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hcontract
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org type
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contract name
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org marketing name
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parent org
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C01 - Breast Cancer Screening
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C02 - Colorectal Cancer Screening
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C03 - Annual Flu Vaccine
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C04 - Monitoring Physical Activity
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C05 - Special Needs Plan (SNP) Care Management
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C06 - Care for Older Adults-Medication Review
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C07 - Care for Older Adults-Pain Assessment
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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
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C11 - Controlling Blood Pressure
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C12 - Reducing the Risk of Falling
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C13 - Improving Bladder Control
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C14 - Medication Reconciliation Post-Discharge
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C15 - Plan All-Cause Readmissions
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C16 - Statin Therapy for Patients with Cardiovascular Disease
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C17 - Transitions of Care
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C18 - Follow-up after ED Visit People with Multiple Chronic Conditions
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C19 - Getting Needed Care
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C20 - Getting Appointments and Care Quickly
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C21 - Customer Service
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C22 - Rating of Health Care Quality
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C23 - Rating of Health Plan
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C24 - Care Coordination
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C25 - Complaints about the Health Plan
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C26 - Members Choosing to Leave the Plan
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C27 - Health Plan Quality Improvement
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C28 - Plan Makes Timely Decisions about Appeals
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C29 - Reviewing Appeals Decisions
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C30 - Call Center-Foreign Language Interpreter and TTY Availability
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D01 - Call Center-Foreign Language Interpreter and TTY Availability
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D02 - Complaints about the Drug Plan
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D03 - Members Choosing to Leave the Plan
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D04 - Drug Plan Quality Improvement
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D05 - Rating of Drug Plan
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D06 - Getting Needed Prescription Drugs
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D07 - MPF Price Accuracy
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D08 - Medication Adherence for Diabetes Medications
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D09 - Medication Adherence for Hypertension (RAS antagonists)
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D10 - Medication Adherence for Cholesterol (Statins)
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D11 - MTM Program Completion Rate for CMR
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D12 - Statin Use in Persons with Diabetes (SUPD)
|
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| H3962 | Local CCP | KEYSTONE HEALTH PLAN CENTRAL, INC. | Capital Blue Cross | CAPITAL BLUE CROSS | 72% | 74% | 81% | 41% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 33% | 80% | 88% | 73% | 62% | 41% | 79% | 11% | 86% | 64% | 58% | 83 | 80 | 91 | 88 | 88 | 88 | 0.08 | 9% | Medicare shows only a Star Rating for this topic | 100% | 97% | 78% | 84% | 0.08 | 9% | Medicare shows only a Star Rating for this topic | 87 | 90 | 97 | 89% | 90% | 89% | 70% | 86% |
| H3975 | Local CCP | WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC | Wellcare | Centene Corporation | 62% | 51% | 70% | 36% | No data available | No data available | No data available | Not enough data available | 64% | 73% | 65% | 53% | Not enough data available | 53% | 10% | 79% | 42% | 56% | 85 | 80 | 89 | 88 | 84 | 89 | 0.8 | 44% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 97% | 100% | 0.8 | 44% | Medicare shows only a Star Rating for this topic | 85 | 90 | 99 | 83% | 84% | 84% | 83% | 82% |
| H3979 | Local CCP | GHS HEALTH MAINTENANCE ORGANIZATION, INC. | Blue Cross and Blue Shield of Oklahoma | Health Care Service Corporation | 65% | 75% | 74% | 46% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 70% | 86% | 78% | 52% | 40% | 91% | 9% | 80% | 83% | 50% | 83 | 81 | 89 | 88 | 87 | 88 | 0.15 | 14% | Medicare shows only a Star Rating for this topic | 98% | 95% | 98% | 97% | 0.15 | 14% | Medicare shows only a Star Rating for this topic | 86 | 92 | 98 | 87% | 86% | 86% | 90% | 87% |
| H4003 | Local CCP | MMM HEALTHCARE, LLC | Medicare y Mucho Mas | Elevance Health Inc | 89% | 89% | 58% | 57% | 92% | 100% | 99% | 91% | 94% | 87% | 90% | 65% | 44% | 92% | 12% | 94% | 51% | 51% | 78 | 68 | 89 | 88 | 93 | 85 | 0.11 | 12% | Medicare shows only a Star Rating for this topic | 100% | 96% | 97% | 84% | 0.11 | 12% | Medicare shows only a Star Rating for this topic | 94 | 94 | 97 | 85% | 86% | 79% | 93% | 95% |
| H4004 | Local CCP | MMM HEALTHCARE, LLC | PMC Medicare Choice | Elevance Health Inc | 89% | 92% | 59% | 55% | 89% | 98% | 98% | 96% | 92% | 87% | 90% | 65% | 45% | 89% | 12% | 94% | 51% | 47% | 80 | 73 | 92 | 90 | 94 | 85 | 0.13 | 13% | Medicare shows only a Star Rating for this topic | 100% | 96% | 97% | 84% | 0.13 | 13% | Medicare shows only a Star Rating for this topic | 93 | 93 | 98 | 85% | 87% | 82% | 93% | 95% |
| H4005 | Local CCP | TRIPLE S ADVANTAGE, INC. | Triple-S Advantage | Guidewell Mutual Holding Corporation | 79% | 84% | 59% | 56% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 84% | 83% | 81% | 65% | 49% | 70% | 13% | 86% | 41% | 50% | 75 | 64 | 89 | 87 | 89 | 84 | 0.17 | 4% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 97% | 93% | 0.17 | 4% | Medicare shows only a Star Rating for this topic | 91 | 92 | 98 | 89% | 90% | 84% | 95% | 87% |
| H4007 | Local CCP | HUMANA HEALTH PLANS OF PUERTO RICO, INC. | Humana | Humana Inc | 87% | 88% | 59% | 57% | 72% | 97% | 97% | 84% | 80% | 87% | 86% | 65% | 50% | 85% | 11% | 90% | 49% | 48% | 82 | 72 | 91 | 91 | 94 | 86 | 0.07 | 18% | Medicare shows only a Star Rating for this topic | 100% | 93% | 98% | 92% | 0.07 | 18% | Medicare shows only a Star Rating for this topic | 93 | 91 | 90 | 86% | 88% | 82% | 96% | 93% |
| H4036 | Local CCP | ANTHEM INSURANCE COMPANIES, INC. | Anthem Blue Cross and Blue Shield | Elevance Health Inc | 80% | 82% | 76% | 49% | 68% | 98% | 95% | 34% | 76% | 80% | 69% | 51% | 48% | 64% | 11% | 79% | 44% | 60% | 80 | 76 | 89 | 86 | 88 | 84 | 0.12 | 6% | Not enough data available | 84% | 99% | 98% | 100% | 0.12 | 6% | Not enough data available | 88 | 92 | 98 | 88% | 90% | 89% | 83% | 84% |
| H4045 | Local CCP | SANTA CLARA COUNTY HEALTH AUTHORITY | Santa Clara Family Health Plan | SANTA CLARA COUNTY HEALTH AUTHORITY | 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 | 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 | 36% | 52% | 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 |
| H4054 | Local CCP | PROVIDER PARTNERS HEALTH PLAN OF TEXAS, INC. | Provider Partners Health Plans | Rifkin Managed Care Holding LLC | Not enough data available | Not enough data available | Plan too small to be measured | Plan too new to be measured | 95% | 100% | 100% | Not enough data available | No data available | 22% | Not enough data available | Plan too new to be measured | Plan too new to be measured | 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 | 0.3 | 9% | Not enough data available | Not enough data available | Not enough data available | 81% | 83% | 0.3 | 9% | Not enough data available | Plan too small to be measured | Plan too small to be measured | 99 | 84% | 71% | 83% | 96% | 78% |