|
hcontract
|
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 - Monitoring Physical Activity
|
C05 - Special Needs Plan (SNP) Care Management
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C06 - Care for Older Adults-Medication Review
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C07 - Care for Older Adults-Pain Assessment
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C08 - Osteoporosis Management in Women who had a Fracture
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C09 - Diabetes Care-Eye Exam
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C10 - Diabetes Care-Blood Sugar Controlled
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C11 - Controlling Blood Pressure
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C12 - Reducing the Risk of Falling
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C13 - Improving Bladder Control
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C14 - Medication Reconciliation Post-Discharge
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C15 - Plan All-Cause Readmissions
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C16 - Statin Therapy for Patients with Cardiovascular Disease
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C17 - Transitions of Care
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C18 - Follow-up after ED Visit People with Multiple Chronic Conditions
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C19 - Getting Needed Care
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C20 - Getting Appointments and Care Quickly
|
C21 - Customer Service
|
C22 - Rating of Health Care Quality
|
C23 - Rating of Health Plan
|
C24 - Care Coordination
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C25 - Complaints about the Health Plan
|
C26 - Members Choosing to Leave the Plan
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C27 - Health Plan Quality Improvement
|
C28 - Plan Makes Timely Decisions about Appeals
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C29 - Reviewing Appeals Decisions
|
C30 - Call Center-Foreign Language Interpreter and TTY Availability
|
D01 - Call Center-Foreign Language Interpreter and TTY Availability
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D02 - Complaints about the Drug Plan
|
D03 - Members Choosing to Leave the Plan
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D04 - Drug Plan Quality Improvement
|
D05 - Rating of Drug Plan
|
D06 - Getting Needed Prescription Drugs
|
D07 - MPF Price Accuracy
|
D08 - Medication Adherence for Diabetes Medications
|
D09 - Medication Adherence for Hypertension (RAS antagonists)
|
D10 - Medication Adherence for Cholesterol (Statins)
|
D11 - MTM Program Completion Rate for CMR
|
D12 - Statin Use in Persons with Diabetes (SUPD)
|
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| H0423 | Local CCP | METROPLUS HEALTH PLAN INC. | MetroPlus Health Plan | New York City Health and Hospitals Corporation | 79% | 69% | 63% | 58% | 75% | 94% | 91% | Not enough data available | 82% | 84% | 81% | 71% | Not enough data available | 67% | 11% | 86% | 57% | 47% | 79 | 74 | 89 | 83 | 86 | 84 | 0.2 | 17% | Medicare shows only a Star Rating for this topic | 94% | 94% | 89% | 95% | 0.2 | 17% | Medicare shows only a Star Rating for this topic | 85 | 88 | 98 | 90% | 90% | 89% | 91% | 91% |
| H0432 | Local CCP | UNITEDHEALTHCARE OF THE MIDLANDS INC. | UnitedHealthcare | UnitedHealth Group Inc. | 73% | 76% | 64% | 43% | 79% | 96% | 95% | 39% | 77% | 83% | 68% | 56% | 38% | 59% | 10% | 84% | 40% | 49% | 85 | 77 | 92 | 88 | 90 | 86 | 0.13 | 22% | Medicare shows only a Star Rating for this topic | 99% | 98% | 98% | 98% | 0.13 | 22% | Medicare shows only a Star Rating for this topic | 90 | 92 | 99 | 83% | 86% | 85% | 80% | 83% |
| H0439 | Local CCP | CIGNA HEALTHCARE OF GEORGIA INC. | Cigna Healthcare | The Cigna Group | 72% | 78% | 66% | 51% | 69% | 94% | 97% | 47% | 80% | 83% | 67% | 55% | 42% | 89% | 10% | 83% | 59% | 56% | 83 | 78 | 91 | 86 | 88 | 89 | 0.17 | 20% | Medicare shows only a Star Rating for this topic | 99% | 96% | 95% | 93% | 0.17 | 20% | Medicare shows only a Star Rating for this topic | 87 | 89 | 99 | 83% | 86% | 86% | 87% | 83% |
| H0473 | Local CCP | HUMANA INSURANCE COMPANY OF KENTUCKY | Humana | Humana Inc. | 69% | 73% | 67% | 48% | 79% | 96% | 97% | 35% | 75% | 81% | 71% | 49% | 39% | 75% | 11% | 83% | 58% | 58% | 82 | 78 | 91 | 89 | 88 | 86 | 0.2 | 25% | Medicare shows only a Star Rating for this topic | 98% | 98% | 97% | 100% | 0.2 | 25% | Medicare shows only a Star Rating for this topic | 88 | 89 | 88 | 83% | 87% | 86% | 82% | 83% |
| H0480 | Demo | MERIDIAN HEALTH PLAN OF MICHIGAN INC. | MeridianComplete (Medicare-Medicaid Plan) | Centene Corporation | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available |
| H0482 | Local CCP | CENTENE VENTURE COMPANY MICHIGAN | Wellcare by Allwell | Centene Corporation | 58% | 48% | 68% | 44% | 87% | 94% | 59% | Not enough data available | 52% | 69% | 59% | Not enough data available | Not enough data available | 41% | No data available | 79% | 31% | 45% | 80 | 78 | 89 | 86 | 83 | 87 | 1.03 | 41% | Not enough data available | Not enough data available | Not enough data available | 98% | 100% | 1.03 | 41% | Medicare shows only a Star Rating for this topic | 86 | 90 | 98 | 82% | 85% | 86% | 86% | 87% |
| H0504 | Local CCP | CALIFORNIA PHYSICIANS' SERVICE | Blue Shield of California | California Physicians' Service | 80% | 73% | 78% | 57% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 62% | 74% | 85% | 76% | 51% | 45% | 79% | 12% | 86% | 46% | 63% | 78 | 73 | 88 | 85 | 86 | 83 | 0.1 | 14% | Medicare shows only a Star Rating for this topic | 100% | 98% | 100% | 100% | 0.1 | 14% | Medicare shows only a Star Rating for this topic | 87 | 89 | 98 | 86% | 89% | 88% | 87% | 88% |
| H0523 | Local CCP | AETNA HEALTH OF CALIFORNIA INC. | Aetna Medicare | CVS Health Corporation | 70% | 75% | 71% | 50% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 76% | 97% | 78% | 59% | 41% | 73% | No data available | 82% | 41% | 48% | 77 | 75 | 87 | 83 | 83 | 80 | 0.28 | 24% | Medicare shows only a Star Rating for this topic | 91% | Not enough data available | 98% | 98% | 0.28 | 24% | Medicare shows only a Star Rating for this topic | 86 | 89 | 98 | 89% | 88% | 88% | 81% | 88% |
| H0524 | Local CCP | KAISER FOUNDATION HP INC. | Kaiser Permanente | Kaiser Foundation Health Plan Inc. | 87% | 88% | 83% | 60% | 90% | 99% | 99% | 84% | 86% | 87% | 84% | 51% | 44% | 99% | 12% | 90% | 91% | 71% | 78 | 75 | 89 | 86 | 88 | 83 | 0.06 | 1% | Medicare shows only a Star Rating for this topic | 98% | 99% | 41% | 29% | 0.06 | 1% | Medicare shows only a Star Rating for this topic | 92 | 93 | 100 | 90% | 91% | 91% | 91% | 91% |
| H0543 | Local CCP | UHC OF CALIFORNIA | UnitedHealthcare | UnitedHealth Group Inc. | 78% | 78% | 76% | 55% | 88% | 96% | 95% | 57% | 82% | 86% | 75% | 54% | 43% | 66% | 12% | 85% | 47% | 54% | 77 | 73 | 89 | 87 | 87 | 85 | 0.2 | 9% | Medicare shows only a Star Rating for this topic | 98% | 99% | 98% | 98% | 0.2 | 9% | Medicare shows only a Star Rating for this topic | 87 | 89 | 99 | 88% | 90% | 89% | 86% | 89% |