Measure Data : 2024-i

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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)
H0908 Local CCP BUCKEYE COMMUNITY HEALTH PLAN INC. Wellcare by Allwell Centene Corporation 67% 53% 57% 38% 45% 96% 86% Not enough data available 49% 73% 70% 56% 31% 35% 13% 90% 31% 54% 80 78 Not enough data available 85 82 Not enough data available 1.2 49% Medicare shows only a Star Rating for this topic 100% 100% 98% 100% 1.2 49% Medicare shows only a Star Rating for this topic 83 87 98 82% 83% 82% 86% 82%
H0913 Local CCP WELLCARE HEALTH PLANS OF NEW JERSEY INC. Wellcare Centene Corporation 64% 57% 72% 52% 64% 89% 91% Not enough data available 51% 81% 67% Not enough data available Not enough data available 42% 9% 85% 35% 56% 79 74 Not enough data available Not enough data available 84 Not enough data available 0.61 30% Medicare shows only a Star Rating for this topic 79% 98% 98% 100% 0.61 30% Medicare shows only a Star Rating for this topic 87 91 97 89% 87% 85% 89% 89%
H0927 Demo HEALTH CARE SERVICE CORPORATION Blue Cross Community MMAI Health Care Service 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
H0969 Local CCP WELLCARE HEALTH INSURANCE COMPANY OF NEW HAMPSHIRE Wellcare Centene Corporation 61% 54% 61% 49% Plan not required to report measure Plan not required to report measure Plan not required to report measure Not enough data available 51% 61% 54% Not enough data available Not enough data available 44% No data available 85% 40% 56% 77 78 88 84 81 84 0.96 29% Medicare shows only a Star Rating for this topic Not enough data available Not enough data available 98% 100% 0.96 29% Medicare shows only a Star Rating for this topic 82 89 98 86% 89% 88% 87% 80%
H0976 Local CCP SCAN HEALTH PLAN SCAN Health Plan SCAN Group Plan too new to be measured Plan too new to be measured Plan too new to be measured Plan too new to be measured Plan too new to be measured Plan too new to be measured Plan too new to be measured Plan too new to be measured Plan too new to be measured Plan too new to be measured Plan too new to be measured Plan too new to be measured Plan too new to be measured Plan too new to be measured Plan too new to be measured Plan too new to be measured Plan too new to be measured Plan too new to be measured Plan too new to be measured Plan too new to be measured Plan too new to be measured Plan too new to be measured Plan too new to be measured Plan too new to be measured Plan too new to be measured Plan too new to be measured Plan too new to be measured Not enough data available Not enough data available Plan too new to be measured Plan too new to be measured Plan too new to be measured Plan too new to be measured Plan too new to be measured Plan too new to be measured Plan too new to be measured Plan too new to be measured Plan too new to be measured Plan too new to be measured Plan too new to be measured Plan too new to be measured Plan too new to be measured
H0978 Local CCP SCAN HEALTH PLAN NEVADA INC. SCAN Health Plan SCAN Group Not enough data available 64% 67% Plan too new to be measured 90% 96% 100% Not enough data available 70% 78% 76% Plan too new to be measured Plan too new to be measured 68% No data available Not enough data available 42% 59% 70 69 87 Not enough data available 83 Not enough data available 0.92 29% Not enough data available Not enough data available Not enough data available 95% 92% 0.92 29% Not enough data available 86 88 100 90% 91% 89% 87% 89%
H0982 Local CCP SOLIS HEALTH PLANS INC. Solis Health Plans Athena Healthcare Holdings LLC 66% 50% 50% 60% CMS identified issues with this plan's data 90% 93% Not enough data available 71% 82% 83% 71% Not enough data available 50% No data available 94% 33% 75% 85 80 93 91 89 90 0.46 48% Medicare shows only a Star Rating for this topic Not enough data available Not enough data available 91% 88% 0.46 48% Medicare shows only a Star Rating for this topic 93 91 97 90% 88% 81% 55% 92%
H1016 Local CCP AVMED INC. AvMed Medicare Sentara Health Care (SHC) 84% 85% 71% 60% Plan not required to report measure Plan not required to report measure Plan not required to report measure 65% 81% 90% 79% 55% 52% 58% 12% 86% 44% 68% 79 74 90 84 86 86 0.19 13% Medicare shows only a Star Rating for this topic 100% 97% 100% 97% 0.19 13% Medicare shows only a Star Rating for this topic 86 89 93 87% 90% 88% 68% 88%
H1019 Local CCP CAREPLUS HEALTH PLANS INC. CarePlus Health Plans Inc. Humana Inc. 82% 79% 65% 62% 83% 97% 97% 55% 87% 90% 85% 63% 47% 87% 12% 87% 54% 66% 80 76 90 85 90 82 0.3 24% Medicare shows only a Star Rating for this topic 97% 99% 100% 95% 0.3 24% Medicare shows only a Star Rating for this topic 89 89 89 90% 90% 89% 90% 92%
H1032 Local CCP Sunshine State Health Plan Inc. Wellcare Centene Corporation 77% 72% 66% 50% 58% 91% 93% 47% 79% 84% 74% 54% Not enough data available 65% 11% 82% 40% 62% 81 78 88 87 86 84 0.46 22% Medicare shows only a Star Rating for this topic 66% 97% 97% 100% 0.46 22% Medicare shows only a Star Rating for this topic 89 92 98 87% 89% 87% 90% 90%
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