Measure Data : 2025

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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 Readmission	C16 - Statin Therapy for Patients with Cardiovascular Disease	C17 - Transitions of Care	C18 - Follow-up after Emergency Department Visit for People with Multiple High-Risk 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)
S5726	PDP	BLUE CROSS AND BLUE SHIELD OF KANSAS	Blue Cross and Blue Shield of Kansas or Blue KC	Blue Cross Blue Shield of Kansas	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%	0.05	8%	Medicare shows only a Star Rating for this topic	84	91	98	86%	90%	90%	66%	80%
S5743	PDP	WELLMARK IA & SD, & BCBS MN, MT, NE, ND,& WY	MedicareBlue Rx	BCBS MN MT NE ND WY Wellmark IA and SD	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	94%	0.04	11%	Medicare shows only a Star Rating for this topic	82	90	99	88%	90%	89%	30%	83%
S5795	PDP	USABLE MUTUAL INSURANCE COMPANY	Arkansas Blue Medicare	USAble Mutual Insurance Company	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	97%	0.02	8%	Medicare shows only a Star Rating for this topic	84	90	98	82%	82%	83%	74%	77%
S5805	PDP	UNITEDHEALTHCARE INSURANCE COMPANY OF NEW YORK	UnitedHealthcare	UnitedHealth Group 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	100%	0.05	3%	Medicare shows only a Star Rating for this topic	80	87	98	84%	88%	86%	10%	83%
S5820	PDP	UNITEDHEALTHCARE INSURANCE COMPANY	UnitedHealthcare	UnitedHealth Group 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	100%	0.03	4%	Medicare shows only a Star Rating for this topic	84	87	98	85%	87%	86%	9%	82%
S5857	PDP	PRIORITY HEALTH INSURANCE COMPANY	Priority Health Medicare	Corewell Health	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	Not enough data available	Not enough data available	Not enough data available	Not enough data available	Plan too small to be measured	Plan too small to be measured	Not enough data available	Not enough data available	Not enough data available	Not enough data available	Not enough data available	Not enough data available
S5877	PDP	EDUCATORS MUTUAL INSURANCE ASSOCIATION	EMI Health	Educators Mutual Insurance Association	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	Not enough data available	0	Not enough data available	Medicare shows only a Star Rating for this topic	87	91	Not enough data available	88%	86%	87%	63%	83%
S5884	PDP	HUMANA INSURANCE COMPANY	Humana	Humana 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	97%	0.04	16%	Not enough data available	83	90	84	86%	89%	88%	55%	81%
S5904	PDP	BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.	Florida Blue	Guidewell Mutual Holding Corporation	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	92%	0.05	4%	Medicare shows only a Star Rating for this topic	79	85	98	86%	87%	86%	71%	82%
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	97%	0.02	5%	Medicare shows only a Star Rating for this topic	84	90	98	84%	87%	88%	57%	84%

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