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contract name
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org marketing name
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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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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| H5199 | Local CCP | WELLCARE HEALTH INSURANCE OF ARIZONA, INC. | Wellcare | Centene Corporation | 67% | 57% | 55% | 49% | 62% | 67% | 71% | Not enough data available | 52% | 69% | 69% | 49% | 45% | 44% | 10% | 79% | 32% | 58% | 78 | 75 | 86 | 84 | 81 | 83 | 1.18 | 46% | Medicare shows only a Star Rating for this topic | 77% | Not enough data available | 97% | 100% | 1.18 | 46% | Medicare shows only a Star Rating for this topic | 87 | 90 | 98 | 84% | 88% | 87% | 90% | 85% |
| H6446 | Local CCP | SILVERSUMMIT HEALTHPLAN, INC. | Wellcare by Allwell | Centene Corporation | 58% | 58% | 54% | 41% | 39% | 94% | 76% | Not enough data available | 64% | 73% | 70% | Not enough data available | Not enough data available | 35% | 14% | 76% | 27% | 49% | 73 | 72 | Not enough data available | Not enough data available | 82 | Not enough data available | 1.04 | 39% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 97% | 100% | 1.04 | 39% | Medicare shows only a Star Rating for this topic | 85 | 90 | 98 | 86% | 87% | 88% | 80% | 87% |
| H1395 | Local CCP | NEBRASKA TOTAL CARE, INC. | Wellcare | Centene Corporation | Not enough data available | Not enough data available | 67% | Plan too new to be measured | 49% | 98% | 91% | Not enough data available | 59% | 49% | 29% | Plan too new to be measured | Plan too new to be measured | 33% | No data available | Not enough data available | 34% | Not enough data available | 78 | 79 | 87 | 83 | 83 | 86 | 1.39 | 40% | Not enough data available | Not enough data available | Not enough data available | 97% | 100% | 1.39 | 40% | Not enough data available | 84 | 90 | 98 | 84% | 86% | 86% | 85% | 81% |
| 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% |
| H4073 | Local CCP | WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC. | Wellcare | Centene Corporation | 62% | 43% | 65% | Plan too new to be measured | 63% | 81% | 87% | Not enough data available | 54% | 66% | 64% | Plan too new to be measured | Plan too new to be measured | 49% | No data available | 84% | 38% | 43% | 82 | 75 | 90 | Not enough data available | 85 | Not enough data available | 1.49 | 61% | Not enough data available | 88% | 96% | 98% | 100% | 1.49 | 61% | Not enough data available | 85 | Not enough data available | 98 | 81% | 85% | 83% | 88% | 83% |
| H4343 | Local CCP | CENTENE VENTURE COMPANY ALABAMA HEALTH PLAN, INC. | Wellcare by Allwell | Centene Corporation | Not enough data available | 58% | 55% | 51% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 63% | 77% | 70% | Not enough data available | Not enough data available | 37% | No data available | Not enough data available | 29% | Not enough data available | 85 | 77 | Not enough data available | 89 | 86 | Not enough data available | 1.63 | 46% | Not enough data available | Not enough data available | Not enough data available | 97% | 100% | 1.63 | 46% | Medicare shows only a Star Rating for this topic | 89 | Not enough data available | 99 | 81% | 84% | 83% | 82% | 77% |
| H6550 | Local CCP | SUNFLOWER STATE HEALTH PLAN, INC. | Wellcare by Allwell | Centene Corporation | 56% | 60% | 58% | 46% | 42% | 97% | 90% | Not enough data available | 65% | 64% | 71% | Not enough data available | Not enough data available | 39% | 14% | 80% | 37% | 48% | 82 | 78 | 88 | 85 | 85 | 86 | 0.48 | 41% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 97% | 100% | 0.48 | 41% | Medicare shows only a Star Rating for this topic | 88 | 92 | 97 | 85% | 84% | 84% | 84% | 80% |
| H7175 | Local CCP | WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC. | Wellcare | Centene Corporation | 67% | 59% | 63% | 49% | 62% | 89% | 89% | Not enough data available | 49% | 68% | 61% | Not enough data available | Not enough data available | 52% | 10% | 78% | 38% | 48% | 78 | 79 | Not enough data available | 83 | 82 | Not enough data available | 0.93 | 55% | Medicare shows only a Star Rating for this topic | 50% | Not enough data available | 98% | 100% | 0.93 | 55% | Medicare shows only a Star Rating for this topic | 85 | 89 | 98 | 81% | 86% | 83% | 90% | 83% |
| H8189 | Local CCP | MANAGED HEALTH SERVICES INSURANCE CORP. | Wellcare by Allwell | Centene Corporation | 70% | 76% | 65% | 47% | 41% | 97% | 90% | Not enough data available | 67% | 79% | 78% | Not enough data available | Not enough data available | 51% | 14% | 92% | 51% | 56% | 82 | 82 | 89 | 86 | 87 | 87 | 0.98 | 43% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 97% | 100% | 0.98 | 43% | Medicare shows only a Star Rating for this topic | 89 | 92 | 89 | 86% | 87% | 88% | 86% | 87% |
| 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% |