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H3536 · Anthem Blue Cross and Blue Shield (MATTHEW THORNTON HEALTH PLAN, INC.): 2027 Star Rating
H3536 (Anthem Blue Cross and Blue Shield, MATTHEW THORNTON HEALTH PLAN, INC.) earned 3.0 stars in the 2027 Medicare Advantage Star Ratings, down from 3.5 in 2026. Parent company: Elevance Health, Inc. Plan type: Local CCP.
2027 overall CMS
3.0
Part C 3.0 · Part D 3.0
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
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What stands out for H3536
- At 3.0 stars it is below the 4-star line that sets 2028 quality bonus payments. CMS rule
- 2 of its 28 rated measures are at 5 stars; 15 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.
- Controlling High Blood Pressure (C14, weight ×3): 1 star, score 67
- Health Plan Quality Improvement (C29, weight ×5): 2 stars
- Improving or Maintaining Mental Health (C05, weight ×3): 2 stars, score 82
- Diabetes Care - Blood Sugar Controlled (C12, weight ×3): 2 stars, score 61
- Medication Adherence for Diabetes Medications (D08, weight ×3): 2 stars, score 87
All 2027 measure scores Sourced: CMS
| Measure | Weight | Score | Stars |
|---|---|---|---|
| Breast Cancer Screening (C01) | ×1 | 68 | 2 |
| Colorectal Cancer Screening (C02) | ×1 | 63 | 2 |
| Improving or Maintaining Physical Health (C04) | ×3 | 73 | 4 |
| Improving or Maintaining Mental Health (C05) | ×3 | 82 | 2 |
| Monitoring Physical Activity (C06) | ×1 | 49 | 2 |
| Diabetes Care - Eye Exam (C11) | ×1 | 63 | 2 |
| Diabetes Care - Blood Sugar Controlled (C12) | ×3 | 61 | 2 |
| Kidney Health Evaluation for Patients with Diabetes (C13) | ×1 | 60 | 2 |
| Controlling High Blood Pressure (C14) | ×3 | 67 | 1 |
| Reducing the Risk of Falling (C15) | ×1 | 65 | 4 |
| Improving Bladder Control (C16) | ×1 | 39 | 2 |
| Plan All-Cause Readmissions (C17) | ×3 | 10 | 4 |
| Statin Therapy for Patients with Cardiovascular Disease (C18) | ×1 | 89 | 4 |
| Transitions of Care (C19) | ×1 | 75 | 4 |
| Follow-up after Emergency Department Visit for People with Multiple High-Risk Chronic Conditions (C20) | ×1 | 59 | 2 |
| Complaints about the Health Plan (C27) | ×2 | 0.21 | 4 |
| Health Plan Quality Improvement (C29) | ×5 | – | 2 |
| Plan Makes Timely Decisions about Appeals (C30) | ×2 | 100 | 5 |
| Reviewing Appeals Decisions (C31) | ×2 | 100 | 5 |
| Complaints about the Drug Plan (D02) | ×2 | 0.21 | 4 |
| Drug Plan Quality Improvement (D04) | ×5 | – | 3 |
| MPF Price Accuracy (D07) | ×1 | 99 | 4 |
| Medication Adherence for Diabetes Medications (D08) | ×3 | 87 | 2 |
| Medication Adherence for Hypertension (RAS antagonists) (D09) | ×3 | 89 | 3 |
| Medication Adherence for Cholesterol (Statins) (D10) | ×3 | 88 | 3 |
| Statin Use in Persons with Diabetes (SUPD) (D11) | ×1 | 84 | 2 |
| Concurrent Use of Opioids and Benzodiazepines (COB) (D12) | ×1 | 21 | 1 |
| Polypharmacy: Use of Multiple Anticholinergic Medications in Older Adults (Poly-ACH) (D13) | ×1 | 14 | 2 |
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Other Elevance Health, Inc. contracts
H0544 · Anthem Blue Cross · 3.5 starsH0629 · Anthem Blue Cross and Blue Shield · not ratedH0907 · Wellpoint · 3.5 starsH1212 · Wellpoint · not ratedH1423 · Wellpoint · 3.5 starsH1607 · Anthem Blue Cross and Blue Shield · 3.5 starsH1947 · Healthy Blue · 3.0 starsH2441 · Anthem Blue Cross and Blue Shield · 3.0 starsH2593 · Wellpoint · 3.0 starsH2628 · Anthem Blue Cross and Blue Shield · not ratedH2836 · Anthem Blue Cross and Blue Shield · 3.5 starsH3240 · Wellpoint · 3.0 starsH3447 · Anthem HealthKeepers · 3.0 starsH3529 · Anthem Blue Cross and Blue Shield · not ratedH3655 · Anthem Blue Cross and Blue Shield · 3.5 starsH4003 · Medicare y Mucho Mas (MMM) · 4.5 starsH4004 · Medicare y Mucho Mas (MMM) · 4.5 starsH4036 · Anthem Blue Cross and Blue Shield · 4.5 starsH4161 · Anthem Blue Cross Partnership Plan · 3.0 starsH4346 · Anthem Blue Cross and Blue Shield · 3.5 starsH4471 · Anthem Blue Cross · 3.0 starsH4694 · Anthem HealthKeepers · 3.5 starsH4909 · Anthem Blue Cross and Blue Shield · 3.0 starsH5422 · Anthem Blue Cross and Blue Shield · 3.5 starsH5427 · Freedom Health, Inc. · 4.0 starsH5431 · HealthSun Health Plans, Inc. · 4.5 starsH5471 · Simply Healthcare Plans, Inc. · 4.0 starsH5594 · Optimum HealthCare, Inc. · 4.5 starsH5828 · Wellpoint · 3.0 starsH5854 · Anthem Blue Cross and Blue Shield · 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.