CareStars › All contracts › H4605
H4605 · Regence BlueCross BlueShield of Utah: 2027 Star Rating
H4605 (Regence BlueCross BlueShield of Utah, REGENCE BLUECROSS BLUESHIELD OF UTAH) earned 4.5 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
4.5
Part C 4.0 · Part D 4.5
2026 overall CMS
3.5
Part C 3.5 · Part D 3.5
Change Calc
+1.0
2027 vs 2026
Members Calc
6,150
CMS county files, October 2026
Open H4605 in CareStars: bonus at stake, measures to fix, local rivalsTalk to Carelytics about H4605
What stands out for H4605
- Most of its members are in Utah (6,150, 2.4% of Medicare Advantage members in CMS county files there). Calc
- Of the 11 rated contracts with members in Utah, 1 has a higher 2027 rating and 2 have the same rating. Calc
- Largest other contract in Utah: H4604 · UnitedHealthcare, 4.0 stars, 104,066 members. Calc
- At 4.5 stars it is at or above the 4-star line that sets 2028 quality bonus payments. CMS rule
- 14 of its 42 rated measures are at 5 stars; 4 are at 1 or 2 stars. Calc
- Its Part C rating (4.0) is lower than its Part D rating (4.5). CMS
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
- Diabetes Care - Blood Sugar Controlled (C12, weight ×3): 3 stars, score 87
- Controlling High Blood Pressure (C14, weight ×3): 3 stars, score 81
- Medication Adherence for Diabetes Medications (D08, weight ×3): 3 stars, score 89
- Customer Service (C23, weight ×2): 3 stars, score 90
All 2027 measure scores Sourced: CMS
| Measure | Weight | Score | Stars |
|---|---|---|---|
| Breast Cancer Screening (C01) | ×1 | 75 | 3 |
| Colorectal Cancer Screening (C02) | ×1 | 81 | 4 |
| Annual Flu Vaccine (C03) | ×1 | 77 | 5 |
| Improving or Maintaining Physical Health (C04) | ×3 | 71 | 3 |
| Improving or Maintaining Mental Health (C05) | ×3 | 85 | 4 |
| Monitoring Physical Activity (C06) | ×1 | 60 | 4 |
| Osteoporosis Management in Women who had a Fracture (C10) | ×1 | 35 | 2 |
| Diabetes Care - Eye Exam (C11) | ×1 | 80 | 4 |
| Diabetes Care - Blood Sugar Controlled (C12) | ×3 | 87 | 3 |
| Kidney Health Evaluation for Patients with Diabetes (C13) | ×1 | 68 | 3 |
| Controlling High Blood Pressure (C14) | ×3 | 81 | 3 |
| Reducing the Risk of Falling (C15) | ×1 | 62 | 3 |
| Improving Bladder Control (C16) | ×1 | 46 | 3 |
| Plan All-Cause Readmissions (C17) | ×3 | 7 | 5 |
| Statin Therapy for Patients with Cardiovascular Disease (C18) | ×1 | 83 | 2 |
| Transitions of Care (C19) | ×1 | 68 | 3 |
| Follow-up after Emergency Department Visit for People with Multiple High-Risk Chronic Conditions (C20) | ×1 | 62 | 2 |
| Getting Needed Care (C21) | ×2 | 86 | 5 |
| Getting Appointments and Care Quickly (C22) | ×2 | 86 | 5 |
| Customer Service (C23) | ×2 | 90 | 3 |
| Rating of Health Care Quality (C24) | ×2 | 89 | 5 |
| Rating of Health Plan (C25) | ×2 | 88 | 4 |
| Care Coordination (C26) | ×2 | 87 | 3 |
| Complaints about the Health Plan (C27) | ×2 | 0.02 | 5 |
| Members Choosing to Leave the Plan (C28) | ×2 | 5 | 5 |
| Health Plan Quality Improvement (C29) | ×5 | – | 4 |
| Plan Makes Timely Decisions about Appeals (C30) | ×2 | 99 | 4 |
| Reviewing Appeals Decisions (C31) | ×2 | 99 | 4 |
| 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 | 0.02 | 5 |
| Members Choosing to Leave the Plan (D03) | ×2 | 5 | 5 |
| Drug Plan Quality Improvement (D04) | ×5 | – | 5 |
| Rating of Drug Plan (D05) | ×2 | 87 | 4 |
| Getting Needed Prescription Drugs (D06) | ×2 | 91 | 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 | 92 | 4 |
| Medication Adherence for Cholesterol (Statins) (D10) | ×3 | 92 | 4 |
| Statin Use in Persons with Diabetes (SUPD) (D11) | ×1 | 81 | 1 |
| Concurrent Use of Opioids and Benzodiazepines (COB) (D12) | ×1 | 14 | 3 |
| Polypharmacy: Use of Multiple Anticholinergic Medications in Older Adults (Poly-ACH) (D13) | ×1 | 6 | 4 |
Where H4605 has members
Utah (6,150)
Want to move a measure before December 31? Marples, the Carelytics care gap and member engagement platform, ranks the members whose open gaps would move a measure across the next cut point and reaches them by secure text. See how Marples works
Other Cambia Health Solutions, Inc. contracts
H1304 · Regence BlueShield of Idaho · 4.0 starsH1969 · Regence BlueShield of Idaho · not ratedH1997 · Regence BlueShield · not ratedH3817 · Regence BlueCross BlueShield of Oregon · 3.5 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.