hcontract
|
org type
|
contract name
|
org marketing name
|
parent org
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C01 - Breast Cancer Screening
|
C02 - Colorectal Cancer Screening
|
C03 - Annual Flu Vaccine
|
C04 - Monitoring Physical Activity
|
C05 - Special Needs Plan (SNP) Care Management
|
C06 - Care for Older Adults-Medication Review
|
C07 - Care for Older Adults-Pain Assessment
|
C08 - Osteoporosis Management in Women who had a Fracture
|
C09 - Diabetes Care-Eye Exam
|
C10 - Diabetes Care-Blood Sugar Controlled
|
C11 - Controlling Blood Pressure
|
C12 - Reducing the Risk of Falling
|
C13 - Improving Bladder Control
|
C14 - Medication Reconciliation Post-Discharge
|
C15 - Plan All-Cause Readmissions
|
C16 - Statin Therapy for Patients with Cardiovascular Disease
|
C17 - Transitions of Care
|
C18 - Follow-up after ED Visit People with Multiple Chronic Conditions
|
C19 - Getting Needed Care
|
C20 - Getting Appointments and Care Quickly
|
C21 - Customer Service
|
C22 - Rating of Health Care Quality
|
C23 - Rating of Health Plan
|
C24 - Care Coordination
|
C25 - Complaints about the Health Plan
|
C26 - Members Choosing to Leave the Plan
|
C27 - Health Plan Quality Improvement
|
C28 - Plan Makes Timely Decisions about Appeals
|
C29 - Reviewing Appeals Decisions
|
C30 - Call Center-Foreign Language Interpreter and TTY Availability
|
D01 - Call Center-Foreign Language Interpreter and TTY Availability
|
D02 - Complaints about the Drug Plan
|
D03 - Members Choosing to Leave the Plan
|
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)
|
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H0908 | Local CCP | BUCKEYE COMMUNITY HEALTH PLAN INC. | Wellcare by Allwell | Centene Corporation | 67% | 53% | 57% | 38% | 45% | 96% | 86% | Not enough data available | 49% | 73% | 70% | 56% | 31% | 35% | 13% | 90% | 31% | 54% | 80 | 78 | Not enough data available | 85 | 82 | Not enough data available | 1.2 | 49% | Medicare shows only a Star Rating for this topic | 100% | 100% | 98% | 100% | 1.2 | 49% | Medicare shows only a Star Rating for this topic | 83 | 87 | 98 | 82% | 83% | 82% | 86% | 82% |
H0913 | Local CCP | WELLCARE HEALTH PLANS OF NEW JERSEY INC. | Wellcare | Centene Corporation | 64% | 57% | 72% | 52% | 64% | 89% | 91% | Not enough data available | 51% | 81% | 67% | Not enough data available | Not enough data available | 42% | 9% | 85% | 35% | 56% | 79 | 74 | Not enough data available | Not enough data available | 84 | Not enough data available | 0.61 | 30% | Medicare shows only a Star Rating for this topic | 79% | 98% | 98% | 100% | 0.61 | 30% | Medicare shows only a Star Rating for this topic | 87 | 91 | 97 | 89% | 87% | 85% | 89% | 89% |
H0927 | Demo | HEALTH CARE SERVICE CORPORATION | Blue Cross Community MMAI | Health Care Service 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 |
H0969 | Local CCP | WELLCARE HEALTH INSURANCE COMPANY OF NEW HAMPSHIRE | Wellcare | Centene Corporation | 61% | 54% | 61% | 49% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 51% | 61% | 54% | Not enough data available | Not enough data available | 44% | No data available | 85% | 40% | 56% | 77 | 78 | 88 | 84 | 81 | 84 | 0.96 | 29% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 98% | 100% | 0.96 | 29% | Medicare shows only a Star Rating for this topic | 82 | 89 | 98 | 86% | 89% | 88% | 87% | 80% |
H0976 | Local CCP | SCAN HEALTH PLAN | SCAN Health Plan | SCAN Group | 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 | 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 | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured |
H0978 | Local CCP | SCAN HEALTH PLAN NEVADA INC. | SCAN Health Plan | SCAN Group | Not enough data available | 64% | 67% | Plan too new to be measured | 90% | 96% | 100% | Not enough data available | 70% | 78% | 76% | Plan too new to be measured | Plan too new to be measured | 68% | No data available | Not enough data available | 42% | 59% | 70 | 69 | 87 | Not enough data available | 83 | Not enough data available | 0.92 | 29% | Not enough data available | Not enough data available | Not enough data available | 95% | 92% | 0.92 | 29% | Not enough data available | 86 | 88 | 100 | 90% | 91% | 89% | 87% | 89% |
H0982 | Local CCP | SOLIS HEALTH PLANS INC. | Solis Health Plans | Athena Healthcare Holdings LLC | 66% | 50% | 50% | 60% | CMS identified issues with this plan's data | 90% | 93% | Not enough data available | 71% | 82% | 83% | 71% | Not enough data available | 50% | No data available | 94% | 33% | 75% | 85 | 80 | 93 | 91 | 89 | 90 | 0.46 | 48% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 91% | 88% | 0.46 | 48% | Medicare shows only a Star Rating for this topic | 93 | 91 | 97 | 90% | 88% | 81% | 55% | 92% |
H1016 | Local CCP | AVMED INC. | AvMed Medicare | Sentara Health Care (SHC) | 84% | 85% | 71% | 60% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 65% | 81% | 90% | 79% | 55% | 52% | 58% | 12% | 86% | 44% | 68% | 79 | 74 | 90 | 84 | 86 | 86 | 0.19 | 13% | Medicare shows only a Star Rating for this topic | 100% | 97% | 100% | 97% | 0.19 | 13% | Medicare shows only a Star Rating for this topic | 86 | 89 | 93 | 87% | 90% | 88% | 68% | 88% |
H1019 | Local CCP | CAREPLUS HEALTH PLANS INC. | CarePlus Health Plans Inc. | Humana Inc. | 82% | 79% | 65% | 62% | 83% | 97% | 97% | 55% | 87% | 90% | 85% | 63% | 47% | 87% | 12% | 87% | 54% | 66% | 80 | 76 | 90 | 85 | 90 | 82 | 0.3 | 24% | Medicare shows only a Star Rating for this topic | 97% | 99% | 100% | 95% | 0.3 | 24% | Medicare shows only a Star Rating for this topic | 89 | 89 | 89 | 90% | 90% | 89% | 90% | 92% |
H1032 | Local CCP | Sunshine State Health Plan Inc. | Wellcare | Centene Corporation | 77% | 72% | 66% | 50% | 58% | 91% | 93% | 47% | 79% | 84% | 74% | 54% | Not enough data available | 65% | 11% | 82% | 40% | 62% | 81 | 78 | 88 | 87 | 86 | 84 | 0.46 | 22% | Medicare shows only a Star Rating for this topic | 66% | 97% | 97% | 100% | 0.46 | 22% | Medicare shows only a Star Rating for this topic | 89 | 92 | 98 | 87% | 89% | 87% | 90% | 90% |