Contract
H9147

Blue Cross and Blue Shield of North Carolina · 2027 Star Ratings

BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA · Local CCP · offers special needs plans

Parent: CuraCor Solutions Corp.

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
2.5
2026: 3.5−1.0

2027 footprint

Members, Sep 2026
3,419
2027 plans
1
Open to all ($0 premium)
0 (0)
Counties
100
Special needs plans
Dual-Eligible
Drug coverage
Yes
NC

Domain stars

Domain20272026Change
HD1Staying Healthy: Screenings, Tests and Vaccines2.03.0−1.0
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 Performance3.03.0±0
HD5Health Plan Customer ServiceNot enough data availableNot enough data available—
DD1Drug Plan Customer Service4.03.0+1.0
DD2Member Complaints and Changes in the Drug Plan's Performance2.03.0−1.0
DD3Member Experience with the Drug Plan3.04.0−1.0
DD4Drug Safety and Accuracy of Drug Pricing3.03.0±0

Part C measures · health plan

Measure2027 result2027 starsvs 2026
C01Breast Cancer Screening68%2.0±0
C02Colorectal Cancer Screening67%2.0new spec
C03Annual Flu Vaccine59%2.0±0
C04Improving or Maintaining Physical HealthNot enough data available—
C05Improving or Maintaining Mental HealthNot enough data available—
C06Monitoring Physical Activity52%3.0±0
C07Special Needs Plan (SNP) Care Management53%2.0±0
C08Care for Older Adults – Medication Review99%5.0+1
C09Care for Older Adults - Functional Status Assessment79%3.0—
C10Osteoporosis Management in Women who had a FractureNot enough data available—
C11Diabetes Care – Eye Exam62%2.0±0
C12Diabetes Care – Blood Sugar Controlled84%3.0±0
C13Kidney Health Evaluation for Patients with Diabetes62%2.0±0
C14Controlling High Blood Pressure79%3.0−1
C15Reducing the Risk of Falling72%5.0+1
C16Improving Bladder Control47%4.0—
C17Plan All-Cause Readmissions11%3.0+1
C18Statin Therapy for Patients with Cardiovascular Disease88%3.0+2
C19Transitions of Care73%4.0+1
C20Follow-up after Emergency Department Visit for People with Multiple High-Risk Chronic Conditions57%2.0±0
C21Getting Needed Care803.0±0
C22Getting Appointments and Care Quickly854.0±0
C23Customer Service861.0−2
C24Rating of Health Care Quality863.0−1
C25Rating of Health Plan863.0−1
C26Care Coordination873.0—
C27Complaints about the Health Plan1.162.0−1
C28Members Choosing to Leave the Plan23%3.0±0
C29Health Plan Quality ImprovementMedicare shows only a Star Rating for this topic4.0±0
C30Plan Makes Timely Decisions about AppealsNot enough data available—
C31Reviewing Appeals DecisionsNot enough data available—
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 Availability97%4.0+1
D02Complaints about the Drug Plan1.162.0−1
D03Members Choosing to Leave the Plan23%3.0±0
D04Drug Plan Quality ImprovementMedicare shows only a Star Rating for this topic2.0−2
D05Rating of Drug Plan874.0±0
D06Getting Needed Prescription Drugs882.0−2
D07MPF Price Accuracy1005.0±0
D08Medication Adherence for Diabetes Medications83%1.0−2
D09Medication Adherence for Hypertension (RAS antagonists)86%2.0±0
D10Medication Adherence for Cholesterol (Statins)87%2.0±0
D11Statin Use in Persons with Diabetes (SUPD)84%2.0−1
D12Concurrent Use of Opioids and Benzodiazepines (COB)16%3.0—
D13Polypharmacy: Use of Multiple Anticholinergic Medications in Older Adults (Poly-ACH)8%3.0—

Other CuraCor Solutions Corp. contracts

  • H3449Blue Cross and Blue Shield of North Carolina4.0★
  • H3404Blue Cross and Blue Shield of North Carolina4.5★
  • S5540Blue Cross and Blue Shield of North Carolina2.5★