Contract
H4835

Aetna Medicare · 2027 Star Ratings

AETNA BETTER HEALTH OF OKLAHOMA INC. · Local CCP

Parent: CVS Health Corporation

Summary ratings

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

2027 footprint

Members, Sep 2026
3,637
2027 plans
1
Open to all ($0 premium)
1 (1)
Counties
3
Special needs plans
None
Drug coverage
Yes
AZ

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 Performance4.03.0+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 Performance3.03.0±0
DD3Member Experience with the Drug PlanNot enough data availableNot enough data available—
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+1
C02Colorectal Cancer Screening73%3.0new spec
C03Annual Flu Vaccine52%1.0±0
C04Improving or Maintaining Physical HealthNot enough data available—
C05Improving or Maintaining Mental HealthNot enough data available—
C06Monitoring Physical Activity46%2.0±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 Exam73%3.0±0
C12Diabetes Care – Blood Sugar Controlled89%4.0±0
C13Kidney Health Evaluation for Patients with Diabetes67%3.0−1
C14Controlling High Blood Pressure80%3.0−1
C15Reducing the Risk of Falling50%1.0±0
C16Improving Bladder Control35%1.0−1
C17Plan All-Cause Readmissions5%5.0+1
C18Statin Therapy for Patients with Cardiovascular Disease86%3.0+1
C19Transitions of Care67%3.0±0
C20Follow-up after Emergency Department Visit for People with Multiple High-Risk Chronic Conditions61%2.0±0
C21Getting Needed Care813.0±0
C22Getting Appointments and Care QuicklyNot enough data available—
C23Customer Service924.0+1
C24Rating of Health Care Quality852.0±0
C25Rating of Health Plan811.0±0
C26Care CoordinationNot enough data available—
C27Complaints about the Health Plan0.125.0+1
C28Members Choosing to Leave the Plan34%2.0−1
C29Health Plan Quality ImprovementMedicare shows only a Star Rating for this topic4.0+1
C30Plan Makes Timely Decisions about Appeals100%5.0+2
C31Reviewing Appeals Decisions95%2.0−3
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 Plan0.125.0+1
D03Members Choosing to Leave the Plan34%2.0−1
D04Drug Plan Quality ImprovementMedicare shows only a Star Rating for this topic3.0±0
D05Rating of Drug Plan832.0−1
D06Getting Needed Prescription DrugsNot enough data available—
D07MPF Price Accuracy994.0±0
D08Medication Adherence for Diabetes Medications87%2.0±0
D09Medication Adherence for Hypertension (RAS antagonists)91%4.0+1
D10Medication Adherence for Cholesterol (Statins)89%3.0±0
D11Statin Use in Persons with Diabetes (SUPD)86%2.0−1
D12Concurrent Use of Opioids and Benzodiazepines (COB)5%5.0—
D13Polypharmacy: Use of Multiple Anticholinergic Medications in Older Adults (Poly-ACH)2%5.0—

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