Contract
H0302

Blue Cross Blue Shield of Arizona (AZ Blue) · 2027 Star Ratings

MEDISUN, INC. · Local CCP

Parent: Blue Cross Blue Shield of Arizona

Summary ratings

Overall
3.5
2026: 4.5−1.0
Part C · health plan
3.5
2026: 4.5−1.0
Part D · drug plan
4.0
2026: 4.5−0.5

2027 footprint

Members, Sep 2026
39K
2027 plans
5
Open to all ($0 premium)
5 (4)
Counties
3
Special needs plans
None
Drug coverage
Yes
AZ

Domain stars

Domain20272026Change
HD1Staying Healthy: Screenings, Tests and Vaccines3.04.0−1.0
HD2Managing Chronic (Long Term) Conditions4.04.0±0
HD3Member Experience with Health Plan3.04.0−1.0
HD4Member Complaints and Changes in the Health Plan's Performance4.05.0−1.0
HD5Health Plan Customer Service3.04.0−1.0
DD1Drug Plan Customer Service5.04.0+1.0
DD2Member Complaints and Changes in the Drug Plan's Performance4.05.0−1.0
DD3Member Experience with the Drug Plan2.05.0−3.0
DD4Drug Safety and Accuracy of Drug Pricing4.05.0−1.0

Part C measures · health plan

Measure2027 result2027 starsvs 2026
C01Breast Cancer Screening74%3.0±0
C02Colorectal Cancer Screening79%4.0new spec
C03Annual Flu Vaccine65%3.0−1
C04Improving or Maintaining Physical Health61%1.0−1
C05Improving or Maintaining Mental Health85%4.0±0
C06Monitoring Physical Activity51%3.0±0
C07Special Needs Plan (SNP) Care ManagementPlan not required to report measure—
C08Care for Older Adults – Medication ReviewPlan not required to report measure—
C09Care for Older Adults - Functional Status AssessmentPlan not required to report measure—
C10Osteoporosis Management in Women who had a Fracture60%4.0±0
C11Diabetes Care – Eye Exam73%3.0±0
C12Diabetes Care – Blood Sugar Controlled91%4.0±0
C13Kidney Health Evaluation for Patients with Diabetes77%4.0−1
C14Controlling High Blood Pressure84%4.0−1
C15Reducing the Risk of Falling47%1.0−1
C16Improving Bladder Control43%3.0±0
C17Plan All-Cause Readmissions9%4.0±0
C18Statin Therapy for Patients with Cardiovascular Disease91%4.0±0
C19Transitions of Care86%5.0±0
C20Follow-up after Emergency Department Visit for People with Multiple High-Risk Chronic Conditions74%4.0±0
C21Getting Needed Care803.0−1
C22Getting Appointments and Care Quickly833.0+1
C23Customer Service925.0±0
C24Rating of Health Care Quality852.0−2
C25Rating of Health Plan874.0−1
C26Care Coordination852.0−1
C27Complaints about the Health Plan0.15.0±0
C28Members Choosing to Leave the Plan8%5.0±0
C29Health Plan Quality ImprovementMedicare shows only a Star Rating for this topic2.0−3
C30Plan Makes Timely Decisions about Appeals91%2.0−1
C31Reviewing Appeals Decisions97%3.0−1
C32Call Center – Foreign Language Interpreter and TTY Availability98%4.0−1

Part D measures · drug plan

Measure2027 result2027 starsvs 2026
D01Call Center – Foreign Language Interpreter and TTY Availability100%5.0+1
D02Complaints about the Drug Plan0.15.0±0
D03Members Choosing to Leave the Plan8%5.0±0
D04Drug Plan Quality ImprovementMedicare shows only a Star Rating for this topic3.0−1
D05Rating of Drug Plan862.0−2
D06Getting Needed Prescription Drugs882.0−3
D07MPF Price Accuracy1005.0±0
D08Medication Adherence for Diabetes Medications90%3.0−1
D09Medication Adherence for Hypertension (RAS antagonists)92%4.0±0
D10Medication Adherence for Cholesterol (Statins)91%4.0±0
D11Statin Use in Persons with Diabetes (SUPD)94%5.0±0
D12Concurrent Use of Opioids and Benzodiazepines (COB)7%5.0—
D13Polypharmacy: Use of Multiple Anticholinergic Medications in Older Adults (Poly-ACH)7%4.0—

Other Blue Cross Blue Shield of Arizona contracts

  • H5587Blue Cross Blue Shield of Arizona Health Choice3.5★