|
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)
|
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| H4073 | Local CCP | WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC. | Wellcare | Centene Corporation | 62% | 43% | 65% | Plan too new to be measured | 63% | 81% | 87% | Not enough data available | 54% | 66% | 64% | Plan too new to be measured | Plan too new to be measured | 49% | No data available | 84% | 38% | 43% | 82 | 75 | 90 | Not enough data available | 85 | Not enough data available | 1.49 | 61% | Not enough data available | 88% | 96% | 98% | 100% | 1.49 | 61% | Not enough data available | 85 | Not enough data available | 98 | 81% | 85% | 83% | 88% | 83% |
| H4091 | Local CCP | SIMPRA ADVANTAGE, INC. | Simpra Advantage | Associated Care Ventures Inc | 31% | 61% | Plan too small to be measured | No data available | 100% | 89% | 82% | Not enough data available | 73% | 86% | 83% | No data available | No data available | Not enough data available | 11% | 91% | Not enough data available | 35% | 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 | 0.09 | 3% | Not enough data available | Not enough data available | Not enough data available | 16% | 10% | 0.09 | 3% | Medicare shows only a Star Rating for this topic | Plan too small to be measured | Plan too small to be measured | 95 | 91% | 89% | 91% | 94% | 89% |
| H4093 | Local CCP | PROVIDER PARTNERS HEALTH PLAN OF PENNSYLVANIA, INC | Provider Partners Health Plans | Rifkin Managed Care Holding LLC | Not enough data available | 88% | Plan too small to be measured | No data available | 99% | 100% | 100% | Not enough data available | Not enough data available | Not enough data available | 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 | 30% | 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 | Not enough data available | Not enough data available | Not enough data available | Not enough data available | Not enough data available | 84% | 83% | Not enough data available | Not enough data available | Medicare shows only a Star Rating for this topic | Plan too small to be measured | Plan too small to be measured | 100 | 93% | 85% | 89% | 97% | 94% |
| H4094 | Local CCP | UNITEDHEALTHCARE OF WISCONSIN, INC. | UnitedHealthcare | UnitedHealth Group Inc | 64% | 74% | Plan too small to be measured | 57% | 75% | 84% | 84% | Not enough data available | 75% | 80% | 69% | Not enough data available | Not enough data available | 53% | No data available | Not enough data available | No data available | 63% | 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 | 0.28 | 54% | Not enough data available | 100% | 100% | 98% | 98% | 0.28 | 54% | Medicare shows only a Star Rating for this topic | Plan too small to be measured | Plan too small to be measured | 98 | 79% | 85% | 81% | 80% | 79% |
| H4140 | Local CCP | DOCTORS HEALTHCARE PLANS, INC. | Doctors HealthCare Plans Inc. | DOCTORS HEALTHCARE PLANS INC | 83% | 67% | 54% | 64% | 89% | 94% | 94% | 29% | 75% | 87% | 82% | Not enough data available | Not enough data available | 70% | 13% | 73% | 40% | 64% | 80 | 73 | 93 | 91 | 92 | 88 | 0.19 | 17% | Medicare shows only a Star Rating for this topic | 65% | 78% | 94% | 95% | 0.19 | 17% | Medicare shows only a Star Rating for this topic | 92 | 91 | 98 | 83% | 87% | 79% | 58% | 87% |
| H4141 | Local CCP | HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC. | Humana | Humana Inc | 73% | 75% | 67% | 60% | 79% | 95% | 97% | 40% | 80% | 86% | 72% | 57% | Not enough data available | 71% | 10% | 85% | 57% | 60% | 82 | 75 | 91 | 88 | 91 | 86 | 0.14 | 24% | Medicare shows only a Star Rating for this topic | 98% | 97% | 97% | 100% | 0.14 | 24% | Medicare shows only a Star Rating for this topic | 90 | 93 | 88 | 83% | 86% | 85% | 86% | 86% |
| H4152 | Local CCP | BLUE CROSS & BLUE SHIELD OF RHODE ISLAND | Blue Cross and Blue Shield of Rhode Island | Blue Cross and Blue Shield of Rhode Island | 83% | 82% | 84% | 50% | 87% | 89% | 91% | 41% | 82% | 87% | 83% | 59% | 48% | 77% | 15% | 88% | 61% | 57% | 81 | 78 | 92 | 86 | 90 | 85 | 0.04 | 3% | Medicare shows only a Star Rating for this topic | 98% | 96% | 98% | 97% | 0.04 | 3% | Medicare shows only a Star Rating for this topic | 88 | 90 | 98 | 89% | 91% | 90% | 90% | 90% |
| H4161 | Local CCP | BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN | Anthem Blue Cross Partnership Plan | Elevance Health Inc | 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 | 98% | 100% | 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 |
| H4172 | Local CCP | NHC ADVANTAGE, LLC | NHC Advantage | Missouri Healthcare Advisors LLC | Not enough data available | 62% | Plan too small to be measured | No data available | 96% | 95% | 99% | Not enough data available | 82% | 76% | 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 | 58% | 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 | 0.08 | 3% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 97% | 97% | 0.08 | 3% | Medicare shows only a Star Rating for this topic | Plan too small to be measured | Plan too small to be measured | 98 | 93% | 89% | 92% | 98% | 85% |
| H4198 | Local CCP | COMMUNITYCARE GOVERNMENT PROGRAMS, INC. | Integris Health Partners+ (HMO) | St Francis Health System and St John Health System | 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 not required to report measure | Plan not required to report measure | Plan not required to report measure | 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 | 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 | 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 | Not enough data available | Not enough data available | Not enough data available | Not enough data available | Not enough data available | 95% | 90% | Not enough data available | Not enough data available | Not enough data available | Plan too small to be measured | Plan too small to be measured | 98 | Not enough data available | 91% | 84% | Not enough data available | Not enough data available |