Contract
H5959

Blue Cross and Blue Shield of Minnesota · 2027 Star Ratings

BCBSM, Inc. · Local CCP

Parent: Aware Integrated, Inc.

Summary ratings

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

2027 footprint

Members, Sep 2026
280K
2027 plans
7
Open to all ($0 premium)
7 (3)
Counties
35
Special needs plans
None
Drug coverage
Yes
MN

Domain stars

Domain20272026Change
HD1Staying Healthy: Screenings, Tests and Vaccines4.04.0±0
HD2Managing Chronic (Long Term) Conditions3.04.0−1.0
HD3Member Experience with Health Plan4.03.0+1.0
HD4Member Complaints and Changes in the Health Plan's Performance5.05.0±0
HD5Health Plan Customer Service4.05.0−1.0
DD1Drug Plan Customer Service4.04.0±0
DD2Member Complaints and Changes in the Drug Plan's Performance4.05.0−1.0
DD3Member Experience with the Drug Plan4.05.0−1.0
DD4Drug Safety and Accuracy of Drug Pricing4.04.0±0

Part C measures · health plan

Measure2027 result2027 starsvs 2026
C01Breast Cancer Screening85%5.0±0
C02Colorectal Cancer Screening87%5.0new spec
C03Annual Flu Vaccine77%5.0±0
C04Improving or Maintaining Physical Health72%3.0±0
C05Improving or Maintaining Mental Health86%4.0−1
C06Monitoring Physical Activity50%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 Fracture31%2.0+1
C11Diabetes Care – Eye Exam82%4.0−1
C12Diabetes Care – Blood Sugar Controlled94%5.0±0
C13Kidney Health Evaluation for Patients with Diabetes68%3.0−1
C14Controlling High Blood Pressure86%4.0±0
C15Reducing the Risk of Falling49%1.0−1
C16Improving Bladder Control48%4.0±0
C17Plan All-Cause Readmissions10%4.0±0
C18Statin Therapy for Patients with Cardiovascular Disease90%4.0±0
C19Transitions of Care77%4.0±0
C20Follow-up after Emergency Department Visit for People with Multiple High-Risk Chronic Conditions58%2.0±0
C21Getting Needed Care813.0±0
C22Getting Appointments and Care Quickly833.0+1
C23Customer Service903.0±0
C24Rating of Health Care Quality874.0±0
C25Rating of Health Plan863.0−1
C26Care Coordination895.0+2
C27Complaints about the Health Plan0.065.0±0
C28Members Choosing to Leave the Plan3%5.0±0
C29Health Plan Quality ImprovementMedicare shows only a Star Rating for this topic4.0−1
C30Plan Makes Timely Decisions about Appeals99%4.0−1
C31Reviewing Appeals Decisions99%4.0±0
C32Call Center – Foreign Language Interpreter and TTY Availability98%4.0−1

Part D measures · drug plan

Measure2027 result2027 starsvs 2026
D01Call Center – Foreign Language Interpreter and TTY Availability97%4.0±0
D02Complaints about the Drug Plan0.065.0±0
D03Members Choosing to Leave the Plan3%5.0±0
D04Drug Plan Quality ImprovementMedicare shows only a Star Rating for this topic1.0−4
D05Rating of Drug Plan874.0±0
D06Getting Needed Prescription Drugs904.0−1
D07MPF Price Accuracy1005.0±0
D08Medication Adherence for Diabetes Medications90%3.0−1
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)88%3.0±0
D12Concurrent Use of Opioids and Benzodiazepines (COB)8%5.0—
D13Polypharmacy: Use of Multiple Anticholinergic Medications in Older Adults (Poly-ACH)5%5.0—

Other Aware Integrated, Inc. contracts

  • H2461Blue Cross and Blue Shield of Minnesota3.5★
  • H2425Blue Plus3.5★