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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 - Functional Status 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 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 - Plan All-Cause Readmissions
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C18 - Statin Therapy for Patients with Cardiovascular Disease
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C19 - Transitions of Care
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C20 - Follow-up after Emergency Department Visit for People with Multiple High-Risk Chronic Conditions
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C21 - Getting Needed Care
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C22 - Getting Appointments and Care Quickly
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C23 - Customer Service
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C24 - Rating of Health Care Quality
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C25 - Rating of Health Plan
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C26 - Care Coordination
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C27 - Complaints about the Health Plan
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C28 - Members Choosing to Leave the Plan
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C29 - Health Plan Quality Improvement
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C30 - Plan Makes Timely Decisions about Appeals
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C31 - Reviewing Appeals Decisions
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C32 - 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 - Statin Use in Persons with Diabetes (SUPD)
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D12 - Concurrent Use of Opioids and Benzodiazepines (COB)
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D13 - Polypharmacy: Use of Multiple Anticholinergic Medications in Older Adults (Poly-ACH)
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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 | Not enough data available | 0.01 | Not enough data available | Medicare shows only a Star Rating for this topic | 87 | 92 | Plan not required to report measure | 89% | 90% | 89% | 87% | 12% | 6% |
| H0028 | Local CCP | CHA HMO INC. | Humana | Humana Inc | 77% | 80% | 64% | 75% | 88% | 55% | 86% | 99% | 98% | 48% | 84% | 93% | 82% | 87% | 62% | 48% | 10% | 91% | 76% | 64% | 81 | Not enough data available | 91 | 89 | 89 | 87 | 0.21 | 24% | Medicare shows only a Star Rating for this topic | 100% | 99% | 100% | 100% | 0.21 | 24% | Medicare shows only a Star Rating for this topic | 87 | 88 | 93 | 90% | 91% | 91% | 90% | 9% | 4% |
| H0029 | Local CCP | COORDINATED CARE OF WASHINGTON INC. | Wellcare | Centene Corporation | 59% | 70% | 56% | Plan too small to be measured | Plan too small to be measured | 42% | 85% | 100% | 74% | Not enough data available | 68% | 87% | 67% | 72% | 51% | 44% | 9% | 92% | 58% | 49% | 76 | 84 | 86 | 83 | 80 | 87 | 0.54 | 16% | Not enough data available | 93% | 93% | 100% | 100% | 0.54 | 16% | Not enough data available | 82 | Not enough data available | 100 | 86% | 87% | 87% | 83% | 7% | 7% |
| H0034 | Local CCP | HAMASPIK INC. | Hamaspik Inc. | Hamaspik of Rockland County Inc | 75% | 71% | 68% | Not enough data available | Not enough data available | 66% | 96% | 99% | 99% | Not enough data available | 94% | 86% | 86% | 91% | 91% | 47% | 13% | 93% | 71% | 78% | 78 | 84 | 88 | 85 | 86 | 87 | 0.57 | 17% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 100% | 97% | 0.57 | 17% | Medicare shows only a Star Rating for this topic | 88 | 89 | 98 | 91% | 89% | 91% | 96% | 20% | 12% |
| H0062 | Local CCP | SUPERIOR HEALTHPLAN 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 | 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 enough data available | Not enough data available | Not enough data available |
| H0074 | Local CCP | WELLCARE OF MISSISSIPPI INC. | Wellcare | Centene Corporation | 73% | 71% | 60% | Not enough data available | Not enough data available | 50% | 70% | 100% | 88% | Not enough data available | 68% | 83% | 64% | 70% | 59% | Not enough data available | No data available | 87% | 45% | 48% | 85 | 86 | 89 | 87 | 84 | Not enough data available | 0.47 | 33% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 100% | 100% | 0.47 | 33% | Medicare shows only a Star Rating for this topic | 89 | 92 | 100 | 83% | 87% | 86% | 86% | 5% | 10% |
| H0104 | Local CCP | BLUE CROSS AND BLUE SHIELD OF ALABAMA | Blue Cross and Blue Shield of Alabama | BlueCross BlueShield of Alabama | 79% | 83% | 61% | 70% | 86% | 46% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 41% | 73% | 92% | 75% | 82% | 50% | 46% | 10% | 83% | 74% | 58% | 86 | 88 | 91 | 89 | 88 | 88 | 0.05 | 6% | Medicare shows only a Star Rating for this topic | 99% | 100% | 100% | 100% | 0.05 | 6% | Medicare shows only a Star Rating for this topic | 87 | 90 | 100 | 87% | 89% | 88% | 84% | 12% | 7% |
| H0107 | Local CCP | HEALTH CARE SERVICE CORPORATION | Blue Cross and Blue Shield of Montana | Health Care Service Corporation | 82% | 77% | 74% | 73% | 88% | 54% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 29% | 70% | 93% | 64% | 80% | 53% | 47% | 10% | 84% | 58% | 60% | 83 | 84 | 89 | 89 | 89 | 87 | 0.08 | 2% | Medicare shows only a Star Rating for this topic | 100% | 99% | 100% | 100% | 0.08 | 2% | Medicare shows only a Star Rating for this topic | 87 | 89 | 100 | 89% | 90% | 90% | 85% | 10% | 6% |
| H0111 | Local CCP | WELLCARE OF GEORGIA INC. | Wellcare | Centene Corporation | 72% | 70% | 60% | Not enough data available | Not enough data available | 54% | 65% | 100% | 80% | 50% | 67% | 88% | 64% | 76% | 56% | Not enough data available | 10% | 86% | 53% | 51% | 84 | Not enough data available | 88 | 88 | 83 | 87 | 0.42 | 35% | Medicare shows only a Star Rating for this topic | 100% | 100% | 100% | 100% | 0.42 | 35% | Medicare shows only a Star Rating for this topic | 87 | 90 | 100 | 88% | 89% | 89% | 85% | 16% | 10% |
| H0154 | Local CCP | VIVA HEALTH INC. | VIVA Medicare | Triton Health Systems LLC | 76% | 76% | 60% | 65% | 81% | 47% | 90% | 96% | 99% | 72% | 78% | 90% | 74% | 86% | 56% | 41% | 9% | 86% | 79% | 69% | 87 | 87 | 93 | 88 | 90 | 87 | 0.03 | 9% | Medicare shows only a Star Rating for this topic | 100% | 98% | 100% | 100% | 0.03 | 9% | Medicare shows only a Star Rating for this topic | 88 | 92 | 98 | 86% | 89% | 88% | 86% | 12% | 10% |