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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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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| H5594 | Local CCP | OPTIMUM HEALTHCARE, INC. | Optimum HealthCare Inc. | Elevance Health Inc. | 84% | 83% | 68% | 56% | 92% | 98% | 97% | 91% | 82% | 90% | 92% | 58% | 51% | 84% | 11% | 85% | 51% | 63% | 85 | 81 | 90 | 88 | 90 | 87 | 0.1 | 12% | Medicare shows only a Star Rating for this topic | 99% | 100% | 95% | 98% | 0.1 | 12% | Medicare shows only a Star Rating for this topic | 90 | 92 | 98 | 89% | 89% | 88% | 92% | 92% |
| H1894 | Local CCP | AMERIGROUP WASHINGTON, INC. | AMERIGROUP | Elevance Health Inc. | 50% | 61% | 65% | 49% | 53% | 94% | 86% | Not enough data available | 54% | 76% | 69% | 61% | 35% | 58% | 10% | 85% | 42% | 51% | 79 | 75 | Not enough data available | 83 | 84 | Not enough data available | 0.5 | 37% | Medicare shows only a Star Rating for this topic | 64% | Not enough data available | 98% | 100% | 0.5 | 37% | Medicare shows only a Star Rating for this topic | 85 | 88 | 97 | 83% | 82% | 85% | 88% | 84% |
| S5960 | PDP | UNICARE LIFE & HEALTH INSURANCE COMPANY | UniCare | Elevance Health Inc. | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 0.04 | Not enough data available | Medicare shows only a Star Rating for this topic | 88 | 91 | Not enough data available | 86% | 88% | 86% | 62% | 78% |
| R4487 | Regional CCP | ANTHEM INSURANCE COMPANIES, INC. | Anthem Blue Cross and Blue Shield | Elevance Health Inc. | 68% | 78% | 73% | 41% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 31% | 65% | 81% | 70% | 46% | 41% | 77% | 13% | 83% | 47% | 60% | 84 | 80 | 90 | 88 | 87 | 87 | 0.03 | 14% | Medicare shows only a Star Rating for this topic | 82% | 100% | 98% | 100% | 0.03 | 14% | Medicare shows only a Star Rating for this topic | 85 | 91 | 98 | 86% | 89% | 88% | 83% | 82% |
| H1732 | Local CCP | HEALTHPLUS HP, LLC | Empire BlueCross BlueShield | Elevance Health Inc. | 73% | 69% | 73% | 52% | 67% | 93% | 92% | 36% | 64% | 78% | 69% | 63% | Not enough data available | 46% | 11% | 86% | 36% | 52% | 73 | 69 | 84 | 80 | 79 | 79 | 0.53 | 32% | Medicare shows only a Star Rating for this topic | 89% | 94% | 98% | 100% | 0.53 | 32% | Medicare shows only a Star Rating for this topic | 81 | Not enough data available | 97 | 84% | 84% | 81% | 87% | 87% |
| R5941 | Regional CCP | ANTHEM INSURANCE COMPANIES, INC. | Anthem Blue Cross and Blue Shield | Elevance Health Inc. | 67% | 73% | 72% | 43% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 32% | 67% | 80% | 73% | 54% | 43% | 72% | 12% | 75% | 46% | 62% | 85 | 81 | 89 | 88 | 87 | 88 | 0.15 | 12% | Medicare shows only a Star Rating for this topic | 55% | 60% | 98% | 100% | 0.15 | 12% | Medicare shows only a Star Rating for this topic | 86 | 93 | 97 | 86% | 90% | 88% | 84% | 84% |
| S5596 | PDP | ANTHEM INSURANCE COMPANIES, INC. | Anthem / Anthem or Blue KC in Missouri | Elevance Health Inc. | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 100% | 0.08 | 8% | Medicare shows only a Star Rating for this topic | 82 | 89 | 98 | 86% | 88% | 87% | 66% | 81% |
| 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% |
| H7093 | Local CCP | COMMUNITY INSURANCE COMPANY | Anthem Blue Cross and Blue Shield | Elevance Health Inc. | 70% | 73% | 64% | Plan too new to be measured | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 65% | 80% | 69% | Plan too new to be measured | Plan too new to be measured | 75% | 11% | 81% | 47% | 61% | 81 | 77 | 88 | 86 | 85 | 86 | 0.43 | 33% | Not enough data available | 87% | 100% | 98% | 100% | 0.43 | 33% | Not enough data available | 83 | 85 | 98 | 85% | 86% | 86% | 87% | 83% |
| H0544 | Local CCP | BLUE CROSS OF CALIFORNIA | Anthem Blue Cross | Elevance Health Inc. | 69% | 70% | 78% | 51% | 51% | 98% | 90% | 58% | 77% | 81% | 67% | 63% | 42% | 75% | 12% | 85% | 42% | 48% | 73 | 70 | 86 | 83 | 85 | 80 | 0.46 | 22% | Medicare shows only a Star Rating for this topic | 90% | 99% | 98% | 100% | 0.46 | 22% | Medicare shows only a Star Rating for this topic | 85 | 88 | 97 | 86% | 87% | 86% | 89% | 89% |