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H9191 · Provider Partners Health Plans (PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.): 2027 Star Rating
H9191 (Provider Partners Health Plans, PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.) earned 4.0 stars in the 2027 Medicare Advantage Star Ratings, down from 4.5 in 2026. Parent company: Rifkin Managed Care Holding, LLC. Plan type: Local CCP · offers special needs plans.
2027 overall CMS
4.0
Part C 4.5 · Part D 3.5
2026 overall CMS
4.5
Part C 4.5 · Part D 4.5
Change Calc
-0.5
2027 vs 2026
Members Calc
1,340
CMS county files, October 2026
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What stands out for H9191
- Most of its members are in Missouri (1,340, 0.2% of Medicare Advantage members in CMS county files there). Calc
- Of the 28 rated contracts with members in Missouri, 6 have a higher 2027 rating and 10 have the same rating. Calc
- Largest other contract in Missouri: H2802 · UnitedHealthcare, 3.5 stars, 120,976 members. Calc
- At 4.0 stars it is at or above the 4-star line that sets 2028 quality bonus payments. CMS rule
- 11 of its 25 rated measures are at 5 stars; 4 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 Hypertension (RAS antagonists) (D09, weight ×3): 2 stars, score 87
- Health Plan Quality Improvement (C29, weight ×5): 3 stars
- Drug Plan Quality Improvement (D04, weight ×5): 3 stars
- Call Center - Foreign Language Interpreter and TTY Availability (C32, weight ×2): 3 stars, score 94
- Call Center - Foreign Language Interpreter and TTY Availability (D01, weight ×2): 3 stars, score 94
All 2027 measure scores Sourced: CMS
| Measure | Weight | Score | Stars |
|---|---|---|---|
| Breast Cancer Screening (C01) | ×1 | 50 | 1 |
| Colorectal Cancer Screening (C02) | ×1 | 89 | 5 |
| Special Needs Plan (SNP) Care Management (C07) | ×1 | 100 | 5 |
| Care for Older Adults - Medication Review (C08) | ×1 | 100 | 5 |
| Care for Older Adults - Functional Status Assessment (C09) | ×1 | 100 | 5 |
| Diabetes Care - Eye Exam (C11) | ×1 | 96 | 5 |
| Diabetes Care - Blood Sugar Controlled (C12) | ×3 | 97 | 5 |
| Kidney Health Evaluation for Patients with Diabetes (C13) | ×1 | 83 | 5 |
| Plan All-Cause Readmissions (C17) | ×3 | 9 | 4 |
| Follow-up after Emergency Department Visit for People with Multiple High-Risk Chronic Conditions (C20) | ×1 | 96 | 5 |
| Complaints about the Health Plan (C27) | ×2 | 0.06 | 5 |
| Members Choosing to Leave the Plan (C28) | ×2 | 9 | 4 |
| Health Plan Quality Improvement (C29) | ×5 | – | 3 |
| Call Center - Foreign Language Interpreter and TTY Availability (C32) | ×2 | 94 | 3 |
| Call Center - Foreign Language Interpreter and TTY Availability (D01) | ×2 | 94 | 3 |
| Complaints about the Drug Plan (D02) | ×2 | 0.06 | 5 |
| Members Choosing to Leave the Plan (D03) | ×2 | 9 | 4 |
| Drug Plan Quality Improvement (D04) | ×5 | – | 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 | 87 | 2 |
| Medication Adherence for Cholesterol (Statins) (D10) | ×3 | 91 | 4 |
| Statin Use in Persons with Diabetes (SUPD) (D11) | ×1 | 92 | 4 |
| Concurrent Use of Opioids and Benzodiazepines (COB) (D12) | ×1 | 24 | 1 |
| Polypharmacy: Use of Multiple Anticholinergic Medications in Older Adults (Poly-ACH) (D13) | ×1 | 18 | 1 |
Where H9191 has members
Missouri (1,340)
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Other Rifkin Managed Care Holding, LLC contracts
H3800 · Provider Partners Health Plans · 3.5 starsH4054 · Provider Partners Health Plans · 4.0 starsH4093 · Provider Partners Health Plans · 3.5 starsH4439 · Provider Partners Health Plans · not ratedH4444 · Provider Partners Health Plans · 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.