Contract
H7379

CareFirst BlueCross BlueShield Medicare Advantage · 2027 Star Ratings

CAREFIRST ADVANTAGE PPO, INC. · Local CCP

Parent: CareFirst, Inc.

Summary ratings

Overall
2.5
2026: 4.0−1.5
Part C · health plan
2.5
2026: 3.5−1.0
Part D · drug plan
3.0
2026: 4.0−1.0

2027 footprint

Members, Sep 2026
46K
2027 plans
5
Open to all ($0 premium)
5 (2)
Counties
25
Special needs plans
None
Drug coverage
Yes
DCMD

Domain stars

Domain20272026Change
HD1Staying Healthy: Screenings, Tests and Vaccines3.05.0−2.0
HD2Managing Chronic (Long Term) Conditions3.03.0±0
HD3Member Experience with Health Plan3.04.0−1.0
HD4Member Complaints and Changes in the Health Plan's Performance3.05.0−2.0
HD5Health Plan Customer Service3.03.0±0
DD1Drug Plan Customer Service5.04.0+1.0
DD2Member Complaints and Changes in the Drug Plan's Performance3.04.0−1.0
DD3Member Experience with the Drug Plan2.04.0−2.0
DD4Drug Safety and Accuracy of Drug Pricing3.03.0±0

Part C measures · health plan

Measure2027 result2027 starsvs 2026
C01Breast Cancer Screening81%4.0±0
C02Colorectal Cancer Screening81%4.0new spec
C03Annual Flu Vaccine70%4.0−1
C04Improving or Maintaining Physical Health69%2.0—
C05Improving or Maintaining Mental Health83%3.0—
C06Monitoring Physical Activity53%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 Fracture16%1.0—
C11Diabetes Care – Eye Exam65%2.0−1
C12Diabetes Care – Blood Sugar Controlled93%5.0+1
C13Kidney Health Evaluation for Patients with Diabetes65%3.0±0
C14Controlling High Blood Pressure78%2.0−1
C15Reducing the Risk of Falling55%2.0±0
C16Improving Bladder Control55%5.0+1
C17Plan All-Cause Readmissions13%2.0−1
C18Statin Therapy for Patients with Cardiovascular Disease84%2.0−1
C19Transitions of Care72%4.0±0
C20Follow-up after Emergency Department Visit for People with Multiple High-Risk Chronic Conditions62%2.0−1
C21Getting Needed Care823.0−1
C22Getting Appointments and Care Quickly844.0±0
C23Customer Service851.0−3
C24Rating of Health Care Quality863.0−1
C25Rating of Health Plan842.0−2
C26Care Coordination873.0−1
C27Complaints about the Health Plan0.43.0−2
C28Members Choosing to Leave the Plan4%5.0—
C29Health Plan Quality ImprovementMedicare shows only a Star Rating for this topic1.0−3
C30Plan Makes Timely Decisions about Appeals97%3.0+1
C31Reviewing Appeals Decisions81%1.0−1
C32Call Center – Foreign Language Interpreter and TTY Availability98%4.0±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 Plan0.43.0−2
D03Members Choosing to Leave the Plan4%5.0—
D04Drug Plan Quality ImprovementMedicare shows only a Star Rating for this topic1.0−2
D05Rating of Drug Plan852.0−2
D06Getting Needed Prescription Drugs882.0−2
D07MPF Price Accuracy994.0—
D08Medication Adherence for Diabetes Medications89%3.0−1
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)85%2.0±0
D12Concurrent Use of Opioids and Benzodiazepines (COB)9%4.0—
D13Polypharmacy: Use of Multiple Anticholinergic Medications in Older Adults (Poly-ACH)7%4.0—

Other CareFirst, Inc. contracts

  • H8854CareFirst BlueCross BlueShield Advantage DualPrime3.0★
  • S0375CareFirst BlueCross BlueShield Group Prescription1.5★