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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)
|
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| H2782 | Local CCP | WESTERN HEALTH ADVANTAGE | Western Health Advantage | Western Health Advantage | 84% | 74% | 72% | 54% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 69% | 86% | 69% | 49% | Not enough data available | 80% | No data available | 82% | 74% | 59% | 78 | 76 | 88 | 85 | 85 | 82 | 0.12 | 8% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 62% | 62% | 0.12 | 8% | Medicare shows only a Star Rating for this topic | 86 | 89 | 92 | 81% | 86% | 86% | 58% | 84% |
| H6605 | Local CCP | WELLCARE HEALTH INSURANCE OF HAWAII INC. | Wellcare by Ohana Health Plan | Centene Corporation | 57% | 38% | 68% | 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 | 68% | 39% | 61% | Plan too new to be measured | Plan too new to be measured | 50% | No data available | Not enough data available | 42% | 46% | 72 | 72 | Not enough data available | 81 | 80 | 82 | 0.8 | 36% | Not enough data available | Not enough data available | Not enough data available | 97% | 100% | 0.8 | 36% | Not enough data available | 77 | Not enough data available | 96 | 83% | 88% | 86% | 86% | 87% |
| H5294 | Local CCP | SUPERIOR HEALTHPLAN INC. | Wellcare by Allwell | Centene Corporation | 71% | 64% | 74% | 50% | 46% | 99% | 84% | 19% | 71% | 70% | 66% | 66% | 54% | 43% | 13% | 87% | 35% | 55% | 76 | 72 | 89 | 83 | 87 | 82 | 0.61 | 40% | Medicare shows only a Star Rating for this topic | 100% | 96% | 97% | 100% | 0.61 | 40% | Medicare shows only a Star Rating for this topic | 87 | 88 | 97 | 84% | 85% | 83% | 88% | 87% |
| H0562 | Local CCP | HEALTH NET OF CALIFORNIA INC. | Wellcare by Health Net | Centene Corporation | 77% | 75% | 75% | 55% | 30% | 97% | 89% | 56% | 84% | 82% | 74% | 56% | 47% | 70% | 11% | 82% | 44% | 56% | 76 | 75 | 87 | 85 | 85 | 82 | 0.46 | 15% | Medicare shows only a Star Rating for this topic | 98% | 92% | 97% | 100% | 0.46 | 15% | Medicare shows only a Star Rating for this topic | 85 | 88 | 98 | 87% | 88% | 87% | 85% | 88% |
| H3443 | Local CCP | ALIGNMENT HEALTH PLAN OF ARIZONA INC. | Alignment Health Plan | Alignment Healthcare USA LLC | Not enough data available | Not enough data available | 71% | Plan too new to be measured | 95% | 100% | 100% | Not enough data available | 81% | 83% | 86% | Plan too new to be measured | Plan too new to be measured | 80% | No data available | Not enough data available | 49% | Not enough data available | 79 | 74 | 89 | 85 | 89 | 82 | 0.76 | 23% | Not enough data available | Not enough data available | Not enough data available | 98% | 97% | 0.76 | 23% | Not enough data available | 89 | 89 | 97 | 89% | 94% | 94% | Not enough data available | 93% |
| H4346 | Local CCP | HMO COLORADO INC. | Anthem Blue Cross and Blue Shield | Elevance Health Inc. | 64% | 68% | 71% | 52% | 58% | 98% | 92% | 53% | 78% | 68% | 72% | 62% | 45% | 64% | 13% | 82% | 36% | 50% | 76 | 75 | 89 | 84 | 83 | 82 | 0.36 | 27% | Medicare shows only a Star Rating for this topic | 80% | 95% | 98% | 98% | 0.36 | 27% | Medicare shows only a Star Rating for this topic | 85 | 87 | 97 | 83% | 85% | 86% | 87% | 87% |
| 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% |
| H5475 | Local CCP | MERIDIAN HEALTH PLAN OF MICHIGAN INC. | Wellcare | Centene Corporation | 65% | 54% | 61% | 51% | 54% | 81% | 81% | 27% | 70% | 62% | 64% | Not enough data available | Not enough data available | 38% | 10% | 84% | 34% | 55% | 79 | 75 | 89 | 83 | 83 | 81 | 0.59 | 35% | Medicare shows only a Star Rating for this topic | 70% | 94% | 98% | 100% | 0.59 | 35% | Medicare shows only a Star Rating for this topic | 86 | 91 | 97 | 81% | 84% | 82% | 89% | 87% |
| H5587 | Local CCP | HEALTH CHOICE ARIZONA INC. | BCBSAZ Health Choice | Blue Cross Blue Shield of Arizona | 54% | 60% | 45% | 48% | 79% | 92% | 95% | 57% | 72% | 80% | 77% | 53% | Not enough data available | 84% | 12% | 88% | 64% | 58% | 77 | 75 | 90 | 84 | 88 | 81 | 0.13 | 11% | Medicare shows only a Star Rating for this topic | 95% | 84% | 87% | 87% | 0.13 | 11% | Medicare shows only a Star Rating for this topic | 88 | 88 | 99 | 92% | 92% | 94% | 93% | 89% |
| 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% |