Contract
R2604

UnitedHealthcare · 2027 Star Ratings

CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO. · Regional CCP · offers special needs plans

Parent: UnitedHealth Group, Inc.

Summary ratings

Overall
3.5
2026: 4.0−0.5
Part C · health plan
3.5
2026: 4.0−0.5
Part D · drug plan
3.5
2026: 3.5±0

2027 footprint

Members, Sep 2026
4,453
2027 plans
2
Open to all ($0 premium)
1 (1)
Counties
205
Special needs plans
Chronic or Disabling Condition
Drug coverage
Yes
GASC

Domain stars

Domain20272026Change
HD1Staying Healthy: Screenings, Tests and Vaccines3.03.0±0
HD2Managing Chronic (Long Term) Conditions3.03.0±0
HD3Member Experience with Health Plan4.04.0±0
HD4Member Complaints and Changes in the Health Plan's Performance4.04.0±0
HD5Health Plan Customer Service5.05.0±0
DD1Drug Plan Customer Service5.05.0±0
DD2Member Complaints and Changes in the Drug Plan's Performance4.04.0±0
DD3Member Experience with the Drug PlanNot enough data availableNot enough data available—
DD4Drug Safety and Accuracy of Drug Pricing3.03.0±0

Part C measures · health plan

Measure2027 result2027 starsvs 2026
C01Breast Cancer Screening69%2.0−1
C02Colorectal Cancer Screening71%3.0new spec
C03Annual Flu Vaccine65%3.0−1
C04Improving or Maintaining Physical Health75%5.0±0
C05Improving or Maintaining Mental Health81%2.0+1
C06Monitoring Physical Activity50%3.0±0
C07Special Needs Plan (SNP) Care Management66%3.0−1
C08Care for Older Adults – Medication Review95%3.0−1
C09Care for Older Adults - Functional Status Assessment93%4.0—
C10Osteoporosis Management in Women who had a Fracture33%2.0±0
C11Diabetes Care – Eye Exam74%3.0−1
C12Diabetes Care – Blood Sugar Controlled89%4.0±0
C13Kidney Health Evaluation for Patients with Diabetes63%3.0±0
C14Controlling High Blood Pressure74%2.0−1
C15Reducing the Risk of Falling63%4.0±0
C16Improving Bladder Control47%4.0+3
C17Plan All-Cause Readmissions11%3.0±0
C18Statin Therapy for Patients with Cardiovascular Disease88%3.0±0
C19Transitions of Care51%2.0−1
C20Follow-up after Emergency Department Visit for People with Multiple High-Risk Chronic Conditions55%2.0−1
C21Getting Needed Care895.0±0
C22Getting Appointments and Care Quickly895.0±0
C23Customer Service893.0—
C24Rating of Health Care Quality873.0−1
C25Rating of Health Plan874.0+1
C26Care Coordination915.0±0
C27Complaints about the Health Plan0.155.0±0
C28Members Choosing to Leave the Plan11%4.0+2
C29Health Plan Quality ImprovementMedicare shows only a Star Rating for this topic3.0−2
C30Plan Makes Timely Decisions about Appeals100%5.0±0
C31Reviewing Appeals Decisions99%4.0±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 Plan0.155.0±0
D03Members Choosing to Leave the Plan11%4.0+2
D04Drug Plan Quality ImprovementMedicare shows only a Star Rating for this topic3.0−1
D05Rating of Drug Plan873.0−1
D06Getting Needed Prescription DrugsNot enough data available—
D07MPF Price Accuracy1005.0±0
D08Medication Adherence for Diabetes Medications88%2.0−1
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)86%2.0−1
D12Concurrent Use of Opioids and Benzodiazepines (COB)15%3.0—
D13Polypharmacy: Use of Multiple Anticholinergic Medications in Older Adults (Poly-ACH)10%3.0—

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