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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 - Improving or Maintaining Physical Health
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C05 - Improving or Maintaining Mental Health
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C06 - Monitoring Physical Activity
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C07 - Special Needs Plan (SNP) Care Management
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C08 - Care for Older Adults - Medication Review
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C09 - Care for Older Adults - Pain Assessment
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C10 - Osteoporosis Management in Women who had a Fracture
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C11 - Diabetes Care - Eye Exam
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C12 - Diabetes Care - Blood Sugar Controlled
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C13 - Kidney Health Evaluation for Patients with Diabetes
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C14 - Controlling High Blood Pressure
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C15 - Reducing the Risk of Falling
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C16 - Improving Bladder Control
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C17 - Medication Reconciliation Post-Discharge
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C18 - Plan All-Cause Readmissions
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C19 - Statin Therapy for Patients with Cardiovascular Disease
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C20 - Transitions of Care
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C21 - Follow-up after ED Visit People with Multiple Chronic Conditions
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C22 - Getting Needed Care
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C23 - Getting Appointments and Care Quickly
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C24 - Customer Service
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C25 - Rating of Health Care Quality
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C26 - Rating of Health Plan
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C27 - Care Coordination
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C28 - Complaints about the Health Plan
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C29 - Members Choosing to Leave the Plan
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C30 - Health Plan Quality Improvement
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C31 - Plan Makes Timely Decisions about Appeals
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C32 - Reviewing Appeals Decisions
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C33 - 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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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| E3014 | Employer/Union Only Direct Contract PDP | PSERS HOP PROGRAM | Pennsylvania Public School Employees Retirement Sy | Commonwealth of PA Pub Schools Retirement System | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 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 | 0.01 | Not enough data available | Medicare shows only a Star Rating for this topic | 87 | 93 | Plan not required to report measure | 89% | 91% | 89% | 73% | 86% |
| H0028 | Local CCP | CHA HMO, INC. | Humana | Humana Inc | 76% | 75% | 68% | Not enough data available | Not enough data available | 54% | 85% | 98% | 99% | 48% | 82% | 89% | 72% | 82% | 55% | 42% | 89% | 10% | 87% | 74% | 59% | 81 | 82 | 89 | 87 | 85 | 85 | 0.16 | 21% | Medicare shows only a Star Rating for this topic | 99% | 98% | 100% | 100% | 0.16 | 21% | Medicare shows only a Star Rating for this topic | 87 | 89 | 84 | 86% | 90% | 89% | 93% | 89% |
| H0029 | Local CCP | COORDINATED CARE OF WASHINGTON, INC. | Wellcare | Centene Corporation | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | No data available | No data available | No data available | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | No data available | Not enough data available | Not enough data available | Not enough data available | Not enough data available | 100% | 100% | No 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 required to report | Not enough data available |
| H0034 | Local CCP | HAMASPIK, INC. | Hamaspik Inc. | Hamaspik of Rockland County Inc | 61% | 51% | 68% | Not enough data available | Not enough data available | 55% | 91% | 96% | 100% | Not enough data available | 82% | 77% | 63% | 86% | 86% | 54% | 79% | 13% | 88% | 66% | 73% | 78 | 82 | 87 | 85 | 83 | 88 | 0.12 | 18% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 95% | 97% | 0.12 | 18% | Medicare shows only a Star Rating for this topic | 86 | 89 | 91 | 85% | 83% | 82% | 97% | 93% |
| H0062 | Local CCP | SUPERIOR HEALTHPLAN, INC. | Wellcare By Allwell | Centene Corporation | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | Not enough data available | Not enough data available | Plan too small to be measured | No data available | No data available | No data available | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | No data available | Not enough data available | Not enough data available | Not enough data available | Not enough data available | Not enough data available | Not enough data available | No 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 required to report | Not enough data available |
| H0074 | Local CCP | WELLCARE OF MISSISSIPPI, INC. | Wellcare | Centene Corporation | 75% | 69% | 61% | Not enough data available | Not enough data available | 50% | 74% | 92% | 89% | Not enough data available | 70% | 77% | 50% | 69% | Not enough data available | Not enough data available | 61% | 15% | 82% | 50% | 46% | 87 | 91 | 91 | 89 | 86 | Not enough data available | 0.39 | 40% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 100% | 100% | 0.39 | 40% | Medicare shows only a Star Rating for this topic | 85 | Not enough data available | 99 | 88% | 89% | 86% | 91% | 88% |
| H0104 | Local CCP | BLUE CROSS AND BLUE SHIELD OF ALABAMA | Blue Cross and Blue Shield of Alabama | BlueCross BlueShield of Alabama | 78% | 81% | 62% | 67% | 86% | 44% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 33% | 75% | 90% | 66% | 77% | 45% | 46% | 90% | 10% | 83% | 76% | 55% | 87 | 88 | 92 | 89 | 89 | 86 | 0.03 | 5% | Medicare shows only a Star Rating for this topic | 100% | 100% | 100% | 97% | 0.03 | 5% | Medicare shows only a Star Rating for this topic | 87 | 91 | 99 | 82% | 89% | 87% | 86% | 84% |
| H0107 | Local CCP | HEALTH CARE SERVICE CORPORATION | Blue Cross and Blue Shield of Montana | Health Care Service Corporation | 80% | 73% | 78% | 73% | 85% | 53% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 26% | 70% | 84% | 60% | 74% | 52% | 44% | 62% | 9% | 84% | 52% | 64% | 83 | 84 | 90 | 88 | 89 | 88 | 0.07 | 1% | Medicare shows only a Star Rating for this topic | 99% | 97% | 95% | 98% | 0.07 | 1% | Medicare shows only a Star Rating for this topic | 87 | 88 | 99 | 87% | 89% | 88% | 94% | 85% |
| H0111 | Local CCP | WELLCARE OF GEORGIA, INC. | Wellcare | Centene Corporation | 71% | 61% | 63% | Not enough data available | Not enough data available | 54% | 74% | 95% | 92% | 32% | 70% | 79% | 57% | 71% | 55% | Not enough data available | 74% | 10% | 86% | 62% | 53% | 82 | Not enough data available | 91 | 86 | 85 | Not enough data available | 0.33 | 34% | Medicare shows only a Star Rating for this topic | 90% | 97% | 100% | 100% | 0.33 | 34% | Medicare shows only a Star Rating for this topic | 85 | 88 | 99 | 86% | 88% | 88% | 98% | 84% |
| H0154 | Local CCP | VIVA HEALTH, INC. | VIVA Medicare | Triton Health Systems LLC | 77% | 76% | 62% | 70% | 84% | 49% | 90% | 97% | 97% | 58% | 87% | 91% | 68% | 82% | 60% | 48% | 89% | 8% | 85% | 84% | 60% | 87 | 89 | 95 | 90 | 91 | 88 | 0.05 | 13% | Medicare shows only a Star Rating for this topic | 99% | 97% | 95% | 92% | 0.05 | 13% | Medicare shows only a Star Rating for this topic | 91 | 92 | 98 | 83% | 88% | 87% | 91% | 86% |