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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 - Monitoring Physical Activity
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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
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C21 - Customer Service
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C22 - Rating of Health Care Quality
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C23 - Rating of Health Plan
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C24 - Care Coordination
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C25 - Complaints about the Health Plan
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C26 - Members Choosing to Leave the Plan
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C27 - Health Plan Quality Improvement
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C28 - Plan Makes Timely Decisions about Appeals
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C29 - Reviewing Appeals Decisions
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C30 - 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 - MTM Program Completion Rate for CMR
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D12 - Statin Use in Persons with Diabetes (SUPD)
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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| H9955 | Local CCP | MOLINA HEALTHCARE OF OHIO INC. | Molina Healthcare of Ohio | Molina Healthcare Inc. | 63% | 59% | 54% | 45% | 64% | 85% | 86% | Not enough data available | 51% | 70% | 64% | Not enough data available | Not enough data available | 50% | 12% | 86% | 35% | 53% | 83 | 80 | 90 | 86 | 85 | 86 | 0.68 | 27% | Medicare shows only a Star Rating for this topic | 100% | 91% | 98% | 98% | 0.68 | 27% | Medicare shows only a Star Rating for this topic | 85 | 89 | 93 | 79% | 84% | 84% | 85% | 82% |
| H9976 | Local CCP | WESTERN SKY COMMUNITY CARE INC. | Wellcare by Allwell | Centene Corporation | Not enough data available | 36% | 62% | Plan too new to be measured | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 46% | 45% | 23% | Plan too new to be measured | Plan too new to be measured | 10% | No data available | Not enough data available | 19% | Not enough data available | 74 | 74 | Not enough data available | Not enough data available | 79 | Not enough data available | 1.04 | 48% | Not enough data available | Not enough data available | Not enough data available | 97% | 100% | 1.04 | 48% | Not enough data available | 81 | Not enough data available | 98 | 84% | 85% | 84% | 85% | 79% |
| H9986 | Local CCP | HPMP OF FLORIDA INC. | Florida Complete Care | Independent Living Systems LLC | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | Plan too new to be measured | 100% | 11% | 6% | 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 new to be measured | Plan too new to be measured | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | CMS identified issues with this plan's data | 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 | Not enough data available | 20% | Not enough data available | Not enough data available | Not enough data available | 84% | 88% | Not enough data available | 20% | Not enough data available | Plan too small to be measured | Plan too small to be measured | 97 | 97% | 94% | 97% | 81% | 72% |
| R0110 | Regional CCP | HUMANA INSURANCE COMPANY | Humana | Humana Inc. | 68% | 77% | 66% | 44% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 40% | 71% | 85% | 71% | 55% | Not enough data available | 76% | 11% | 84% | 55% | 69% | 86 | 80 | 93 | 88 | 89 | 89 | 0.09 | 18% | Medicare shows only a Star Rating for this topic | 97% | 96% | 97% | 100% | 0.09 | 18% | Medicare shows only a Star Rating for this topic | 89 | 91 | 89 | 82% | 86% | 86% | 84% | 83% |
| R0759 | Regional CCP | CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO. | UnitedHealthcare | UnitedHealth Group Inc. | 67% | 74% | 69% | 49% | 66% | 83% | 85% | 43% | 66% | 83% | 73% | 55% | 46% | 60% | 12% | 80% | 41% | 54% | 81 | 76 | 89 | 86 | 86 | 86 | 0.08 | 21% | Medicare shows only a Star Rating for this topic | 99% | 98% | 98% | 98% | 0.08 | 21% | Medicare shows only a Star Rating for this topic | 87 | 92 | 98 | 86% | 89% | 88% | 81% | 83% |
| R0865 | Regional CCP | HUMANA INSURANCE COMPANY | Humana | Humana Inc. | 62% | 73% | 69% | 40% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 33% | 62% | 85% | 76% | 51% | 42% | 79% | 11% | 87% | 59% | 69% | 86 | 81 | 92 | 89 | 87 | 89 | 0.03 | 18% | Medicare shows only a Star Rating for this topic | 98% | 94% | 97% | 100% | 0.03 | 18% | Medicare shows only a Star Rating for this topic | 88 | 92 | 89 | 86% | 88% | 87% | 73% | 83% |
| R0923 | Regional CCP | HUMANA INSURANCE COMPANY | Humana | Humana Inc. | 59% | 67% | 73% | 46% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 64% | 85% | 73% | 57% | 40% | 79% | 12% | 87% | 62% | 61% | 84 | 81 | 90 | 88 | 86 | 86 | 0.06 | 16% | Medicare shows only a Star Rating for this topic | 100% | 92% | 97% | 100% | 0.06 | 16% | Medicare shows only a Star Rating for this topic | 87 | 92 | 87 | 89% | 88% | 89% | 80% | 83% |
| R1390 | Regional CCP | HUMANA INSURANCE COMPANY | Humana | Humana Inc. | 70% | 69% | 71% | 49% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 35% | 69% | 85% | 73% | 54% | 41% | 74% | 11% | 86% | 58% | 57% | 79 | 77 | Not enough data available | 85 | 87 | 83 | 0.17 | 34% | Medicare shows only a Star Rating for this topic | 99% | 97% | 97% | 100% | 0.17 | 34% | Medicare shows only a Star Rating for this topic | 87 | 89 | 88 | 86% | 89% | 88% | 76% | 85% |
| R1532 | Regional CCP | HUMANA INSURANCE COMPANY | Humana | Humana Inc. | 56% | 66% | 60% | 37% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 62% | 77% | 68% | 54% | 40% | 70% | 10% | 83% | 54% | 57% | 84 | 77 | 91 | 86 | 85 | 87 | 0.23 | 28% | Medicare shows only a Star Rating for this topic | 95% | 100% | 97% | 100% | 0.23 | 28% | Medicare shows only a Star Rating for this topic | 83 | Not enough data available | 88 | 85% | 86% | 85% | 82% | 83% |
| R2604 | Regional CCP | CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO. | UnitedHealthcare | UnitedHealth Group Inc. | 74% | 77% | 73% | 51% | 78% | 97% | 97% | 31% | 78% | 83% | 75% | 60% | 41% | 63% | 11% | 84% | 42% | 56% | 85 | 80 | 91 | 87 | 88 | 87 | 0.13 | 33% | Medicare shows only a Star Rating for this topic | 100% | 98% | 98% | 98% | 0.13 | 33% | Medicare shows only a Star Rating for this topic | 86 | 89 | 98 | 84% | 87% | 85% | 85% | 84% |