|
hcontract
|
org type
|
contract name
|
org marketing name
|
parent org
|
C01 - Breast Cancer Screening
|
C02 - Colorectal Cancer Screening
|
C03 - Annual Flu Vaccine
|
C04 - Monitoring Physical Activity
|
C05 - Special Needs Plan (SNP) Care Management
|
C06 - Care for Older Adults-Medication Review
|
C07 - Care for Older Adults-Pain Assessment
|
C08 - Osteoporosis Management in Women who had a Fracture
|
C09 - Diabetes Care-Eye Exam
|
C10 - Diabetes Care-Blood Sugar Controlled
|
C11 - Controlling Blood Pressure
|
C12 - Reducing the Risk of Falling
|
C13 - Improving Bladder Control
|
C14 - Medication Reconciliation Post-Discharge
|
C15 - Plan All-Cause Readmissions
|
C16 - Statin Therapy for Patients with Cardiovascular Disease
|
C17 - Transitions of Care
|
C18 - Follow-up after ED Visit People with Multiple Chronic Conditions
|
C19 - Getting Needed Care
|
C20 - Getting Appointments and Care Quickly
|
C21 - Customer Service
|
C22 - Rating of Health Care Quality
|
C23 - Rating of Health Plan
|
C24 - Care Coordination
|
C25 - Complaints about the Health Plan
|
C26 - Members Choosing to Leave the Plan
|
C27 - Health Plan Quality Improvement
|
C28 - Plan Makes Timely Decisions about Appeals
|
C29 - Reviewing Appeals Decisions
|
C30 - Call Center-Foreign Language Interpreter and TTY Availability
|
D01 - Call Center-Foreign Language Interpreter and TTY Availability
|
D02 - Complaints about the Drug Plan
|
D03 - Members Choosing to Leave the Plan
|
D04 - Drug Plan Quality Improvement
|
D05 - Rating of Drug Plan
|
D06 - Getting Needed Prescription Drugs
|
D07 - MPF Price Accuracy
|
D08 - Medication Adherence for Diabetes Medications
|
D09 - Medication Adherence for Hypertension (RAS antagonists)
|
D10 - Medication Adherence for Cholesterol (Statins)
|
D11 - MTM Program Completion Rate for CMR
|
D12 - Statin Use in Persons with Diabetes (SUPD)
|
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| E3014 | Employer/Union Only Direct Contract PDP | PSERS HOP PROGRAM | Pennsylvania Public School Employees Retirement Sy | Commonwealth of PA Pub Schools Retirement System | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 0.01 | Not enough data available | Medicare shows only a Star Rating for this topic | 88 | 92 | Not enough data available | 89% | 91% | 89% | 66% | 85% |
| H0022 | Demo | BUCKEYE COMMUNITY HEALTH PLAN, INC. | Buckeye Health Plan - MyCare Ohio | Centene Corporation | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available |
| H0028 | Local CCP | CHA HMO, INC. | Humana | Humana Inc | 74% | 75% | 73% | 58% | 77% | 95% | 97% | 44% | 79% | 85% | 75% | 62% | 44% | 85% | 10% | 86% | 63% | 64% | 80 | 75 | 92 | 87 | 88 | 84 | 0.13 | 19% | Medicare shows only a Star Rating for this topic | 98% | 97% | 97% | 100% | 0.13 | 19% | Medicare shows only a Star Rating for this topic | 89 | 89 | 88 | 86% | 89% | 88% | 84% | 88% |
| H0029 | Local CCP | COORDINATED CARE OF WASHINGTON, INC. | Allwell | Centene Corporation | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | No data available | Not enough data available | Not enough data available | Not enough data available | Not enough data available | Not enough data available | Not enough data available | No data available | Not enough data available | Not enough data available | Plan too small to be measured | Plan too small to be measured | Not enough data available | Not enough data available | Not enough data available | Not enough data available | Plan not required to report | Not enough data available |
| H0034 | Local CCP | HAMASPIK, INC. | Hamaspik Inc. | Hamaspik of Rockland County Inc | Not enough data available | Not enough data available | Plan too small to be measured | 66% | CMS identified issues with this plan's data | 76% | 75% | Not enough data available | 25% | 39% | 63% | Not enough data available | Not enough data available | 14% | No data available | Not enough data available | 23% | No data available | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | 0.83 | 19% | Not enough data available | Not enough data available | Not enough data available | 86% | 89% | 0.83 | 19% | Medicare shows only a Star Rating for this topic | Plan too small to be measured | Plan too small to be measured | 86 | 85% | 85% | 80% | 95% | 85% |
| H0062 | Local CCP | SUPERIOR HEALTHPLAN, INC. | Wellcare by Allwell | Centene Corporation | 66% | 62% | Plan too small to be measured | 58% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 69% | 71% | 59% | Not enough data available | Not enough data available | 42% | No data available | 94% | 34% | 43% | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | 0.2 | Not enough data available | Not enough data available | Not enough data available | Not enough data available | Not enough data available | Not enough data available | 0.2 | Not enough data available | Medicare shows only a Star Rating for this topic | Plan too small to be measured | Plan too small to be measured | 98 | 84% | 85% | 84% | 83% | 91% |
| H0074 | Local CCP | WELLCARE OF MISSISSIPPI, INC. | Wellcare | Centene Corporation | 77% | 56% | 63% | 46% | No data available | No data available | No data available | Not enough data available | 63% | 56% | 51% | Not enough data available | Not enough data available | 50% | No data available | Not enough data available | 36% | 57% | 82 | 74 | 90 | 83 | 84 | 88 | 0.79 | 49% | Not enough data available | Not enough data available | Not enough data available | 97% | 100% | 0.79 | 49% | Medicare shows only a Star Rating for this topic | 85 | 91 | 98 | 80% | 82% | 81% | 88% | 85% |
| H0088 | Local CCP | WELLCARE HEALTH INSURANCE OF NEW YORK, INC. | Wellcare | Centene Corporation | Not enough data available | 42% | 64% | 45% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 60% | 68% | 59% | Not enough data available | Not enough data available | 32% | No data available | Not enough data available | 32% | 35% | 72 | Not enough data available | Not enough data available | Not enough data available | 77 | Not enough data available | 3.31 | 40% | Not enough data available | Not enough data available | Not enough data available | 98% | 100% | 3.31 | 40% | Medicare shows only a Star Rating for this topic | 77 | Not enough data available | 99 | 82% | 80% | 82% | 83% | 80% |
| H0104 | Local CCP | BLUE CROSS AND BLUE SHIELD OF ALABAMA | Blue Cross and Blue Shield of Alabama | BlueCross BlueShield of Alabama | 75% | 72% | 71% | 48% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 35% | 76% | 88% | 75% | 50% | 47% | 88% | 11% | 81% | 72% | 52% | 85 | 76 | 92 | 87 | 90 | 86 | 0.04 | 5% | Medicare shows only a Star Rating for this topic | 100% | 98% | 97% | 98% | 0.04 | 5% | Medicare shows only a Star Rating for this topic | 86 | 91 | 98 | 83% | 88% | 85% | 81% | 82% |
| H0107 | Local CCP | HEALTH CARE SERVICE CORPORATION | Blue Cross and Blue Shield of Montana | Health Care Service Corporation | 76% | 76% | 77% | 48% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 22% | 74% | 82% | 75% | 50% | 47% | 73% | 9% | 82% | 66% | 55% | 82 | 77 | 90 | 86 | 86 | 87 | 0.1 | 6% | Medicare shows only a Star Rating for this topic | 98% | 88% | 98% | 97% | 0.1 | 6% | Medicare shows only a Star Rating for this topic | 84 | 88 | 98 | 86% | 88% | 87% | 91% | 84% |