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C01 - Breast Cancer Screening
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C02 - Colorectal Cancer Screening
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C03 - Annual Flu Vaccine
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C04 - Monitoring Physical Activity
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C05 - Special Needs Plan (SNP) Care Management
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C06 - Care for Older Adults-Medication Review
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C07 - Care for Older Adults-Pain Assessment
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C08 - Osteoporosis Management in Women who had a Fracture
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C09 - Diabetes Care-Eye Exam
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C10 - Diabetes Care-Blood Sugar Controlled
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C11 - Controlling Blood Pressure
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C12 - Reducing the Risk of Falling
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C13 - Improving Bladder Control
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C14 - Medication Reconciliation Post-Discharge
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C15 - Plan All-Cause Readmissions
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C16 - Statin Therapy for Patients with Cardiovascular Disease
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C17 - Transitions of Care
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C18 - Follow-up after ED Visit People with Multiple Chronic Conditions
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C19 - Getting Needed Care
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C20 - Getting Appointments and Care Quickly
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C21 - Customer Service
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C22 - Rating of Health Care Quality
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C23 - Rating of Health Plan
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C24 - Care Coordination
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C25 - Complaints about the Health Plan
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C26 - Members Choosing to Leave the Plan
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C27 - Health Plan Quality Improvement
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C28 - Plan Makes Timely Decisions about Appeals
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C29 - Reviewing Appeals Decisions
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C30 - Call Center-Foreign Language Interpreter and TTY Availability
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D01 - Call Center-Foreign Language Interpreter and TTY Availability
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D02 - Complaints about the Drug Plan
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D03 - Members Choosing to Leave the Plan
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D04 - Drug Plan Quality Improvement
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D05 - Rating of Drug Plan
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D06 - Getting Needed Prescription Drugs
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D07 - MPF Price Accuracy
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D08 - Medication Adherence for Diabetes Medications
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D09 - Medication Adherence for Hypertension (RAS antagonists)
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D10 - Medication Adherence for Cholesterol (Statins)
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D11 - MTM Program Completion Rate for CMR
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D12 - Statin Use in Persons with Diabetes (SUPD)
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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| H5928 | Local CCP | California Physicians' Service | Blue Shield of California | California Physicians Service | 74% | 72% | 77% | 58% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 57% | 80% | 79% | 71% | 56% | Not enough data available | 65% | 11% | 85% | 42% | 57% | 78 | 75 | 87 | 86 | 86 | 81 | 0.09 | 14% | Medicare shows only a Star Rating for this topic | 98% | 97% | 100% | 100% | 0.09 | 14% | Medicare shows only a Star Rating for this topic | 86 | 88 | 98 | 85% | 86% | 83% | 86% | 90% |
| S2468 | PDP | CALIFORNIA PHYSICIANS' SERVICE | Blue Shield of California | California Physicians Service | 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 | 100% | 0.04 | 6% | Medicare shows only a Star Rating for this topic | 83 | 90 | 98 | 85% | 87% | 86% | 80% | 81% |
| H4937 | Local CCP | CALIFORNIA PHYSICIANS' SERVICE | Blue Shield of California | California Physicians Service | 83% | 75% | 77% | 54% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 77% | 71% | 58% | 48% | Not enough data available | 62% | 15% | 91% | 53% | 67% | 79 | 75 | 88 | 84 | 86 | 84 | 0.05 | 1% | Medicare shows only a Star Rating for this topic | 82% | Not enough data available | 100% | 100% | 0.05 | 1% | Medicare shows only a Star Rating for this topic | 87 | 88 | 98 | 91% | 93% | 90% | 69% | 84% |
| S5916 | PDP | REGENCE BLUESHIELD OF IDAHO AND REGENCE BC BS UTAH | Regence BlueShield of Idaho and Regence BC BS Utah | Cambia Health Solutions Inc. | 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 | 98% | 0.06 | 4% | Medicare shows only a Star Rating for this topic | 83 | 90 | 96 | 85% | 86% | 87% | 59% | 84% |
| H1997 | Local CCP | REGENCE BLUESHIELD | Regence BlueShield | Cambia Health Solutions Inc. | 77% | 82% | 74% | 54% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 72% | 84% | 74% | 50% | 53% | 72% | 10% | 91% | 71% | 56% | 76 | 75 | 92 | 82 | 84 | 85 | 0.1 | 16% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 97% | 98% | 0.1 | 16% | Medicare shows only a Star Rating for this topic | 82 | 89 | 98 | 87% | 90% | 88% | 71% | 84% |
| H5009 | Local CCP | REGENCE BLUESHIELD | Regence BlueShield | Cambia Health Solutions Inc. | 75% | 78% | 72% | 47% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 44% | 72% | 75% | 72% | 47% | 51% | 54% | 7% | 84% | 60% | 57% | 78 | 75 | 91 | 83 | 85 | 84 | 0.06 | 8% | Medicare shows only a Star Rating for this topic | 99% | 88% | 97% | 98% | 0.06 | 8% | Medicare shows only a Star Rating for this topic | 82 | 89 | 98 | 87% | 89% | 89% | 71% | 83% |
| H1304 | Local CCP | REGENCE BLUESHIELD OF IDAHO INC. | Regence BlueShield Of Idaho | Cambia Health Solutions Inc. | 80% | 82% | 73% | 48% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 76% | 75% | 69% | 47% | 46% | 45% | 5% | 81% | 50% | 57% | 81 | 81 | 91 | 86 | 87 | 86 | 0.02 | 5% | Medicare shows only a Star Rating for this topic | 100% | 92% | 97% | 98% | 0.02 | 5% | Medicare shows only a Star Rating for this topic | 84 | 90 | 91 | 85% | 89% | 89% | 75% | 77% |
| H1969 | Local CCP | REGENCE BLUESHIELD OF IDAHO INC. | Regence BlueShield of Idaho | Cambia Health Solutions Inc. | 70% | 76% | 71% | 52% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 76% | 78% | 67% | 55% | 36% | 70% | No data available | 79% | 72% | 57% | 82 | 81 | 92 | 87 | 87 | 88 | 0.07 | 12% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 97% | 98% | 0.07 | 12% | Medicare shows only a Star Rating for this topic | 86 | 91 | 98 | 86% | 91% | 86% | 85% | 85% |
| S5609 | PDP | ASURIS NORTHWEST HEALTH | Asuris Northwest Health | Cambia Health Solutions Inc. | 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 | 98% | 0.02 | 7% | Medicare shows only a Star Rating for this topic | 82 | 88 | 97 | 87% | 88% | 88% | 67% | 79% |
| H5010 | Local CCP | ASURIS NORTHWEST HEALTH | Asuris Northwest Health | Cambia Health Solutions Inc. | 73% | 81% | 74% | 47% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 77% | 84% | 74% | Not enough data available | Not enough data available | 62% | No data available | Not enough data available | 76% | 54% | 82 | 81 | 93 | 87 | 87 | 88 | 0.15 | 3% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 97% | 98% | 0.15 | 3% | Medicare shows only a Star Rating for this topic | 85 | 89 | 98 | 85% | 88% | 89% | 81% | 82% |