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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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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| H7598 | Local CCP | GROUP HEALTH COOPERATIVE OF EAU CLAIRE | Group Health Cooperative of Eau Claire | Group Health Cooperative of Eau Claire | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | Plan too small 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 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 | No data available | Not enough data available | Not enough data available | Not enough data available | Not enough data available | 84% | 86% | No 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 | Plan not required to report | Not enough data available |
| S5904 | PDP | BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC. | Florida Blue | Guidewell Mutual Holding Corporation | 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 | 95% | 0.04 | 5% | Medicare shows only a Star Rating for this topic | 80 | 88 | 98 | 86% | 88% | 86% | CMS identified issues with this plan's data | 84% |
| H5434 | Local CCP | BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC. | Florida Blue | Guidewell Mutual Holding Corporation | 79% | 78% | 73% | 53% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 45% | 67% | 82% | 72% | 48% | 47% | 47% | 11% | 81% | 36% | 60% | 83 | 78 | 90 | 87 | 86 | 85 | 0.19 | 13% | Medicare shows only a Star Rating for this topic | 98% | 92% | 100% | 95% | 0.19 | 13% | Medicare shows only a Star Rating for this topic | 83 | 87 | 97 | 85% | 88% | 85% | 83% | 84% |
| H5938 | Local CCP | CAPITAL HEALTH PLAN | Capital Health Plan | Guidewell Mutual Holding Corporation | 86% | 88% | 78% | 50% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 57% | 85% | 92% | 82% | 52% | 47% | 82% | 11% | 86% | 67% | 53% | 82 | 79 | 93 | 89 | 93 | 85 | 0.04 | 1% | Medicare shows only a Star Rating for this topic | 100% | 94% | 91% | 95% | 0.04 | 1% | Medicare shows only a Star Rating for this topic | 90 | 91 | 98 | 85% | 90% | 88% | 76% | 87% |
| H4005 | Local CCP | TRIPLE S ADVANTAGE, INC. | Triple-S Advantage | Guidewell Mutual Holding Corporation | 79% | 84% | 59% | 56% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 84% | 83% | 81% | 65% | 49% | 70% | 13% | 86% | 41% | 50% | 75 | 64 | 89 | 87 | 89 | 84 | 0.17 | 4% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 97% | 93% | 0.17 | 4% | Medicare shows only a Star Rating for this topic | 91 | 92 | 98 | 89% | 90% | 84% | 95% | 87% |
| H1035 | Local CCP | FLORIDA BLUE MEDICARE, INC. | Florida Blue HMO | Guidewell Mutual Holding Corporation | 78% | 82% | 73% | 51% | 61% | 96% | 95% | 47% | 70% | 84% | 75% | 50% | Not enough data available | 58% | 11% | 81% | 43% | 59% | 83 | 79 | 90 | 88 | 87 | 87 | 0.17 | 16% | Medicare shows only a Star Rating for this topic | 98% | 95% | 61% | 55% | 0.17 | 16% | Medicare shows only a Star Rating for this topic | 89 | 92 | 98 | 86% | 89% | 86% | 87% | 86% |
| H5774 | Local CCP | TRIPLE S ADVANTAGE, INC. | Triple S Advantage | Guidewell Mutual Holding Corporation | 89% | 90% | 62% | 58% | 89% | 98% | 98% | 85% | 92% | 93% | 92% | 64% | 54% | 86% | 11% | 89% | 52% | 51% | 76 | 66 | 92 | 89 | 92 | 85 | 0.17 | 13% | Medicare shows only a Star Rating for this topic | 100% | 100% | 97% | 93% | 0.17 | 13% | Medicare shows only a Star Rating for this topic | 93 | 92 | 98 | 90% | 91% | 85% | 94% | 92% |
| R3332 | Regional CCP | BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC. | Florida Blue | Guidewell Mutual Holding Corporation | 73% | 75% | 74% | 49% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 37% | 62% | 76% | 67% | Not enough data available | Not enough data available | 43% | 12% | 81% | 34% | 58% | 84 | 76 | 89 | 88 | 87 | 86 | 0.07 | 14% | Medicare shows only a Star Rating for this topic | 98% | 94% | 100% | 95% | 0.07 | 14% | Medicare shows only a Star Rating for this topic | 86 | 89 | 98 | 85% | 88% | 86% | 80% | 83% |
| H0034 | Local CCP | HAMASPIK, INC. | Hamaspik Inc. | Hamaspik of Rockland County Inc. | Not enough data available | Not enough data available | Plan too small to be measured | 66% | CMS identified issues with this plan's data | 76% | 75% | Not enough data available | 25% | 39% | 63% | Not enough data available | Not enough data available | 14% | No data available | Not enough data available | 23% | 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 small to be measured | Plan too small to be measured | 0.83 | 19% | Not enough data available | Not enough data available | Not enough data available | 86% | 89% | 0.83 | 19% | Medicare shows only a Star Rating for this topic | Plan too small to be measured | Plan too small to be measured | 86 | 85% | 85% | 80% | 95% | 85% |
| H9826 | Local CCP | COMMUNITY HEALTH CHOICE TEXAS, INC. | Community Health Choice | Harris County Hospital District | 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 | 84% | 89% | 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 | 89% | 92% | Not enough data available | Not enough data available | Not enough data available | Plan too small to be measured | Plan too small to be measured | 97 | 78% | 90% | 73% | 45% | 80% |