Contract
H0672

HealthSpring · 2027 Star Ratings

HEALTHSPRING HEALTHCARE OF COLORADO, INC. · Local CCP

Parent: Health Care Service Corporation

Summary ratings

Overall
2.5
2026: 3.0−0.5
Part C · health plan
2.5
2026: 3.0−0.5
Part D · drug plan
2.5
2026: 3.0−0.5

2027 footprint

Members, Sep 2026
26K
2027 plans
5
Open to all ($0 premium)
5 (5)
Counties
33
Special needs plans
None
Drug coverage
Yes
KYNMOH

Domain stars

Domain20272026Change
HD1Staying Healthy: Screenings, Tests and Vaccines3.03.0±0
HD2Managing Chronic (Long Term) Conditions3.03.0±0
HD3Member Experience with Health Plan1.02.0−1.0
HD4Member Complaints and Changes in the Health Plan's Performance3.03.0±0
HD5Health Plan Customer Service4.04.0±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 PlanNot enough data availableNot enough data available—
DD4Drug Safety and Accuracy of Drug Pricing3.03.0±0

Part C measures · health plan

Measure2027 result2027 starsvs 2026
C01Breast Cancer Screening68%2.0±0
C02Colorectal Cancer Screening68%3.0new spec
C03Annual Flu Vaccine60%2.0±0
C04Improving or Maintaining Physical HealthNot enough data available—
C05Improving or Maintaining Mental HealthNot enough data available—
C06Monitoring Physical Activity53%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 Fracture43%3.0+1
C11Diabetes Care – Eye Exam71%2.0−1
C12Diabetes Care – Blood Sugar Controlled79%2.0−1
C13Kidney Health Evaluation for Patients with Diabetes69%3.0±0
C14Controlling High Blood Pressure75%2.0±0
C15Reducing the Risk of Falling42%1.0−1
C16Improving Bladder Control48%4.0+3
C17Plan All-Cause Readmissions10%4.0±0
C18Statin Therapy for Patients with Cardiovascular Disease86%3.0±0
C19Transitions of Care70%4.0+1
C20Follow-up after Emergency Department Visit for People with Multiple High-Risk Chronic Conditions55%2.0±0
C21Getting Needed Care782.0−1
C22Getting Appointments and Care QuicklyNot enough data available—
C23Customer Service871.0—
C24Rating of Health Care Quality841.0±0
C25Rating of Health Plan791.0±0
C26Care CoordinationNot enough data available—
C27Complaints about the Health Plan0.643.0±0
C28Members Choosing to Leave the Plan22%3.0+1
C29Health Plan Quality ImprovementMedicare shows only a Star Rating for this topic3.0±0
C30Plan Makes Timely Decisions about Appeals92%2.0−1
C31Reviewing Appeals Decisions98%4.0±0
C32Call Center – Foreign Language Interpreter and TTY Availability100%5.0+1

Part D measures · drug plan

Measure2027 result2027 starsvs 2026
D01Call Center – Foreign Language Interpreter and TTY Availability100%5.0±0
D02Complaints about the Drug Plan0.643.0±0
D03Members Choosing to Leave the Plan22%3.0+1
D04Drug Plan Quality ImprovementMedicare shows only a Star Rating for this topic2.0−2
D05Rating of Drug Plan832.0±0
D06Getting Needed Prescription DrugsNot enough data available—
D07MPF Price Accuracy1005.0±0
D08Medication Adherence for Diabetes Medications87%2.0+1
D09Medication Adherence for Hypertension (RAS antagonists)87%2.0−1
D10Medication Adherence for Cholesterol (Statins)86%2.0−1
D11Statin Use in Persons with Diabetes (SUPD)85%2.0±0
D12Concurrent Use of Opioids and Benzodiazepines (COB)8%5.0—
D13Polypharmacy: Use of Multiple Anticholinergic Medications in Older Adults (Poly-ACH)8%3.0—

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