Measure Data : 2024

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  C01 - Breast Cancer Screening
  C02 - Colorectal Cancer Screening
  C03 - Annual Flu Vaccine
  C04 - Monitoring Physical Activity
  C05 - Special Needs Plan (SNP) Care Management
  C06 - Care for Older Adults-Medication Review
  C07 - Care for Older Adults-Pain Assessment
  C08 - Osteoporosis Management in Women who had a Fracture
  C09 - Diabetes Care-Eye Exam
  C10 - Diabetes Care-Blood Sugar Controlled
  C11 - Controlling Blood Pressure
  C12 - Reducing the Risk of Falling
  C13 - Improving Bladder Control
  C14 - Medication Reconciliation Post-Discharge
  C15 - Plan All-Cause Readmissions
  C16 - Statin Therapy for Patients with Cardiovascular Disease
  C17 - Transitions of Care
  C18 - Follow-up after ED Visit People with Multiple Chronic Conditions
  C19 - Getting Needed Care
  C20 - Getting Appointments and Care Quickly
  C21 - Customer Service
  C22 - Rating of Health Care Quality
  C23 - Rating of Health Plan
  C24 - Care Coordination
  C25 - Complaints about the Health Plan
  C26 - Members Choosing to Leave the Plan
  C27 - Health Plan Quality Improvement
  C28 - Plan Makes Timely Decisions about Appeals
  C29 - Reviewing Appeals Decisions
  C30 - Call Center-Foreign Language Interpreter and TTY Availability
  D01 - Call Center-Foreign Language Interpreter and TTY Availability
  D02 - Complaints about the Drug Plan
  D03 - Members Choosing to Leave the Plan
  D04 - Drug Plan Quality Improvement
  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)
E3014 Employer/Union Only Direct Contract PDP PSERS HOP PROGRAM Pennsylvania Public School Employees Retirement Sy Commonwealth of PA Pub Schools Retirement System 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 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 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 Not enough data available 0.01 Not enough data available Medicare shows only a Star Rating for this topic 88 92 Not enough data available 89% 91% 89% 66% 85%
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%
H4733 Local CCP COMMUNITY HEALTH GROUP Community Health Group Community Health Group 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 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 86% 89% 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
H6248 Local CCP COMMUNITY HEALTH GROUP Community Health Group Community Health Group 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 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 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 Plan too new to be measured Plan too new to be measured Plan too new to be measured Plan too new to be measured
H5826 Local CCP COMMUNITY HEALTH PLAN OF WASHINGTON Community Health Plan of WA Medicare Advantage Community Health Plan of Washington 63% 71% 72% 58% 44% 88% 84% 24% 69% 81% 67% 56% 40% 55% 10% 87% 54% 58% 76 72 91 84 87 84 0.09 10% Medicare shows only a Star Rating for this topic 88% 93% 98% 94% 0.09 10% Medicare shows only a Star Rating for this topic 87 89 99 86% 86% 85% 77% 86%
H4277 Local CCP CommunityCare Life & Health Insurance Co. CommunityCare Options (PPO) CommunityCare Managed Healthcare Plans of OK Inc. 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 90% 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
S5857 PDP PRIORITY HEALTH INSURANCE COMPANY Priority Health Medicare Corewell Health 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 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 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 Not enough data available Not enough data available Not enough data available Not enough data available 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 Not enough data available
H8379 Local CCP PRIORITY HEALTH CHOICE, INC. Priority Health Medicare Corewell Health 72% 75% 65% 52% 62% 95% 94% Not enough data available 79% 86% 83% 66% 50% 83% 11% 83% 81% 62% 83 80 92 87 89 85 0.15 16% Medicare shows only a Star Rating for this topic 93% 91% 98% 100% 0.15 16% Medicare shows only a Star Rating for this topic 88 91 99 87% 86% 85% 81% 83%
H2320 Local CCP PRIORITY HEALTH Priority Health Medicare Corewell Health 81% 85% 76% 50% Plan not required to report measure Plan not required to report measure Plan not required to report measure 48% 84% 91% 82% 48% 45% 91% 10% 84% 84% 60% 82 81 91 87 88 86 0.04 4% Medicare shows only a Star Rating for this topic 93% 93% 98% 100% 0.04 4% Medicare shows only a Star Rating for this topic 87 91 99 88% 91% 89% 80% 83%
H4875 Local CCP PRIORITY HEALTH Priority Health Medicare Corewell Health 80% 81% 76% 52% Plan not required to report measure Plan not required to report measure Plan not required to report measure 46% 81% 86% 82% 53% 46% 95% 11% 83% 90% 61% 82 80 91 87 89 87 0.06 10% Medicare shows only a Star Rating for this topic 92% 92% 98% 100% 0.06 10% Medicare shows only a Star Rating for this topic 87 91 99 87% 90% 88% 79% 82%
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