Contract
H5619

Humana · 2027 Star Ratings

ARCADIAN HEALTH PLAN, INC. · Local CCP · offers special needs plans

Parent: Humana Inc.

Summary ratings

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

2027 footprint

Members, Sep 2026
479K
2027 plans
69
Open to all ($0 premium)
50 (40)
Counties
636
Special needs plans
Chronic or Disabling Condition, Dual-Eligible
Drug coverage
Yes
ALARCAIDINKYMENHOKSCVAWAWV

Domain stars

Domain20272026Change
HD1Staying Healthy: Screenings, Tests and Vaccines3.03.0±0
HD2Managing Chronic (Long Term) Conditions4.03.0+1.0
HD3Member Experience with Health Plan3.03.0±0
HD4Member Complaints and Changes in the Health Plan's Performance4.04.0±0
HD5Health Plan Customer Service4.04.0±0
DD1Drug Plan Customer Service5.05.0±0
DD2Member Complaints and Changes in the Drug Plan's Performance4.03.0+1.0
DD3Member Experience with the Drug Plan4.02.0+2.0
DD4Drug Safety and Accuracy of Drug Pricing3.03.0±0

Part C measures · health plan

Measure2027 result2027 starsvs 2026
C01Breast Cancer Screening75%3.0±0
C02Colorectal Cancer Screening76%4.0new spec
C03Annual Flu Vaccine62%2.0±0
C04Improving or Maintaining Physical Health72%3.0+1
C05Improving or Maintaining Mental Health90%5.0+2
C06Monitoring Physical Activity52%3.0±0
C07Special Needs Plan (SNP) Care Management80%4.0±0
C08Care for Older Adults – Medication Review98%4.0±0
C09Care for Older Adults - Functional Status Assessment95%5.0—
C10Osteoporosis Management in Women who had a Fracture46%3.0±0
C11Diabetes Care – Eye Exam80%4.0+1
C12Diabetes Care – Blood Sugar Controlled91%4.0±0
C13Kidney Health Evaluation for Patients with Diabetes72%4.0+1
C14Controlling High Blood Pressure84%4.0±0
C15Reducing the Risk of Falling61%3.0±0
C16Improving Bladder Control44%3.0+2
C17Plan All-Cause Readmissions11%3.0+1
C18Statin Therapy for Patients with Cardiovascular Disease90%4.0+1
C19Transitions of Care76%4.0±0
C20Follow-up after Emergency Department Visit for People with Multiple High-Risk Chronic Conditions62%2.0±0
C21Getting Needed Care813.0±0
C22Getting Appointments and Care Quickly854.0+1
C23Customer Service893.0±0
C24Rating of Health Care Quality863.0+1
C25Rating of Health Plan874.0+2
C26Care Coordination863.0±0
C27Complaints about the Health Plan0.224.0±0
C28Members Choosing to Leave the Plan21%3.0±0
C29Health Plan Quality ImprovementMedicare shows only a Star Rating for this topic5.0+1
C30Plan Makes Timely Decisions about Appeals99%4.0+1
C31Reviewing Appeals Decisions99%4.0±0
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 Plan0.224.0±0
D03Members Choosing to Leave the Plan21%3.0±0
D04Drug Plan Quality ImprovementMedicare shows only a Star Rating for this topic5.0+2
D05Rating of Drug Plan884.0+2
D06Getting Needed Prescription Drugs904.0+2
D07MPF Price Accuracy941.0±0
D08Medication Adherence for Diabetes Medications88%2.0±0
D09Medication Adherence for Hypertension (RAS antagonists)89%3.0±0
D10Medication Adherence for Cholesterol (Statins)89%3.0±0
D11Statin Use in Persons with Diabetes (SUPD)88%3.0±0
D12Concurrent Use of Opioids and Benzodiazepines (COB)11%4.0—
D13Polypharmacy: Use of Multiple Anticholinergic Medications in Older Adults (Poly-ACH)5%5.0—

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