Contract
H5793

Aetna Medicare · 2027 Star Ratings

AETNA HEALTH INC. (CT) · Local CCP · offers special needs plans

Parent: CVS Health Corporation

Summary ratings

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

2027 footprint

Members, Sep 2026
62K
2027 plans
6
Open to all ($0 premium)
4 (3)
Counties
18
Special needs plans
Dual-Eligible
Drug coverage
Yes
CTMARI

Domain stars

Domain20272026Change
HD1Staying Healthy: Screenings, Tests and Vaccines4.04.0±0
HD2Managing Chronic (Long Term) Conditions3.03.0±0
HD3Member Experience with Health Plan3.03.0±0
HD4Member Complaints and Changes in the Health Plan's Performance4.03.0+1.0
HD5Health Plan Customer Service5.04.0+1.0
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 Plan2.03.0−1.0
DD4Drug Safety and Accuracy of Drug Pricing3.04.0−1.0

Part C measures · health plan

Measure2027 result2027 starsvs 2026
C01Breast Cancer Screening77%4.0+1
C02Colorectal Cancer Screening78%4.0new spec
C03Annual Flu Vaccine68%4.0±0
C04Improving or Maintaining Physical Health73%4.0−1
C05Improving or Maintaining Mental Health84%3.0−2
C06Monitoring Physical Activity54%3.0−1
C07Special Needs Plan (SNP) Care Management62%2.0−1
C08Care for Older Adults – Medication Review100%5.0±0
C09Care for Older Adults - Functional Status Assessment86%3.0—
C10Osteoporosis Management in Women who had a Fracture42%3.0+1
C11Diabetes Care – Eye Exam79%4.0+1
C12Diabetes Care – Blood Sugar Controlled86%3.0−1
C13Kidney Health Evaluation for Patients with Diabetes63%3.0±0
C14Controlling High Blood Pressure82%3.0−1
C15Reducing the Risk of Falling70%4.0±0
C16Improving Bladder Control42%2.0+1
C17Plan All-Cause Readmissions9%4.0+1
C18Statin Therapy for Patients with Cardiovascular Disease87%3.0−1
C19Transitions of Care66%3.0±0
C20Follow-up after Emergency Department Visit for People with Multiple High-Risk Chronic Conditions66%3.0±0
C21Getting Needed Care813.0±0
C22Getting Appointments and Care Quickly823.0+2
C23Customer Service882.0−2
C24Rating of Health Care Quality863.0+1
C25Rating of Health Plan842.0−2
C26Care Coordination873.0±0
C27Complaints about the Health Plan0.234.0±0
C28Members Choosing to Leave the Plan4%5.0+2
C29Health Plan Quality ImprovementMedicare shows only a Star Rating for this topic3.0±0
C30Plan Makes Timely Decisions about Appeals100%5.0+2
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 Plan0.234.0±0
D03Members Choosing to Leave the Plan4%5.0+2
D04Drug Plan Quality ImprovementMedicare shows only a Star Rating for this topic1.0−1
D05Rating of Drug Plan852.0−1
D06Getting Needed Prescription Drugs882.0−1
D07MPF Price Accuracy994.0−1
D08Medication Adherence for Diabetes Medications88%2.0−2
D09Medication Adherence for Hypertension (RAS antagonists)90%4.0±0
D10Medication Adherence for Cholesterol (Statins)88%3.0−1
D11Statin Use in Persons with Diabetes (SUPD)89%3.0−1
D12Concurrent Use of Opioids and Benzodiazepines (COB)19%2.0—
D13Polypharmacy: Use of Multiple Anticholinergic Medications in Older Adults (Poly-ACH)8%3.0—

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