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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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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| R3175 | Regional CCP | UNITEDHEALTHCARE INSURANCE COMPANY | UnitedHealthcare | UnitedHealth Group Inc | 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 | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 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 | Not enough data available | Not enough data available | Not enough data available | Not enough data available | Not enough data available | Not enough data available | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure |
| R3444 | Regional CCP | CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO. | UnitedHealthcare | UnitedHealth Group Inc | 62% | 65% | 65% | 70% | 87% | 37% | 65% | 95% | 97% | 37% | 78% | 86% | 50% | 74% | 56% | 33% | 63% | 10% | 83% | 58% | 52% | 84 | 86 | Not enough data available | 87 | 84 | Not enough data available | 0.13 | 31% | Medicare shows only a Star Rating for this topic | 99% | 99% | 100% | 100% | 0.13 | 31% | Medicare shows only a Star Rating for this topic | 85 | 89 | 100 | 87% | 88% | 88% | 84% | 85% |
| R4182 | Regional CCP | HUMANA INSURANCE COMPANY | Humana | Humana Inc | 58% | 62% | 67% | Not enough data available | Not enough data available | 48% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 39% | 62% | 84% | 47% | 78% | 61% | 44% | 77% | 10% | 84% | 61% | 52% | 86 | 86 | 93 | 90 | 86 | 89 | 0.1 | 21% | Medicare shows only a Star Rating for this topic | 99% | 98% | 100% | 100% | 0.1 | 21% | Medicare shows only a Star Rating for this topic | 88 | 90 | 84 | 85% | 88% | 89% | 85% | 82% |
| R5342 | Regional CCP | CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO. | UnitedHealthcare | UnitedHealth Group Inc | 72% | 69% | 74% | Not enough data available | Not enough data available | 46% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 33% | 80% | 86% | 51% | 79% | 56% | 42% | 72% | 11% | 86% | 51% | 60% | 82 | 84 | 87 | 87 | 82 | 88 | 0.1 | 3% | Medicare shows only a Star Rating for this topic | 100% | 99% | 100% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure |
| R5361 | Regional CCP | HUMANA INSURANCE COMPANY | Humana | Humana Inc | 63% | 65% | 70% | 69% | 87% | 38% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 63% | 80% | 56% | 76% | 62% | 41% | 81% | 10% | 82% | 72% | 53% | 83 | 84 | Not enough data available | 89 | 86 | 89 | 0.02 | 17% | Medicare shows only a Star Rating for this topic | 98% | 91% | 100% | 100% | 0.02 | 17% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 84 | 88% | 89% | 91% | 85% | 83% |
| R5826 | Regional CCP | HUMANA INSURANCE COMPANY | Humana | Humana Inc | 61% | 65% | 58% | Not enough data available | Not enough data available | 46% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 63% | 86% | 59% | 76% | 61% | Not enough data available | 78% | 11% | 81% | 62% | 60% | 84 | 85 | 89 | 87 | 84 | 87 | 0.09 | 18% | Medicare shows only a Star Rating for this topic | 99% | 99% | 100% | 100% | 0.09 | 18% | Medicare shows only a Star Rating for this topic | 85 | 88 | 85 | 86% | 88% | 88% | 86% | 87% |
| R5941 | Regional CCP | ANTHEM INSURANCE COMPANIES, INC. | Anthem Blue Cross and Blue Shield | Elevance Health Inc | 69% | 70% | 68% | 70% | 86% | 43% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 27% | 66% | 85% | 53% | 70% | 56% | 42% | 88% | 11% | 77% | 73% | 61% | 86 | 87 | 89 | 88 | 85 | 90 | 0.05 | 10% | Not enough data available | 100% | 100% | 100% | 100% | 0.05 | 10% | Not enough data available | 86 | 90 | 99 | 87% | 91% | 90% | 90% | 83% |
| R6694 | Regional CCP | AETNA LIFE INSURANCE COMPANY | Aetna Medicare | CVS Health Corporation | 69% | 71% | 75% | 70% | 85% | 49% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 76% | 89% | 57% | 80% | 63% | 46% | 92% | 8% | 80% | 63% | 65% | 84 | 89 | 89 | 88 | 87 | 87 | 0.14 | 9% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 98% | 100% | 0.14 | 9% | Medicare shows only a Star Rating for this topic | 88 | 91 | 99 | 89% | 90% | 92% | 98% | 79% |
| R6801 | Regional CCP | CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO. | UnitedHealthcare | UnitedHealth Group Inc | 65% | 65% | 64% | 70% | 81% | 47% | 66% | 96% | 97% | 21% | 78% | 86% | 56% | 80% | 61% | 46% | 60% | 12% | 83% | 46% | 54% | 84 | 86 | 90 | 88 | 87 | 86 | 0.19 | 29% | Medicare shows only a Star Rating for this topic | 99% | 99% | 100% | 100% | 0.19 | 29% | Medicare shows only a Star Rating for this topic | 87 | 88 | 100 | 85% | 87% | 87% | 90% | 84% |
| R7220 | Regional CCP | HUMANA INSURANCE COMPANY | Humana | Humana Inc | 58% | 64% | 54% | Not enough data available | Not enough data available | 42% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 68% | 86% | 56% | 73% | 47% | 38% | 79% | 9% | 88% | 61% | 55% | 78 | Not enough data available | Not enough data available | 84 | 84 | Not enough data available | 0.23 | 15% | Medicare shows only a Star Rating for this topic | 100% | 93% | 100% | 100% | 0.23 | 15% | Medicare shows only a Star Rating for this topic | 84 | Not enough data available | 83 | 86% | 85% | 86% | 91% | 90% |