Contract
H2819

Blue Shield of California · 2027 Star Ratings

CALIFORNIA PHYSICIANS' SERVICE · Local CCP · offers special needs plans

Parent: California Physicians' Service

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: 4.0±0

2027 footprint

Members, Sep 2026
15K
2027 plans
1
Open to all ($0 premium)
0 (0)
Counties
2
Special needs plans
Dual-Eligible
Drug coverage
Yes
CA

Domain stars

Domain20272026Change
HD1Staying Healthy: Screenings, Tests and Vaccines5.0Plan too new to be measured—
HD2Managing Chronic (Long Term) Conditions3.03.0±0
HD3Member Experience with Health Plan3.03.0±0
HD4Member Complaints and Changes in the Health Plan's Performance4.04.0±0
HD5Health Plan Customer Service5.05.0±0
DD1Drug Plan Customer Service5.05.0±0
DD2Member Complaints and Changes in the Drug Plan's Performance4.04.0±0
DD3Member Experience with the Drug PlanNot enough data availablePlan too new to be measured—
DD4Drug Safety and Accuracy of Drug Pricing4.04.0±0

Part C measures · health plan

Measure2027 result2027 starsvs 2026
C01Breast Cancer Screening78%4.0+1
C02Colorectal Cancer Screening70%4.0new spec
C03Annual Flu Vaccine75%5.0±0
C04Improving or Maintaining Physical HealthPlan too new to be measured—
C05Improving or Maintaining Mental HealthPlan too new to be measured—
C06Monitoring Physical Activity65%5.0—
C07Special Needs Plan (SNP) Care Management56%2.0±0
C08Care for Older Adults – Medication Review90%3.0±0
C09Care for Older Adults - Functional Status Assessment78%3.0—
C10Osteoporosis Management in Women who had a Fracture49%3.0±0
C11Diabetes Care – Eye Exam82%4.0±0
C12Diabetes Care – Blood Sugar Controlled87%3.0±0
C13Kidney Health Evaluation for Patients with Diabetes76%4.0±0
C14Controlling High Blood Pressure76%3.0±0
C15Reducing the Risk of Falling71%4.0—
C16Improving Bladder ControlNot enough data available—
C17Plan All-Cause Readmissions12%2.0±0
C18Statin Therapy for Patients with Cardiovascular Disease90%4.0±0
C19Transitions of Care68%3.0±0
C20Follow-up after Emergency Department Visit for People with Multiple High-Risk Chronic Conditions60%3.0±0
C21Getting Needed Care782.0+1
C22Getting Appointments and Care QuicklyNot enough data available—
C23Customer Service903.0±0
C24Rating of Health Care Quality884.0±0
C25Rating of Health Plan884.0±0
C26Care CoordinationNot enough data available—
C27Complaints about the Health Plan0.15.0+1
C28Members Choosing to Leave the Plan12%4.0±0
C29Health Plan Quality ImprovementMedicare shows only a Star Rating for this topic4.0—
C30Plan Makes Timely Decisions about Appeals100%5.0±0
C31Reviewing Appeals Decisions100%5.0±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 Plan0.15.0+1
D03Members Choosing to Leave the Plan12%4.0±0
D04Drug Plan Quality ImprovementMedicare shows only a Star Rating for this topic2.0—
D05Rating of Drug Plan894.0+1
D06Getting Needed Prescription DrugsNot enough data available—
D07MPF Price Accuracy984.0±0
D08Medication Adherence for Diabetes Medications90%4.0±0
D09Medication Adherence for Hypertension (RAS antagonists)91%4.0±0
D10Medication Adherence for Cholesterol (Statins)89%3.0±0
D11Statin Use in Persons with Diabetes (SUPD)94%5.0±0
D12Concurrent Use of Opioids and Benzodiazepines (COB)9%4.0—
D13Polypharmacy: Use of Multiple Anticholinergic Medications in Older Adults (Poly-ACH)8%3.0—

Other California Physicians' Service contracts

  • H0504Blue Shield of California4.0★
  • H4937Blue Shield of California2.5★
  • S2468Blue Shield of California2.5★
  • H5928Blue Shield of California3.5★