Contract
H5262

Quartz Medicare Advantage (HMO) · 2027 Star Ratings

QUARTZ HEALTH PLAN CORPORATION · Local CCP · offers special needs plans

Parent: University of Wisconsin Hospitals and Clincs Autho

Summary ratings

Overall
4.0
2026: 4.0±0
Part C · health plan
4.0
2026: 4.0±0
Part D · drug plan
4.5
2026: 3.5+1.0

2027 footprint

Members, Sep 2026
19K
2027 plans
14
Open to all ($0 premium)
12 (6)
Counties
11
Special needs plans
Dual-Eligible
Drug coverage
Yes
IAWI

Domain stars

Domain20272026Change
HD1Staying Healthy: Screenings, Tests and Vaccines4.05.0−1.0
HD2Managing Chronic (Long Term) Conditions3.03.0±0
HD3Member Experience with Health Plan4.04.0±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 Service5.04.0+1.0
DD2Member Complaints and Changes in the Drug Plan's Performance5.04.0+1.0
DD3Member Experience with the Drug Plan3.03.0±0
DD4Drug Safety and Accuracy of Drug Pricing4.04.0±0

Part C measures · health plan

Measure2027 result2027 starsvs 2026
C01Breast Cancer Screening83%5.0+1
C02Colorectal Cancer Screening80%4.0new spec
C03Annual Flu Vaccine80%5.0±0
C04Improving or Maintaining Physical Health76%5.0±0
C05Improving or Maintaining Mental Health83%3.0−2
C06Monitoring Physical Activity52%3.0±0
C07Special Needs Plan (SNP) Care Management55%2.0+1
C08Care for Older Adults – Medication Review98%4.0+1
C09Care for Older Adults - Functional Status Assessment100%5.0—
C10Osteoporosis Management in Women who had a Fracture50%3.0±0
C11Diabetes Care – Eye Exam74%3.0−1
C12Diabetes Care – Blood Sugar Controlled92%5.0+1
C13Kidney Health Evaluation for Patients with Diabetes69%3.0+2
C14Controlling High Blood Pressure82%3.0+1
C15Reducing the Risk of Falling54%2.0±0
C16Improving Bladder Control45%3.0±0
C17Plan All-Cause Readmissions9%4.0±0
C18Statin Therapy for Patients with Cardiovascular Disease88%3.0±0
C19Transitions of Care85%5.0±0
C20Follow-up after Emergency Department Visit for People with Multiple High-Risk Chronic Conditions63%2.0−1
C21Getting Needed Care803.0+1
C22Getting Appointments and Care Quickly823.0±0
C23Customer Service945.0±0
C24Rating of Health Care Quality884.0±0
C25Rating of Health Plan852.0−2
C26Care Coordination895.0±0
C27Complaints about the Health Plan0.045.0±0
C28Members Choosing to Leave the Plan4%5.0±0
C29Health Plan Quality ImprovementMedicare shows only a Star Rating for this topic3.0−1
C30Plan Makes Timely Decisions about Appeals99%4.0−1
C31Reviewing Appeals Decisions96%3.0±0
C32Call Center – Foreign Language Interpreter and TTY Availability98%4.0±0

Part D measures · drug plan

Measure2027 result2027 starsvs 2026
D01Call Center – Foreign Language Interpreter and TTY Availability100%5.0+1
D02Complaints about the Drug Plan0.045.0±0
D03Members Choosing to Leave the Plan4%5.0±0
D04Drug Plan Quality ImprovementMedicare shows only a Star Rating for this topic5.0+3
D05Rating of Drug Plan842.0±0
D06Getting Needed Prescription Drugs893.0±0
D07MPF Price Accuracy1005.0±0
D08Medication Adherence for Diabetes Medications90%3.0−1
D09Medication Adherence for Hypertension (RAS antagonists)93%5.0+1
D10Medication Adherence for Cholesterol (Statins)91%4.0±0
D11Statin Use in Persons with Diabetes (SUPD)89%3.0−1
D12Concurrent Use of Opioids and Benzodiazepines (COB)8%5.0—
D13Polypharmacy: Use of Multiple Anticholinergic Medications in Older Adults (Poly-ACH)7%4.0—

Other University of Wisconsin Hospitals and Clincs Autho contracts

  • H9834Quartz Medicare Advantage (HMO)4.5★