|
hcontract
|
org type
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contract name
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org marketing name
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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
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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
|
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
|
C28 - Plan Makes Timely Decisions about Appeals
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C29 - Reviewing Appeals Decisions
|
C30 - Call Center-Foreign Language Interpreter and TTY Availability
|
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)
|
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| H5163 | Local CCP | VERDA HEALTH PLAN OF TEXAS INC | Verda Health Plan of Texas | Verda Healthcare 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 |
| H5178 | Local CCP | HUMANA HEALTH PLAN, INC. | Humana | Humana 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 | 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 | Not enough data available | Not enough data available | Not enough data available | Not enough data available | No data available | Not enough data available |
| H5190 | Local CCP | SUNSHINE STATE HEALTH PLAN, INC. | Wellcare by Allwell | Centene Corporation | 56% | 59% | Plan too small to be measured | 57% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 59% | 70% | 61% | Not enough data available | Not enough data available | 44% | No data available | No data available | 23% | 62% | 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 | 0.59 | Not enough data available | Not enough data available | Not enough data available | Not enough data available | Not enough data available | Not enough data available | 0.59 | 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 | 98 | 88% | 86% | 82% | 85% | 92% |
| H5199 | Local CCP | WELLCARE HEALTH INSURANCE OF ARIZONA, INC. | Wellcare | Centene Corporation | 67% | 57% | 55% | 49% | 62% | 67% | 71% | Not enough data available | 52% | 69% | 69% | 49% | 45% | 44% | 10% | 79% | 32% | 58% | 78 | 75 | 86 | 84 | 81 | 83 | 1.18 | 46% | Medicare shows only a Star Rating for this topic | 77% | Not enough data available | 97% | 100% | 1.18 | 46% | Medicare shows only a Star Rating for this topic | 87 | 90 | 98 | 84% | 88% | 87% | 90% | 85% |
| H5209 | Local CCP | My Choice Wisconsin Health Plan, Inc. | My Choice Wisconsin Health Plan | My Choice Wisconsin Inc | 58% | 73% | 82% | 50% | 91% | 95% | 96% | Not enough data available | 71% | 79% | 87% | 82% | 57% | 83% | 10% | 76% | 82% | 69% | 79 | 81 | 90 | 87 | 83 | 85 | 0.04 | 6% | Medicare shows only a Star Rating for this topic | 100% | 87% | 78% | 73% | 0.04 | 6% | Medicare shows only a Star Rating for this topic | 87 | 91 | 98 | 91% | 89% | 92% | 91% | 87% |
| H5211 | Local CCP | SECURITY HEALTH PLAN OF WISCONSIN, INC. | Security Health Plan of Wisconsin Inc. | Marshfield Clinic Health System Inc | 82% | 77% | 73% | 46% | 71% | 92% | 95% | 30% | 81% | 83% | 78% | 49% | 46% | 78% | 10% | 87% | 74% | 57% | 82 | 80 | 93 | 86 | 89 | 87 | 0.02 | 4% | Medicare shows only a Star Rating for this topic | 100% | 88% | 100% | 91% | 0.02 | 4% | Medicare shows only a Star Rating for this topic | 86 | 92 | 98 | 89% | 91% | 91% | 60% | 85% |
| H5215 | Local CCP | NETWORK HEALTH INSURANCE CORPORATION | Network Health Medicare Advantage Plans | Network Health Inc | 80% | 81% | 78% | 48% | 79% | 98% | 99% | 53% | 82% | 95% | 85% | 47% | 47% | 91% | 9% | 86% | 87% | 76% | 84 | 82 | 93 | 87 | 88 | 89 | 0.03 | 7% | Medicare shows only a Star Rating for this topic | 99% | 91% | 95% | 98% | 0.03 | 7% | Medicare shows only a Star Rating for this topic | 87 | 91 | 99 | 90% | 91% | 90% | 91% | 86% |
| H5216 | Local CCP | HUMANA INSURANCE COMPANY | Humana | Humana Inc | 73% | 77% | 69% | 47% | 79% | 96% | 97% | 36% | 74% | 86% | 79% | 53% | 41% | 84% | 11% | 84% | 64% | 63% | 82 | 78 | 92 | 87 | 88 | 86 | 0.12 | 14% | Not enough data available | 98% | 96% | 97% | 100% | 0.12 | 14% | Not enough data available | 87 | 90 | 88 | 86% | 89% | 88% | 84% | 84% |
| H5232 | Local CCP | PARAMOUNT INSURANCE COMPANY | Paramount Elite Medicare Plans | Promedica Health System 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 | 97% | 95% | Not enough data available | Not enough data available | Not enough data available | Plan too small to be measured | Plan too small to be measured | 96 | Not enough data available | Not enough data available | Not enough data available | Not enough data available | Not enough data available |
| H5244 | Local CCP | SCAN HEALTH PLAN NEW MEXICO | SCAN Health Plan New Mexico | SCAN Group | 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 |