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H4909 · Anthem Blue Cross and Blue Shield (ANTHEM INSURANCE COMPANIES, INC.): 2027 Star Rating
H4909 (Anthem Blue Cross and Blue Shield, ANTHEM INSURANCE COMPANIES, 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 · offers special needs plans.
2027 overall CMS
3.0
Part C 3.0 · Part D 3.5
2026 overall CMS
3.5
Part C 3.0 · Part D 3.5
Change Calc
-0.5
2027 vs 2026
Members Calc
10,187
CMS county files, October 2026
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What stands out for H4909
- Most of its members are in Virginia (9,232, 1.4% of Medicare Advantage members in CMS county files there). Calc
- Of the 27 rated contracts with members in Virginia, 18 have a higher 2027 rating and 8 have the same rating. Calc
- Largest other contract in Virginia: H3447 · Anthem HealthKeepers, 3.0 stars, 82,177 members. Calc
- At 3.0 stars it is below the 4-star line that sets 2028 quality bonus payments. CMS rule
- 3 of its 39 rated measures are at 5 stars; 16 are at 1 or 2 stars. Calc
- Its Part C rating (3.0) is lower than its Part D rating (3.5). CMS
Weakest high-weight measures
Measures with weight 2 or more and the lowest stars. These move the overall rating most.
- Diabetes Care - Blood Sugar Controlled (C12, weight ×3): 2 stars, score 81
- Controlling High Blood Pressure (C14, weight ×3): 2 stars, score 72
- Medication Adherence for Diabetes Medications (D08, weight ×3): 2 stars, score 87
- Getting Needed Care (C21, weight ×2): 2 stars, score 78
- Improving or Maintaining Physical Health (C04, weight ×3): 3 stars, score 71
All 2027 measure scores Sourced: CMS
| Measure | Weight | Score | Stars |
|---|---|---|---|
| Breast Cancer Screening (C01) | ×1 | 68 | 2 |
| Colorectal Cancer Screening (C02) | ×1 | 65 | 2 |
| Annual Flu Vaccine (C03) | ×1 | 67 | 4 |
| Improving or Maintaining Physical Health (C04) | ×3 | 71 | 3 |
| Improving or Maintaining Mental Health (C05) | ×3 | 84 | 3 |
| Monitoring Physical Activity (C06) | ×1 | 42 | 1 |
| Care for Older Adults - Medication Review (C08) | ×1 | 100 | 5 |
| Care for Older Adults - Functional Status Assessment (C09) | ×1 | 73 | 2 |
| Osteoporosis Management in Women who had a Fracture (C10) | ×1 | 27 | 1 |
| Diabetes Care - Eye Exam (C11) | ×1 | 66 | 2 |
| Diabetes Care - Blood Sugar Controlled (C12) | ×3 | 81 | 2 |
| Kidney Health Evaluation for Patients with Diabetes (C13) | ×1 | 58 | 2 |
| Controlling High Blood Pressure (C14) | ×3 | 72 | 2 |
| Reducing the Risk of Falling (C15) | ×1 | 53 | 2 |
| Improving Bladder Control (C16) | ×1 | 37 | 2 |
| Plan All-Cause Readmissions (C17) | ×3 | 10 | 4 |
| Statin Therapy for Patients with Cardiovascular Disease (C18) | ×1 | 85 | 2 |
| Transitions of Care (C19) | ×1 | 75 | 4 |
| Follow-up after Emergency Department Visit for People with Multiple High-Risk Chronic Conditions (C20) | ×1 | 55 | 2 |
| Getting Needed Care (C21) | ×2 | 78 | 2 |
| Customer Service (C23) | ×2 | 91 | 4 |
| Rating of Health Care Quality (C24) | ×2 | 86 | 3 |
| Rating of Health Plan (C25) | ×2 | 86 | 3 |
| Complaints about the Health Plan (C27) | ×2 | 0.24 | 4 |
| Members Choosing to Leave the Plan (C28) | ×2 | 11 | 4 |
| Plan Makes Timely Decisions about Appeals (C30) | ×2 | 98 | 4 |
| Reviewing Appeals Decisions (C31) | ×2 | 97 | 3 |
| 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 | 0.24 | 4 |
| Members Choosing to Leave the Plan (D03) | ×2 | 11 | 4 |
| Rating of Drug Plan (D05) | ×2 | 86 | 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 | 83 | 2 |
| Concurrent Use of Opioids and Benzodiazepines (COB) (D12) | ×1 | 11 | 4 |
| Polypharmacy: Use of Multiple Anticholinergic Medications in Older Adults (Poly-ACH) (D13) | ×1 | 7 | 4 |
Where H4909 has members
Virginia (9,232), Kentucky (824), Missouri (131)
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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 starsH4694 · Anthem HealthKeepers · 3.5 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.