Contract
H7220

Anthem HealthKeepers · 2027 Star Ratings

HealthKeepers, Inc. · Local CCP

Parent: Elevance Health, Inc.

Summary ratings

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

2027 footprint

Members, Sep 2026
11K
2027 plans
4
Open to all ($0 premium)
4 (2)
Counties
38
Special needs plans
None
Drug coverage
Yes
IN

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 Plan3.04.0−1.0
HD4Member Complaints and Changes in the Health Plan's Performance3.04.0−1.0
HD5Health Plan Customer Service4.04.0±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 Plan4.03.0+1.0
DD4Drug Safety and Accuracy of Drug Pricing4.04.0±0

Part C measures · health plan

Measure2027 result2027 starsvs 2026
C01Breast Cancer Screening81%4.0±0
C02Colorectal Cancer Screening76%4.0new spec
C03Annual Flu Vaccine74%5.0±0
C04Improving or Maintaining Physical Health71%3.0−1
C05Improving or Maintaining Mental Health82%2.0−3
C06Monitoring Physical Activity51%3.0±0
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 Fracture45%3.0±0
C11Diabetes Care – Eye Exam78%3.0−1
C12Diabetes Care – Blood Sugar Controlled88%3.0−2
C13Kidney Health Evaluation for Patients with Diabetes79%4.0−1
C14Controlling High Blood Pressure82%3.0−1
C15Reducing the Risk of Falling51%1.0±0
C16Improving Bladder Control45%3.0+1
C17Plan All-Cause Readmissions9%4.0±0
C18Statin Therapy for Patients with Cardiovascular Disease92%4.0−1
C19Transitions of Care53%2.0−2
C20Follow-up after Emergency Department Visit for People with Multiple High-Risk Chronic Conditions63%2.0−1
C21Getting Needed Care823.0±0
C22Getting Appointments and Care Quickly833.0±0
C23Customer Service861.0−3
C24Rating of Health Care Quality874.0±0
C25Rating of Health Plan842.0−2
C26Care Coordination873.0−1
C27Complaints about the Health Plan0.065.0±0
C28Members Choosing to Leave the Plan21%3.0−1
C29Health Plan Quality ImprovementMedicare shows only a Star Rating for this topic1.0−3
C30Plan Makes Timely Decisions about Appeals99%4.0±0
C31Reviewing Appeals Decisions95%2.0−1
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+1
D02Complaints about the Drug Plan0.065.0±0
D03Members Choosing to Leave the Plan21%3.0−1
D04Drug Plan Quality ImprovementMedicare shows only a Star Rating for this topic4.0±0
D05Rating of Drug Plan874.0+1
D06Getting Needed Prescription Drugs893.0±0
D07MPF Price Accuracy994.0−1
D08Medication Adherence for Diabetes Medications89%3.0±0
D09Medication Adherence for Hypertension (RAS antagonists)91%4.0±0
D10Medication Adherence for Cholesterol (Statins)90%4.0+1
D11Statin Use in Persons with Diabetes (SUPD)90%4.0+1
D12Concurrent Use of Opioids and Benzodiazepines (COB)9%4.0—
D13Polypharmacy: Use of Multiple Anticholinergic Medications in Older Adults (Poly-ACH)8%3.0—

Other Elevance Health, Inc. contracts

  • H4036Anthem Blue Cross and Blue Shield4.5★
  • H3447Anthem HealthKeepers3.0★
  • H3655Anthem Blue Cross and Blue Shield3.5★
  • H4471Anthem Blue Cross3.0★
  • H4004Medicare y Mucho Mas (MMM)4.5★
  • H4003Medicare y Mucho Mas (MMM)4.5★
  • H5427Freedom Health, Inc.4.0★
  • H9525Anthem Blue Cross and Blue Shield3.5★
  • H5594Optimum HealthCare, Inc.4.5★
  • H5431HealthSun Health Plans, Inc.4.5★
  • H8849Wellpoint3.5★
  • S5596Anthem Insurance Companies, Inc.3.0★