Contract
H1099

Health First Health Plans, Inc. · 2027 Star Ratings

HEALTH FIRST HEALTH PLANS · Local CCP

Parent: Health First Shared Services, Inc.

Summary ratings

Overall
4.0
2026: 4.5−0.5
Part C · health plan
4.5
2026: 4.5±0
Part D · drug plan
3.0
2026: 3.5−0.5

2027 footprint

Members, Sep 2026
37K
2027 plans
7
Open to all ($0 premium)
7 (5)
Counties
4
Special needs plans
None
Drug coverage
Yes
FL

Domain stars

Domain20272026Change
HD1Staying Healthy: Screenings, Tests and Vaccines4.03.0+1.0
HD2Managing Chronic (Long Term) Conditions4.04.0±0
HD3Member Experience with Health Plan5.05.0±0
HD4Member Complaints and Changes in the Health Plan's Performance5.05.0±0
HD5Health Plan Customer Service5.04.0+1.0
DD1Drug Plan Customer Service3.03.0±0
DD2Member Complaints and Changes in the Drug Plan's Performance4.04.0±0
DD3Member Experience with the Drug Plan5.05.0±0
DD4Drug Safety and Accuracy of Drug Pricing3.03.0±0

Part C measures · health plan

Measure2027 result2027 starsvs 2026
C01Breast Cancer Screening83%5.0+1
C02Colorectal Cancer Screening81%4.0new spec
C03Annual Flu Vaccine60%2.0±0
C04Improving or Maintaining Physical Health74%4.0+1
C05Improving or Maintaining Mental Health81%2.0±0
C06Monitoring Physical Activity55%4.0±0
C07Special Needs Plan (SNP) Care ManagementPlan not required to report measure—
C08Care for Older Adults – Medication ReviewPlan not required to report measure—
C09Care for Older Adults - Functional Status AssessmentPlan not required to report measure—
C10Osteoporosis Management in Women who had a Fracture58%4.0±0
C11Diabetes Care – Eye Exam75%3.0−1
C12Diabetes Care – Blood Sugar Controlled93%5.0±0
C13Kidney Health Evaluation for Patients with Diabetes70%3.0−1
C14Controlling High Blood Pressure88%4.0−1
C15Reducing the Risk of Falling53%2.0±0
C16Improving Bladder Control48%4.0+1
C17Plan All-Cause Readmissions11%3.0±0
C18Statin Therapy for Patients with Cardiovascular Disease91%4.0+1
C19Transitions of Care88%5.0±0
C20Follow-up after Emergency Department Visit for People with Multiple High-Risk Chronic Conditions77%4.0−1
C21Getting Needed Care855.0+1
C22Getting Appointments and Care Quickly854.0±0
C23Customer Service935.0±0
C24Rating of Health Care Quality895.0±0
C25Rating of Health Plan925.0±0
C26Care Coordination873.0−1
C27Complaints about the Health Plan0.075.0±0
C28Members Choosing to Leave the Plan4%5.0±0
C29Health Plan Quality ImprovementMedicare shows only a Star Rating for this topic4.0−1
C30Plan Makes Timely Decisions about Appeals100%5.0+1
C31Reviewing Appeals Decisions100%5.0+1
C32Call Center – Foreign Language Interpreter and TTY Availability97%4.0+1

Part D measures · drug plan

Measure2027 result2027 starsvs 2026
D01Call Center – Foreign Language Interpreter and TTY Availability95%3.0±0
D02Complaints about the Drug Plan0.075.0±0
D03Members Choosing to Leave the Plan4%5.0±0
D04Drug Plan Quality ImprovementMedicare shows only a Star Rating for this topic2.0−1
D05Rating of Drug Plan905.0±0
D06Getting Needed Prescription Drugs914.0−1
D07MPF Price Accuracy994.0−1
D08Medication Adherence for Diabetes Medications88%2.0±0
D09Medication Adherence for Hypertension (RAS antagonists)89%3.0±0
D10Medication Adherence for Cholesterol (Statins)87%2.0−1
D11Statin Use in Persons with Diabetes (SUPD)86%2.0−1
D12Concurrent Use of Opioids and Benzodiazepines (COB)16%3.0—
D13Polypharmacy: Use of Multiple Anticholinergic Medications in Older Adults (Poly-ACH)8%3.0—