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hcontract
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org type
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contract name
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org marketing name
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parent org
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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)
|
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| R5361 | Regional CCP | HUMANA INSURANCE COMPANY | Humana | Humana Inc. | 63% | 73% | 72% | 42% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 65% | 80% | 77% | 55% | 43% | 84% | 12% | 90% | 68% | 63% | 83 | 82 | 91 | 86 | 87 | 89 | 0.15 | 20% | Medicare shows only a Star Rating for this topic | 97% | 92% | 97% | 100% | 0.15 | 20% | Medicare shows only a Star Rating for this topic | 86 | Not enough data available | 88 | 89% | 90% | 90% | 79% | 86% |
| R5495 | Regional CCP | HUMANA INSURANCE COMPANY | Humana | Humana Inc. | 59% | 71% | 69% | 40% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 59% | 77% | 75% | 45% | Not enough data available | 72% | 10% | 84% | 57% | 57% | 86 | 81 | 89 | 88 | 85 | 88 | 0.05 | 15% | Medicare shows only a Star Rating for this topic | 100% | 92% | 97% | 100% | 0.05 | 15% | Medicare shows only a Star Rating for this topic | 86 | 90 | 87 | 90% | 88% | 87% | 80% | 83% |
| R5826 | Regional CCP | HUMANA INSURANCE COMPANY | Humana | Humana Inc. | 61% | 72% | 72% | 55% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 25% | 64% | 83% | 77% | 57% | Not enough data available | 68% | 12% | 81% | 51% | 56% | 81 | 76 | 91 | 84 | 82 | 86 | 0.14 | 20% | Medicare shows only a Star Rating for this topic | 100% | 98% | 97% | 100% | 0.14 | 20% | Medicare shows only a Star Rating for this topic | 84 | 89 | 88 | 86% | 88% | 88% | 77% | 86% |
| R5941 | Regional CCP | ANTHEM INSURANCE COMPANIES INC. | Anthem Blue Cross and Blue Shield | Elevance Health Inc. | 67% | 73% | 72% | 43% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 32% | 67% | 80% | 73% | 54% | 43% | 72% | 12% | 75% | 46% | 62% | 85 | 81 | 89 | 88 | 87 | 88 | 0.15 | 12% | Medicare shows only a Star Rating for this topic | 55% | 60% | 98% | 98% | 0.15 | 12% | Medicare shows only a Star Rating for this topic | 86 | 93 | 97 | 86% | 90% | 88% | 84% | 84% |
| R6694 | Regional CCP | AETNA LIFE INSURANCE COMPANY | Aetna Medicare | CVS Health Corporation | 65% | 70% | 75% | 49% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 73% | 89% | 71% | 56% | 51% | 96% | 11% | 88% | 47% | 62% | 83 | 80 | 90 | 88 | 85 | 85 | 0.17 | 13% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 98% | 98% | 0.17 | 13% | Medicare shows only a Star Rating for this topic | 85 | 90 | 98 | 90% | 90% | 89% | 63% | 82% |
| R6801 | Regional CCP | CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO. | UnitedHealthcare | UnitedHealth Group Inc. | 64% | 67% | 71% | 50% | 76% | 91% | 89% | 25% | 69% | 75% | 73% | 61% | 46% | 46% | 14% | 83% | 35% | 53% | 84 | 78 | 90 | 88 | 88 | 85 | 0.2 | 28% | Medicare shows only a Star Rating for this topic | 98% | 97% | 98% | 98% | 0.2 | 28% | Medicare shows only a Star Rating for this topic | 87 | 90 | 99 | 84% | 86% | 85% | 83% | 83% |
| R7220 | Regional CCP | HUMANA INSURANCE COMPANY | Humana | Humana Inc. | 52% | 60% | 60% | 41% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 65% | 75% | 68% | 51% | Not enough data available | 73% | 10% | 86% | 54% | 63% | 81 | 77 | Not enough data available | 85 | 87 | 82 | 0.1 | 22% | Medicare shows only a Star Rating for this topic | 100% | 90% | 97% | 100% | 0.1 | 22% | Medicare shows only a Star Rating for this topic | 83 | 85 | 86 | 87% | 87% | 87% | 79% | 85% |
| R7315 | Regional CCP | HUMANA INSURANCE COMPANY | Humana | Humana Inc. | 61% | 71% | 63% | 40% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 67% | 81% | 72% | 51% | Not enough data available | 76% | 13% | 86% | 54% | 56% | 85 | 78 | 92 | 86 | 85 | 87 | 0.05 | 20% | Medicare shows only a Star Rating for this topic | 97% | 93% | 97% | 100% | 0.05 | 20% | Medicare shows only a Star Rating for this topic | 85 | 91 | 88 | 83% | 88% | 87% | 75% | 83% |
| R7444 | Regional CCP | CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO. | UnitedHealthcare | UnitedHealth Group Inc. | 72% | 75% | 84% | 52% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 31% | 78% | 85% | 72% | 51% | 46% | 55% | 10% | 88% | 45% | 54% | 81 | 79 | 88 | 86 | 83 | 85 | 0.13 | 15% | Medicare shows only a Star Rating for this topic | 100% | 98% | 98% | 98% | 0.13 | 15% | Medicare shows only a Star Rating for this topic | 83 | 86 | 98 | 88% | 91% | 91% | 77% | 84% |
| S0156 | PDP | NEXTBLUE OF NORTH DAKOTA INSURANCE COMPANY | NextBlue of North Dakota | Blue Cross Blue Shield of Michigan Mutual Ins. Co. | 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 | Plan too new to be measured | Plan too new to be measured | 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 |