hcontract
|
org type
|
contract name
|
org marketing name
|
parent org
|
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)
|
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H3251 | Local CCP | HEALTH CARE SERVICE CORPORATION | Blue Cross and Blue Shield of New Mexico | Health Care Service Corporation | 74% | 78% | 77% | 51% | 54% | 100% | 93% | 30% | 69% | 76% | 67% | 54% | 45% | 76% | 11% | 84% | 65% | 50% | 73 | 69 | 88 | 81 | 84 | 80 | 0.07 | 8% | Medicare shows only a Star Rating for this topic | 100% | 88% | 98% | 97% | 0.07 | 8% | Medicare shows only a Star Rating for this topic | 82 | 85 | 98 | 85% | 88% | 86% | 91% | 84% |
H3256 | Local CCP | CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO. | UnitedHealthcare | UnitedHealth Group Inc | 75% | 84% | 64% | 48% | 88% | 96% | 96% | 59% | 80% | 81% | 71% | 65% | 43% | 66% | 10% | 85% | 50% | 57% | 83 | 78 | 92 | 87 | 91 | 87 | 0.19 | 29% | Medicare shows only a Star Rating for this topic | 97% | 97% | 98% | 98% | 0.19 | 29% | Medicare shows only a Star Rating for this topic | 91 | 93 | 99 | 88% | 88% | 88% | 90% | 85% |
H3259 | Local CCP | VOLUNTEER STATE HEALTH PLAN | BlueCare Plus Tennessee | BlueCross BlueShield of Tennessee | 72% | 75% | 58% | 41% | 66% | 94% | 93% | 62% | 85% | 83% | 75% | 62% | 50% | 62% | 12% | 83% | 47% | 56% | 86 | 80 | 93 | 88 | 91 | 86 | 0.12 | 9% | Medicare shows only a Star Rating for this topic | 94% | 94% | 98% | 100% | 0.12 | 9% | Medicare shows only a Star Rating for this topic | 91 | 93 | 87 | 83% | 84% | 84% | 87% | 82% |
H3274 | Local CCP | ALIGN SENIOR CARE CALIFORNIA INC. | Align Senior Care | Innovative Long Term Care Management Inc | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | Plan too new to be measured | 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 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 | 97% | 89% | Not enough data available | Not enough data available | Not enough data available | Plan too small to be measured | Plan too small to be measured | 99 | Not enough data available | Not enough data available | Not enough data available | Not enough data available | Not enough data available |
H3276 | Local CCP | CONNECTICARE INSURANCE COMPANY, INC. | ConnectiCare | EmblemHealth Inc | 79% | 71% | 76% | 53% | 53% | 85% | 85% | Not enough data available | 67% | 62% | 79% | Not enough data available | Not enough data available | 59% | 15% | 86% | 65% | 50% | 76 | 77 | 86 | 83 | 84 | 83 | 0.24 | 32% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 95% | 83% | 0.24 | 32% | Medicare shows only a Star Rating for this topic | 84 | 87 | 99 | 85% | 86% | 86% | 25% | 85% |
H3288 | Local CCP | AETNA HEALTH AND LIFE INSURANCE COMPANY | Aetna Medicare | CVS Health Corporation | 72% | 70% | 65% | 50% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 55% | 76% | 87% | 75% | 54% | 43% | 95% | 12% | 82% | 46% | 54% | 81 | 75 | 88 | 85 | 87 | 88 | 0.2 | 43% | Medicare shows only a Star Rating for this topic | 93% | 91% | 98% | 98% | 0.2 | 43% | Medicare shows only a Star Rating for this topic | 86 | 90 | 98 | 84% | 88% | 87% | 86% | 83% |
H3291 | Local CCP | PRUITTHEALTH PREMIER, INC. | PruittHealth Premier | UNICO Services Inc | 27% | 71% | Plan too small to be measured | No data available | 97% | 84% | 98% | Not enough data available | 97% | 62% | Not enough data available | No data available | No data available | Not enough data available | 11% | Not enough data available | Not enough data available | 35% | 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 | 0.1 | 3% | Not enough data available | Not enough data available | Not enough data available | 94% | 89% | 0.1 | 3% | Medicare shows only a Star Rating for this topic | Plan too small to be measured | Plan too small to be measured | 97 | 90% | 92% | 97% | 98% | 92% |
H3305 | Local CCP | MVP HEALTH PLAN, INC. | MVP HEALTH CARE | MVP Health Care Inc | 83% | 77% | 85% | 53% | 60% | 80% | 83% | 43% | 79% | 81% | 69% | 53% | 46% | 59% | 11% | 86% | 57% | 55% | 83 | 80 | 91 | 87 | 90 | 89 | 0.05 | 5% | Medicare shows only a Star Rating for this topic | 100% | 94% | 91% | 86% | 0.05 | 5% | Medicare shows only a Star Rating for this topic | 88 | 92 | 98 | 88% | 91% | 90% | 54% | 83% |
H3307 | Local CCP | OXFORD HEALTH PLANS (NY), INC. | UnitedHealthcare | UnitedHealth Group Inc | 69% | 70% | 80% | 51% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 38% | 73% | 85% | 70% | 56% | 39% | 49% | 11% | 87% | 39% | 53% | 78 | 72 | 90 | 80 | 81 | 84 | 0.14 | 15% | Medicare shows only a Star Rating for this topic | 100% | 96% | 98% | 98% | 0.14 | 15% | Medicare shows only a Star Rating for this topic | 82 | 86 | 98 | 84% | 88% | 85% | 78% | 85% |
H3312 | Local CCP | AETNA HEALTH INC. (NY) | Aetna Medicare | CVS Health Corporation | 72% | 73% | 73% | 44% | 63% | 100% | 88% | 55% | 73% | 87% | 77% | 62% | 47% | 94% | 12% | 83% | 46% | 57% | 81 | 74 | 88 | 87 | 87 | 85 | 0.27 | 25% | Medicare shows only a Star Rating for this topic | 80% | 99% | 98% | 98% | 0.27 | 25% | Medicare shows only a Star Rating for this topic | 86 | 90 | 97 | 87% | 89% | 87% | 87% | 83% |