LIVE·NEON · 1,211 CONTRACTS
ContractLocal CCP

H1350·Gemstone Holdings, Inc.

HMO/HMOPOS · observed 2026 → 2026 · 75 months of CPSC history · 8 active CY 2025 plans.

Latest enrollment
32.4K
2026-05
44.4K vs 2025-04 peak
Months of data
75
History range
2020-01 → 2026-05
CY 2025 plans
8
01 · Trend

Monthly enrollment

fact_enrollment_cpsc · 75 months
76,79429,594
02 · Plans

CY 2025 plan roster

fact_landscape ⋈ fact_enrollment_cpsc · 8 plans
PlanCategoryPremiumMOOPCountiesEnrollment
True Blue Rx Preferred (HMO)
H1350/031
MA-PD$13$4,7003.51133,842
True Blue Rx Extend (HMO)
H1350/023
MA-PD$0$4,2003.5924,966
True Blue Rx Gem (HMO)
H1350/024
MA-PD$50$5,1343.5297,881
True Blue Rx Option I (HMO)
H1350/028
MA-PD$141$5,0003.5292,551
True Blue Rx Essentials (HMO)
H1350/026
MA-PD$0$6,0003.5312,268
True Blue Valor (HMO)
H1350/006
MA$3,0003.5291,963
True Blue Rx (HMO)
H1350/030
MA-PD$78$6,2003.529929
True Blue Rx Option II (HMO)
H1350/029
MA-PD$130$6,4003.529723
03 · Quality

Star Ratings · contract-level

fact_star_ratings · 2 years
Star scale · 1.0 – 5.0★ summary
1.02.03.04.05.0202520263.53.53.53.54.03.0
  • Overall
    3.53.5
    0.020252026
  • Part C
    3.53.5
    0.020252026
  • Part D
    4.03.0
    -1.020252026
Measure breakdown · CY 2025 · 42 measures
IDMeasure
C01Breast Cancer Screening3.0
C02Colorectal Cancer Screening3.0
C03Annual Flu Vaccine3.0
C04Monitoring Physical Activity2.0
C05Special Needs Plan (SNP) Care Management
C06Care for Older Adults � Medication Review
C07Care for Older Adults � Pain Assessment
C08Osteoporosis Management in Women who had a Fracture2.0
C09Diabetes Care � Eye Exam3.0
C10Diabetes Care � Blood Sugar Controlled4.0
C11Controlling High Blood Pressure3.0
C12Reducing the Risk of Falling2.0
C13Improving Bladder Control4.0
C14Medication Reconciliation Post-Discharge4.0
C15Plan All-Cause Readmissions3.0
C16Statin Therapy for Patients with Cardiovascular Disease3.0
C17Transitions of Care5.0
C18Follow-up after Emergency Department Visit for People with Multiple High-Risk Chronic Conditions4.0
C19Getting Needed Care3.0
C20Getting Appointments and Care Quickly2.0
C21Customer Service3.0
C22Rating of Health Care Quality3.0
C23Rating of Health Plan3.0
C24Care Coordination4.0
C25Complaints about the Health Plan5.0
C26Members Choosing to Leave the Plan5.0
C27Health Plan Quality Improvement2.0
C28Plan Makes Timely Decisions about Appeals5.0
C29Reviewing Appeals Decisions4.0
C30Call Center � Foreign Language Interpreter and TTY Availability3.0
D01Call Center � Foreign Language Interpreter and TTY Availability4.0
D02Complaints about the Drug Plan5.0
D03Members Choosing to Leave the Plan5.0
D04Drug Plan Quality Improvement4.0
D05Rating of Drug Plan4.0
D06Getting Needed Prescription Drugs3.0
D07MPF Price Accuracy4.0
D08Medication Adherence for Diabetes Medications2.0
D09Medication Adherence for Hypertension (RAS antagonists)3.0
D10Medication Adherence for Cholesterol (Statins)3.0
D11MTM Program Completion Rate for CMR4.0
D12Statin Use in Persons with Diabetes (SUPD)1.0