|
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
|
C19 - Getting Needed Care
|
C20 - Getting Appointments and Care Quickly
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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
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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
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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
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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
|
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)
|
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| H1977 | Demo | UPPER PENINSULA HEALTH PLAN, LLC | Upper Peninsula Health Plan (UPHP) MI Health Link | DLP Marquette General Hospital LLC | 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 |
| H1993 | Local CCP | ASTIVA HEALTH, INC. | Astiva Health | Astiva Group LLC | Not enough data available | 73% | 88% | 63% | No data available | No data available | No data available | Not enough data available | 79% | 72% | 78% | Not enough data available | Not enough data available | 57% | No data available | 83% | 37% | Not enough data available | 79 | 76 | 89 | 85 | 85 | 85 | 0.23 | 5% | Not enough data available | Not enough data available | Not enough data available | 83% | 84% | 0.23 | 5% | Medicare shows only a Star Rating for this topic | 85 | 88 | 99 | 89% | 88% | 86% | 80% | 95% |
| H1994 | Local CCP | SELECTHEALTH, INC. | Select Health | Intermountain Health Care Inc | 76% | 80% | 77% | 60% | 61% | 94% | 93% | 43% | 81% | 89% | 78% | 49% | 39% | 85% | 9% | 89% | 85% | 54% | 84 | 81 | 91 | 88 | 90 | 87 | 0.1 | 9% | Medicare shows only a Star Rating for this topic | 98% | 95% | 98% | 95% | 0.1 | 9% | Medicare shows only a Star Rating for this topic | 89 | 93 | 87 | 88% | 90% | 90% | 98% | 86% |
| H1997 | Local CCP | REGENCE BLUESHIELD | Regence BlueShield | Cambia Health Solutions Inc | 77% | 82% | 74% | 54% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 72% | 84% | 74% | 50% | 53% | 72% | 10% | 91% | 71% | 56% | 76 | 75 | 92 | 82 | 84 | 85 | 0.1 | 16% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 97% | 98% | 0.1 | 16% | Medicare shows only a Star Rating for this topic | 82 | 89 | 98 | 87% | 90% | 88% | 71% | 84% |
| H2001 | Local CCP | SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC. | UnitedHealthcare | UnitedHealth Group Inc | 84% | 86% | 84% | 57% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 42% | 85% | 93% | 84% | 55% | 50% | 64% | 10% | 83% | 49% | 59% | 81 | 79 | 91 | 87 | 89 | 85 | 0.04 | 0% | Medicare shows only a Star Rating for this topic | 99% | 98% | 98% | 98% | 0.04 | 0% | Medicare shows only a Star Rating for this topic | 87 | 90 | 98 | 88% | 90% | 89% | 83% | 84% |
| H2029 | Local CCP | HUMANA INSURANCE OF PUERTO RICO, INC. | Humana | Humana Inc | 72% | 73% | Plan too small to be measured | 54% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 69% | 87% | 80% | Not enough data available | Not enough data available | 83% | No data available | No data available | No data available | No data available | 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 | Not enough data available | Not enough data available | Not enough data available | Not enough data available | 98% | 92% | Not enough data available | Not enough data available | Medicare shows only a Star Rating for this topic | Plan too small to be measured | Plan too small to be measured | 90 | 81% | 85% | 77% | Not enough data available | 82% |
| H2032 | Local CCP | Baylor Scott & White Insurance Company | Baylor Scott and White Health Plan | Baylor Scott and White Holdings | 80% | 77% | 79% | 61% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 74% | 83% | 67% | 56% | 54% | 42% | 14% | 78% | 43% | 66% | 84 | 80 | 92 | 90 | 89 | 89 | 0.14 | 11% | Medicare shows only a Star Rating for this topic | 91% | 68% | 97% | 83% | 0.14 | 11% | Medicare shows only a Star Rating for this topic | 86 | 92 | 98 | 86% | 90% | 87% | 86% | 84% |
| H2034 | Local CCP | COMMUNITY CARE HEALTH PLAN, INC. | Community Care | Community Care Inc | 73% | 70% | Plan too small to be measured | Not enough data available | 100% | 75% | 100% | Not enough data available | 24% | 37% | 77% | Not enough data available | Not enough data available | 9% | No data available | Not enough data available | 36% | 87% | 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 | Not enough data available | Not enough data available | Not enough data available | Not enough data available | 73% | 72% | Not enough data available | Not enough data available | Medicare shows only a Star Rating for this topic | Plan too small to be measured | Plan too small to be measured | 97 | 91% | 88% | 93% | 56% | 85% |
| H2056 | Local CCP | AETNA BETTER HEALTH OF MICHIGAN INC. | Aetna Medicare | CVS Health Corporation | 67% | 70% | 62% | 43% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 54% | 76% | 89% | 74% | 48% | 45% | 92% | 10% | 80% | 46% | 53% | 77 | 77 | 90 | 85 | 86 | 84 | 0.36 | 22% | Medicare shows only a Star Rating for this topic | 93% | 98% | 98% | 98% | 0.36 | 22% | Medicare shows only a Star Rating for this topic | 84 | 88 | 97 | 84% | 87% | 85% | 86% | 82% |
| H2108 | Local CCP | BRAVO HEALTH MID-ATLANTIC, INC. | Cigna Healthcare | The Cigna Group | 72% | 68% | 75% | 53% | 71% | 94% | 95% | 38% | 65% | 84% | 79% | 62% | 44% | 87% | 11% | 86% | 58% | 57% | 78 | 76 | 89 | 82 | 83 | 86 | 0.46 | 19% | Medicare shows only a Star Rating for this topic | 95% | 98% | 95% | 93% | 0.46 | 19% | Medicare shows only a Star Rating for this topic | 85 | 88 | 99 | 81% | 84% | 83% | 88% | 87% |