Contract
H8854

CareFirst BlueCross BlueShield Advantage DualPrime · 2027 Star Ratings

CAREFIRST ADVANTAGE DSNP, INC. · Local CCP · offers special needs plans

Parent: CareFirst, Inc.

Summary ratings

Overall
3.0
2026: 3.5−0.5
Part C · health plan
3.0
2026: 3.5−0.5
Part D · drug plan
3.0
2026: 2.5+0.5

2027 footprint

Members, Sep 2026
8,531
2027 plans
1
Open to all ($0 premium)
0 (0)
Counties
24
Special needs plans
Dual-Eligible
Drug coverage
Yes
MD

Domain stars

Domain20272026Change
HD1Staying Healthy: Screenings, Tests and Vaccines3.04.0−1.0
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 Performance4.04.0±0
HD5Health Plan Customer Service2.03.0−1.0
DD1Drug Plan Customer Service4.04.0±0
DD2Member Complaints and Changes in the Drug Plan's Performance4.03.0+1.0
DD3Member Experience with the Drug Plan3.02.0+1.0
DD4Drug Safety and Accuracy of Drug Pricing3.02.0+1.0

Part C measures · health plan

Measure2027 result2027 starsvs 2026
C01Breast Cancer Screening76%3.0±0
C02Colorectal Cancer Screening70%3.0new spec
C03Annual Flu Vaccine63%3.0±0
C04Improving or Maintaining Physical Health66%1.0−3
C05Improving or Maintaining Mental Health84%3.0−2
C06Monitoring Physical Activity55%4.0+1
C07Special Needs Plan (SNP) Care Management68%3.0±0
C08Care for Older Adults – Medication Review95%3.0−1
C09Care for Older Adults - Functional Status Assessment64%1.0—
C10Osteoporosis Management in Women who had a FractureNot enough data available—
C11Diabetes Care – Eye Exam74%3.0±0
C12Diabetes Care – Blood Sugar Controlled84%3.0±0
C13Kidney Health Evaluation for Patients with Diabetes59%2.0−1
C14Controlling High Blood Pressure75%2.0±0
C15Reducing the Risk of Falling72%5.0±0
C16Improving Bladder Control48%4.0—
C17Plan All-Cause Readmissions14%1.0±0
C18Statin Therapy for Patients with Cardiovascular Disease86%3.0±0
C19Transitions of Care79%4.0+1
C20Follow-up after Emergency Department Visit for People with Multiple High-Risk Chronic Conditions58%2.0±0
C21Getting Needed Care813.0−1
C22Getting Appointments and Care QuicklyNot enough data available—
C23Customer Service893.0±0
C24Rating of Health Care Quality852.0±0
C25Rating of Health Plan884.0±0
C26Care Coordination863.0±0
C27Complaints about the Health Plan0.613.0−1
C28Members Choosing to Leave the Plan9%4.0±0
C29Health Plan Quality ImprovementMedicare shows only a Star Rating for this topic4.0±0
C30Plan Makes Timely Decisions about Appeals97%1.0−2
C31Reviewing Appeals Decisions87%1.0−1
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 Availability97%4.0±0
D02Complaints about the Drug Plan0.613.0−1
D03Members Choosing to Leave the Plan9%4.0±0
D04Drug Plan Quality ImprovementMedicare shows only a Star Rating for this topic5.0+3
D05Rating of Drug Plan863.0+1
D06Getting Needed Prescription Drugs882.0+1
D07MPF Price Accuracy994.0±0
D08Medication Adherence for Diabetes Medications84%1.0±0
D09Medication Adherence for Hypertension (RAS antagonists)84%2.0+1
D10Medication Adherence for Cholesterol (Statins)83%1.0±0
D11Statin Use in Persons with Diabetes (SUPD)90%4.0±0
D12Concurrent Use of Opioids and Benzodiazepines (COB)7%5.0—
D13Polypharmacy: Use of Multiple Anticholinergic Medications in Older Adults (Poly-ACH)11%3.0—

Other CareFirst, Inc. contracts

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