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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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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| H1035 | Local CCP | FLORIDA BLUE MEDICARE INC. | Florida Blue HMO | Guidewell Mutual Holding Corporation | 78% | 82% | 73% | 51% | 61% | 96% | 95% | 47% | 70% | 84% | 75% | 50% | Not enough data available | 58% | 11% | 81% | 43% | 59% | 83 | 79 | 90 | 88 | 87 | 87 | 0.17 | 16% | Medicare shows only a Star Rating for this topic | 98% | 95% | 61% | 55% | 0.17 | 16% | Medicare shows only a Star Rating for this topic | 89 | 92 | 98 | 86% | 89% | 86% | 87% | 86% |
| H1036 | Local CCP | HUMANA MEDICAL PLAN INC. | Humana | Humana Inc. | 81% | 82% | 65% | 56% | 71% | 97% | 98% | 57% | 83% | 88% | 81% | 59% | 46% | 88% | 11% | 87% | 64% | 69% | 82 | 79 | 90 | 88 | 89 | 86 | 0.13 | 14% | Medicare shows only a Star Rating for this topic | 98% | 98% | 97% | 100% | 0.13 | 14% | Medicare shows only a Star Rating for this topic | 89 | 90 | 88 | 88% | 90% | 88% | 88% | 90% |
| H1045 | Local CCP | PREFERRED CARE PARTNERS INC. | UnitedHealthcare | UnitedHealth Group Inc. | 79% | 81% | 71% | 55% | 87% | 95% | 96% | 60% | 76% | 87% | 80% | 57% | 45% | 68% | 12% | 84% | 42% | 59% | 81 | 77 | 90 | 86 | 88 | 85 | 0.16 | 17% | Medicare shows only a Star Rating for this topic | 99% | 99% | 98% | 98% | 0.16 | 17% | Medicare shows only a Star Rating for this topic | 88 | 89 | 99 | 87% | 90% | 88% | 89% | 87% |
| H1099 | Local CCP | HEALTH FIRST HEALTH PLANS | Health First Health Plans Inc. | Health First Shared Services Inc. | 78% | 82% | 70% | 52% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 45% | 66% | 88% | 81% | 53% | 52% | 79% | 10% | 82% | 57% | 63% | 82 | 78 | 89 | 87 | 87 | 85 | 0.14 | 6% | Medicare shows only a Star Rating for this topic | 100% | 97% | 92% | 91% | 0.14 | 6% | Medicare shows only a Star Rating for this topic | 87 | 91 | 99 | 85% | 89% | 87% | 90% | 83% |
| H1109 | Local CCP | AETNA HEALTH INC.(GA) | Aetna Medicare | CVS Health Corporation | 73% | 77% | 73% | 52% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 74% | 92% | 75% | 60% | 37% | 91% | 10% | 91% | 47% | 59% | 83 | 79 | 91 | 87 | 89 | 86 | 0.13 | 22% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 98% | 98% | 0.13 | 22% | Medicare shows only a Star Rating for this topic | 87 | 91 | 98 | 87% | 88% | 87% | 82% | 83% |
| H1112 | Local CCP | WELLCARE OF GEORGIA INC. | Wellcare | Centene Corporation | 71% | 66% | 64% | 54% | 62% | 89% | 91% | 33% | 58% | 73% | 64% | 68% | Not enough data available | 41% | 9% | 84% | 38% | 49% | 80 | 76 | 90 | 85 | 86 | 86 | 0.45 | 37% | Medicare shows only a Star Rating for this topic | 75% | 97% | 98% | 100% | 0.45 | 37% | Medicare shows only a Star Rating for this topic | 89 | 91 | 97 | 82% | 84% | 82% | 88% | 85% |
| H1119 | Local CCP | TSG GUARD INC. | Valor Health Plan | The Schroer Group Inc. | Not enough data available | Not enough data available | Plan too small to be measured | No data available | CMS identified issues with this plan's data | 99% | 99% | Not enough data available | Not enough data available | Not enough data available | Not enough data available | No data available | No data available | Not enough data available | No data available | Not enough data available | Not enough data available | 11% | 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 | 0 | 3% | Not enough data available | Not enough data available | Not enough data available | 95% | 91% | 0 | 3% | Medicare shows only a Star Rating for this topic | Plan too small to be measured | Plan too small to be measured | 99 | 91% | 92% | 95% | 100% | 88% |
| H1170 | Local CCP | KAISER FOUNDATION HP OF GA INC. | Kaiser Permanente | Kaiser Foundation Health Plan Inc. | 86% | 87% | 80% | 63% | 86% | 100% | 98% | 78% | 90% | 91% | 80% | 62% | 44% | 97% | 12% | 87% | 96% | 61% | 77 | 74 | 91 | 87 | 89 | 85 | 0.18 | 4% | Medicare shows only a Star Rating for this topic | 90% | 86% | 39% | 25% | 0.18 | 4% | Medicare shows only a Star Rating for this topic | 92 | 91 | 100 | 88% | 89% | 89% | 92% | 89% |
| H1181 | MSA | NETWORK HEALTH INSURANCE CORPORATION | Network Health Medicare Advantage Plans | Network Health Inc. | 63% | 63% | 60% | 42% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Benefit not offered by plan | 65% | 83% | 75% | Not enough data available | Not enough data available | 94% | No data available | Benefit not offered by plan | 92% | 67% | 84 | 84 | Not enough data available | 86 | 84 | 88 | 0 | 22% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | Not enough data available | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure |
| H1189 | Local CCP | CHRISTUS HEALTH PLAN | CHRISTUS Health Advantage | CHRISTUS Health | 73% | 72% | 69% | 54% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 66% | 80% | 78% | 57% | 46% | 73% | 12% | 72% | 75% | 54% | 83 | 78 | 90 | 87 | 86 | 87 | 0.21 | 18% | Medicare shows only a Star Rating for this topic | 100% | 83% | 88% | 92% | 0.21 | 18% | Medicare shows only a Star Rating for this topic | 83 | 88 | 99 | 84% | 86% | 87% | 66% | 80% |