Contract
H4937

Blue Shield of California · 2027 Star Ratings

CALIFORNIA PHYSICIANS' SERVICE · Local CCP

Parent: California Physicians' Service

Summary ratings

Overall
2.5
2026: 3.5−1.0
Part C · health plan
2.5
2026: 3.0−0.5
Part D · drug plan
2.5
2026: 4.5−2.0

2027 footprint

This contract has no plans in the CMS 2027 landscape file (employer-only, PDP, or not offered for 2027).

Members, Sep 2026
44K

Domain stars

Domain20272026Change
HD1Staying Healthy: Screenings, Tests and Vaccines3.03.0±0
HD2Managing Chronic (Long Term) Conditions3.02.0+1.0
HD3Member Experience with Health Plan2.03.0−1.0
HD4Member Complaints and Changes in the Health Plan's Performance5.05.0±0
HD5Health Plan Customer Service1.04.0−3.0
DD1Drug Plan Customer ServiceNot enough data available5.0—
DD2Member Complaints and Changes in the Drug Plan's Performance3.04.0−1.0
DD3Member Experience with the Drug Plan3.0Not enough data available—
DD4Drug Safety and Accuracy of Drug Pricing3.04.0−1.0

Part C measures · health plan

Measure2027 result2027 starsvs 2026
C01Breast Cancer Screening79%4.0±0
C02Colorectal Cancer Screening75%4.0new spec
C03Annual Flu Vaccine76%5.0+1
C04Improving or Maintaining Physical Health70%2.0+1
C05Improving or Maintaining Mental Health81%2.0−2
C06Monitoring Physical Activity48%2.0−1
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 Fracture30%2.0+1
C11Diabetes Care – Eye Exam65%2.0±0
C12Diabetes Care – Blood Sugar Controlled88%3.0±0
C13Kidney Health Evaluation for Patients with Diabetes64%3.0±0
C14Controlling High Blood Pressure73%2.0−1
C15Reducing the Risk of Falling52%2.0±0
C16Improving Bladder Control50%4.0+2
C17Plan All-Cause Readmissions10%4.0+2
C18Statin Therapy for Patients with Cardiovascular Disease83%2.0−1
C19Transitions of Care66%3.0±0
C20Follow-up after Emergency Department Visit for People with Multiple High-Risk Chronic Conditions59%2.0±0
C21Getting Needed Care761.0−1
C22Getting Appointments and Care Quickly812.0−1
C23Customer Service893.0±0
C24Rating of Health Care Quality852.0−1
C25Rating of Health Plan874.0+2
C26Care Coordination831.0−2
C27Complaints about the Health Plan0.115.0+1
C28Members Choosing to Leave the PlanNot enough data available—
C29Health Plan Quality ImprovementMedicare shows only a Star Rating for this topic4.0−1
C30Plan Makes Timely Decisions about Appeals98%1.0−2
C31Reviewing Appeals Decisions97%1.0−3
C32Call Center – Foreign Language Interpreter and TTY AvailabilityNot enough data available—

Part D measures · drug plan

Measure2027 result2027 starsvs 2026
D01Call Center – Foreign Language Interpreter and TTY AvailabilityNot enough data available—
D02Complaints about the Drug Plan0.115.0+1
D03Members Choosing to Leave the PlanNot enough data available—
D04Drug Plan Quality ImprovementMedicare shows only a Star Rating for this topic1.0−2
D05Rating of Drug Plan874.0+1
D06Getting Needed Prescription Drugs851.0—
D07MPF Price Accuracy983.0−2
D08Medication Adherence for Diabetes Medications90%3.0−2
D09Medication Adherence for Hypertension (RAS antagonists)89%3.0−1
D10Medication Adherence for Cholesterol (Statins)87%2.0−2
D11Statin Use in Persons with Diabetes (SUPD)86%2.0−1
D12Concurrent Use of Opioids and Benzodiazepines (COB)9%4.0—
D13Polypharmacy: Use of Multiple Anticholinergic Medications in Older Adults (Poly-ACH)6%4.0—

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