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
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C09 - Diabetes Care-Eye Exam
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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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H3597 | Local CCP | AETNA HEALTH INC. (ME) | Aetna Medicare | CVS Health Corporation | 84% | 83% | 79% | 47% | 70% | 100% | 93% | 56% | 83% | 92% | 79% | 45% | 54% | 93% | 13% | 87% | 54% | 57% | 79 | 79 | 88 | 86 | 86 | 86 | 0.11 | 9% | Medicare shows only a Star Rating for this topic | 100% | 100% | 98% | 98% | 0.11 | 9% | Medicare shows only a Star Rating for this topic | 84 | 90 | 98 | 91% | 91% | 91% | 85% | 84% |
H3653 | Local CCP | PARAMOUNT CARE, INC. | Paramount Elite Medicare Plans | Promedica Health System Inc | 78% | 78% | 80% | 52% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 54% | 73% | 87% | 78% | 55% | 37% | 64% | 12% | 85% | 67% | 58% | 84 | 81 | 91 | 87 | 88 | 87 | 0.1 | 4% | Medicare shows only a Star Rating for this topic | 96% | 100% | 97% | 95% | 0.1 | 4% | Medicare shows only a Star Rating for this topic | 86 | 90 | 96 | 85% | 89% | 89% | 89% | 82% |
H3655 | Local CCP | COMMUNITY INSURANCE COMPANY | Anthem Blue Cross and Blue Shield | Elevance Health Inc | 70% | 75% | 65% | 47% | 57% | 99% | 96% | 33% | 74% | 83% | 80% | 59% | 40% | 74% | 12% | 85% | 46% | 64% | 83 | 78 | 91 | 86 | 87 | 84 | 0.14 | 12% | Medicare shows only a Star Rating for this topic | 85% | 97% | 98% | 100% | 0.14 | 12% | Medicare shows only a Star Rating for this topic | 84 | 90 | 97 | 86% | 88% | 87% | 86% | 84% |
H3660 | Local CCP | SUMMACARE INC. | SummaCare Medicare Advantage Plans | Summa Health | 73% | 74% | 78% | 54% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 33% | 78% | 84% | 82% | 54% | 44% | 84% | 12% | 83% | 75% | 58% | 84 | 81 | 92 | 88 | 90 | 87 | 0.04 | 4% | Medicare shows only a Star Rating for this topic | 99% | 97% | 92% | 88% | 0.04 | 4% | Medicare shows only a Star Rating for this topic | 88 | 92 | 97 | 88% | 90% | 88% | 90% | 82% |
H3664 | Local CCP | AULTCARE HEALTH INSURING CORPORATION | PrimeTime Health Plan | Aultman Health Foundation | 76% | 80% | 79% | 46% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 55% | 84% | 91% | 85% | 51% | 35% | 65% | 11% | 85% | 59% | 58% | 85 | 81 | 95 | 88 | 91 | 88 | 0.02 | 3% | Medicare shows only a Star Rating for this topic | 100% | 97% | 97% | 98% | 0.02 | 3% | Medicare shows only a Star Rating for this topic | 89 | 94 | 99 | 87% | 91% | 89% | 91% | 84% |
H3668 | Local CCP | MOUNT CARMEL HEALTH PLAN, INC. | MediGold | Trinity Health Corporation | 74% | 76% | 76% | 49% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 32% | 68% | 82% | 73% | 55% | 42% | 69% | 11% | 86% | 55% | 59% | 86 | 81 | 94 | 89 | 92 | 88 | 0.03 | 5% | Medicare shows only a Star Rating for this topic | 100% | 99% | 84% | 98% | 0.03 | 5% | Medicare shows only a Star Rating for this topic | 89 | 92 | 93 | 88% | 90% | 89% | 86% | 86% |
H3672 | Local CCP | THE HEALTH PLAN OF WEST VIRGINIA, INC. | The Health Plan | The Health Plan of West Virginia Inc | 65% | 75% | 71% | 35% | 56% | 98% | 95% | 51% | 66% | 79% | 70% | 55% | 37% | 76% | 12% | 92% | 48% | 55% | 85 | 81 | 94 | 88 | 91 | 86 | 0.07 | 10% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 98% | 95% | 0.07 | 10% | Medicare shows only a Star Rating for this topic | 89 | 92 | 99 | 88% | 88% | 87% | 79% | 88% |
H3706 | Local CCP | GLOBALHEALTH, INC. | GlobalHealth | MHH Healthcare LP | 79% | 77% | 76% | 46% | CMS identified issues with this plan's data | 98% | 95% | 48% | 82% | 88% | 82% | 48% | 35% | 92% | 11% | 85% | 74% | 50% | 83 | 79 | 92 | 88 | 90 | 87 | 0.16 | 9% | Medicare shows only a Star Rating for this topic | 98% | 96% | 98% | 92% | 0.16 | 9% | Medicare shows only a Star Rating for this topic | 88 | 92 | 94 | 87% | 89% | 88% | 87% | 86% |
H3708 | Local CCP | OKLAHOMA SUPERIOR SELECT, INC. | American Health Advantage of Oklahoma | Mitchell Family Office | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | 98% | 98% | 97% | 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 | 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 | 81% | 77% | 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 | 100 | Not enough data available | 88% | 92% | 87% | 83% |
H3727 | Local CCP | OH CHS SNP INC. | Communicare Advantage | SNP Holdings LLC | Not enough data available | 4% | Plan too small to be measured | No data available | CMS identified issues with this plan's data | 1% | 100% | Not enough data available | 65% | 0% | 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 | Not enough 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 small to be measured | Plan too small to be measured | 0 | 5% | Not enough data available | 100% | 92% | 83% | 88% | 0 | 5% | Medicare shows only a Star Rating for this topic | Plan too small to be measured | Plan too small to be measured | 99 | 84% | 77% | 85% | 88% | 91% |