hcontract
|
org type
|
contract name
|
org marketing name
|
parent org
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C01 - Breast Cancer Screening
|
C02 - Colorectal Cancer Screening
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C03 - Annual Flu Vaccine
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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)
|
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
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% |