|
Contract Id
|
Plan Year.
|
Pop.
|
sel_msrs_type
|
sel_msrs
|
Part C
|
Part D
|
Measures
|
Years
|
Plan Type
|
Contract Name
|
Parent Organization
|
State(s)
|
D-SNP
|
C-SNP
|
I-SNP
|
SNP Type
|
% DSNP
|
% Employer Group
|
Overall Summary
|
Trend | 2025 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| C01 : Breast Cancer Screening | |||||||||||||||||||||
| H4036 | 2,025 | 400,410 | "HED-BCS" | 4.5 | 4.0 | 39.0 | 16 | Local PPO | ANTHEM INSURANCE COMPANIES, INC. | Elevance Health Inc | GA-23.6%,CA-17.0%,OH-10.0%,WI-6.7%,KY-5.2%, 46 others - 37.4% | 7,980 | 0 | 0 | Dual | 2.0 | 79.1 | 4.0 | ... | 4 | |
| H1045 | 2,025 | 383,017 | "HED-BCS" | 4.0 | 4.0 | 40.0 | 18 | HMO/HMOPOS | PREFERRED CARE PARTNERS, INC. | UnitedHealth Group Inc | FL-100.0% | 117,370 | 23,743 | 0 | Chronic,Dual | 30.6 | 0.0 | 4.5 | ... | 4 | |
| H1889 | 2,025 | 371,449 | "HED-BCS" | 3.5 | 3.5 | 40.0 | 5 | Local PPO | CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO. | UnitedHealth Group Inc | GA-28.7%,FL-25.5%,AR-13.4%,NC-9.1%,AL-8.9%, 6 others - 14.5% | 189,966 | 76,100 | 0 | Chronic,Dual | 51.1 | 0.0 | 4.0 | ... | 3 | |
| H0028 | 2,025 | 367,398 | "HED-BCS" | 3.5 | 3.5 | 40.0 | 12 | HMO/HMOPOS | CHA HMO, INC. | Humana Inc | TX-49.4%,AZ-19.9%,CO-9.2%,MO-8.9%,NM-5.3%, 8 others - 7.4% | 31,298 | 31,822 | 0 | Chronic,Dual | 8.5 | 0.6 | 3.5 | ... | 4 | |
| H4513 | 2,025 | 363,505 | "HED-BCS" | 4.0 | 4.5 | 40.0 | 18 | HMO/HMOPOS | HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. | The Cigna Group | TX-59.7%,TN-20.3%,AL-13.6%,IL-4.1%,AR-1.3%, 3 others - 1.1% | 63,975 | 0 | 0 | Dual | 17.6 | 0.2 | 4.5 | ... | 4 | |
| H2802 | 2,025 | 352,111 | "HED-BCS" | 3.5 | 4.0 | 40.0 | 18 | HMO/HMOPOS | UNITEDHEALTHCARE OF THE MIDLANDS, INC. | UnitedHealth Group Inc | MO-29.2%,IN-17.6%,AL-17.1%,IL-14.2%,NE-11.5%, 3 others - 10.4% | 32,343 | 12,270 | 28 | Chronic,Dual,Institutional | 9.2 | 0.0 | 4.0 | ... | 4 | |
| H5577 | 2,025 | 325,373 | "HED-BCS" | 5.0 | 4.5 | 40.0 | 18 | HMO/HMOPOS | MCS ADVANTAGE, INC. | MHH Healthcare LP | PR-100.0% | 156,766 | 22,663 | 0 | Chronic,Dual | 48.2 | 9.4 | 5.0 | ... | 5 | |
| H6622 | 2,025 | 322,943 | "HED-BCS" | 3.5 | 3.5 | 40.0 | 14 | HMO/HMOPOS | HUMANA WI HEALTH ORGANIZATION INSURANCE CORP | Humana Inc | OH-27.2%,NV-21.1%,VA-16.4%,WI-8.7%,PA-7.4%, 10 others - 19.2% | 48,775 | 12,399 | 0 | Chronic,Dual | 15.1 | 0.0 | 3.5 | ... | 3 | |
| H3359 | 2,025 | 315,570 | "HED-BCS" | 4.5 | 4.5 | 37.0 | 18 | HMO/HMOPOS | HEALTHFIRST HEALTH PLAN, INC. | Healthfirst Inc | NY-100.0% | 266,423 | 0 | 0 | Dual | 84.4 | 0.0 | 4.5 | ... | 4 | |
| H0543 | 2,025 | 314,316 | "HED-BCS" | 4.0 | 3.0 | 40.0 | 18 | HMO/HMOPOS | UHC OF CALIFORNIA | UnitedHealth Group Inc | CA-100.0% | 0 | 18,887 | 0 | Chronic | 0.0 | 4.5 | 3.5 | ... | 4 | |
| H3655 | 2,025 | 283,547 | "HED-BCS" | 3.5 | 4.0 | 40.0 | 18 | HMO/HMOPOS | COMMUNITY INSURANCE COMPANY | Elevance Health Inc | OH-100.0% | 49,741 | 2,797 | 0 | Chronic,Dual | 17.5 | 0.0 | 3.5 | ... | 3 | |
| H5425 | 2,025 | 280,751 | "HED-BCS" | 5.0 | 4.0 | 40.0 | 18 | HMO/HMOPOS | SCAN HEALTH PLAN | SCAN Group | CA-100.0% | 0 | 29,147 | 2,736 | Chronic,Institutional | 0.0 | 0.8 | 4.5 | ... | 4 |