hcontract
|
org type
|
contract name
|
org marketing name
|
parent org
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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)
|
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H3467 | Local CCP | PROCARE ADVANTAGE, LLC | ProCare Advantage | First Sacramento Capital Funding LLC | Not enough data available | Not enough data available | Plan too small to be measured | No data available | 87% | 73% | 99% | Not enough data available | Not enough data available | Not enough data available | Not enough data available | No data available | No data available | Not enough data available | No data available | Not enough data available | Not enough data available | 25% | 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 | 95% | 94% | 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 | 95 | 78% | 56% | 73% | 98% | 86% |
H3471 | Local CCP | HEALTH ALLIANCE NORTHWEST HEALTH PLAN | Health Alliance Northwest | The Carle Foundation | 72% | 77% | 72% | 47% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 44% | 71% | 83% | 83% | 50% | 44% | 70% | 10% | 85% | 68% | 58% | 76 | 77 | 91 | 84 | 83 | 85 | 0.09 | 5% | Medicare shows only a Star Rating for this topic | 100% | 85% | 86% | 91% | 0.09 | 5% | Medicare shows only a Star Rating for this topic | 83 | 89 | 98 | 85% | 87% | 86% | 85% | 82% |
H3499 | Local CCP | COORDINATED CARE CORPORATION | Wellcare by Allwell | Centene Corporation | 60% | 60% | 62% | 40% | 40% | 95% | 89% | Not enough data available | 54% | 72% | 68% | 51% | Not enough data available | 34% | 11% | 92% | 36% | 54% | 82 | 78 | 89 | 85 | 85 | 85 | 1.22 | 52% | Medicare shows only a Star Rating for this topic | 100% | 100% | 97% | 100% | 1.22 | 52% | Medicare shows only a Star Rating for this topic | 86 | 91 | 97 | 82% | 86% | 84% | 83% | 81% |
H3528 | Local CCP | CONNECTICARE, INC. | ConnectiCare | EmblemHealth Inc | 78% | 79% | 83% | 50% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 18% | 78% | 82% | 80% | 46% | 46% | 70% | 13% | 85% | 70% | 55% | 81 | 79 | 91 | 86 | 85 | 85 | 0.06 | 9% | Medicare shows only a Star Rating for this topic | 98% | 97% | 95% | 83% | 0.06 | 9% | Medicare shows only a Star Rating for this topic | 83 | 88 | 99 | 89% | 92% | 91% | 42% | 85% |
H3533 | Local CCP | HUMANA HEALTH COMPANY OF NEW YORK, INC. | Humana | Humana Inc | 68% | 70% | 71% | 49% | 77% | 92% | 94% | 34% | 74% | 76% | 76% | 63% | Not enough data available | 71% | 12% | 87% | 54% | 58% | 79 | 75 | 88 | 84 | 83 | 82 | 0.25 | 31% | Medicare shows only a Star Rating for this topic | 98% | 98% | 97% | 100% | 0.25 | 31% | Medicare shows only a Star Rating for this topic | 84 | 88 | 88 | 84% | 86% | 84% | 85% | 86% |
H3536 | Local CCP | MATTHEW THORNTON HEALTH PLAN, INC. | Anthem Blue Cross and Blue Shield | Elevance Health Inc | 65% | 71% | 72% | 47% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 69% | 76% | 74% | 59% | 48% | 72% | 13% | 87% | 48% | 61% | 80 | 80 | 89 | 84 | 83 | 87 | 0.25 | 16% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 98% | 100% | 0.25 | 16% | Medicare shows only a Star Rating for this topic | 82 | 87 | 98 | 86% | 88% | 88% | 84% | 82% |
H3551 | Local CCP | ETERNALHEALTH OF ARIZONA INC | eternalHealth | Eternal Health of Delaware 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 | 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 |
H3554 | Local CCP | USABLE PPO INSURANCE COMPANY | Arkansas Blue Medicare | USAble Mutual Insurance Company | 72% | 82% | 70% | 47% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 75% | 82% | 78% | 48% | 45% | 59% | 10% | 72% | 47% | 60% | 82 | 77 | 89 | 86 | 86 | 86 | 0.15 | 18% | Medicare shows only a Star Rating for this topic | 97% | 92% | 98% | 97% | 0.15 | 18% | Medicare shows only a Star Rating for this topic | 85 | 91 | 98 | 88% | 88% | 88% | 72% | 83% |
H3557 | Local CCP | BLUE CROSS & BLUE SHIELD OF RHODE ISLAND | Blue Cross and Blue Shield of Rhode Island | Blue Cross and Blue Shield of Rhode Island | 90% | 86% | 88% | 60% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 32% | 90% | 86% | 81% | Not enough data available | 52% | 71% | 14% | 90% | 60% | 62% | 82 | 78 | 90 | 88 | 90 | 84 | 0.07 | 4% | Medicare shows only a Star Rating for this topic | 100% | 100% | 98% | 97% | 0.07 | 4% | Medicare shows only a Star Rating for this topic | 87 | 90 | 98 | 89% | 92% | 91% | 90% | 88% |
H3561 | Local CCP | HEALTH NET COMMUNITY SOLUTIONS, INC. | Wellcare by Health Net | Centene Corporation | 73% | 73% | 64% | 59% | 55% | 92% | 84% | 48% | 78% | 82% | 74% | 71% | Not enough data available | 66% | 10% | 83% | 40% | 49% | 76 | 72 | 87 | 81 | 82 | Not enough data available | 0.61 | 7% | Medicare shows only a Star Rating for this topic | 100% | 94% | 97% | 100% | 0.61 | 7% | Medicare shows only a Star Rating for this topic | 85 | 86 | 96 | 87% | 86% | 85% | 86% | 90% |