Contract
H9630

Wellcare · 2027 Star Ratings

ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC. · Local CCP · offers special needs plans

Parent: Centene Corporation

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: 3.5−0.5

2027 footprint

Members, Sep 2026
20K
2027 plans
4
Open to all ($0 premium)
1 (1)
Counties
75
Special needs plans
Dual-Eligible
Drug coverage
Yes
AR

Domain stars

Domain20272026Change
HD1Staying Healthy: Screenings, Tests and Vaccines3.03.0±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 Performance3.04.0−1.0
HD5Health Plan Customer Service5.04.0+1.0
DD1Drug Plan Customer Service5.05.0±0
DD2Member Complaints and Changes in the Drug Plan's Performance3.04.0−1.0
DD3Member Experience with the Drug Plan4.04.0±0
DD4Drug Safety and Accuracy of Drug Pricing3.03.0±0

Part C measures · health plan

Measure2027 result2027 starsvs 2026
C01Breast Cancer Screening71%3.0+1
C02Colorectal Cancer Screening75%4.0new spec
C03Annual Flu Vaccine60%2.0±0
C04Improving or Maintaining Physical Health72%3.0+1
C05Improving or Maintaining Mental Health84%3.0−1
C06Monitoring Physical Activity37%1.0±0
C07Special Needs Plan (SNP) Care Management81%4.0±0
C08Care for Older Adults – Medication Review100%5.0+1
C09Care for Older Adults - Functional Status Assessment86%3.0—
C10Osteoporosis Management in Women who had a Fracture54%4.0+1
C11Diabetes Care – Eye Exam74%3.0+1
C12Diabetes Care – Blood Sugar Controlled84%3.0−1
C13Kidney Health Evaluation for Patients with Diabetes66%3.0±0
C14Controlling High Blood Pressure80%3.0±0
C15Reducing the Risk of Falling58%3.0+1
C16Improving Bladder Control43%3.0+2
C17Plan All-Cause Readmissions12%2.0±0
C18Statin Therapy for Patients with Cardiovascular Disease83%2.0+1
C19Transitions of Care49%2.0−1
C20Follow-up after Emergency Department Visit for People with Multiple High-Risk Chronic Conditions60%2.0±0
C21Getting Needed Care845.0±0
C22Getting Appointments and Care Quickly854.0−1
C23Customer Service893.0±0
C24Rating of Health Care Quality862.0−1
C25Rating of Health Plan842.0−1
C26Care Coordination884.0−1
C27Complaints about the Health Plan0.443.0−1
C28Members Choosing to Leave the Plan28%3.0±0
C29Health Plan Quality ImprovementMedicare shows only a Star Rating for this topic2.0−2
C30Plan Makes Timely Decisions about Appeals100%5.0+2
C31Reviewing Appeals Decisions100%5.0±0
C32Call Center – Foreign Language Interpreter and TTY Availability100%5.0±0

Part D measures · drug plan

Measure2027 result2027 starsvs 2026
D01Call Center – Foreign Language Interpreter and TTY Availability100%5.0±0
D02Complaints about the Drug Plan0.443.0−1
D03Members Choosing to Leave the Plan28%3.0±0
D04Drug Plan Quality ImprovementMedicare shows only a Star Rating for this topic2.0−2
D05Rating of Drug Plan863.0±0
D06Getting Needed Prescription Drugs925.0±0
D07MPF Price Accuracy1005.0±0
D08Medication Adherence for Diabetes Medications86%2.0±0
D09Medication Adherence for Hypertension (RAS antagonists)88%3.0±0
D10Medication Adherence for Cholesterol (Statins)88%3.0±0
D11Statin Use in Persons with Diabetes (SUPD)84%2.0±0
D12Concurrent Use of Opioids and Benzodiazepines (COB)17%2.0—
D13Polypharmacy: Use of Multiple Anticholinergic Medications in Older Adults (Poly-ACH)10%3.0—

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