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H1304 · Regence BlueShield of Idaho (REGENCE BLUESHIELD OF IDAHO, INC.): 2027 Star Rating
H1304 (Regence BlueShield of Idaho, REGENCE BLUESHIELD OF IDAHO, INC.) earned 4.0 stars in the 2027 Medicare Advantage Star Ratings, up from 3.5 in 2026. Parent company: Cambia Health Solutions, Inc. Plan type: Local CCP.
2027 overall CMS
4.0
Part C 4.0 · Part D 4.0
2026 overall CMS
3.5
Part C 3.5 · Part D 3.5
Change Calc
+0.5
2027 vs 2026
Members Calc
0
CMS county files, October 2026
Open H1304 in CareStars: bonus at stake, measures to fix, local rivalsTalk to Carelytics about H1304
What stands out for H1304
- At 4.0 stars it is at or above the 4-star line that sets 2028 quality bonus payments. CMS rule
- 13 of its 37 rated measures are at 5 stars; 4 are at 1 or 2 stars. Calc
Weakest high-weight measures
Measures with weight 2 or more and the lowest stars. These move the overall rating most.
- Improving or Maintaining Mental Health (C05, weight ×3): 1 star, score 79
- Diabetes Care - Blood Sugar Controlled (C12, weight ×3): 3 stars, score 88
- Controlling High Blood Pressure (C14, weight ×3): 3 stars, score 79
- Medication Adherence for Diabetes Medications (D08, weight ×3): 3 stars, score 89
- Medication Adherence for Cholesterol (Statins) (D10, weight ×3): 3 stars, score 89
All 2027 measure scores Sourced: CMS
| Measure | Weight | Score | Stars |
|---|---|---|---|
| Breast Cancer Screening (C01) | ×1 | 81 | 4 |
| Colorectal Cancer Screening (C02) | ×1 | 82 | 5 |
| Annual Flu Vaccine (C03) | ×1 | 79 | 5 |
| Improving or Maintaining Physical Health (C04) | ×3 | 74 | 4 |
| Improving or Maintaining Mental Health (C05) | ×3 | 79 | 1 |
| Monitoring Physical Activity (C06) | ×1 | 52 | 3 |
| Diabetes Care - Eye Exam (C11) | ×1 | 83 | 4 |
| Diabetes Care - Blood Sugar Controlled (C12) | ×3 | 88 | 3 |
| Kidney Health Evaluation for Patients with Diabetes (C13) | ×1 | 60 | 2 |
| Controlling High Blood Pressure (C14) | ×3 | 79 | 3 |
| Reducing the Risk of Falling (C15) | ×1 | 55 | 2 |
| Improving Bladder Control (C16) | ×1 | 53 | 5 |
| Plan All-Cause Readmissions (C17) | ×3 | 8 | 5 |
| Statin Therapy for Patients with Cardiovascular Disease (C18) | ×1 | 90 | 4 |
| Transitions of Care (C19) | ×1 | 64 | 3 |
| Follow-up after Emergency Department Visit for People with Multiple High-Risk Chronic Conditions (C20) | ×1 | 64 | 3 |
| Getting Needed Care (C21) | ×2 | 84 | 4 |
| Getting Appointments and Care Quickly (C22) | ×2 | 84 | 4 |
| Customer Service (C23) | ×2 | 91 | 4 |
| Rating of Health Care Quality (C24) | ×2 | 89 | 4 |
| Rating of Health Plan (C25) | ×2 | 85 | 3 |
| Care Coordination (C26) | ×2 | 90 | 5 |
| Complaints about the Health Plan (C27) | ×2 | 0.09 | 5 |
| Health Plan Quality Improvement (C29) | ×5 | – | 5 |
| Plan Makes Timely Decisions about Appeals (C30) | ×2 | 100 | 5 |
| Reviewing Appeals Decisions (C31) | ×2 | 100 | 5 |
| Complaints about the Drug Plan (D02) | ×2 | 0.09 | 5 |
| Drug Plan Quality Improvement (D04) | ×5 | – | 4 |
| Rating of Drug Plan (D05) | ×2 | 87 | 4 |
| Getting Needed Prescription Drugs (D06) | ×2 | 92 | 5 |
| MPF Price Accuracy (D07) | ×1 | 100 | 5 |
| Medication Adherence for Diabetes Medications (D08) | ×3 | 89 | 3 |
| Medication Adherence for Hypertension (RAS antagonists) (D09) | ×3 | 90 | 4 |
| Medication Adherence for Cholesterol (Statins) (D10) | ×3 | 89 | 3 |
| Statin Use in Persons with Diabetes (SUPD) (D11) | ×1 | 80 | 1 |
| Concurrent Use of Opioids and Benzodiazepines (COB) (D12) | ×1 | 8 | 5 |
| Polypharmacy: Use of Multiple Anticholinergic Medications in Older Adults (Poly-ACH) (D13) | ×1 | 6 | 4 |
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Other Cambia Health Solutions, Inc. contracts
H1969 · Regence BlueShield of Idaho · not ratedH1997 · Regence BlueShield · not ratedH3817 · Regence BlueCross BlueShield of Oregon · 3.5 starsH4605 · Regence BlueCross BlueShield of Utah · 4.5 starsH5009 · Regence BlueShield · 4.0 starsH6237 · Regence BlueCross BlueShield of Oregon · 3.5 stars
Sources: CMS 2027 and 2026 Star Ratings data tables (CMS Part C and D performance data); CMS monthly enrollment by contract and county (October 2026). Sourced: CMS marks figures taken from CMS. Calculated marks figures Carelytics added up or compared. Built 2026-10-25.