Contract
H5009

Regence BlueShield · 2027 Star Ratings

REGENCE BLUESHIELD · Local CCP

Parent: Cambia Health Solutions, Inc.

Summary ratings

Overall
4.0
2026: 3.0+1.0
Part C · health plan
3.5
2026: 3.0+0.5
Part D · drug plan
4.5
2026: 3.5+1.0

2027 footprint

Members, Sep 2026
10K
2027 plans
1
Open to all ($0 premium)
1 (0)
Counties
5
Special needs plans
None
Drug coverage
Yes
WA

Domain stars

Domain20272026Change
HD1Staying Healthy: Screenings, Tests and Vaccines4.04.0±0
HD2Managing Chronic (Long Term) Conditions3.03.0±0
HD3Member Experience with Health Plan3.02.0+1.0
HD4Member Complaints and Changes in the Health Plan's Performance5.05.0±0
HD5Health Plan Customer Service4.04.0±0
DD1Drug Plan Customer Service5.05.0±0
DD2Member Complaints and Changes in the Drug Plan's Performance5.04.0+1.0
DD3Member Experience with the Drug Plan3.02.0+1.0
DD4Drug Safety and Accuracy of Drug Pricing4.03.0+1.0

Part C measures · health plan

Measure2027 result2027 starsvs 2026
C01Breast Cancer Screening76%3.0±0
C02Colorectal Cancer Screening82%5.0new spec
C03Annual Flu Vaccine70%4.0±0
C04Improving or Maintaining Physical HealthNot enough data available—
C05Improving or Maintaining Mental HealthNot enough data available—
C06Monitoring Physical Activity54%3.0−1
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 Fracture33%2.0+1
C11Diabetes Care – Eye Exam78%3.0±0
C12Diabetes Care – Blood Sugar Controlled89%4.0+1
C13Kidney Health Evaluation for Patients with Diabetes54%3.0±0
C14Controlling High Blood Pressure74%2.0±0
C15Reducing the Risk of Falling48%1.0±0
C16Improving Bladder Control46%3.0+1
C17Plan All-Cause Readmissions9%4.0±0
C18Statin Therapy for Patients with Cardiovascular Disease89%4.0+1
C19Transitions of Care72%4.0+1
C20Follow-up after Emergency Department Visit for People with Multiple High-Risk Chronic Conditions60%3.0±0
C21Getting Needed Care803.0+1
C22Getting Appointments and Care Quickly854.0+2
C23Customer Service924.0±0
C24Rating of Health Care Quality863.0±0
C25Rating of Health Plan832.0±0
C26Care Coordination873.0+2
C27Complaints about the Health Plan0.155.0±0
C28Members Choosing to Leave the Plan5%5.0±0
C29Health Plan Quality ImprovementMedicare shows only a Star Rating for this topic5.0+1
C30Plan Makes Timely Decisions about Appeals97%3.0±0
C31Reviewing Appeals Decisions99%4.0+1
C32Call Center – Foreign Language Interpreter and TTY Availability100%5.0±0

Part D measures · drug plan

Measure2027 result2027 starsvs 2026
D01Call Center – Foreign Language Interpreter and TTY Availability100%5.0±0
D02Complaints about the Drug Plan0.155.0±0
D03Members Choosing to Leave the Plan5%5.0±0
D04Drug Plan Quality ImprovementMedicare shows only a Star Rating for this topic5.0+2
D05Rating of Drug Plan842.0+1
D06Getting Needed Prescription Drugs893.0±0
D07MPF Price Accuracy1005.0±0
D08Medication Adherence for Diabetes Medications91%4.0+1
D09Medication Adherence for Hypertension (RAS antagonists)91%4.0+1
D10Medication Adherence for Cholesterol (Statins)91%4.0±0
D11Statin Use in Persons with Diabetes (SUPD)86%2.0±0
D12Concurrent Use of Opioids and Benzodiazepines (COB)10%4.0—
D13Polypharmacy: Use of Multiple Anticholinergic Medications in Older Adults (Poly-ACH)5%5.0—

Other Cambia Health Solutions, Inc. contracts

  • H3817Regence BlueCross BlueShield of Oregon3.5★
  • H4605Regence BlueCross BlueShield of Utah4.5★
  • H6237Regence BlueCross BlueShield of Oregon3.5★
  • S5916Regence BlueShield of Idaho and Regence BC BS Utah3.0★
  • H1304Regence BlueShield of Idaho4.0★
  • H1997Regence BlueShieldn/r
  • S5609Asuris Northwest Healthn/r
  • H1969Regence BlueShield of Idahon/r