Aetna The star ratings for 2027 reflect strong clinical quality and member experience
PR Newswire
1h ago
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According to Aetna, based on the CMS star ratings for 2027, over 69% of the members belonging to Medicare Advantage programs received a rating of 4 stars or above. The company stated that this result has placed Aetna in the ranks of high-performing institutions among the large listed Medicare Advantage companies for the third consecutive year.
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Hartford, Connecticut, October 8, 2026 / PRNewswire / -- CVS Health's subsidiary Aetna ® (NYSE ticker: CVS) announced today that, according to the 2027 plan star ratings assessed by the Centers for Medicare & Medicaid Services ( CMS ), over 69% of the plans for Medicare Advantage ( MA ) members received 4 stars or more (out of a full 5 stars). The company stated that this result makes Aetna the best-performing large publicly traded Medicare Advantage institution in the Star Ratings program for the third consecutive year, and reflects its strong performance in various indicators such as clinical quality, preventive care, and member experience.

"For many years, Aetna has been a leader in the field of Star Ratings, and this year's results highlight our unique position in the market," said Steve Nelson, President of Aetna. "We continue to strengthen our business with a firm focus on fundamentals and disciplined execution, and we are encouraged by our performance in areas such as clinical quality and operational excellence. This focus gives us the confidence to achieve our goal of returning to appropriate profit margins, while also making continuous improvements to bring a better experience and results to our members who rely on us."

Outstanding clinical quality performance

The company stated that the star rating results for 2027 showed it to perform exceptionally well in several key clinical quality indicators.

  • Aetna achieved an excellent score of 4.77 out of 5 stars in the "Planned Readmission Rate" (from Plan All to Cause Readmissions), demonstrating its capability in nursing coordination, cooperation with medical service providers, and assisting members in smoothly transitioning between different nursing scenarios. Preventing members from being readmitted to hospital is one of the most important indicators of medical quality.
  • The company received 5.00 stars in "Medication Review for the Elderly" ( Care for Older Adults Medication Review ) and 4.03 stars in "Functional Status Assessment for the Elderly" ( Care for Older Adults Functional Status Assessment ), demonstrating the support it provides in helping members manage their health and maintain an independent lifestyle.
  • In terms of early detection and preventive healthcare, the company has also achieved strong results in screening indicators, including a score of 4.19 for colorectal cancer screening and 4.07 for breast cancer screening.

Provide a high-quality member experience

Aetna has also achieved outstanding results in indicators related to member experience and customer support quality.

  • The "Pharmaceutical Plan Complaint Rate" is relatively low, scoring 4.29 stars, which indicates that members have confidence in their services and also reflects the company's commitment to solving problems quickly and effectively.
  • "Customer Service" received a score of 4.04 stars, "Obtaining Required Care" received 3.89 stars, and "Obtaining Required Prescription Drugs" received 4.07 stars, further demonstrating the company's commitment to making medical services more accessible and easier to use.
  • Aetna received a score of 4.22 in "Medical Quality Rating" ( Rating of Health Care Quality ), reflecting members' positive feelings towards their medical service providers and the overall nursing experience supported by Aetna.

In addition, the company has also demonstrated excellent operational performance in service and administrative management indicators, including a score of 4.99 for "Telephone Center Foreign Language Interpretation and Teletype Availability," 4.08 for "Review of Complaint Decisions," 4.01 for "Timeliness of Complaint Decision-Making," and 4.01 for "Accuracy of Drug Prices." The company states that these results reflect its commitment to providing accurate information, fair processes, timely decisions, and accessible support to each member.

Medicare Every year, the program is evaluated based on a 5-star rating system. The star ratings are published on Medicare.gov. Visit AetnaMedicare.com to learn more about the 2027 Aetna Medicare program information. You can also call 1-844-588-0041 (ext. 711), with service available 7 days a week from 8 a.m. to 8 p.m. The annual enrollment period for Medicare is from October 15 to December 7, 2026. Those who answer the phone may be licensed agents.

Note: The information in this press release is based on the 2027 Star Ratings data released by CMS on October 8, 2026, as well as the participation status of MA and MAPD as of September 2026. The ratings for individual plans may vary.

*Explanation of star rating indicators:*All scores are based on a five-star rating system.

About CVS Health

CVS Health is a leading health solutions company dedicated to improving healthcare services by "simplifying medical care for everyone, every family, and every community." As of June 30, 2026, the company operates approximately 9,000 retail pharmacies, over 1,000 walk-in and primary care clinics, and is also a leading provider of pharmacy benefits management services, serving around 87 million plan members. Additionally, through a wide range of health insurance products and related services, the company provides coverage for an estimated 37 million people. Its integrated approach utilizes personalized, technology-driven services to connect people with better health, enhances access to high-quality care, leads to better outcomes, and reduces overall costs.

About Aetna

Aetna is a business under CVS Health, providing information and resources to an estimated 37 million people to help them make more informed decisions regarding healthcare. Aetna offers a wide range of traditional, voluntary, and consumer-oriented health insurance products and related services, including medical, pharmacy, dental, and behavioral health programs, as well as medical management capabilities. Medicaid provides healthcare management services, workers' compensation administrative services, and health information technology products and services. The clients of Aetna include employer groups, individuals, college students, part-time and hourly workers, health plans, healthcare service providers, government agencies, government-funded programs, unions, and expatriates. For more information, please visit Aetna.com.

Aetna Medicare is a plan for HMO and PPO, and is subject to the constraints of the Medicare contract. Its special needs plan (SNP) also has a contract with the state Medicaid project. Whether one can join depends on the contract renewal. For a complete description of the plan benefits, exclusions, limitations, and coverage conditions, please refer to the warranty statement. Plan features and availability may vary depending on the service area.

To file a complaint with Aetna, please call the number listed on that program or membership card. To file a complaint with Medicare, please call 1-800- MEDICARE (TTY users should call 1-877-486-2048). Service is available 24 hours a day, 7 days a week. If the complaint involves a broker or agent, be sure to provide their name when submitting the complaint.

©2026 Aetna Inc.

Media Contact

Phil Blando
[ email protected ]

Investor Contact Person

Larry McGrath
800-201-0938
[ email protected ]

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