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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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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| H9001 | Local CCP | FALLON COMMUNITY HEALTH PLAN | Fallon Health | Fallon Community Health Plan Inc | 82% | 77% | 74% | 72% | 86% | 48% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 47% | 79% | 90% | 67% | 77% | 49% | 38% | 10% | 93% | 59% | 79% | 82 | 84 | 92 | 87 | 87 | 87 | 0.07 | 8% | Medicare shows only a Star Rating for this topic | 100% | 97% | 98% | 90% | 0.07 | 8% | Medicare shows only a Star Rating for this topic | 86 | 90 | 100 | 89% | 91% | 90% | 92% | 14% | 7% |
| H9003 | Local CCP | KAISER FOUNDATION HP OF THE N W | Kaiser Permanente | Kaiser Foundation Health Plan Inc | 85% | 86% | 79% | 66% | 84% | 57% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 82% | 87% | 95% | 83% | 88% | 53% | 47% | 9% | 92% | 98% | 78% | 79 | 79 | 92 | 87 | 89 | 87 | 0.04 | 1% | Medicare shows only a Star Rating for this topic | 98% | 99% | 100% | 100% | 0.04 | 1% | Medicare shows only a Star Rating for this topic | 94 | 96 | 100 | 91% | 93% | 94% | 92% | 5% | 5% |
| H9042 | Local CCP | SOUTHEASTERN INDIANA HEALTH ORGANIZATION INC. | MyTruAdvantage | SIHO Holding Inc | 87% | 84% | 67% | 72% | 91% | 52% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 67% | 80% | 68% | 79% | 55% | 43% | 11% | 86% | 61% | 59% | 84 | 84 | 93 | 89 | 88 | 90 | 0.23 | 5% | Medicare shows only a Star Rating for this topic | 85% | 85% | 86% | 91% | 0.23 | 5% | Medicare shows only a Star Rating for this topic | 89 | 91 | 100 | 90% | 90% | 89% | 79% | 11% | 7% |
| H9065 | Local CCP | AMH HEALTH LLC | AMH Health | Elevance Health Inc | 77% | 74% | 67% | 73% | 85% | 44% | 59% | 98% | 85% | 27% | 73% | 82% | 62% | 76% | 61% | 37% | 11% | 86% | 82% | 57% | 79 | Not enough data available | 87 | 84 | 81 | 87 | 0.11 | 22% | Medicare shows only a Star Rating for this topic | 95% | 100% | 100% | 100% | 0.11 | 22% | Medicare shows only a Star Rating for this topic | 84 | Not enough data available | 99 | 90% | 91% | 91% | 85% | 14% | 10% |
| H9066 | Local CCP | VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK | Nascentia Health Plus | VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK | No data available | 29% | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | No data available | 96% | 88% | 77% | Not enough data available | 47% | No data available | 34% | No data available | No data available | No data available | No data available | Not enough data available | 34% | 41% | 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 | CMS identified issues with this plans data | CMS identified issues with this plans data | 97% | 98% | Not enough data available | Not enough data available | Medicare shows only a Star Rating for this topic | Plan too small to be measured | Plan too small to be measured | 100 | 76% | 76% | 70% | 86% | 9% | 23% |
| H9096 | Local CCP | DEAN HEALTH PLAN INC. | Dean Advantage | Medica Holding Company | 82% | 87% | 74% | 74% | 83% | 52% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 36% | 82% | 93% | 77% | 80% | 53% | 46% | 12% | 94% | 88% | 72% | 81 | 84 | 90 | 87 | 85 | 89 | 0.08 | 3% | Medicare shows only a Star Rating for this topic | 100% | 98% | 97% | 100% | 0.08 | 3% | Medicare shows only a Star Rating for this topic | 86 | 91 | 99 | 92% | 93% | 92% | 92% | 11% | 9% |
| H9147 | Local CCP | BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA | Blue Cross and Blue Shield of North Carolina | CuraCor Solutions Corp | 68% | 67% | 59% | Not enough data available | Not enough data available | 52% | 53% | 99% | 79% | Not enough data available | 62% | 84% | 62% | 79% | 72% | 47% | 11% | 88% | 73% | 57% | 80 | 85 | 86 | 86 | 86 | 87 | 1.16 | 23% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 98% | 97% | 1.16 | 23% | Medicare shows only a Star Rating for this topic | 87 | 88 | 100 | 83% | 86% | 87% | 84% | 16% | 8% |
| H9153 | Local CCP | WEST VIRGINIA SENIOR ADVANTAGE INC. | West Virginia Senior Advantage | SNP Holdings LLC | Not enough data available | 25% | No data available | Not enough data available | Not enough data available | No data available | 99% | 99% | 100% | Not enough data available | 47% | 45% | 36% | Not enough data available | No data available | No data available | 11% | Not enough data available | Not enough data available | Not enough data available | No data available | No data available | No data available | No data available | No data available | No data available | 0.11 | 3% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 89% | 92% | 0.11 | 3% | Medicare shows only a Star Rating for this topic | No data available | No data available | 100 | 86% | 90% | 90% | 79% | 23% | 10% |
| H9179 | Local CCP | TRINITY HEALTH PLAN OF MICHIGAN INC | Trinity Health Plan of Michigan | Trinity Health Corporation | Not enough data available | 71% | 63% | Plan too new to be measured | Plan too new to be measured | 49% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 73% | 89% | 75% | 80% | 55% | 47% | 13% | 91% | 67% | 65% | 83 | 85 | 89 | 88 | 85 | 87 | 0.17 | 13% | Medicare shows only a Star Rating for this topic | 100% | 100% | 94% | 95% | 0.17 | 13% | Medicare shows only a Star Rating for this topic | 87 | 90 | 99 | 90% | 89% | 89% | 90% | 10% | 7% |
| H9191 | Local CCP | PROVIDER PARTNERS HEALTH PLAN OF MISSOURI INC. | Provider Partners Health Plans | Rifkin Managed Care Holding LLC | 50% | 89% | No data available | Not enough data available | Not enough data available | No data available | 100% | 100% | 100% | Not enough data available | 96% | 97% | 83% | Not enough data available | No data available | No data available | 9% | Not enough data available | Not enough data available | 96% | No data available | No data available | No data available | No data available | No data available | No data available | 0.06 | 9% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 94% | 94% | 0.06 | 9% | Medicare shows only a Star Rating for this topic | No data available | No data available | 100 | 91% | 87% | 91% | 92% | 24% | 18% |