|
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)
|
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| H3916 | Local CCP | HIGHMARK SENIOR HEALTH COMPANY | Highmark Blue Cross Blue Shield or Highmark Blue S | Highmark Health | 78% | 81% | 78% | 46% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 47% | 75% | 82% | 77% | 56% | 44% | 80% | 11% | 86% | 69% | 60% | 82 | 79 | 91 | 86 | 88 | 87 | 0.06 | 3% | Medicare shows only a Star Rating for this topic | 99% | 98% | 92% | 95% | 0.06 | 3% | Medicare shows only a Star Rating for this topic | 87 | 91 | 99 | 89% | 92% | 90% | 79% | 85% |
| H3923 | Local CCP | CAPITAL ADVANTAGE INSURANCE COMPANY | Capital Blue Cross | CAPITAL BLUE CROSS | 76% | 74% | 76% | 49% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 29% | 82% | 89% | 69% | 59% | 47% | 77% | 9% | 84% | 65% | 63% | 82 | 80 | 91 | 87 | 88 | 87 | 0.13 | 4% | Medicare shows only a Star Rating for this topic | 99% | 97% | 78% | 84% | 0.13 | 4% | Medicare shows only a Star Rating for this topic | 86 | 91 | 97 | 89% | 91% | 90% | 66% | 84% |
| H3924 | Local CCP | GEISINGER INDEMNITY INSURANCE COMPANY | Geisinger Gold | Geisinger Health | 73% | 72% | 69% | 47% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 19% | 77% | 88% | 74% | 54% | 40% | 84% | 10% | 85% | 75% | 60% | 84 | 81 | 93 | 88 | 89 | 86 | 0.06 | 6% | Medicare shows only a Star Rating for this topic | 100% | 93% | 47% | 47% | 0.06 | 6% | Medicare shows only a Star Rating for this topic | 89 | 94 | 93 | 89% | 92% | 91% | 93% | 83% |
| H3928 | Local CCP | AETNA HEALTH INC. (LA) | Aetna Medicare | CVS Health Corporation | 68% | 72% | 66% | 46% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 74% | 87% | 73% | Not enough data available | Not enough data available | 89% | No data available | No data available | 43% | 49% | 87 | 81 | 92 | 89 | 90 | 90 | 0.09 | 29% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 98% | 98% | 0.09 | 29% | Medicare shows only a Star Rating for this topic | 89 | 91 | 98 | 78% | 86% | 84% | Not enough data available | 87% |
| H3931 | Local CCP | AETNA HEALTH INC. (PA) | Aetna Medicare | CVS Health Corporation | 68% | 76% | 70% | 49% | No data available | No data available | No data available | 46% | 72% | 91% | 72% | 53% | 37% | 91% | 13% | 86% | 47% | 51% | 82 | 80 | 90 | 87 | 87 | 87 | 0.18 | 17% | Medicare shows only a Star Rating for this topic | 91% | 97% | 98% | 98% | 0.18 | 17% | Medicare shows only a Star Rating for this topic | 87 | 91 | 98 | 85% | 88% | 88% | 80% | 84% |
| H3949 | Local CCP | BRAVO HEALTH PENNSYLVANIA, INC. | Cigna Healthcare | The Cigna Group | 73% | 73% | 76% | 48% | 65% | 94% | 97% | 50% | 78% | 81% | 74% | Not enough data available | Not enough data available | 89% | 10% | 89% | 67% | 54% | 81 | 76 | 89 | 85 | 85 | 85 | 0.23 | 17% | Medicare shows only a Star Rating for this topic | 97% | 96% | 95% | 93% | 0.23 | 17% | Medicare shows only a Star Rating for this topic | 86 | 89 | 99 | 86% | 88% | 86% | 86% | 90% |
| H3952 | Local CCP | KEYSTONE HEALTH PLAN EAST, INC. | Independence Blue Cross | Independence Health Group Inc | 77% | 76% | 82% | 53% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 51% | 80% | 88% | 76% | 62% | 44% | 74% | 10% | 88% | 63% | 60% | 81 | 77 | 91 | 87 | 89 | 86 | 0.05 | 4% | Medicare shows only a Star Rating for this topic | 99% | 97% | 90% | 92% | 0.05 | 4% | Medicare shows only a Star Rating for this topic | 89 | 91 | 98 | 86% | 89% | 88% | 89% | 88% |
| H3954 | Local CCP | GEISINGER HEALTH PLAN | Geisinger Gold | Geisinger Health | 74% | 76% | 77% | 39% | 72% | 93% | 94% | 23% | 81% | 87% | 76% | 54% | 39% | 88% | 7% | 85% | 81% | 57% | 82 | 81 | 93 | 88 | 90 | 89 | 0.04 | 10% | Medicare shows only a Star Rating for this topic | 100% | 92% | 47% | 47% | 0.04 | 10% | Medicare shows only a Star Rating for this topic | 89 | 92 | 93 | 89% | 91% | 91% | 93% | 86% |
| H3957 | Local CCP | HIGHMARK CHOICE COMPANY | Highmark Blue Cross Blue Shield or Highmark Blue S | Highmark Health | 73% | 72% | 77% | 48% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 53% | 78% | 87% | 79% | 58% | 43% | 90% | 11% | 88% | 78% | 59% | 84 | 82 | 92 | 88 | 90 | 88 | 0.03 | 7% | Medicare shows only a Star Rating for this topic | 99% | 99% | 92% | 95% | 0.03 | 7% | Medicare shows only a Star Rating for this topic | 89 | 92 | 99 | 88% | 92% | 91% | 84% | 89% |
| H3959 | Local CCP | AETNA HEALTH INC. (PA) | Aetna Medicare | CVS Health Corporation | 74% | 72% | 73% | 45% | 65% | 100% | 91% | 55% | 77% | 91% | 84% | 59% | 41% | 90% | 12% | 85% | 45% | 56% | 83 | 79 | 91 | 88 | 90 | 87 | 0.2 | 13% | Medicare shows only a Star Rating for this topic | 93% | 96% | 98% | 98% | 0.2 | 13% | Medicare shows only a Star Rating for this topic | 89 | 92 | 98 | 88% | 90% | 89% | 88% | 86% |