Contract
H3748

Aetna Medicare · 2027 Star Ratings

AETNA BETTER HEALTH OF WASHINGTON, INC. · Local CCP · offers special needs plans

Parent: CVS Health Corporation

Summary ratings

Overall
3.5
2026: 3.0+0.5
Part C · health plan
3.5
2026: 3.5±0
Part D · drug plan
3.5
2026: 3.5±0

2027 footprint

Members, Sep 2026
4,358
2027 plans
3
Open to all ($0 premium)
2 (2)
Counties
6
Special needs plans
Chronic or Disabling Condition
Drug coverage
Yes
WA

Domain stars

Domain20272026Change
HD1Staying Healthy: Screenings, Tests and Vaccines3.04.0−1.0
HD2Managing Chronic (Long Term) Conditions3.04.0−1.0
HD3Member Experience with Health Plan2.02.0±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 Plan3.03.0±0
DD4Drug Safety and Accuracy of Drug Pricing4.03.0+1.0

Part C measures · health plan

Measure2027 result2027 starsvs 2026
C01Breast Cancer Screening70%3.0±0
C02Colorectal Cancer Screening80%4.0new spec
C03Annual Flu Vaccine68%4.0±0
C04Improving or Maintaining Physical HealthNot enough data available—
C05Improving or Maintaining Mental HealthNot enough data available—
C06Monitoring Physical Activity47%2.0−2
C07Special Needs Plan (SNP) Care ManagementNo data available—
C08Care for Older Adults – Medication ReviewNo data available—
C09Care for Older Adults - Functional Status AssessmentNo data available—
C10Osteoporosis Management in Women who had a Fracture58%4.0+1
C11Diabetes Care – Eye Exam74%3.0±0
C12Diabetes Care – Blood Sugar Controlled90%4.0±0
C13Kidney Health Evaluation for Patients with Diabetes64%3.0±0
C14Controlling High Blood Pressure82%4.0±0
C15Reducing the Risk of Falling52%2.0±0
C16Improving Bladder Control40%2.0−2
C17Plan All-Cause Readmissions7%5.0±0
C18Statin Therapy for Patients with Cardiovascular Disease87%3.0±0
C19Transitions of Care72%4.0+1
C20Follow-up after Emergency Department Visit for People with Multiple High-Risk Chronic Conditions59%3.0±0
C21Getting Needed Care771.0±0
C22Getting Appointments and Care QuicklyNot enough data available—
C23Customer Service882.0+1
C24Rating of Health Care Quality863.0+2
C25Rating of Health Plan832.0+1
C26Care CoordinationNot enough data available—
C27Complaints about the Health Plan0.194.0±0
C28Members Choosing to Leave the Plan13%4.0±0
C29Health Plan Quality ImprovementMedicare shows only a Star Rating for this topic3.0±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 Plan0.194.0±0
D03Members Choosing to Leave the Plan13%4.0±0
D04Drug Plan Quality ImprovementMedicare shows only a Star Rating for this topic3.0±0
D05Rating of Drug Plan852.0±0
D06Getting Needed Prescription Drugs883.0±0
D07MPF Price Accuracy994.0±0
D08Medication Adherence for Diabetes Medications89%3.0±0
D09Medication Adherence for Hypertension (RAS antagonists)88%3.0±0
D10Medication Adherence for Cholesterol (Statins)90%4.0±0
D11Statin Use in Persons with Diabetes (SUPD)88%3.0±0
D12Concurrent Use of Opioids and Benzodiazepines (COB)7%5.0—
D13Polypharmacy: Use of Multiple Anticholinergic Medications in Older Adults (Poly-ACH)6%4.0—

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