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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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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| H3251 | Local CCP | HEALTH CARE SERVICE CORPORATION | Blue Cross and Blue Shield of New Mexico | Health Care Service Corporation | 74% | 78% | 77% | 51% | 54% | 100% | 93% | 30% | 69% | 76% | 67% | 54% | 45% | 76% | 11% | 84% | 65% | 50% | 73 | 69 | 88 | 81 | 84 | 80 | 0.07 | 8% | Medicare shows only a Star Rating for this topic | 100% | 88% | 98% | 97% | 0.07 | 8% | Medicare shows only a Star Rating for this topic | 82 | 85 | 98 | 85% | 88% | 86% | 91% | 84% |
| H8554 | Local CCP | GHS INSURANCE COMPANY | Blue Cross and Blue Shield of OK TX | Health Care Service Corporation | 51% | 59% | 70% | 51% | No data available | No data available | No data available | Not enough data available | 52% | 71% | 65% | Not enough data available | Not enough data available | 41% | No data available | Not enough data available | 31% | No data available | 77 | 73 | Not enough data available | 86 | 88 | 85 | 0.36 | 30% | Not enough data available | 100% | 100% | 98% | 97% | 0.36 | 30% | Medicare shows only a Star Rating for this topic | 86 | 88 | 97 | 84% | 89% | 86% | 94% | 87% |
| S5715 | PDP | HCSC INSURANCE SERVICES COMPANY | Blue Cross and Blue Shield of IL NM OK TX | Health Care Service 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 | 97% | 0.04 | 5% | Medicare shows only a Star Rating for this topic | 81 | 88 | 98 | 87% | 89% | 87% | 2% | 83% |
| H1666 | Local CCP | HCSC INSURANCE SERVICES COMPANY | Blue Cross and Blue Shield of NM TX | Health Care Service Corporation | 69% | 71% | 76% | 55% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 21% | 60% | 76% | 67% | 59% | 50% | 45% | 10% | 84% | 39% | 51% | 82 | 77 | 89 | 85 | 83 | 86 | 0.15 | 12% | Medicare shows only a Star Rating for this topic | 98% | 87% | 98% | 97% | 0.15 | 12% | Medicare shows only a Star Rating for this topic | 81 | 84 | 98 | 85% | 88% | 85% | 91% | 83% |
| H8133 | Local CCP | GHS INSURANCE COMPANY | Blue Cross and Blue Shield of Texas | Health Care Service Corporation | 68% | 62% | 72% | 53% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 47% | 63% | 60% | Not enough data available | Not enough data available | 49% | 9% | 85% | 43% | 48% | 80 | 76 | 89 | 87 | 85 | 86 | 0.29 | 26% | Medicare shows only a Star Rating for this topic | 99% | 96% | 98% | 97% | 0.29 | 26% | Medicare shows only a Star Rating for this topic | 84 | 87 | 98 | 82% | 85% | 80% | 91% | 89% |
| H1099 | Local CCP | HEALTH FIRST HEALTH PLANS | Health First Health Plans Inc. | Health First Shared Services Inc. | 78% | 82% | 70% | 52% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 45% | 66% | 88% | 81% | 53% | 52% | 79% | 10% | 82% | 57% | 63% | 82 | 78 | 89 | 87 | 87 | 85 | 0.14 | 6% | Medicare shows only a Star Rating for this topic | 100% | 97% | 92% | 91% | 0.14 | 6% | Medicare shows only a Star Rating for this topic | 87 | 91 | 99 | 85% | 89% | 87% | 90% | 83% |
| H6019 | Local CCP | SAN MATEO HEALTH COMMISSION | HEALTH PLAN OF SAN MATEO | Health Plan of San Mateo | 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 | Plan too new to be measured | Not enough data available | Not enough data available | 88% | 90% | Plan too new to be measured | 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 |
| H9678 | Local CCP | HEALTHFIRST INSURANCE COMPANY, INC. | Healthfirst Medicare Plan | Healthfirst 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 not required to report measure | Plan not required to report measure | Plan not required to report measure | 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 | Plan too new to be measured | Not enough data available | Not enough data available | 98% | 100% | Plan too new to be measured | 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 |
| H3359 | Local CCP | HEALTHFIRST HEALTH PLAN, INC. | Healthfirst Medicare Plan | Healthfirst Inc. | 79% | 83% | 71% | 62% | 65% | 95% | 93% | 55% | 84% | 82% | 80% | 76% | Not enough data available | 87% | 11% | 88% | 64% | 56% | 77 | 72 | 89 | 84 | 91 | 84 | 0.15 | 11% | Medicare shows only a Star Rating for this topic | 100% | 100% | 98% | 100% | 0.15 | 11% | Medicare shows only a Star Rating for this topic | 87 | 88 | 95 | 88% | 88% | 86% | 78% | 91% |
| H1722 | Local CCP | HEALTHFIRST HEALTH PLAN, INC. | Healthfirst Medicare Plan | Healthfirst Inc. | Not enough data available | 67% | 63% | 49% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 64% | 64% | 54% | Not enough data available | Not enough data available | 39% | No data available | Not enough data available | No data available | Not enough data available | 75 | Not enough data available | 89 | Not enough data available | 84 | Not enough data available | Not enough data available | 27% | Not enough data available | Not enough data available | Not enough data available | 98% | 100% | Not enough data available | 27% | Medicare shows only a Star Rating for this topic | 82 | Not enough data available | 94 | 82% | 86% | 83% | 79% | 81% |