Contract
H4213

Arkansas Blue Medicare · 2027 Star Ratings

USABLE MUTUAL INSURANCE COMPANY · PFFS

Parent: USAble Mutual Insurance Company

Summary ratings

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

2027 footprint

Members, Sep 2026
2,115
2027 plans
2
Open to all ($0 premium)
2 (1)
Counties
39
Special needs plans
None
Drug coverage
Yes
AR

Domain stars

Domain20272026Change
HD1Staying Healthy: Screenings, Tests and Vaccines3.03.0±0
HD2Managing Chronic (Long Term) Conditions2.02.0±0
HD3Member Experience with Health Plan5.05.0±0
HD4Member Complaints and Changes in the Health Plan's Performance4.03.0+1.0
HD5Health Plan Customer Service3.03.0±0
DD1Drug Plan Customer Service4.04.0±0
DD2Member Complaints and Changes in the Drug Plan's Performance4.04.0±0
DD3Member Experience with the Drug Plan4.03.0+1.0
DD4Drug Safety and Accuracy of Drug Pricing2.03.0−1.0

Part C measures · health plan

Measure2027 result2027 starsvs 2026
C01Breast Cancer Screening65%2.0±0
C02Colorectal Cancer Screening69%3.0new spec
C03Annual Flu Vaccine69%4.0±0
C04Improving or Maintaining Physical Health66%1.0−1
C05Improving or Maintaining Mental Health88%5.0+1
C06Monitoring Physical Activity40%1.0±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 FractureNot enough data available—
C11Diabetes Care – Eye Exam60%1.0−1
C12Diabetes Care – Blood Sugar Controlled80%2.0−1
C13Kidney Health Evaluation for Patients with Diabetes58%2.0−1
C14Controlling High Blood Pressure75%2.0±0
C15Reducing the Risk of Falling45%1.0−1
C16Improving Bladder Control41%2.0+1
C17Plan All-Cause Readmissions15%1.0−3
C18Statin Therapy for Patients with Cardiovascular Disease55%1.0±0
C19Transitions of Care48%2.0+1
C20Follow-up after Emergency Department Visit for People with Multiple High-Risk Chronic Conditions52%1.0±0
C21Getting Needed Care885.0±0
C22Getting Appointments and Care Quickly895.0±0
C23Customer Service945.0±0
C24Rating of Health Care Quality925.0±0
C25Rating of Health Plan884.0±0
C26Care Coordination905.0±0
C27Complaints about the Health Plan0.045.0+1
C28Members Choosing to Leave the Plan9%4.0±0
C29Health Plan Quality ImprovementMedicare shows only a Star Rating for this topic4.0+2
C30Plan Makes Timely Decisions about Appeals100%5.0±0
C31Reviewing Appeals Decisions100%5.0+3
C32Call Center – Foreign Language Interpreter and TTY Availability95%3.0±0

Part D measures · drug plan

Measure2027 result2027 starsvs 2026
D01Call Center – Foreign Language Interpreter and TTY Availability98%4.0±0
D02Complaints about the Drug Plan0.045.0+1
D03Members Choosing to Leave the Plan9%4.0±0
D04Drug Plan Quality ImprovementMedicare shows only a Star Rating for this topic2.0−2
D05Rating of Drug Plan842.0+1
D06Getting Needed Prescription Drugs935.0±0
D07MPF Price Accuracy983.0−1
D08Medication Adherence for Diabetes Medications83%1.0−3
D09Medication Adherence for Hypertension (RAS antagonists)88%3.0±0
D10Medication Adherence for Cholesterol (Statins)86%2.0−1
D11Statin Use in Persons with Diabetes (SUPD)80%1.0±0
D12Concurrent Use of Opioids and Benzodiazepines (COB)13%3.0—
D13Polypharmacy: Use of Multiple Anticholinergic Medications in Older Adults (Poly-ACH)9%3.0—

Other USAble Mutual Insurance Company contracts

  • S5795Arkansas Blue Medicare3.0★
  • H9699Arkansas Blue Medicare3.0★
  • H6158Arkansas Blue Medicare2.5★