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R5361 · Humana (HUMANA INSURANCE COMPANY): 2027 Star Rating
R5361 (Humana, HUMANA INSURANCE COMPANY) earned 3.5 stars in the 2027 Medicare Advantage Star Ratings, up from 3.0 in 2026. Parent company: Humana Inc. Plan type: Regional CCP.
2027 overall CMS
3.5
Part C 3.5 · Part D 3.5
2026 overall CMS
3.0
Part C 3.5 · Part D 3.5
Change Calc
+0.5
2027 vs 2026
Members Calc
5,187
CMS county files, October 2026
Open R5361 in CareStars: bonus at stake, measures to fix, local rivalsTalk to Carelytics about R5361
What stands out for R5361
- Most of its members are in Wisconsin (3,425, 0.5% of Medicare Advantage members in CMS county files there). Calc
- Of the 20 rated contracts with members in Wisconsin, 11 have a higher 2027 rating and 5 have the same rating. Calc
- Largest other contract in Wisconsin: H5253 · UnitedHealthcare, 4.0 stars, 141,727 members. Calc
- At 3.5 stars it is half a star below the 4-star line that sets 2028 quality bonus payments. CMS rule
- 10 of its 41 rated measures are at 5 stars; 12 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.
- Drug Plan Quality Improvement (D04, weight ×5): 2 stars
- Improving or Maintaining Physical Health (C04, weight ×3): 2 stars, score 70
- Rating of Health Plan (C25, weight ×2): 2 stars, score 84
- Health Plan Quality Improvement (C29, weight ×5): 3 stars
- Diabetes Care - Blood Sugar Controlled (C12, weight ×3): 3 stars, score 83
All 2027 measure scores Sourced: CMS
| Measure | Weight | Score | Stars |
|---|---|---|---|
| Breast Cancer Screening (C01) | ×1 | 64 | 2 |
| Colorectal Cancer Screening (C02) | ×1 | 70 | 3 |
| Annual Flu Vaccine (C03) | ×1 | 63 | 2 |
| Improving or Maintaining Physical Health (C04) | ×3 | 70 | 2 |
| Improving or Maintaining Mental Health (C05) | ×3 | 85 | 4 |
| Monitoring Physical Activity (C06) | ×1 | 41 | 1 |
| Diabetes Care - Eye Exam (C11) | ×1 | 63 | 2 |
| Diabetes Care - Blood Sugar Controlled (C12) | ×3 | 83 | 3 |
| Kidney Health Evaluation for Patients with Diabetes (C13) | ×1 | 61 | 2 |
| Controlling High Blood Pressure (C14) | ×3 | 81 | 3 |
| Reducing the Risk of Falling (C15) | ×1 | 60 | 3 |
| Improving Bladder Control (C16) | ×1 | 34 | 1 |
| Plan All-Cause Readmissions (C17) | ×3 | 10 | 4 |
| Statin Therapy for Patients with Cardiovascular Disease (C18) | ×1 | 89 | 4 |
| Transitions of Care (C19) | ×1 | 76 | 4 |
| Follow-up after Emergency Department Visit for People with Multiple High-Risk Chronic Conditions (C20) | ×1 | 58 | 2 |
| Getting Needed Care (C21) | ×2 | 84 | 5 |
| Getting Appointments and Care Quickly (C22) | ×2 | 86 | 5 |
| Customer Service (C23) | ×2 | 89 | 3 |
| Rating of Health Care Quality (C24) | ×2 | 86 | 3 |
| Rating of Health Plan (C25) | ×2 | 84 | 2 |
| Care Coordination (C26) | ×2 | 89 | 5 |
| Complaints about the Health Plan (C27) | ×2 | 0.12 | 5 |
| Members Choosing to Leave the Plan (C28) | ×2 | 20 | 3 |
| Health Plan Quality Improvement (C29) | ×5 | – | 3 |
| Plan Makes Timely Decisions about Appeals (C30) | ×2 | 100 | 5 |
| Reviewing Appeals Decisions (C31) | ×2 | 100 | 5 |
| 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 | 0.12 | 5 |
| Members Choosing to Leave the Plan (D03) | ×2 | 20 | 3 |
| Drug Plan Quality Improvement (D04) | ×5 | – | 2 |
| Rating of Drug Plan (D05) | ×2 | 87 | 4 |
| Getting Needed Prescription Drugs (D06) | ×2 | 90 | 4 |
| MPF Price Accuracy (D07) | ×1 | 94 | 1 |
| Medication Adherence for Diabetes Medications (D08) | ×3 | 89 | 3 |
| Medication Adherence for Hypertension (RAS antagonists) (D09) | ×3 | 90 | 4 |
| Medication Adherence for Cholesterol (Statins) (D10) | ×3 | 89 | 3 |
| Statin Use in Persons with Diabetes (SUPD) (D11) | ×1 | 85 | 2 |
| Concurrent Use of Opioids and Benzodiazepines (COB) (D12) | ×1 | 11 | 4 |
| Polypharmacy: Use of Multiple Anticholinergic Medications in Older Adults (Poly-ACH) (D13) | ×1 | 2 | 5 |
Where R5361 has members
Wisconsin (3,425), Illinois (1,762)
Want to move a measure before December 31? Marples, the Carelytics care gap and member engagement platform, ranks the members whose open gaps would move a measure across the next cut point and reaches them by secure text. See how Marples works
Other Humana Inc. contracts
H0028 · Humana · 4.5 starsH0292 · Humana · 4.5 starsH0473 · Humana · 3.0 starsH0963 · Humana · not ratedH1019 · CarePlus Health Plans, Inc. · 4.0 starsH1036 · Humana · 4.5 starsH1396 · Humana · not ratedH1468 · Humana · 4.0 starsH1951 · Humana · 4.5 starsH2237 · iCare · 3.5 starsH2463 · Humana · 4.0 starsH2486 · Humana · 4.0 starsH2875 · Humana · not ratedH3533 · Humana · 3.0 starsH3642 · Humana · not ratedH3767 · Humana · not ratedH4141 · Humana · 3.5 starsH4329 · Humana · not ratedH4461 · Humana · 4.5 starsH4623 · Humana · 4.0 starsH4939 · Humana · not ratedH5178 · Humana · not ratedH5216 · Humana · 4.0 starsH5377 · Humana · 4.0 starsH5525 · Humana · 4.0 starsH5619 · Humana · 4.0 starsH5970 · Humana · 3.0 starsH6622 · Humana · 4.0 starsH7284 · Humana · 3.5 starsH7617 · Humana · 4.5 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.