Contract
H0294

UnitedHealthcare · 2027 Star Ratings

UNITEDHEALTHCARE INSURANCE COMPANY · Local CCP · offers special needs plans

Parent: UnitedHealth Group, Inc.

Summary ratings

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

2027 footprint

Members, Sep 2026
70K
2027 plans
14
Open to all ($0 premium)
7 (3)
Counties
155
Special needs plans
Chronic or Disabling Condition, Dual-Eligible
Drug coverage
Yes
CAMINMWI

Domain stars

Domain20272026Change
HD1Staying Healthy: Screenings, Tests and Vaccines3.04.0−1.0
HD2Managing Chronic (Long Term) Conditions3.03.0±0
HD3Member Experience with Health Plan2.03.0−1.0
HD4Member Complaints and Changes in the Health Plan's Performance3.04.0−1.0
HD5Health Plan Customer Service5.05.0±0
DD1Drug Plan Customer Service5.05.0±0
DD2Member Complaints and Changes in the Drug Plan's Performance3.03.0±0
DD3Member Experience with the Drug Plan2.03.0−1.0
DD4Drug Safety and Accuracy of Drug Pricing3.04.0−1.0

Part C measures · health plan

Measure2027 result2027 starsvs 2026
C01Breast Cancer Screening79%4.0±0
C02Colorectal Cancer Screening75%4.0new spec
C03Annual Flu Vaccine63%3.0−1
C04Improving or Maintaining Physical Health71%3.0+1
C05Improving or Maintaining Mental Health83%3.0−1
C06Monitoring Physical Activity51%3.0±0
C07Special Needs Plan (SNP) Care Management84%4.0±0
C08Care for Older Adults – Medication Review96%4.0−1
C09Care for Older Adults - Functional Status Assessment96%5.0—
C10Osteoporosis Management in Women who had a Fracture38%2.0±0
C11Diabetes Care – Eye Exam76%3.0−1
C12Diabetes Care – Blood Sugar Controlled91%4.0±0
C13Kidney Health Evaluation for Patients with Diabetes66%3.0−1
C14Controlling High Blood Pressure82%3.0−1
C15Reducing the Risk of Falling51%1.0±0
C16Improving Bladder Control46%3.0±0
C17Plan All-Cause Readmissions10%4.0+1
C18Statin Therapy for Patients with Cardiovascular Disease88%3.0±0
C19Transitions of Care57%3.0+1
C20Follow-up after Emergency Department Visit for People with Multiple High-Risk Chronic Conditions60%2.0−1
C21Getting Needed Care803.0±0
C22Getting Appointments and Care Quickly823.0±0
C23Customer ServiceNot enough data available—
C24Rating of Health Care Quality841.0−1
C25Rating of Health Plan832.0±0
C26Care Coordination863.0±0
C27Complaints about the Health Plan0.314.0±0
C28Members Choosing to Leave the Plan28%3.0−1
C29Health Plan Quality ImprovementMedicare shows only a Star Rating for this topic2.0−1
C30Plan Makes Timely Decisions about Appeals100%5.0±0
C31Reviewing Appeals Decisions100%5.0+1
C32Call Center – Foreign Language Interpreter and TTY Availability100%5.0±0

Part D measures · drug plan

Measure2027 result2027 starsvs 2026
D01Call Center – Foreign Language Interpreter and TTY Availability100%5.0±0
D02Complaints about the Drug Plan0.314.0±0
D03Members Choosing to Leave the Plan28%3.0−1
D04Drug Plan Quality ImprovementMedicare shows only a Star Rating for this topic1.0±0
D05Rating of Drug Plan852.0±0
D06Getting Needed Prescription Drugs882.0−1
D07MPF Price Accuracy1005.0±0
D08Medication Adherence for Diabetes Medications88%2.0−1
D09Medication Adherence for Hypertension (RAS antagonists)90%4.0±0
D10Medication Adherence for Cholesterol (Statins)89%3.0−1
D11Statin Use in Persons with Diabetes (SUPD)86%2.0−1
D12Concurrent Use of Opioids and Benzodiazepines (COB)12%4.0—
D13Polypharmacy: Use of Multiple Anticholinergic Medications in Older Adults (Poly-ACH)8%3.0—

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