Contract
H2224

Molina Healthcare of Massachusetts · 2027 Star Ratings

SENIOR WHOLE HEALTH, LLC · Local CCP · offers special needs plans

Parent: Molina Healthcare, Inc.

Summary ratings

Overall
4.5
2026: 4.5±0
Part C · health plan
4.0
2026: 4.0±0
Part D · drug plan
5.0
2026: 5.0±0

2027 footprint

Members, Sep 2026
10K
2027 plans
2
Open to all ($0 premium)
0 (0)
Counties
9
Special needs plans
Dual-Eligible
Drug coverage
Yes
MA

Domain stars

Domain20272026Change
HD1Staying Healthy: Screenings, Tests and Vaccines4.04.0±0
HD2Managing Chronic (Long Term) Conditions4.04.0±0
HD3Member Experience with Health Plan3.03.0±0
HD4Member Complaints and Changes in the Health Plan's Performance4.05.0−1.0
HD5Health Plan Customer Service4.04.0±0
DD1Drug Plan Customer Service4.05.0−1.0
DD2Member Complaints and Changes in the Drug Plan's Performance5.05.0±0
DD3Member Experience with the Drug PlanNot enough data available4.0—
DD4Drug Safety and Accuracy of Drug Pricing4.04.0±0

Part C measures · health plan

Measure2027 result2027 starsvs 2026
C01Breast Cancer Screening76%3.0+1
C02Colorectal Cancer Screening82%5.0new spec
C03Annual Flu Vaccine74%5.0+1
C04Improving or Maintaining Physical HealthNot enough data available—
C05Improving or Maintaining Mental HealthNot enough data available—
C06Monitoring Physical Activity57%4.0±0
C07Special Needs Plan (SNP) Care Management95%5.0±0
C08Care for Older Adults – Medication Review98%4.0±0
C09Care for Older Adults - Functional Status Assessment98%5.0—
C10Osteoporosis Management in Women who had a Fracture14%1.0±0
C11Diabetes Care – Eye Exam91%5.0±0
C12Diabetes Care – Blood Sugar Controlled90%4.0+1
C13Kidney Health Evaluation for Patients with Diabetes65%3.0±0
C14Controlling High Blood Pressure86%4.0±0
C15Reducing the Risk of Falling80%5.0±0
C16Improving Bladder Control58%5.0—
C17Plan All-Cause Readmissions12%2.0±0
C18Statin Therapy for Patients with Cardiovascular Disease92%4.0−1
C19Transitions of Care83%5.0+3
C20Follow-up after Emergency Department Visit for People with Multiple High-Risk Chronic Conditions64%3.0+1
C21Getting Needed Care792.0±0
C22Getting Appointments and Care QuicklyNot enough data available—
C23Customer Service882.0−2
C24Rating of Health Care Quality863.0−1
C25Rating of Health Plan874.0±0
C26Care CoordinationNot enough data available—
C27Complaints about the Health Plan0.095.0±0
C28Members Choosing to Leave the Plan8%5.0±0
C29Health Plan Quality ImprovementMedicare shows only a Star Rating for this topic3.0−2
C30Plan Makes Timely Decisions about Appeals98%4.0−1
C31Reviewing Appeals Decisions100%5.0+3
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 Availability98%4.0−1
D02Complaints about the Drug Plan0.095.0±0
D03Members Choosing to Leave the Plan8%5.0±0
D04Drug Plan Quality ImprovementMedicare shows only a Star Rating for this topic4.0−1
D05Rating of Drug Plan884.0±0
D06Getting Needed Prescription DrugsNot enough data available—
D07MPF Price Accuracy994.0−1
D08Medication Adherence for Diabetes Medications94%5.0±0
D09Medication Adherence for Hypertension (RAS antagonists)94%5.0±0
D10Medication Adherence for Cholesterol (Statins)94%5.0+1
D11Statin Use in Persons with Diabetes (SUPD)92%4.0±0
D12Concurrent Use of Opioids and Benzodiazepines (COB)18%2.0—
D13Polypharmacy: Use of Multiple Anticholinergic Medications in Older Adults (Poly-ACH)9%3.0—

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  • H5209Molina Healthcare of Wisconsin3.5★
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