Contract
H1304

Regence BlueShield of Idaho · 2027 Star Ratings

REGENCE BLUESHIELD OF IDAHO, INC. · Local CCP

Parent: Cambia Health Solutions, Inc.

Summary ratings

Overall
4.0
2026: 3.5+0.5
Part C · health plan
4.0
2026: 3.5+0.5
Part D · drug plan
4.0
2026: 3.5+0.5

2027 footprint

This contract has no plans in the CMS 2027 landscape file (employer-only, PDP, or not offered for 2027).

Members, Sep 2026
740

Domain stars

Domain20272026Change
HD1Staying Healthy: Screenings, Tests and Vaccines4.04.0±0
HD2Managing Chronic (Long Term) Conditions3.03.0±0
HD3Member Experience with Health Plan4.03.0+1.0
HD4Member Complaints and Changes in the Health Plan's Performance5.04.0+1.0
HD5Health Plan Customer Service5.05.0±0
DD1Drug Plan Customer ServiceNot enough data available5.0—
DD2Member Complaints and Changes in the Drug Plan's Performance5.04.0+1.0
DD3Member Experience with the Drug Plan5.03.0+2.0
DD4Drug Safety and Accuracy of Drug Pricing4.03.0+1.0

Part C measures · health plan

Measure2027 result2027 starsvs 2026
C01Breast Cancer Screening81%4.0±0
C02Colorectal Cancer Screening82%5.0new spec
C03Annual Flu Vaccine79%5.0+3
C04Improving or Maintaining Physical Health74%4.0±0
C05Improving or Maintaining Mental Health79%1.0−3
C06Monitoring Physical Activity52%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 FractureNot enough data available—
C11Diabetes Care – Eye Exam83%4.0±0
C12Diabetes Care – Blood Sugar Controlled88%3.0±0
C13Kidney Health Evaluation for Patients with Diabetes60%2.0−1
C14Controlling High Blood Pressure79%3.0+1
C15Reducing the Risk of Falling55%2.0+1
C16Improving Bladder Control53%5.0+3
C17Plan All-Cause Readmissions8%5.0+1
C18Statin Therapy for Patients with Cardiovascular Disease90%4.0+2
C19Transitions of Care64%3.0±0
C20Follow-up after Emergency Department Visit for People with Multiple High-Risk Chronic Conditions64%3.0±0
C21Getting Needed Care844.0±0
C22Getting Appointments and Care Quickly844.0+1
C23Customer Service914.0−1
C24Rating of Health Care Quality894.0+2
C25Rating of Health Plan853.0+1
C26Care Coordination905.0+2
C27Complaints about the Health Plan0.095.0±0
C28Members Choosing to Leave the PlanNot enough data available—
C29Health Plan Quality ImprovementMedicare shows only a Star Rating for this topic5.0+2
C30Plan Makes Timely Decisions about Appeals100%5.0±0
C31Reviewing Appeals Decisions100%5.0±0
C32Call Center – Foreign Language Interpreter and TTY AvailabilityNot enough data available—

Part D measures · drug plan

Measure2027 result2027 starsvs 2026
D01Call Center – Foreign Language Interpreter and TTY AvailabilityNot enough data available—
D02Complaints about the Drug Plan0.095.0±0
D03Members Choosing to Leave the PlanNot enough data available—
D04Drug Plan Quality ImprovementMedicare shows only a Star Rating for this topic4.0+1
D05Rating of Drug Plan874.0+2
D06Getting Needed Prescription Drugs925.0+1
D07MPF Price Accuracy1005.0±0
D08Medication Adherence for Diabetes Medications89%3.0±0
D09Medication Adherence for Hypertension (RAS antagonists)90%4.0+1
D10Medication Adherence for Cholesterol (Statins)89%3.0±0
D11Statin Use in Persons with Diabetes (SUPD)80%1.0±0
D12Concurrent Use of Opioids and Benzodiazepines (COB)8%5.0—
D13Polypharmacy: Use of Multiple Anticholinergic Medications in Older Adults (Poly-ACH)6%4.0—

Other Cambia Health Solutions, Inc. contracts

  • H3817Regence BlueCross BlueShield of Oregon3.5★
  • H5009Regence BlueShield4.0★
  • H4605Regence BlueCross BlueShield of Utah4.5★
  • H6237Regence BlueCross BlueShield of Oregon3.5★
  • S5916Regence BlueShield of Idaho and Regence BC BS Utah3.0★
  • H1997Regence BlueShieldn/r
  • S5609Asuris Northwest Healthn/r
  • H1969Regence BlueShield of Idahon/r