|
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)
|
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| H3748 | Local CCP | AETNA BETTER HEALTH OF WASHINGTON, INC. | Aetna Medicare | CVS Health Corporation | 76% | 79% | 72% | 50% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 49% | 75% | 94% | 78% | 50% | 47% | 93% | 8% | 88% | 46% | 58% | 76 | 75 | 91 | 84 | 85 | 85 | 0.19 | 28% | Medicare shows only a Star Rating for this topic | 78% | 98% | 98% | 98% | 0.19 | 28% | Medicare shows only a Star Rating for this topic | 84 | 90 | 98 | 86% | 89% | 89% | 86% | 87% |
| H3749 | Local CCP | UNITEDHEALTHCARE OF WISCONSIN, INC. | UnitedHealthcare | UnitedHealth Group Inc | 71% | 76% | 73% | 49% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 27% | 75% | 83% | 76% | 47% | 43% | 54% | 10% | 83% | 44% | 51% | 82 | 79 | 89 | 87 | 87 | 85 | 0.16 | 19% | Medicare shows only a Star Rating for this topic | 100% | 98% | 98% | 98% | 0.16 | 19% | Medicare shows only a Star Rating for this topic | 88 | 92 | 98 | 85% | 88% | 88% | 83% | 83% |
| H3755 | Local CCP | COMMUNITYCARE GOVERNMENT PROGRAMS, INC. | CommunityCare Senior Health Plan (HMO) | St Francis Health System and St John Health System | 78% | 81% | 76% | 46% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 60% | 83% | 91% | 71% | 57% | 41% | 91% | 11% | 80% | 84% | 62% | 83 | 80 | 93 | 88 | 91 | 88 | 0.06 | 3% | Medicare shows only a Star Rating for this topic | 88% | 95% | 95% | 90% | 0.06 | 3% | Medicare shows only a Star Rating for this topic | 86 | 90 | 98 | 84% | 88% | 87% | 85% | 82% |
| H3777 | Local CCP | EXPERIENCE HEALTH, INC. | Experience Health Inc. | Blue Cross and Blue Shield of North Carolina | 86% | 72% | 81% | 68% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 74% | 88% | 77% | 52% | 43% | 85% | 10% | 80% | 76% | 53% | 82 | 80 | 92 | 88 | 89 | 88 | 0.23 | 10% | Medicare shows only a Star Rating for this topic | 100% | 94% | 94% | 95% | 0.23 | 10% | Medicare shows only a Star Rating for this topic | 89 | 90 | 98 | 83% | 88% | 86% | 89% | 87% |
| H3794 | Local CCP | UNITEDHEALTHCARE OF WISCONSIN, INC. | UnitedHealthcare | UnitedHealth Group Inc | 73% | 80% | 70% | 49% | 80% | 93% | 93% | 35% | 74% | 85% | 82% | 65% | 45% | 64% | 12% | 89% | 57% | 57% | 83 | 83 | 91 | 87 | 91 | 87 | 0.19 | 17% | Medicare shows only a Star Rating for this topic | 99% | 99% | 98% | 98% | 0.19 | 17% | Medicare shows only a Star Rating for this topic | 91 | 92 | 98 | 88% | 88% | 88% | 86% | 87% |
| H3800 | Local CCP | PROVIDER PARTNERS HEALTH PLAN OF ILLINOIS | Provider Partners Health Plans | Rifkin Managed Care Holding LLC | 41% | 64% | Plan too small to be measured | No data available | 100% | 100% | 100% | Not enough data available | 90% | 53% | 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 | 0.07 | 6% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 81% | 83% | 0.07 | 6% | Medicare shows only a Star Rating for this topic | Plan too small to be measured | Plan too small to be measured | 99 | 83% | 75% | 81% | 91% | 86% |
| H3805 | Local CCP | UnitedHealthcare Benefits of Texas, Inc. | UnitedHealthcare | UnitedHealth Group Inc | 75% | 82% | 78% | 51% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 49% | 80% | 87% | 75% | 53% | 44% | 68% | 11% | 87% | 56% | 56% | 77 | 75 | 89 | 85 | 87 | 85 | 0.1 | 9% | Medicare shows only a Star Rating for this topic | 98% | 100% | 98% | 98% | 0.1 | 9% | Medicare shows only a Star Rating for this topic | 86 | 89 | 98 | 88% | 90% | 90% | 83% | 86% |
| H3810 | Local CCP | ALLCARE HEALTH PLAN, INC. | AllCare Advantage | AllCare Health Inc | 52% | 61% | 54% | 43% | No data available | No data available | No data available | Not enough data available | 67% | 80% | 70% | 52% | 45% | 64% | 9% | 82% | 71% | 46% | 77 | 77 | 91 | 85 | 88 | 83 | 0.07 | 2% | Medicare shows only a Star Rating for this topic | 100% | 100% | 67% | 72% | 0.07 | 2% | Medicare shows only a Star Rating for this topic | 87 | 90 | 95 | 84% | 85% | 85% | 90% | 77% |
| H3811 | Local CCP | SAMARITAN HEALTH PLANS, INC. | Samaritan Advantage Health Plans | Samaritan Health Services | 76% | 69% | 74% | 53% | 32% | 91% | 92% | Not enough data available | 75% | 85% | 66% | 54% | 47% | 76% | 10% | 88% | 75% | 49% | 77 | 78 | 90 | 84 | 86 | 85 | 0.05 | 3% | Medicare shows only a Star Rating for this topic | 92% | 80% | 67% | 70% | 0.05 | 3% | Medicare shows only a Star Rating for this topic | 85 | 89 | 99 | 87% | 87% | 88% | 83% | 83% |
| H3813 | Local CCP | MODA HEALTH PLAN, INC. | Moda Health Plan Inc. | Moda Partners Inc | 77% | 79% | 78% | 50% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 43% | 79% | 76% | 64% | 52% | 47% | 59% | 11% | 87% | 61% | 55% | 77 | 76 | 91 | 82 | 84 | 81 | 0.07 | 7% | Medicare shows only a Star Rating for this topic | 99% | 97% | 95% | 97% | 0.07 | 7% | Medicare shows only a Star Rating for this topic | 82 | 86 | 98 | 86% | 87% | 87% | 60% | 84% |