Contract
H4982

Aetna Medicare · 2027 Star Ratings

AETNA BETTER HEALTH OF CALIFORNIA INC. · Local CCP

Parent: CVS Health Corporation

Low-performing iconRated below 3 stars on Part C or D for three years running.

Summary ratings

Overall
2.5
2026: 3.0−0.5
Part C · health plan
2.5
2026: 3.0−0.5
Part D · drug plan
2.5
2026: 2.5±0

2027 footprint

Members, Sep 2026
9,388
2027 plans
8
Open to all ($0 premium)
8 (6)
Counties
8
Special needs plans
None
Drug coverage
Yes
CA

Domain stars

Domain20272026Change
HD1Staying Healthy: Screenings, Tests and Vaccines2.03.0−1.0
HD2Managing Chronic (Long Term) Conditions3.03.0±0
HD3Member Experience with Health Plan1.01.0±0
HD4Member Complaints and Changes in the Health Plan's Performance3.03.0±0
HD5Health Plan Customer Service4.04.0±0
DD1Drug Plan Customer Service5.05.0±0
DD2Member Complaints and Changes in the Drug Plan's Performance2.02.0±0
DD3Member Experience with the Drug PlanNot enough data available1.0—
DD4Drug Safety and Accuracy of Drug Pricing3.04.0−1.0

Part C measures · health plan

Measure2027 result2027 starsvs 2026
C01Breast Cancer Screening73%3.0±0
C02Colorectal Cancer Screening69%3.0new spec
C03Annual Flu Vaccine56%2.0−1
C04Improving or Maintaining Physical Health66%1.0−1
C05Improving or Maintaining Mental Health81%2.0−2
C06Monitoring Physical Activity50%3.0±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 Fracture51%3.0−2
C11Diabetes Care – Eye Exam76%3.0−1
C12Diabetes Care – Blood Sugar Controlled84%3.0−1
C13Kidney Health Evaluation for Patients with Diabetes67%3.0−1
C14Controlling High Blood Pressure81%3.0−1
C15Reducing the Risk of Falling59%3.0±0
C16Improving Bladder Control38%2.0±0
C17Plan All-Cause Readmissions9%4.0+1
C18Statin Therapy for Patients with Cardiovascular Disease85%2.0−2
C19Transitions of Care55%2.0±0
C20Follow-up after Emergency Department Visit for People with Multiple High-Risk Chronic Conditions55%2.0±0
C21Getting Needed Care751.0±0
C22Getting Appointments and Care QuicklyNot enough data available—
C23Customer Service882.0+1
C24Rating of Health Care Quality841.0±0
C25Rating of Health Plan791.0±0
C26Care CoordinationNot enough data available—
C27Complaints about the Health Plan0.563.0±0
C28Members Choosing to Leave the Plan25%3.0+1
C29Health Plan Quality ImprovementMedicare shows only a Star Rating for this topic3.0±0
C30Plan Makes Timely Decisions about Appeals97%3.0±0
C31Reviewing Appeals Decisions98%4.0±0
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 Plan0.563.0±0
D03Members Choosing to Leave the Plan25%3.0+1
D04Drug Plan Quality ImprovementMedicare shows only a Star Rating for this topic1.0−1
D05Rating of Drug Plan832.0+1
D06Getting Needed Prescription DrugsNot enough data available—
D07MPF Price Accuracy994.0−1
D08Medication Adherence for Diabetes Medications85%1.0−2
D09Medication Adherence for Hypertension (RAS antagonists)86%2.0−1
D10Medication Adherence for Cholesterol (Statins)85%2.0−1
D11Statin Use in Persons with Diabetes (SUPD)89%3.0−1
D12Concurrent Use of Opioids and Benzodiazepines (COB)10%4.0—
D13Polypharmacy: Use of Multiple Anticholinergic Medications in Older Adults (Poly-ACH)6%4.0—

Other CVS Health Corporation contracts

  • S5601Aetna Medicare2.5★
  • H5522Aetna Medicare4.5★
  • H5521Aetna Medicare4.0★
  • H3959Aetna Medicare3.5★
  • H0628Aetna Medicare3.5★
  • H1609Aetna Medicare4.0★
  • H1608Aetna Medicare4.0★
  • H2293Aetna Medicare3.5★
  • H2663Aetna Medicare3.5★
  • H3312Aetna Medicare3.0★
  • H7301Aetna Medicare4.0★
  • H3931Aetna Medicare3.5★