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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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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| H7993 | Local CCP | DEVOTED HEALTH PLAN OF TEXAS INC. | Devoted Health | Devoted Health Inc | 79% | 78% | 60% | Not enough data available | Not enough data available | 53% | 93% | 100% | 98% | 73% | 83% | 90% | 85% | 84% | Not enough data available | Not enough data available | 9% | 95% | 83% | 76% | 81 | 85 | 94 | 88 | 90 | 88 | 0.43 | 31% | Medicare shows only a Star Rating for this topic | 100% | 99% | 100% | 100% | 0.43 | 31% | Medicare shows only a Star Rating for this topic | 88 | 89 | 99 | 89% | 91% | 90% | 95% | 8% | 6% |
| H8003 | Local CCP | BLUECROSS AND BLUESHIELD OF SOUTH CAROLINA | Blue Cross Blue Shield of South Carolina | BlueCross BlueShield of South Carolina BCBSSC | 78% | 81% | 64% | 71% | 85% | 50% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 47% | 74% | 91% | 63% | 81% | 50% | 45% | 8% | 84% | 83% | 59% | 83 | 86 | 92 | 88 | 88 | 87 | 0.1 | 8% | Medicare shows only a Star Rating for this topic | 99% | 98% | 100% | 98% | 0.1 | 8% | Medicare shows only a Star Rating for this topic | 86 | 90 | 100 | 87% | 89% | 88% | 83% | 19% | 6% |
| H8010 | Local CCP | CLOVER HMO OF NEW JERSEY INC. | Clover Health | Clover Health Holdings Inc | 79% | 83% | 69% | 72% | 85% | 58% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 90% | 92% | 78% | 88% | 65% | Not enough data available | 6% | 95% | 83% | 77% | 85 | Not enough data available | 91 | 87 | 88 | Not enough data available | 0.18 | 17% | Medicare shows only a Star Rating for this topic | 100% | 100% | 100% | 98% | 0.18 | 17% | Medicare shows only a Star Rating for this topic | 87 | Not enough data available | 99 | 87% | 91% | 90% | 92% | 12% | 8% |
| H8051 | Local CCP | SAN FRANCISCO HEALTH AUTHORITY DBA SAN FRANCISCO H | San Francisco Health Plan | SAN FRANCISCO HEALTH AUTHORITY | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Not enough data available | Plan too new to be measured | Plan too new to be measured | Not enough data available | 28% | 22% | Plan too new to be measured | Not enough data available | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured |
| H8093 | Local CCP | GEORGIA ASSURANCE INC. | Georgia Health Advantage | Mitchell Family Office | 28% | 43% | No data available | Not enough data available | Not enough data available | No data available | 100% | 100% | 100% | Not enough data available | 88% | 79% | 30% | 93% | No data available | No data available | 13% | Not enough data available | CMS identified issues with this plan's data | 86% | No data available | No data available | No data available | No data available | No data available | No data available | 0.09 | 6% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 97% | 91% | 0.09 | 6% | Medicare shows only a Star Rating for this topic | No data available | No data available | 100 | 92% | 92% | 95% | 91% | 19% | 16% |
| H8121 | Local CCP | CENTENE VENTURE COMPANY TENNESSEE | Ascension Complete | 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 | 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 | 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 | Plan not required to report measure | Not enough data available | Not enough data available | Not enough data available | Not enough data available | Not enough data available | Not enough data available |
| H8133 | Local CCP | GHS INSURANCE COMPANY | Blue Cross and Blue Shield of Texas | Health Care Service Corporation | 71% | 69% | 57% | Not enough data available | Not enough data available | 52% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 66% | 82% | 64% | 79% | 57% | 39% | 13% | 81% | 42% | 50% | 87 | Not enough data available | Not enough data available | 86 | 84 | Not enough data available | 0.18 | 30% | Medicare shows only a Star Rating for this topic | 100% | 98% | 100% | 100% | 0.18 | 30% | Medicare shows only a Star Rating for this topic | 87 | Not enough data available | 100 | 86% | 87% | 84% | 91% | 10% | 4% |
| H8142 | Local CCP | SCOTT AND WHITE HEALTH PLAN | Baylor Scott and White Health Plan | Baylor Scott and White Health | 84% | 78% | 71% | 71% | 81% | 56% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 66% | 77% | 92% | 82% | 82% | 56% | 49% | 11% | 86% | 65% | 69% | 83 | 84 | 93 | 91 | 91 | 91 | 0.14 | 5% | Medicare shows only a Star Rating for this topic | 90% | 95% | 87% | 95% | 0.14 | 5% | Medicare shows only a Star Rating for this topic | 89 | 90 | 99 | 93% | 94% | 95% | 89% | 6% | 6% |
| H8145 | PFFS | HUMANA INSURANCE COMPANY | Humana | Humana Inc | 75% | 78% | 75% | 71% | 89% | 49% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 37% | 78% | 86% | 66% | 79% | 63% | 38% | 10% | 87% | 75% | 61% | 85 | 86 | Not enough data available | 87 | 86 | 90 | 0.25 | 33% | Medicare shows only a Star Rating for this topic | 99% | 99% | 100% | 100% | 0.25 | 33% | Medicare shows only a Star Rating for this topic | 88 | 93 | 94 | 89% | 90% | 90% | 85% | 12% | 5% |
| H8166 | Local CCP | HIGHMARK BCBSD INC. | Highmark Blue Cross Blue Shield | Highmark Health | 84% | 76% | 68% | 75% | 84% | 56% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 32% | 72% | 88% | 60% | 82% | 54% | 49% | 10% | 92% | 77% | 65% | 79 | 79 | 88 | 84 | 82 | 84 | 0.19 | 0% | Medicare shows only a Star Rating for this topic | 97% | 100% | 100% | 100% | 0.19 | 0% | Medicare shows only a Star Rating for this topic | 84 | 86 | 99 | 88% | 90% | 89% | 92% | 11% | 7% |