Contract
H1225

Johns Hopkins Advantage MD · 2027 Star Ratings

HOPKINS HEALTH ADVANTAGE, INC. · Local CCP · offers special needs plans

Parent: Johns Hopkins Healthcare LLC

Summary ratings

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

2027 footprint

Members, Sep 2026
7,576
2027 plans
4
Open to all ($0 premium)
2 (1)
Counties
11
Special needs plans
Dual-Eligible
Drug coverage
Yes
MD

Domain stars

Domain20272026Change
HD1Staying Healthy: Screenings, Tests and Vaccines4.04.0±0
HD2Managing Chronic (Long Term) Conditions3.03.0±0
HD3Member Experience with Health Plan3.03.0±0
HD4Member Complaints and Changes in the Health Plan's Performance4.04.0±0
HD5Health Plan Customer ServiceNot enough data available4.0—
DD1Drug Plan Customer Service4.04.0±0
DD2Member Complaints and Changes in the Drug Plan's Performance5.04.0+1.0
DD3Member Experience with the Drug Plan2.03.0−1.0
DD4Drug Safety and Accuracy of Drug Pricing3.03.0±0

Part C measures · health plan

Measure2027 result2027 starsvs 2026
C01Breast Cancer Screening78%4.0±0
C02Colorectal Cancer Screening77%4.0new spec
C03Annual Flu Vaccine73%5.0±0
C04Improving or Maintaining Physical Health74%4.0±0
C05Improving or Maintaining Mental Health89%5.0+1
C06Monitoring Physical Activity56%4.0±0
C07Special Needs Plan (SNP) Care Management84%4.0−1
C08Care for Older Adults – Medication Review98%4.0±0
C09Care for Older Adults - Functional Status Assessment86%3.0—
C10Osteoporosis Management in Women who had a Fracture47%3.0−1
C11Diabetes Care – Eye Exam71%2.0−1
C12Diabetes Care – Blood Sugar Controlled91%4.0±0
C13Kidney Health Evaluation for Patients with Diabetes75%4.0±0
C14Controlling High Blood Pressure80%3.0−1
C15Reducing the Risk of Falling54%2.0−1
C16Improving Bladder Control42%2.0+1
C17Plan All-Cause Readmissions10%4.0+1
C18Statin Therapy for Patients with Cardiovascular Disease91%4.0±0
C19Transitions of Care74%4.0+1
C20Follow-up after Emergency Department Visit for People with Multiple High-Risk Chronic Conditions62%2.0−1
C21Getting Needed Care813.0+1
C22Getting Appointments and Care QuicklyNot enough data available—
C23Customer Service914.0+1
C24Rating of Health Care Quality884.0±0
C25Rating of Health Plan863.0−1
C26Care Coordination873.0−1
C27Complaints about the Health Plan0.15.0+1
C28Members Choosing to Leave the Plan7%5.0+1
C29Health Plan Quality ImprovementMedicare shows only a Star Rating for this topic3.0−2
C30Plan Makes Timely Decisions about AppealsNot enough data available—
C31Reviewing Appeals DecisionsNot enough data available—
C32Call Center – Foreign Language Interpreter and TTY Availability100%5.0+2

Part D measures · drug plan

Measure2027 result2027 starsvs 2026
D01Call Center – Foreign Language Interpreter and TTY Availability98%4.0±0
D02Complaints about the Drug Plan0.15.0+1
D03Members Choosing to Leave the Plan7%5.0+1
D04Drug Plan Quality ImprovementMedicare shows only a Star Rating for this topic4.0+1
D05Rating of Drug Plan852.0−1
D06Getting Needed Prescription Drugs882.0±0
D07MPF Price Accuracy983.0−1
D08Medication Adherence for Diabetes Medications87%2.0−1
D09Medication Adherence for Hypertension (RAS antagonists)88%3.0+1
D10Medication Adherence for Cholesterol (Statins)88%3.0±0
D11Statin Use in Persons with Diabetes (SUPD)89%3.0±0
D12Concurrent Use of Opioids and Benzodiazepines (COB)11%4.0—
D13Polypharmacy: Use of Multiple Anticholinergic Medications in Older Adults (Poly-ACH)7%4.0—

Other Johns Hopkins Healthcare LLC contracts

  • H3890Johns Hopkins Advantage MD4.0★
  • H1339Johns Hopkins Advantage MDn/r