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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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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| H3916 | Local CCP | HIGHMARK SENIOR HEALTH COMPANY | Highmark Blue Cross Blue Shield or Highmark Blue S | Highmark Health | 78% | 81% | 78% | 46% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 47% | 75% | 82% | 77% | 56% | 44% | 80% | 11% | 86% | 69% | 60% | 82 | 79 | 91 | 86 | 88 | 87 | 0.06 | 3% | Medicare shows only a Star Rating for this topic | 99% | 98% | 92% | 95% | 0.06 | 3% | Medicare shows only a Star Rating for this topic | 87 | 91 | 99 | 89% | 92% | 90% | 79% | 85% |
| H8166 | Local CCP | HIGHMARK BCBSD, INC. | Highmark Blue Cross Blue Shield | Highmark Health | 78% | 75% | 77% | Plan too new to be measured | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 72% | 86% | 77% | Plan too new to be measured | Plan too new to be measured | 81% | No data available | Not enough data available | 69% | 57% | 76 | 73 | 92 | 85 | 88 | 86 | 0.31 | 7% | Not enough data available | 100% | 100% | 92% | 95% | 0.31 | 7% | Not enough data available | 87 | 87 | 99 | 86% | 90% | 88% | 86% | 90% |
| H3957 | Local CCP | HIGHMARK CHOICE COMPANY | Highmark Blue Cross Blue Shield or Highmark Blue S | Highmark Health | 73% | 72% | 77% | 48% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 53% | 78% | 87% | 79% | 58% | 43% | 90% | 11% | 88% | 78% | 59% | 84 | 82 | 92 | 88 | 90 | 88 | 0.03 | 7% | Medicare shows only a Star Rating for this topic | 99% | 99% | 92% | 95% | 0.03 | 7% | Medicare shows only a Star Rating for this topic | 89 | 92 | 99 | 88% | 92% | 91% | 84% | 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% |
| H5932 | Local CCP | GATEWAY HEALTH PLAN, INC. | Highmark Wholecare Medicare Assured | Highmark Health | 65% | 71% | 71% | 51% | 25% | 87% | 89% | 52% | 70% | 77% | 80% | 65% | Not enough data available | 68% | 12% | 87% | 61% | 54% | 82 | 80 | 90 | 86 | 90 | 87 | 0.07 | 11% | Medicare shows only a Star Rating for this topic | 99% | 97% | 89% | 92% | 0.07 | 11% | Medicare shows only a Star Rating for this topic | 90 | 91 | 94 | 87% | 88% | 88% | 35% | 86% |
| H3384 | Local CCP | Highmark Western and Northeastern New York Inc. | Highmark Blue Cross Blue Shield or Highmark Blue S | Highmark Health | 82% | 82% | 80% | 52% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 73% | 82% | 92% | 80% | 55% | 48% | 66% | 11% | 91% | 45% | 62% | 84 | 81 | 87 | 86 | 85 | 86 | 0.09 | 7% | Medicare shows only a Star Rating for this topic | 96% | 100% | 92% | 95% | 0.09 | 7% | Medicare shows only a Star Rating for this topic | 84 | 89 | 99 | 89% | 92% | 90% | 86% | 90% |
| S1140 | PDP | Highmark Western and Northeastern New York Inc. | Highmark Blue Cross Blue Shield or Highmark Blue S | Highmark Health | 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 | Not enough data available | Medicare shows only a Star Rating for this topic | 92 | 92 | Not enough data available | 88% | 90% | 88% | 81% | 84% |
| H5526 | Local CCP | Highmark Western and Northeastern New York Inc. | Highmark Blue Cross Blue Shield or Highmark Blue S | Highmark Health | 86% | 85% | 83% | 55% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 63% | 83% | 89% | 81% | 48% | 55% | 61% | 10% | 91% | 43% | 62% | 83 | 80 | 87 | 87 | 86 | 85 | 0.07 | 4% | Medicare shows only a Star Rating for this topic | 100% | 94% | 92% | 95% | 0.07 | 4% | Medicare shows only a Star Rating for this topic | 86 | 90 | 99 | 90% | 93% | 91% | 85% | 89% |
| S5993 | PDP | HORIZON INSURANCE COMPANY | Horizon Blue Cross Blue Shield of New Jersey | Horizon Mutual Holdings 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 | 95% | 0.11 | 20% | Medicare shows only a Star Rating for this topic | 80 | 90 | 97 | 87% | 89% | 87% | 8% | 83% |
| H8298 | Local CCP | HORIZON HEALTHCARE OF NEW JERSEY, INC. | Horizon Blue Cross Blue Shield of New Jersey | Horizon Mutual Holdings Inc | 68% | 62% | 68% | 54% | 84% | 81% | 95% | 10% | 74% | 76% | 77% | 68% | Not enough data available | 78% | 14% | 91% | 49% | 59% | 76 | 73 | 89 | 85 | 89 | 83 | 0.25 | 12% | Medicare shows only a Star Rating for this topic | 87% | 100% | 100% | 95% | 0.25 | 12% | Medicare shows only a Star Rating for this topic | 89 | 90 | 97 | 89% | 90% | 89% | 91% | 93% |