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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)
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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| H3447 | Local CCP | HEALTHKEEPERS, INC. | Anthem HealthKeepers | Elevance Health Inc. | 66% | 74% | 66% | 46% | 61% | 99% | 95% | 36% | 73% | 78% | 71% | 65% | 40% | 73% | 12% | 84% | 44% | 55% | 80 | 77 | 90 | 87 | 87 | 86 | 0.25 | 21% | Medicare shows only a Star Rating for this topic | 90% | 98% | 98% | 100% | 0.25 | 21% | Medicare shows only a Star Rating for this topic | 89 | 91 | 98 | 85% | 86% | 85% | 86% | 84% |
| H1607 | Local CCP | ANTHEM INSURANCE COMPANIES, INC. | Anthem Blue Cross and Blue Shield | Elevance Health Inc. | 75% | 79% | 71% | 46% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 30% | 73% | 83% | 76% | 53% | 46% | 74% | 12% | 86% | 45% | 63% | 82 | 79 | 89 | 85 | 87 | 86 | 0.13 | 18% | Medicare shows only a Star Rating for this topic | 89% | 100% | 98% | 100% | 0.13 | 18% | Medicare shows only a Star Rating for this topic | 86 | 88 | 98 | 86% | 89% | 88% | 84% | 83% |
| H9065 | Local CCP | AMH HEALTH, LLC | AMH Health | Elevance Health Inc. | 75% | 74% | 71% | 45% | 61% | 100% | 97% | 33% | 77% | 84% | 76% | 61% | 48% | 79% | 12% | 85% | 48% | 54% | 78 | 77 | 90 | 84 | 84 | 86 | 0.2 | 18% | Medicare shows only a Star Rating for this topic | 79% | 100% | 98% | 100% | 0.2 | 18% | Medicare shows only a Star Rating for this topic | 87 | 91 | 98 | 87% | 89% | 90% | 89% | 84% |
| H2836 | Local CCP | ANTHEM HEALTH PLANS, INC. | Anthem Blue Cross and Blue Shield | Elevance Health Inc. | 80% | 81% | 72% | 43% | 65% | 99% | 97% | Not enough data available | 74% | 85% | 75% | 52% | 46% | 81% | 14% | 86% | 52% | 56% | 80 | 77 | 88 | 84 | 84 | 82 | 0.32 | 30% | Medicare shows only a Star Rating for this topic | 84% | 100% | 98% | 100% | 0.32 | 30% | Medicare shows only a Star Rating for this topic | 85 | 88 | 98 | 86% | 90% | 89% | 87% | 86% |
| H3536 | Local CCP | MATTHEW THORNTON HEALTH PLAN, INC. | Anthem Blue Cross and Blue Shield | Elevance Health Inc. | 65% | 71% | 72% | 47% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 69% | 76% | 74% | 59% | 48% | 72% | 13% | 87% | 48% | 61% | 80 | 80 | 89 | 84 | 83 | 87 | 0.25 | 16% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 98% | 100% | 0.25 | 16% | Medicare shows only a Star Rating for this topic | 82 | 87 | 98 | 86% | 88% | 88% | 84% | 82% |
| 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% |
| H5431 | Local CCP | HEALTHSUN HEALTH PLANS, INC. | HealthSun Health Plans Inc. | Elevance Health Inc. | 85% | 83% | 52% | 67% | 56% | 96% | 95% | 54% | 88% | 86% | 81% | Not enough data available | Not enough data available | 83% | 12% | 90% | 44% | 69% | 89 | 78 | 92 | 93 | 93 | 90 | 0.15 | 20% | Medicare shows only a Star Rating for this topic | 99% | 99% | 98% | 100% | 0.15 | 20% | Medicare shows only a Star Rating for this topic | 93 | 89 | 96 | 93% | 92% | 90% | 92% | 93% |
| H6078 | Local CCP | Group Retiree Health Solutions, Inc. | Region 6 Rx Corp PPO | Elevance Health Inc. | Not enough data available | 65% | 79% | 49% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 71% | 77% | 63% | 65% | 49% | 62% | 11% | 82% | 43% | 60% | 81 | 77 | 90 | 87 | 89 | 87 | 0.02 | Not enough data available | Medicare shows only a Star Rating for this topic | 89% | 100% | Not enough data available | Not enough data available | 0.02 | Not enough data available | Medicare shows only a Star Rating for this topic | 87 | 91 | Not enough data available | 87% | 89% | 87% | 84% | 85% |
| H3655 | Local CCP | COMMUNITY INSURANCE COMPANY | Anthem Blue Cross and Blue Shield | Elevance Health Inc. | 70% | 75% | 65% | 47% | 57% | 99% | 96% | 33% | 74% | 83% | 80% | 59% | 40% | 74% | 12% | 85% | 46% | 64% | 83 | 78 | 91 | 86 | 87 | 84 | 0.14 | 12% | Medicare shows only a Star Rating for this topic | 85% | 97% | 98% | 100% | 0.14 | 12% | Medicare shows only a Star Rating for this topic | 84 | 90 | 97 | 86% | 88% | 87% | 86% | 84% |
| H5471 | Local CCP | SIMPLY HEALTHCARE PLANS, INC. | Simply Healthcare Plans Inc. | Elevance Health Inc. | 78% | 72% | 57% | 60% | 91% | 96% | 96% | 79% | 75% | 84% | 83% | 72% | Not enough data available | 56% | 11% | 87% | 34% | 59% | 83 | 78 | 92 | 90 | 90 | 88 | 0.29 | 29% | Medicare shows only a Star Rating for this topic | 95% | 100% | 98% | 100% | 0.29 | 29% | Medicare shows only a Star Rating for this topic | 92 | 93 | 91 | 89% | 90% | 86% | 90% | 92% |