Contract
H3909

Independence Blue Cross · 2027 Star Ratings

QCC INSURANCE COMPANY · Local CCP

Parent: Independence Health Group, Inc.

Summary ratings

Overall
4.0
2026: 4.0±0
Part C · health plan
3.5
2026: 4.0−0.5
Part D · drug plan
4.0
2026: 4.5−0.5

2027 footprint

Members, Sep 2026
22K
2027 plans
4
Open to all ($0 premium)
4 (2)
Counties
5
Special needs plans
None
Drug coverage
Yes
PA

Domain stars

Domain20272026Change
HD1Staying Healthy: Screenings, Tests and Vaccines4.05.0−1.0
HD2Managing Chronic (Long Term) Conditions3.04.0−1.0
HD3Member Experience with Health Plan4.04.0±0
HD4Member Complaints and Changes in the Health Plan's Performance4.05.0−1.0
HD5Health Plan Customer Service4.04.0±0
DD1Drug Plan Customer Service5.03.0+2.0
DD2Member Complaints and Changes in the Drug Plan's Performance4.05.0−1.0
DD3Member Experience with the Drug Plan4.04.0±0
DD4Drug Safety and Accuracy of Drug Pricing3.04.0−1.0

Part C measures · health plan

Measure2027 result2027 starsvs 2026
C01Breast Cancer Screening80%4.0±0
C02Colorectal Cancer Screening80%4.0new spec
C03Annual Flu Vaccine78%5.0±0
C04Improving or Maintaining Physical Health77%5.0±0
C05Improving or Maintaining Mental Health85%4.0±0
C06Monitoring Physical Activity53%3.0−1
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 Fracture47%3.0±0
C11Diabetes Care – Eye Exam81%4.0±0
C12Diabetes Care – Blood Sugar Controlled88%3.0−1
C13Kidney Health Evaluation for Patients with Diabetes75%4.0±0
C14Controlling High Blood Pressure78%2.0−2
C15Reducing the Risk of Falling55%2.0±0
C16Improving Bladder Control50%4.0+2
C17Plan All-Cause Readmissions10%4.0±0
C18Statin Therapy for Patients with Cardiovascular Disease90%4.0±0
C19Transitions of Care66%3.0±0
C20Follow-up after Emergency Department Visit for People with Multiple High-Risk Chronic Conditions84%5.0±0
C21Getting Needed Care823.0−1
C22Getting Appointments and Care Quickly844.0±0
C23Customer Service914.0+1
C24Rating of Health Care Quality884.0±0
C25Rating of Health Plan852.0−2
C26Care Coordination884.0+1
C27Complaints about the Health Plan0.174.0−1
C28Members Choosing to Leave the Plan0%5.0±0
C29Health Plan Quality ImprovementMedicare shows only a Star Rating for this topic2.0−2
C30Plan Makes Timely Decisions about Appeals99%4.0+1
C31Reviewing Appeals Decisions99%4.0±0
C32Call Center – Foreign Language Interpreter and TTY Availability95%3.0−1

Part D measures · drug plan

Measure2027 result2027 starsvs 2026
D01Call Center – Foreign Language Interpreter and TTY Availability100%5.0+2
D02Complaints about the Drug Plan0.174.0−1
D03Members Choosing to Leave the Plan0%5.0±0
D04Drug Plan Quality ImprovementMedicare shows only a Star Rating for this topic4.0−1
D05Rating of Drug Plan874.0±0
D06Getting Needed Prescription Drugs914.0±0
D07MPF Price Accuracy1005.0±0
D08Medication Adherence for Diabetes Medications89%3.0±0
D09Medication Adherence for Hypertension (RAS antagonists)90%4.0±0
D10Medication Adherence for Cholesterol (Statins)89%3.0±0
D11Statin Use in Persons with Diabetes (SUPD)89%3.0±0
D12Concurrent Use of Opioids and Benzodiazepines (COB)18%2.0—
D13Polypharmacy: Use of Multiple Anticholinergic Medications in Older Adults (Poly-ACH)6%4.0—

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