Contract
H5883

Blue Care Network · 2027 Star Ratings

BLUE CARE NETWORK OF MICHIGAN · Local CCP

Parent: Blue Cross Blue Shield of Michigan Mutual Ins. Co.

Summary ratings

Overall
4.5
2026: 4.5±0
Part C · health plan
4.0
2026: 4.5−0.5
Part D · drug plan
4.0
2026: 3.5+0.5

2027 footprint

Members, Sep 2026
60K
2027 plans
16
Open to all ($0 premium)
16 (1)
Counties
70
Special needs plans
None
Drug coverage
Yes
MI

Domain stars

Domain20272026Change
HD1Staying Healthy: Screenings, Tests and Vaccines4.04.0±0
HD2Managing Chronic (Long Term) Conditions4.04.0±0
HD3Member Experience with Health Plan4.04.0±0
HD4Member Complaints and Changes in the Health Plan's Performance4.05.0−1.0
HD5Health Plan Customer Service5.05.0±0
DD1Drug Plan Customer Service5.04.0+1.0
DD2Member Complaints and Changes in the Drug Plan's Performance4.04.0±0
DD3Member Experience with the Drug Plan3.03.0±0
DD4Drug Safety and Accuracy of Drug Pricing4.04.0±0

Part C measures · health plan

Measure2027 result2027 starsvs 2026
C01Breast Cancer Screening82%4.0±0
C02Colorectal Cancer Screening84%5.0new spec
C03Annual Flu Vaccine70%4.0±0
C04Improving or Maintaining Physical Health69%2.0−1
C05Improving or Maintaining Mental Health85%4.0±0
C06Monitoring Physical Activity49%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 Fracture54%4.0±0
C11Diabetes Care – Eye Exam81%4.0±0
C12Diabetes Care – Blood Sugar Controlled92%5.0±0
C13Kidney Health Evaluation for Patients with Diabetes75%4.0±0
C14Controlling High Blood Pressure82%3.0−1
C15Reducing the Risk of Falling56%2.0±0
C16Improving Bladder Control45%3.0±0
C17Plan All-Cause Readmissions8%5.0+1
C18Statin Therapy for Patients with Cardiovascular Disease89%4.0+1
C19Transitions of Care75%4.0+1
C20Follow-up after Emergency Department Visit for People with Multiple High-Risk Chronic Conditions66%3.0±0
C21Getting Needed Care855.0±0
C22Getting Appointments and Care Quickly865.0+1
C23Customer Service893.0±0
C24Rating of Health Care Quality884.0±0
C25Rating of Health Plan884.0−1
C26Care Coordination884.0±0
C27Complaints about the Health Plan0.075.0±0
C28Members Choosing to Leave the Plan24%3.0−2
C29Health Plan Quality ImprovementMedicare shows only a Star Rating for this topic3.0−2
C30Plan Makes Timely Decisions about Appeals100%5.0±0
C31Reviewing Appeals Decisions100%5.0±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+1
D02Complaints about the Drug Plan0.075.0±0
D03Members Choosing to Leave the Plan24%3.0−2
D04Drug Plan Quality ImprovementMedicare shows only a Star Rating for this topic4.0+2
D05Rating of Drug Plan852.0±0
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)92%4.0±0
D10Medication Adherence for Cholesterol (Statins)91%4.0±0
D11Statin Use in Persons with Diabetes (SUPD)89%3.0−1
D12Concurrent Use of Opioids and Benzodiazepines (COB)12%4.0—
D13Polypharmacy: Use of Multiple Anticholinergic Medications in Older Adults (Poly-ACH)3%5.0—

Other Blue Cross Blue Shield of Michigan Mutual Ins. Co. contracts

  • H9572Blue Cross Blue Shield of Michigan4.5★
  • S5584Blue Cross Blue Shield of Michigan4.0★
  • H9326WyoBlue Advantagen/r
  • H6202NextBlue of North Dakota3.5★