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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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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| H3152 | Local CCP | AETNA HEALTH INC. (NJ) | Aetna Medicare | CVS Health Corporation | 69% | 73% | 80% | 52% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 37% | 72% | 94% | 78% | 62% | 47% | 89% | 14% | 84% | 45% | 58% | 80 | 76 | 89 | 86 | 88 | 85 | 0.15 | 15% | Medicare shows only a Star Rating for this topic | 89% | 96% | 98% | 98% | 0.15 | 15% | Medicare shows only a Star Rating for this topic | 84 | 89 | 98 | 87% | 89% | 88% | 77% | 85% |
| H3170 | Local CCP | SAPPHIRE EDGE, INC. | Blue Cross and Blue Shield of Nebraska | Blue Cross Blue Shield of Nebraska | 66% | 72% | 76% | 37% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 72% | 78% | 77% | Not enough data available | 38% | 45% | No data available | 87% | 40% | 60% | 83 | 82 | 90 | 84 | 83 | 85 | 0 | 25% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 97% | 98% | 0 | 25% | Medicare shows only a Star Rating for this topic | 81 | 88 | 98 | 88% | 89% | 86% | 76% | 87% |
| H3186 | Local CCP | SANFORD HEALTH PLAN OF MINNESOTA | Sanford Health Plan of Minnesota | Sanford Health | 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 not required to report measure | Plan not required to report measure | Plan not required to report measure | 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 | 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 | 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 | 87% | 81% | Not enough data available | Not enough data available | Not enough data available | Plan too small to be measured | Plan too small to be measured | 98 | Not enough data available | 89% | 86% | Not enough data available | Not enough data available |
| H3189 | Local CCP | ESSENCE HEALTHCARE OF OHIO, INC. | Essence Healthcare | Lumeris Group Holdings Corporation | 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 not required to report measure | Plan not required to report measure | Plan not required to report measure | 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 | Plan too new to be measured | Not enough data available | Not enough data available | 95% | 98% | Plan too new to be measured | 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 |
| H3192 | Local CCP | AETNA HEALTH OF MICHIGAN INC. | Aetna Medicare | CVS Health Corporation | 72% | 76% | 60% | 46% | 67% | 100% | 91% | 44% | 70% | 88% | 80% | 57% | 41% | 93% | 15% | 86% | 47% | 56% | 83 | 79 | 90 | 86 | 86 | 85 | 0.57 | 34% | Medicare shows only a Star Rating for this topic | 87% | 97% | 98% | 98% | 0.57 | 34% | Medicare shows only a Star Rating for this topic | 86 | 90 | 97 | 84% | 86% | 85% | 89% | 86% |
| H3204 | Local CCP | PRESBYTERIAN HEALTH PLAN | Presbyterian Health Plan | Presbyterian Healthcare Services | 69% | 70% | 78% | 50% | 49% | 75% | 83% | 27% | 76% | 76% | 69% | 50% | 44% | 46% | 10% | 82% | 52% | 53% | 74 | 70 | 90 | 84 | 85 | 83 | 0.08 | 4% | Medicare shows only a Star Rating for this topic | 100% | 94% | 83% | 91% | 0.08 | 4% | Medicare shows only a Star Rating for this topic | 84 | 87 | 99 | 84% | 86% | 84% | 88% | 81% |
| H3206 | Local CCP | PRESBYTERIAN INSURANCE COMPANY, INC. | Presbyterian Insurance Company Inc. | Presbyterian Healthcare Services | 68% | 70% | 79% | 47% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 66% | 67% | 60% | 48% | 46% | 44% | 10% | 77% | 49% | 56% | 77 | 75 | 91 | 84 | 84 | 87 | 0.19 | 12% | Medicare shows only a Star Rating for this topic | 100% | 85% | 83% | 91% | 0.19 | 12% | Medicare shows only a Star Rating for this topic | 80 | 89 | 99 | 80% | 85% | 85% | Not enough data available | 83% |
| H3219 | Local CCP | ALLINA HEALTH AND AETNA INSURANCE COMPANY | Allina Health Aetna Medicare | Allina Health and Aetna Insurance Holding Company | 79% | 77% | 81% | 46% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 65% | 81% | 94% | 89% | 43% | 44% | 90% | 13% | 90% | 61% | 60% | 81 | 80 | 90 | 87 | 88 | 86 | 0.18 | 13% | Medicare shows only a Star Rating for this topic | 91% | 100% | 94% | 100% | 0.18 | 13% | Medicare shows only a Star Rating for this topic | 87 | 92 | 98 | 88% | 90% | 90% | 98% | 87% |
| H3239 | Local CCP | AETNA BETTER HEALTH, INC. (LA) | Aetna Medicare | CVS Health Corporation | 77% | 71% | 61% | 44% | 63% | 100% | 91% | Not enough data available | 73% | 82% | 76% | 66% | 41% | 92% | 15% | 87% | 43% | 49% | 83 | 77 | 93 | 88 | 91 | 88 | 0.49 | 38% | Medicare shows only a Star Rating for this topic | 90% | 96% | 98% | 98% | 0.49 | 38% | Medicare shows only a Star Rating for this topic | 92 | 93 | 97 | 84% | 85% | 84% | 88% | 85% |
| H3240 | Local CCP | AMERIGROUP NEW JERSEY, INC. | Amerigroup Community Care | Elevance Health Inc | 60% | 51% | 66% | 51% | 60% | 93% | 90% | 33% | 58% | 78% | 67% | 70% | 47% | 48% | 13% | 84% | 36% | 54% | 79 | 78 | 87 | 87 | 85 | 83 | 0.42 | 27% | Medicare shows only a Star Rating for this topic | 85% | 100% | 98% | 100% | 0.42 | 27% | Medicare shows only a Star Rating for this topic | 87 | 88 | 97 | 83% | 83% | 81% | 87% | 87% |