H5425 — SCAN Health Plan

Local CCP · Parent: SCAN Group · SNP

4-star 2026 overall CMS published 2026-05-14 02:06 UTC

Trending down — H5425's overall star fell from 4.5 (2025) to 4 (2026). Drop from 4 to below 4 stars eliminates Quality Bonus Payment eligibility for the affected plan year.

Year-over-year ratings

Plan year	Overall	Part C summary	Part D summary
2025	4.5	4	5
2026	4	4	4

2026 domain stars

CMS groups the underlying measures into five performance domains for Medicare Advantage plans. Each domain rolls up to a star rating that contributes to the overall summary.

Staying Healthy: Screenings, Tests and Vaccines: 4
Managing Chronic (Long Term) Conditions: 4
Member Experience with Health Plan: 3
Member Complaints and Changes in the Health Plan's Performance: 5
Health Plan Customer Service: 4

Contract metadata

Contract Number: H5425
Contract Name: SCAN HEALTH PLAN
Organization (marketing name): SCAN Health Plan
Parent Organization: SCAN Group
Organization Type: Local CCP
Special Needs Plan: Yes

Contract Number is the CMS-assigned identifier for a Medicare contract. A single parent organization typically operates many contracts (e.g., one per state market). The Star Ratings published here reflect the rolled-up performance for the contract as a whole.

Get the full forensic

MA Star Forensics extends this register with the measure-level cut-point forensics, the under-the-hood projection model for next year's ratings, cohort comparisons against named peer sets, and the dollar-at-stake analysis per measure improvement. Available under institutional license to Medicare Advantage plans, healthcare PE, and provider contracting teams.

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