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H4694 · Anthem HealthKeepers (HEALTHKEEPERS, INC.): 2027 Star Rating
H4694 (Anthem HealthKeepers, HEALTHKEEPERS, INC.) earned 3.5 stars in the 2027 Medicare Advantage Star Ratings. Parent company: Elevance Health, Inc. Plan type: Local CCP · offers special needs plans.
2027 overall CMS
3.5
Part C 3.5 · Part D 3.5
2026 overall CMS
–
Part C – · Part D –
Change Calc
–
2027 vs 2026
Members Calc
37,763
CMS county files, October 2026
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What stands out for H4694
- Most of its members are in Virginia (37,763, 5.8% of Medicare Advantage members in CMS county files there). Calc
- Of the 27 rated contracts with members in Virginia, 13 have a higher 2027 rating and 4 have the same rating. Calc
- Largest other contract in Virginia: H3447 · Anthem HealthKeepers, 3.0 stars, 82,177 members. Calc
- At 3.5 stars it is half a star below the 4-star line that sets 2028 quality bonus payments. CMS rule
- 4 of its 37 rated measures are at 5 stars; 11 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): 2 stars, score 76
- Plan All-Cause Readmissions (C17, weight ×3): 2 stars, score 12
- Medication Adherence for Diabetes Medications (D08, weight ×3): 2 stars, score 87
- Diabetes Care - Blood Sugar Controlled (C12, weight ×3): 3 stars, score 83
- Medication Adherence for Hypertension (RAS antagonists) (D09, weight ×3): 3 stars, score 88
All 2027 measure scores Sourced: CMS
| Measure | Weight | Score | Stars |
|---|---|---|---|
| Breast Cancer Screening (C01) | ×1 | 69 | 2 |
| Colorectal Cancer Screening (C02) | ×1 | 64 | 2 |
| Annual Flu Vaccine (C03) | ×1 | 56 | 2 |
| Special Needs Plan (SNP) Care Management (C07) | ×1 | 65 | 3 |
| Care for Older Adults - Medication Review (C08) | ×1 | 97 | 4 |
| Care for Older Adults - Functional Status Assessment (C09) | ×1 | 91 | 4 |
| Osteoporosis Management in Women who had a Fracture (C10) | ×1 | 19 | 1 |
| Diabetes Care - Eye Exam (C11) | ×1 | 68 | 2 |
| Diabetes Care - Blood Sugar Controlled (C12) | ×3 | 83 | 3 |
| Kidney Health Evaluation for Patients with Diabetes (C13) | ×1 | 59 | 2 |
| Controlling High Blood Pressure (C14) | ×3 | 76 | 2 |
| Plan All-Cause Readmissions (C17) | ×3 | 12 | 2 |
| Statin Therapy for Patients with Cardiovascular Disease (C18) | ×1 | 87 | 3 |
| Transitions of Care (C19) | ×1 | 73 | 4 |
| Follow-up after Emergency Department Visit for People with Multiple High-Risk Chronic Conditions (C20) | ×1 | 61 | 2 |
| Getting Needed Care (C21) | ×2 | 83 | 4 |
| Getting Appointments and Care Quickly (C22) | ×2 | 86 | 4 |
| Customer Service (C23) | ×2 | 89 | 3 |
| Rating of Health Care Quality (C24) | ×2 | 85 | 3 |
| Rating of Health Plan (C25) | ×2 | 88 | 4 |
| Complaints about the Health Plan (C27) | ×2 | 0.22 | 4 |
| Members Choosing to Leave the Plan (C28) | ×2 | 16 | 4 |
| Plan Makes Timely Decisions about Appeals (C30) | ×2 | 100 | 5 |
| 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 | 0.22 | 4 |
| Members Choosing to Leave the Plan (D03) | ×2 | 16 | 4 |
| Rating of Drug Plan (D05) | ×2 | 89 | 4 |
| Getting Needed Prescription Drugs (D06) | ×2 | 90 | 4 |
| MPF Price Accuracy (D07) | ×1 | 99 | 4 |
| Medication Adherence for Diabetes Medications (D08) | ×3 | 87 | 2 |
| Medication Adherence for Hypertension (RAS antagonists) (D09) | ×3 | 88 | 3 |
| Medication Adherence for Cholesterol (Statins) (D10) | ×3 | 88 | 3 |
| Statin Use in Persons with Diabetes (SUPD) (D11) | ×1 | 88 | 3 |
| Concurrent Use of Opioids and Benzodiazepines (COB) (D12) | ×1 | 16 | 3 |
| Polypharmacy: Use of Multiple Anticholinergic Medications in Older Adults (Poly-ACH) (D13) | ×1 | 14 | 2 |
Where H4694 has members
Virginia (37,763)
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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 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 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.