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H4036 · Anthem Blue Cross and Blue Shield (ANTHEM INSURANCE COMPANIES, INC.): 2027 Star Rating
H4036 (Anthem Blue Cross and Blue Shield, ANTHEM INSURANCE COMPANIES, INC.) earned 4.5 stars in the 2027 Medicare Advantage Star Ratings, up from 4.0 in 2026. Parent company: Elevance Health, Inc. Plan type: Local CCP.
2027 overall CMS
4.5
Part C 4.5 · Part D 4.5
2026 overall CMS
4.0
Part C 4.0 · Part D 4.5
Change Calc
+0.5
2027 vs 2026
Members Calc
109,398
CMS county files, October 2026
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What stands out for H4036
- Most of its members are in Georgia (49,501, 5.0% of Medicare Advantage members in CMS county files there). Calc
- Of the 28 rated contracts with members in Georgia, 2 have a higher 2027 rating and 2 have the same rating. Calc
- Largest other contract in Georgia: H5216 · Humana, 4.0 stars, 134,554 members. Calc
- At 4.5 stars it is at or above the 4-star line that sets 2028 quality bonus payments. CMS rule
- 13 of its 42 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 Physical Health (C04, weight ×3): 3 stars, score 71
- Improving or Maintaining Mental Health (C05, weight ×3): 3 stars, score 84
- Controlling High Blood Pressure (C14, weight ×3): 3 stars, score 83
- Medication Adherence for Diabetes Medications (D08, weight ×3): 3 stars, score 90
- Plan Makes Timely Decisions about Appeals (C30, weight ×2): 3 stars, score 96
All 2027 measure scores Sourced: CMS
| Measure | Weight | Score | Stars |
|---|---|---|---|
| Breast Cancer Screening (C01) | ×1 | 82 | 4 |
| Colorectal Cancer Screening (C02) | ×1 | 79 | 4 |
| Annual Flu Vaccine (C03) | ×1 | 76 | 5 |
| Improving or Maintaining Physical Health (C04) | ×3 | 71 | 3 |
| Improving or Maintaining Mental Health (C05) | ×3 | 84 | 3 |
| Monitoring Physical Activity (C06) | ×1 | 53 | 3 |
| Osteoporosis Management in Women who had a Fracture (C10) | ×1 | 32 | 2 |
| Diabetes Care - Eye Exam (C11) | ×1 | 74 | 3 |
| Diabetes Care - Blood Sugar Controlled (C12) | ×3 | 91 | 4 |
| Kidney Health Evaluation for Patients with Diabetes (C13) | ×1 | 66 | 3 |
| Controlling High Blood Pressure (C14) | ×3 | 83 | 3 |
| Reducing the Risk of Falling (C15) | ×1 | 58 | 3 |
| Improving Bladder Control (C16) | ×1 | 47 | 4 |
| Plan All-Cause Readmissions (C17) | ×3 | 10 | 4 |
| Statin Therapy for Patients with Cardiovascular Disease (C18) | ×1 | 85 | 2 |
| Transitions of Care (C19) | ×1 | 79 | 4 |
| Follow-up after Emergency Department Visit for People with Multiple High-Risk Chronic Conditions (C20) | ×1 | 63 | 2 |
| Getting Needed Care (C21) | ×2 | 83 | 4 |
| Getting Appointments and Care Quickly (C22) | ×2 | 86 | 4 |
| Customer Service (C23) | ×2 | 92 | 4 |
| Rating of Health Care Quality (C24) | ×2 | 90 | 5 |
| Rating of Health Plan (C25) | ×2 | 91 | 5 |
| Care Coordination (C26) | ×2 | 88 | 4 |
| Complaints about the Health Plan (C27) | ×2 | 0.06 | 5 |
| Members Choosing to Leave the Plan (C28) | ×2 | 3 | 5 |
| Health Plan Quality Improvement (C29) | ×5 | – | 5 |
| Plan Makes Timely Decisions about Appeals (C30) | ×2 | 96 | 3 |
| Reviewing Appeals Decisions (C31) | ×2 | 100 | 5 |
| Call Center - Foreign Language Interpreter and TTY Availability (C32) | ×2 | 100 | 5 |
| Call Center - Foreign Language Interpreter and TTY Availability (D01) | ×2 | 100 | 5 |
| Complaints about the Drug Plan (D02) | ×2 | 0.06 | 5 |
| Members Choosing to Leave the Plan (D03) | ×2 | 3 | 5 |
| Drug Plan Quality Improvement (D04) | ×5 | – | 5 |
| Rating of Drug Plan (D05) | ×2 | 90 | 5 |
| Getting Needed Prescription Drugs (D06) | ×2 | 90 | 4 |
| MPF Price Accuracy (D07) | ×1 | 99 | 4 |
| Medication Adherence for Diabetes Medications (D08) | ×3 | 90 | 3 |
| Medication Adherence for Hypertension (RAS antagonists) (D09) | ×3 | 91 | 4 |
| Medication Adherence for Cholesterol (Statins) (D10) | ×3 | 90 | 4 |
| Statin Use in Persons with Diabetes (SUPD) (D11) | ×1 | 84 | 2 |
| Concurrent Use of Opioids and Benzodiazepines (COB) (D12) | ×1 | 13 | 3 |
| Polypharmacy: Use of Multiple Anticholinergic Medications in Older Adults (Poly-ACH) (D13) | ×1 | 8 | 3 |
Where H4036 has members
Georgia (49,501), Ohio (36,369), Kentucky (16,716), Wisconsin (6,812)
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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 ratedH3536 · Anthem Blue Cross and Blue Shield · 3.0 starsH3655 · Anthem Blue Cross and Blue Shield · 3.5 starsH4003 · Medicare y Mucho Mas (MMM) · 4.5 starsH4004 · Medicare y Mucho Mas (MMM) · 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.