Measure Data : 2024

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  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)
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%
S2893 PDP ANTHEM INSURANCE CO. & BCBSMA & BCBSRI & BCBSVT Blue MedicareRx Elevance Health Inc. and BCBSMA and BCBSRI and BCBSVT 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 89% 0.03 2% Medicare shows only a Star Rating for this topic 82 87 98 89% 91% 89% 68% 84%
S5966 PDP EMBLEMHEALTH PLAN, INC EmblemHealth EmblemHealth 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 87 88 Not enough data available 85% 89% 87% 64% 84%
H3330 Local CCP HEALTH INSURANCE PLAN OF GREATER NEW YORK EmblemHealth EmblemHealth Inc. 78% 75% 73% 51% Plan not required to report measure Plan not required to report measure Plan not required to report measure 30% 73% 76% 76% 62% Not enough data available 55% 11% 85% 53% 50% 79 76 88 84 84 85 0.26 15% Medicare shows only a Star Rating for this topic 97% 97% 73% 75% 0.26 15% Medicare shows only a Star Rating for this topic 85 88 99 84% 86% 83% 47% 86%
H3528 Local CCP CONNECTICARE, INC. ConnectiCare EmblemHealth Inc. 78% 79% 83% 50% Plan not required to report measure Plan not required to report measure Plan not required to report measure 18% 78% 82% 80% 46% 46% 70% 13% 85% 70% 55% 81 79 91 86 85 85 0.06 9% Medicare shows only a Star Rating for this topic 98% 97% 95% 83% 0.06 9% Medicare shows only a Star Rating for this topic 83 88 99 89% 92% 91% 42% 85%
H5991 Local CCP HEALTH INSURANCE PLAN OF GREATER NEW YORK EmblemHealth EmblemHealth Inc. 72% 69% Plan too small to be measured 53% 48% 79% 79% Not enough data available 71% 73% 66% Not enough data available Not enough data available 55% 10% 83% 55% 46% 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 0.38 6% Medicare shows only a Star Rating for this topic 97% 95% 73% 75% 0.38 6% Medicare shows only a Star Rating for this topic Plan too small to be measured Plan too small to be measured 99 82% 83% 79% 36% 86%
H3276 Local CCP CONNECTICARE INSURANCE COMPANY, INC. ConnectiCare EmblemHealth Inc. 79% 71% 76% 53% 53% 85% 85% Not enough data available 67% 62% 79% Not enough data available Not enough data available 59% 15% 86% 65% 50% 76 77 86 83 84 83 0.24 32% Medicare shows only a Star Rating for this topic Not enough data available Not enough data available 95% 83% 0.24 32% Medicare shows only a Star Rating for this topic 84 87 99 85% 86% 86% 25% 85%
H5528 Local CCP EMBLEMHEALTH PLAN, INC. EmblemHealth EmblemHealth Inc. 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 CMS identified issues with this plan's data 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 Not enough data available Not enough 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 Not enough data available Not enough data available Not enough data available Not enough data available No data available Not enough data available
H1280 Local CCP ETERNALHEALTH,INC. eternalHealth Eternal Health of Delaware Inc. 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 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 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 72% 67% Not enough data available Not enough data available Not enough data available 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 No data available Not enough data available
H2694 Local CCP ETERNALHEALTH, INC. eternalHealth Eternal Health of Delaware Inc. 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 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 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 72% 67% Not enough data available Not enough data available Not enough data available 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 No data available Not enough data available
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