Contract
H4711

Aetna Medicare · 2027 Star Ratings

COVENTRY HEALTH CARE OF NEBRASKA, INC. · Local CCP · offers special needs plans

Parent: CVS Health Corporation

Summary ratings

Overall
3.0
2026: 3.5−0.5
Part C · health plan
3.0
2026: 3.5−0.5
Part D · drug plan
3.0
2026: 2.5+0.5

2027 footprint

Members, Sep 2026
8,177
2027 plans
3
Open to all ($0 premium)
1 (1)
Counties
8
Special needs plans
Dual-Eligible
Drug coverage
Yes
NV

Domain stars

Domain20272026Change
HD1Staying Healthy: Screenings, Tests and Vaccines2.02.0±0
HD2Managing Chronic (Long Term) Conditions3.03.0±0
HD3Member Experience with Health Plan3.03.0±0
HD4Member Complaints and Changes in the Health Plan's Performance3.02.0+1.0
HD5Health Plan Customer Service4.04.0±0
DD1Drug Plan Customer Service5.05.0±0
DD2Member Complaints and Changes in the Drug Plan's Performance3.02.0+1.0
DD3Member Experience with the Drug PlanNot enough data availableNot enough data available—
DD4Drug Safety and Accuracy of Drug Pricing3.03.0±0

Part C measures · health plan

Measure2027 result2027 starsvs 2026
C01Breast Cancer Screening67%2.0±0
C02Colorectal Cancer Screening69%3.0new spec
C03Annual Flu Vaccine55%1.0±0
C04Improving or Maintaining Physical HealthNot enough data available—
C05Improving or Maintaining Mental HealthNot enough data available—
C06Monitoring Physical Activity43%1.0−1
C07Special Needs Plan (SNP) Care Management57%2.0−1
C08Care for Older Adults – Medication Review100%5.0±0
C09Care for Older Adults - Functional Status Assessment83%3.0—
C10Osteoporosis Management in Women who had a Fracture35%2.0−1
C11Diabetes Care – Eye Exam75%3.0±0
C12Diabetes Care – Blood Sugar Controlled83%3.0±0
C13Kidney Health Evaluation for Patients with Diabetes66%3.0±0
C14Controlling High Blood Pressure80%3.0−1
C15Reducing the Risk of Falling68%4.0+1
C16Improving Bladder Control45%3.0±0
C17Plan All-Cause Readmissions8%5.0±0
C18Statin Therapy for Patients with Cardiovascular Disease86%3.0+1
C19Transitions of Care64%3.0+1
C20Follow-up after Emergency Department Visit for People with Multiple High-Risk Chronic Conditions57%2.0±0
C21Getting Needed Care783.0±0
C22Getting Appointments and Care Quickly812.0—
C23Customer Service924.0±0
C24Rating of Health Care Quality852.0−1
C25Rating of Health Plan853.0±0
C26Care CoordinationNot enough data available—
C27Complaints about the Health Plan0.254.0+1
C28Members Choosing to Leave the Plan37%2.0+1
C29Health Plan Quality ImprovementMedicare shows only a Star Rating for this topic3.0±0
C30Plan Makes Timely Decisions about Appeals98%4.0+1
C31Reviewing Appeals Decisions99%4.0−1
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 Plan0.254.0+1
D03Members Choosing to Leave the Plan37%2.0+1
D04Drug Plan Quality ImprovementMedicare shows only a Star Rating for this topic3.0+1
D05Rating of Drug Plan863.0+1
D06Getting Needed Prescription DrugsNot enough data available—
D07MPF Price Accuracy994.0−1
D08Medication Adherence for Diabetes Medications86%2.0−1
D09Medication Adherence for Hypertension (RAS antagonists)86%2.0±0
D10Medication Adherence for Cholesterol (Statins)87%2.0±0
D11Statin Use in Persons with Diabetes (SUPD)88%3.0±0
D12Concurrent Use of Opioids and Benzodiazepines (COB)10%4.0—
D13Polypharmacy: Use of Multiple Anticholinergic Medications in Older Adults (Poly-ACH)9%3.0—

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