Contract
H2836

Anthem Blue Cross and Blue Shield · 2027 Star Ratings

ANTHEM HEALTH PLANS, INC. · Local CCP · offers special needs plans

Parent: Elevance Health, Inc.

Summary ratings

Overall
3.5
2026: 3.0+0.5
Part C · health plan
3.5
2026: 3.0+0.5
Part D · drug plan
4.5
2026: 3.0+1.5

2027 footprint

Members, Sep 2026
2,433
2027 plans
1
Open to all ($0 premium)
0 (0)
Counties
8
Special needs plans
Dual-Eligible
Drug coverage
Yes
CT

Domain stars

Domain20272026Change
HD1Staying Healthy: Screenings, Tests and Vaccines4.04.0±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 Performance5.03.0+2.0
HD5Health Plan Customer Service5.04.0+1.0
DD1Drug Plan Customer Service5.05.0±0
DD2Member Complaints and Changes in the Drug Plan's Performance5.03.0+2.0
DD3Member Experience with the Drug PlanNot enough data available1.0—
DD4Drug Safety and Accuracy of Drug Pricing3.04.0−1.0

Part C measures · health plan

Measure2027 result2027 starsvs 2026
C01Breast Cancer Screening77%4.0±0
C02Colorectal Cancer Screening74%3.0new spec
C03Annual Flu Vaccine67%4.0+1
C04Improving or Maintaining Physical HealthNot enough data available—
C05Improving or Maintaining Mental HealthNot enough data available—
C06Monitoring Physical Activity52%3.0±0
C07Special Needs Plan (SNP) Care Management42%1.0−1
C08Care for Older Adults – Medication Review96%4.0±0
C09Care for Older Adults - Functional Status Assessment76%2.0—
C10Osteoporosis Management in Women who had a Fracture30%2.0−1
C11Diabetes Care – Eye Exam76%3.0±0
C12Diabetes Care – Blood Sugar Controlled85%3.0±0
C13Kidney Health Evaluation for Patients with Diabetes67%3.0±0
C14Controlling High Blood Pressure79%3.0+1
C15Reducing the Risk of Falling59%3.0±0
C16Improving Bladder Control48%4.0±0
C17Plan All-Cause Readmissions11%3.0+1
C18Statin Therapy for Patients with Cardiovascular Disease84%2.0−1
C19Transitions of Care79%4.0±0
C20Follow-up after Emergency Department Visit for People with Multiple High-Risk Chronic Conditions64%3.0±0
C21Getting Needed Care813.0±0
C22Getting Appointments and Care Quickly812.0−2
C23Customer Service871.0—
C24Rating of Health Care Quality841.0−1
C25Rating of Health Plan863.0+2
C26Care Coordination884.0+1
C27Complaints about the Health Plan0.135.0+1
C28Members Choosing to Leave the Plan0%5.0+2
C29Health Plan Quality ImprovementMedicare shows only a Star Rating for this topic4.0+2
C30Plan Makes Timely Decisions about Appeals100%5.0+2
C31Reviewing Appeals Decisions99%4.0−1
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 Plan0.135.0+1
D03Members Choosing to Leave the Plan0%5.0+2
D04Drug Plan Quality ImprovementMedicare shows only a Star Rating for this topic5.0+2
D05Rating of Drug Plan852.0+1
D06Getting Needed Prescription DrugsNot enough data available—
D07MPF Price Accuracy994.0−1
D08Medication Adherence for Diabetes Medications90%3.0±0
D09Medication Adherence for Hypertension (RAS antagonists)91%4.0+1
D10Medication Adherence for Cholesterol (Statins)91%4.0±0
D11Statin Use in Persons with Diabetes (SUPD)89%3.0±0
D12Concurrent Use of Opioids and Benzodiazepines (COB)19%2.0—
D13Polypharmacy: Use of Multiple Anticholinergic Medications in Older Adults (Poly-ACH)9%3.0—

Other Elevance Health, Inc. contracts

  • H4036Anthem Blue Cross and Blue Shield4.5★
  • H3447Anthem HealthKeepers3.0★
  • H3655Anthem Blue Cross and Blue Shield3.5★
  • H4471Anthem Blue Cross3.0★
  • H4004Medicare y Mucho Mas (MMM)4.5★
  • H4003Medicare y Mucho Mas (MMM)4.5★
  • H5427Freedom Health, Inc.4.0★
  • H9525Anthem Blue Cross and Blue Shield3.5★
  • H5594Optimum HealthCare, Inc.4.5★
  • H5431HealthSun Health Plans, Inc.4.5★
  • H8849Wellpoint3.5★
  • S5596Anthem Insurance Companies, Inc.3.0★