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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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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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% |
| S8067 | PDP | Avalon Insurance Company | Avalon Insurance Company | CAPITAL BLUE CROSS | 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 | 84% | 0.11 | 25% | Medicare shows only a Star Rating for this topic | 78 | 87 | 97 | 89% | 91% | 89% | 63% | 82% |
| H3962 | Local CCP | KEYSTONE HEALTH PLAN CENTRAL INC. | Capital Blue Cross | CAPITAL BLUE CROSS | 72% | 74% | 81% | 41% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 33% | 80% | 88% | 73% | 62% | 41% | 79% | 11% | 86% | 64% | 58% | 83 | 80 | 91 | 88 | 88 | 88 | 0.08 | 9% | Medicare shows only a Star Rating for this topic | 100% | 97% | 78% | 84% | 0.08 | 9% | Medicare shows only a Star Rating for this topic | 87 | 90 | 97 | 89% | 90% | 89% | 70% | 86% |
| H3923 | Local CCP | CAPITAL ADVANTAGE INSURANCE COMPANY | Capital Blue Cross | CAPITAL BLUE CROSS | 76% | 74% | 76% | 49% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 29% | 82% | 89% | 69% | 59% | 47% | 77% | 9% | 84% | 65% | 63% | 82 | 80 | 91 | 87 | 88 | 87 | 0.13 | 4% | Medicare shows only a Star Rating for this topic | 99% | 97% | 78% | 84% | 0.13 | 4% | Medicare shows only a Star Rating for this topic | 86 | 91 | 97 | 89% | 91% | 90% | 66% | 84% |
| H5042 | Local CCP | CDPHP UNIVERSAL BENEFITS INC. | CDPHP Medicare Advantage | Capital District Physicians Health Plan Inc. | 87% | 87% | 83% | 55% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 31% | 82% | 90% | 83% | 47% | 49% | 67% | 9% | 88% | 73% | 65% | 83 | 79 | 93 | 88 | 90 | 86 | 0.05 | 7% | Medicare shows only a Star Rating for this topic | 100% | 95% | 95% | 95% | 0.05 | 7% | Medicare shows only a Star Rating for this topic | 84 | 87 | 99 | 89% | 91% | 90% | 84% | 82% |
| H3388 | Local CCP | CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN INC. | CDPHP Medicare Advantage | Capital District Physicians Health Plan Inc. | 82% | 85% | 85% | 50% | No data available | No data available | No data available | 31% | 81% | 86% | 84% | 49% | 47% | 71% | 10% | 86% | 76% | 65% | 83 | 80 | 94 | 88 | 91 | 87 | 0.04 | 4% | Medicare shows only a Star Rating for this topic | 99% | 96% | 95% | 95% | 0.04 | 4% | Medicare shows only a Star Rating for this topic | 86 | 88 | 99 | 87% | 91% | 90% | 85% | 83% |
| H6067 | Local CCP | CAREFIRST ADVANTAGE INC. | CareFirst BlueCross BlueShield Medicare Advantage | CareFirst Inc. | 74% | 61% | 72% | 52% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 43% | 81% | 67% | Not enough data available | Not enough data available | 68% | 16% | 75% | 62% | 59% | 78 | 74 | 87 | 84 | 80 | 83 | 0.44 | 24% | Medicare shows only a Star Rating for this topic | 100% | 95% | 94% | 100% | 0.44 | 24% | Medicare shows only a Star Rating for this topic | 78 | 86 | 98 | 79% | 83% | 80% | 88% | 82% |
| H7379 | Local CCP | CAREFIRST ADVANTAGE PPO INC. | CareFirst BlueCross BlueShield Medicare Advantage | CareFirst Inc. | 63% | 77% | 74% | Plan too new to be measured | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 66% | 79% | 68% | Plan too new to be measured | Plan too new to be measured | 59% | No data available | Not enough data available | 57% | Not enough data available | 83 | 76 | Not enough data available | 87 | 84 | 86 | 0.18 | Not enough data available | Not enough data available | Not enough data available | Not enough data available | Not enough data available | Not enough data available | 0.18 | Not enough data available | Not enough data available | 85 | 89 | Not enough data available | 90% | 90% | 86% | 86% | 86% |