|
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)
|
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| H5009 | Local CCP | REGENCE BLUESHIELD | Regence BlueShield | Cambia Health Solutions Inc | 75% | 78% | 72% | 47% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 44% | 72% | 75% | 72% | 47% | 51% | 54% | 7% | 84% | 60% | 57% | 78 | 75 | 91 | 83 | 85 | 84 | 0.06 | 8% | Medicare shows only a Star Rating for this topic | 99% | 88% | 97% | 98% | 0.06 | 8% | Medicare shows only a Star Rating for this topic | 82 | 89 | 98 | 87% | 89% | 89% | 71% | 83% |
| H5010 | Local CCP | ASURIS NORTHWEST HEALTH | Asuris Northwest Health | Cambia Health Solutions Inc | 73% | 81% | 74% | 47% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 77% | 84% | 74% | Not enough data available | Not enough data available | 62% | No data available | Not enough data available | 76% | 54% | 82 | 81 | 93 | 87 | 87 | 88 | 0.15 | 3% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 97% | 98% | 0.15 | 3% | Medicare shows only a Star Rating for this topic | 85 | 89 | 98 | 85% | 88% | 89% | 81% | 82% |
| H5015 | Local CCP | TEXAS INDEPENDENCE HEALTH PLAN, INC. | Texas Independence Health Plan | Regency ISNP Holdings LLC | 27% | 84% | Plan too small to be measured | No data available | 98% | 100% | 100% | Not enough data available | 88% | 86% | 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 | 84% | 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 | 0.14 | 6% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 78% | 82% | 0.14 | 6% | Medicare shows only a Star Rating for this topic | Plan too small to be measured | Plan too small to be measured | 99 | 91% | 85% | 91% | 96% | 91% |
| H5042 | Local CCP | CDPHP UNIVERSAL BENEFITS, INC. | CDPHP Medicare Advantage | Capital District Physicians Health Plan Inc | 87% | 87% | 83% | 55% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 31% | 82% | 90% | 83% | 47% | 49% | 67% | 9% | 88% | 73% | 65% | 83 | 79 | 93 | 88 | 90 | 86 | 0.05 | 7% | Medicare shows only a Star Rating for this topic | 100% | 95% | 95% | 95% | 0.05 | 7% | Medicare shows only a Star Rating for this topic | 84 | 87 | 99 | 89% | 91% | 90% | 84% | 82% |
| H5050 | Local CCP | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON | Kaiser Permanente | Kaiser Foundation Health Plan Inc | 83% | 86% | 86% | 48% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 72% | 89% | 89% | 77% | 48% | 46% | 94% | 11% | 88% | 89% | 59% | 75 | 74 | 90 | 84 | 85 | 84 | 0.06 | 2% | Medicare shows only a Star Rating for this topic | 97% | 98% | 41% | 29% | 0.06 | 2% | Medicare shows only a Star Rating for this topic | 92 | 95 | 99 | 91% | 92% | 92% | 87% | 89% |
| H5087 | Local CCP | WELLCARE OF CALIFORNIA, INC. | Wellcare | Centene Corporation | 72% | 74% | 69% | 49% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 52% | 75% | 80% | 73% | Not enough data available | Not enough data available | 62% | 10% | 86% | 37% | 48% | 71 | Not enough data available | Not enough data available | Not enough data available | 84 | Not enough data available | 0.76 | 25% | Medicare shows only a Star Rating for this topic | 73% | 100% | 97% | 100% | 0.76 | 25% | Medicare shows only a Star Rating for this topic | 84 | Not enough data available | 98 | 87% | 88% | 86% | 87% | 89% |
| H5106 | Local CCP | HIGHMARK SENIOR SOLUTIONS COMPANY | Highmark Blue Cross Blue Shield | Highmark Health | 74% | 78% | 75% | 43% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 69% | 88% | 80% | 45% | 51% | 78% | 9% | 90% | 67% | 60% | 83 | 79 | 94 | 86 | 88 | 88 | 0.13 | 6% | Medicare shows only a Star Rating for this topic | 100% | 100% | 92% | 95% | 0.13 | 6% | Medicare shows only a Star Rating for this topic | 87 | 90 | 99 | 86% | 90% | 89% | 81% | 87% |
| H5117 | Local CCP | LOUISIANA HEALTHCARE CONNECTIONS, INC. | Wellcare by Allwell | Centene Corporation | No data available | 52% | Plan too small to be measured | 46% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 57% | 63% | 64% | Not enough data available | Not enough data available | 25% | No data available | No data available | No data available | 52% | 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 | Medicare shows only a Star Rating for this topic | Plan too small to be measured | Plan too small to be measured | 97 | 72% | 79% | 80% | 90% | 77% |
| H5140 | Local CCP | BLUE CROSS AND BLUE SHIELD ARIZONA, INC. | Blue Cross Blue Shield of Arizona (AZ Blue) | Blue Cross Blue Shield of Arizona | 77% | 75% | 70% | 48% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 66% | 90% | 75% | Not enough data available | Not enough data available | 59% | No data available | 79% | 68% | 58% | 79 | 74 | 89 | 84 | 87 | 83 | 0.16 | 12% | Medicare shows only a Star Rating for this topic | 100% | 96% | 100% | 100% | 0.16 | 12% | Medicare shows only a Star Rating for this topic | 87 | 89 | 97 | 89% | 91% | 90% | 84% | 78% |
| H5141 | Local CCP | CLOVER INSURANCE COMPANY | Clover Health | Clover Health Holdings Inc | 71% | 82% | 71% | 53% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 53% | 71% | 86% | 82% | 64% | 41% | 60% | 10% | 88% | 45% | 71% | 78 | 74 | 88 | 84 | 85 | 86 | 0.24 | 15% | Medicare shows only a Star Rating for this topic | 99% | 94% | 92% | 98% | 0.24 | 15% | Medicare shows only a Star Rating for this topic | 85 | 88 | 93 | 83% | 85% | 82% | 84% | 85% |