Contract
H9725

HealthSpring · 2027 Star Ratings

BRAVO HEALTH PENNSYLVANIA, INC. · Local CCP · offers special needs plans

Parent: Health Care Service Corporation

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
2.5
2026: 4.0−1.5

2027 footprint

Members, Sep 2026
32K
2027 plans
12
Open to all ($0 premium)
9 (9)
Counties
35
Special needs plans
Chronic or Disabling Condition, Dual-Eligible
Drug coverage
Yes
NCVA

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 Plan4.05.0−1.0
HD4Member Complaints and Changes in the Health Plan's Performance2.04.0−2.0
HD5Health Plan Customer Service4.04.0±0
DD1Drug Plan Customer Service5.05.0±0
DD2Member Complaints and Changes in the Drug Plan's Performance2.04.0−2.0
DD3Member Experience with the Drug Plan2.04.0−2.0
DD4Drug Safety and Accuracy of Drug Pricing3.04.0−1.0

Part C measures · health plan

Measure2027 result2027 starsvs 2026
C01Breast Cancer Screening78%4.0±0
C02Colorectal Cancer Screening81%4.0new spec
C03Annual Flu Vaccine63%2.0−1
C04Improving or Maintaining Physical Health69%2.0—
C05Improving or Maintaining Mental Health84%3.0—
C06Monitoring Physical Activity56%4.0±0
C07Special Needs Plan (SNP) Care Management56%2.0−1
C08Care for Older Adults – Medication Review82%2.0−2
C09Care for Older Adults - Functional Status Assessment90%4.0—
C10Osteoporosis Management in Women who had a Fracture47%3.0±0
C11Diabetes Care – Eye Exam74%3.0±0
C12Diabetes Care – Blood Sugar Controlled85%3.0±0
C13Kidney Health Evaluation for Patients with Diabetes78%4.0±0
C14Controlling High Blood Pressure77%2.0−1
C15Reducing the Risk of Falling60%3.0±0
C16Improving Bladder Control48%4.0+2
C17Plan All-Cause Readmissions12%2.0−2
C18Statin Therapy for Patients with Cardiovascular Disease86%3.0+1
C19Transitions of Care74%4.0±0
C20Follow-up after Emergency Department Visit for People with Multiple High-Risk Chronic Conditions62%2.0−2
C21Getting Needed Care834.0−1
C22Getting Appointments and Care Quickly854.0−1
C23Customer Service882.0−1
C24Rating of Health Care Quality874.0−1
C25Rating of Health Plan852.0−2
C26Care Coordination895.0±0
C27Complaints about the Health Plan0.63.0−1
C28Members Choosing to Leave the Plan31%2.0−1
C29Health Plan Quality ImprovementMedicare shows only a Star Rating for this topic1.0−3
C30Plan Makes Timely Decisions about Appeals93%2.0−3
C31Reviewing Appeals Decisions98%4.0±0
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±0
D02Complaints about the Drug Plan0.63.0−1
D03Members Choosing to Leave the Plan31%2.0−1
D04Drug Plan Quality ImprovementMedicare shows only a Star Rating for this topic1.0−4
D05Rating of Drug Plan862.0−2
D06Getting Needed Prescription Drugs882.0−2
D07MPF Price Accuracy1005.0±0
D08Medication Adherence for Diabetes Medications87%2.0±0
D09Medication Adherence for Hypertension (RAS antagonists)89%3.0±0
D10Medication Adherence for Cholesterol (Statins)88%3.0±0
D11Statin Use in Persons with Diabetes (SUPD)87%3.0±0
D12Concurrent Use of Opioids and Benzodiazepines (COB)13%3.0—
D13Polypharmacy: Use of Multiple Anticholinergic Medications in Older Adults (Poly-ACH)7%4.0—

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