|
hcontract
|
org type
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contract name
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org marketing name
|
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
|
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
|
C12 - Reducing the Risk of Falling
|
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
|
C20 - Getting Appointments and Care Quickly
|
C21 - Customer Service
|
C22 - Rating of Health Care Quality
|
C23 - Rating of Health Plan
|
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
|
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)
|
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| H4461 | Local CCP | CARITEN HEALTH PLAN INC. | Humana | Humana Inc | 76% | 81% | 72% | 49% | 77% | 97% | 98% | 46% | 79% | 85% | 83% | 60% | 52% | 85% | 11% | 86% | 60% | 61% | 85 | 81 | 93 | 89 | 90 | 88 | 0.14 | 11% | Medicare shows only a Star Rating for this topic | 99% | 96% | 97% | 100% | 0.14 | 11% | Medicare shows only a Star Rating for this topic | 90 | 92 | 89 | 86% | 89% | 88% | 86% | 86% |
| H4471 | Local CCP | BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN LLC | 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 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 | 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 | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured |
| H4490 | Local CCP | AMERICAN HEALTH PLAN OF MISSOURI, INC. | American Health Advantage of Missouri | Mitchell Family Office | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | 99% | 100% | 100% | 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 | 81% | 77% | 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 | 94 | 82% | 88% | 86% | 83% | 86% |
| H4497 | Local CCP | MEDICAL MUTUAL OF OHIO | Medical Mutual of Ohio | MEDICAL MUTUAL OF OHIO | 77% | 75% | 79% | 52% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 31% | 77% | 87% | 75% | 48% | 43% | 71% | 14% | 86% | 55% | 64% | 84 | 80 | 93 | 87 | 88 | 87 | 0.16 | 10% | Medicare shows only a Star Rating for this topic | 97% | 93% | 100% | 98% | 0.16 | 10% | Medicare shows only a Star Rating for this topic | 86 | 90 | 99 | 88% | 91% | 90% | 85% | 85% |
| H4506 | Local CCP | SELECTCARE OF TEXAS, INC. | Wellcare | Centene Corporation | 73% | 68% | 78% | 53% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 33% | 67% | 78% | 71% | 66% | 39% | 56% | 10% | 86% | 42% | 57% | 78 | 73 | 88 | 85 | 86 | 84 | 0.27 | 22% | Medicare shows only a Star Rating for this topic | 68% | 98% | 97% | 100% | 0.27 | 22% | Medicare shows only a Star Rating for this topic | 89 | 91 | 99 | 87% | 89% | 88% | 90% | 90% |
| H4513 | Local CCP | HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. | Cigna Healthcare | The Cigna Group | 79% | 82% | 74% | 54% | 72% | 96% | 98% | 51% | 80% | 87% | 81% | 56% | 47% | 89% | 11% | 87% | 62% | 56% | 83 | 77 | 92 | 86 | 89 | 86 | 0.17 | 17% | Not enough data available | 97% | 96% | 95% | 93% | 0.17 | 17% | Not enough data available | 88 | 90 | 99 | 86% | 89% | 88% | 87% | 90% |
| H4514 | Local CCP | UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C. | UnitedHealthcare | UnitedHealth Group Inc | 69% | 77% | 73% | 58% | 78% | 92% | 92% | 26% | 78% | 79% | 76% | 70% | 50% | 47% | 12% | 84% | 35% | 55% | 81 | 78 | 90 | 88 | 90 | 85 | 0.25 | 18% | Medicare shows only a Star Rating for this topic | 96% | 100% | 98% | 98% | 0.25 | 18% | Medicare shows only a Star Rating for this topic | 90 | 89 | 98 | 86% | 87% | 85% | 90% | 88% |
| H4523 | Local CCP | AETNA HEALTH INC. (TX) | Aetna Medicare | CVS Health Corporation | 68% | 74% | 72% | 49% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 53% | 75% | 93% | 77% | 53% | 44% | 93% | 12% | 88% | 44% | 51% | 84 | 75 | 92 | 88 | 88 | 88 | 0.34 | 28% | Medicare shows only a Star Rating for this topic | 90% | 94% | 98% | 98% | 0.34 | 28% | Medicare shows only a Star Rating for this topic | 88 | 90 | 98 | 85% | 88% | 87% | 86% | 88% |
| H4527 | Local CCP | PHYSICIANS HEALTH CHOICE OF TEXAS, LLC | UnitedHealthcare | UnitedHealth Group Inc | 79% | 80% | 75% | 55% | 78% | 97% | 98% | 47% | 81% | 85% | 78% | 62% | 47% | 61% | 11% | 87% | 40% | 58% | 82 | 79 | 91 | 87 | 89 | 85 | 0.14 | 20% | Medicare shows only a Star Rating for this topic | 98% | 99% | 98% | 98% | 0.14 | 20% | Medicare shows only a Star Rating for this topic | 90 | 91 | 99 | 86% | 89% | 87% | 87% | 90% |
| H4537 | Local CCP | WELLCARE HEALTH INSURANCE COMPANY OF OKLAHOMA, INC | Wellcare | Centene Corporation | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | Plan too new to be measured | No data available | No data available | No 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 new to be measured | Plan too new 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 | 97% | 100% | 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 | 80% | 85% | 82% | 78% | 68% |