Contract
H3449

Blue Cross and Blue Shield of North Carolina · 2027 Star Ratings

BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA · Local CCP

Parent: CuraCor Solutions Corp.

Summary ratings

Overall
4.0
2026: 4.0±0
Part C · health plan
4.5
2026: 4.5±0
Part D · drug plan
3.0
2026: 4.0−1.0

2027 footprint

Members, Sep 2026
142K
2027 plans
10
Open to all ($0 premium)
10 (7)
Counties
100
Special needs plans
None
Drug coverage
Yes
NC

Domain stars

Domain20272026Change
HD1Staying Healthy: Screenings, Tests and Vaccines4.04.0±0
HD2Managing Chronic (Long Term) Conditions4.03.0+1.0
HD3Member Experience with Health Plan4.05.0−1.0
HD4Member Complaints and Changes in the Health Plan's Performance5.05.0±0
HD5Health Plan Customer Service4.04.0±0
DD1Drug Plan Customer Service4.03.0+1.0
DD2Member Complaints and Changes in the Drug Plan's Performance5.05.0±0
DD3Member Experience with the Drug Plan2.04.0−2.0
DD4Drug Safety and Accuracy of Drug Pricing3.03.0±0

Part C measures · health plan

Measure2027 result2027 starsvs 2026
C01Breast Cancer Screening82%4.0±0
C02Colorectal Cancer Screening82%5.0new spec
C03Annual Flu Vaccine71%4.0±0
C04Improving or Maintaining Physical Health74%4.0+2
C05Improving or Maintaining Mental Health87%4.0±0
C06Monitoring Physical Activity57%4.0±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 Fracture54%4.0+2
C11Diabetes Care – Eye Exam78%3.0±0
C12Diabetes Care – Blood Sugar Controlled91%4.0±0
C13Kidney Health Evaluation for Patients with Diabetes73%4.0+1
C14Controlling High Blood Pressure85%4.0+1
C15Reducing the Risk of Falling57%2.0±0
C16Improving Bladder Control48%4.0+2
C17Plan All-Cause Readmissions7%5.0±0
C18Statin Therapy for Patients with Cardiovascular Disease90%4.0+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 Care845.0±0
C22Getting Appointments and Care Quickly875.0+1
C23Customer Service914.0−1
C24Rating of Health Care Quality884.0±0
C25Rating of Health Plan863.0−1
C26Care Coordination884.0−1
C27Complaints about the Health Plan0.145.0±0
C28Members Choosing to Leave the Plan13%4.0−1
C29Health Plan Quality ImprovementNot enough data available—
C30Plan Makes Timely Decisions about Appeals98%4.0−1
C31Reviewing Appeals Decisions97%3.0−1
C32Call Center – Foreign Language Interpreter and TTY Availability98%4.0±0

Part D measures · drug plan

Measure2027 result2027 starsvs 2026
D01Call Center – Foreign Language Interpreter and TTY Availability97%4.0+1
D02Complaints about the Drug Plan0.145.0±0
D03Members Choosing to Leave the Plan13%4.0−1
D04Drug Plan Quality ImprovementNot enough data available—
D05Rating of Drug Plan862.0−2
D06Getting Needed Prescription Drugs882.0−2
D07MPF Price Accuracy1005.0±0
D08Medication Adherence for Diabetes Medications88%2.0±0
D09Medication Adherence for Hypertension (RAS antagonists)89%3.0±0
D10Medication Adherence for Cholesterol (Statins)87%2.0−1
D11Statin Use in Persons with Diabetes (SUPD)85%2.0−1
D12Concurrent Use of Opioids and Benzodiazepines (COB)14%3.0—
D13Polypharmacy: Use of Multiple Anticholinergic Medications in Older Adults (Poly-ACH)6%4.0—

Other CuraCor Solutions Corp. contracts

  • H3404Blue Cross and Blue Shield of North Carolina4.5★
  • S5540Blue Cross and Blue Shield of North Carolina2.5★
  • H9147Blue Cross and Blue Shield of North Carolina3.0★