Measure Data : 2024

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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)
H3814 Local CCP ATRIO HEALTH PLANS ATRIO Health Plans ATRIO Health Plans 52% 55% 51% 43% CMS identified issues with this plan's data 72% 67% Not enough data available 69% 71% 65% 66% Not enough data available 27% 10% 83% 31% 49% 81 79 89 84 86 86 0.06 2% Medicare shows only a Star Rating for this topic Not enough data available Not enough data available 90% 78% 0.06 2% Medicare shows only a Star Rating for this topic 87 88 96 80% 81% 83% 74% 79%
H3815 Local CCP ALIGNMENT HEALTH PLAN Alignment Health Plan Alignment Healthcare USA LLC 81% 83% 76% 52% 82% 100% 97% 77% 83% 89% 82% 57% 50% 85% 10% 86% 55% 53% 75 73 87 86 88 83 0.16 8% Medicare shows only a Star Rating for this topic 96% 97% 98% 97% 0.16 8% Medicare shows only a Star Rating for this topic 89 87 97 92% 92% 91% 100% 91%
H3817 Local CCP REGENCE BLUECROSS BLUESHIELD OF OREGON Regence BlueCross BlueShield of Oregon Cambia Health Solutions Inc 78% 80% 73% 52% Plan not required to report measure Plan not required to report measure Plan not required to report measure 38% 78% 82% 74% 46% 52% 64% 8% 81% 61% 55% 77 75 93 84 86 85 0.03 4% Medicare shows only a Star Rating for this topic 100% 96% 97% 98% 0.03 4% Medicare shows only a Star Rating for this topic 84 89 98 88% 90% 89% 75% 83%
H3822 Local CCP HEALTH CARE SERVICE CORPORATION Blue Cross and Blue Shield of IL NM Health Care Service Corporation 75% 75% 81% 58% Plan not required to report measure Plan not required to report measure Plan not required to report measure 32% 76% 83% 71% 53% 38% 66% 12% 87% 45% 51% 76 73 86 84 84 84 0.19 13% Medicare shows only a Star Rating for this topic 97% 94% 98% 97% 0.19 13% Medicare shows only a Star Rating for this topic 84 87 97 85% 88% 84% 91% 88%
H3828 Local CCP MOUNT CARMEL HEALTH PLAN OF IDAHO, INC. Saint Alphonsus Health Plan Trinity Health Corporation 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 84% 97% 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
H3832 Local CCP HAWAII MEDICAL SERVICE ASSOCIATION HMSA Akamai Advantage Hawaii Medical Service Association 79% 77% 82% 55% 68% 100% 86% 67% 82% 85% 71% 55% 44% 72% 10% 83% 45% 58% 83 77 91 87 88 86 0.04 3% Medicare shows only a Star Rating for this topic 96% 92% 97% 94% 0.04 3% Medicare shows only a Star Rating for this topic 86 91 98 87% 89% 88% 84% 86%
H3864 Local CCP PACIFICSOURCE COMMUNITY HEALTH PLANS PacificSource Medicare PacificSource 73% 77% 72% 48% CMS identified issues with this plan's data 86% 85% 28% 82% 80% 69% 53% 43% 63% 11% 85% 53% 60% 79 80 92 86 88 87 0.09 5% Medicare shows only a Star Rating for this topic 88% 94% 92% 94% 0.09 5% Medicare shows only a Star Rating for this topic 85 90 98 87% 88% 89% 80% 83%
H3890 Local CCP HOPKINS HEALTH ADVANTAGE, INC. Johns Hopkins Advantage MD Johns Hopkins Healthcare LLC 77% 79% 83% 52% Plan not required to report measure Plan not required to report measure Plan not required to report measure 34% 73% 79% 72% 53% 43% 68% 12% 83% 42% 66% 77 75 90 84 85 85 0.3 9% Medicare shows only a Star Rating for this topic 100% 82% 94% 97% 0.3 9% Medicare shows only a Star Rating for this topic 82 88 96 85% 89% 87% 87% 84%
H3907 Local CCP UPMC HEALTH PLAN, INC. UPMC for Life UPMC Health System 79% 77% 77% 48% Plan not required to report measure Plan not required to report measure Plan not required to report measure 45% 81% 88% 79% 58% 47% 82% 9% 85% 69% 62% 82 80 94 87 90 87 0.04 6% Medicare shows only a Star Rating for this topic 99% 98% 98% 95% 0.04 6% Medicare shows only a Star Rating for this topic 87 91 99 90% 93% 92% 84% 85%
H3909 Local CCP QCC INSURANCE COMPANY Independence Blue Cross Independence Health Group Inc 78% 73% 83% 55% Plan not required to report measure Plan not required to report measure Plan not required to report measure 40% 76% 83% 77% 52% 48% 69% 11% 88% 63% 61% 80 76 92 87 89 87 0.08 4% Medicare shows only a Star Rating for this topic 99% 99% 90% 92% 0.08 4% Medicare shows only a Star Rating for this topic 87 90 98 86% 89% 88% 90% 86%
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