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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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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| H2624 | Local CCP | CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA | CARE N CARE INSURANCE COMPANY OF NORTH CAROLINA | HTA Holdings LLC | 84% | 86% | 80% | 76% | CMS identified issues with this plan's data | 100% | 99% | Not enough data available | 87% | 84% | 75% | 57% | Not enough data available | 89% | No data available | No data available | No data available | 63% | 85 | 79 | 93 | 89 | 93 | 89 | 0.26 | 8% | Not enough data available | Not enough data available | Not enough data available | 98% | 94% | 0.26 | 8% | Medicare shows only a Star Rating for this topic | 89 | 89 | 99 | 84% | 87% | 87% | 90% | 90% |
| H9808 | Local CCP | CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA | CARE N CARE INSURANCE COMPANY OF NORTH CAROLINA | HTA Holdings LLC | 79% | 79% | 80% | 59% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 55% | 77% | 86% | 77% | 51% | 44% | 81% | 10% | 88% | 72% | 67% | 82 | 79 | 94 | 87 | 92 | 87 | 0.05 | 7% | Medicare shows only a Star Rating for this topic | 92% | 93% | 98% | 94% | 0.05 | 7% | Medicare shows only a Star Rating for this topic | 87 | 91 | 100 | 83% | 88% | 85% | 86% | 87% |
| R7220 | Regional CCP | HUMANA INSURANCE COMPANY | Humana | Humana Inc. | 52% | 60% | 60% | 41% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 65% | 75% | 68% | 51% | Not enough data available | 73% | 10% | 86% | 54% | 63% | 81 | 77 | Not enough data available | 85 | 87 | 82 | 0.1 | 22% | Medicare shows only a Star Rating for this topic | 100% | 90% | 97% | 100% | 0.1 | 22% | Medicare shows only a Star Rating for this topic | 83 | 85 | 86 | 87% | 87% | 87% | 79% | 85% |
| H8908 | Local CCP | HUMANA MEDICAL PLAN OF MICHIGAN, INC. | Humana | Humana Inc. | 66% | 66% | 63% | 53% | 77% | 95% | 96% | 26% | 72% | 82% | 76% | 61% | Not enough data available | 71% | 12% | 86% | 54% | 61% | 78 | 75 | 90 | 86 | 88 | 85 | 0.2 | 25% | Medicare shows only a Star Rating for this topic | 99% | 97% | 97% | 100% | 0.2 | 25% | Medicare shows only a Star Rating for this topic | 91 | 91 | 88 | 83% | 85% | 84% | 83% | 87% |
| H2237 | Local CCP | INDEPENDENT CARE HEALTH PLAN | iCare | Humana Inc. | 67% | 66% | 69% | 52% | 75% | 91% | 89% | Not enough data available | 67% | 68% | 73% | 73% | Not enough data available | 54% | 12% | 89% | 51% | 57% | 81 | 79 | 90 | 86 | 89 | 86 | 0.13 | 12% | Medicare shows only a Star Rating for this topic | 100% | 100% | 83% | 81% | 0.13 | 12% | Medicare shows only a Star Rating for this topic | 88 | 92 | 97 | 83% | 83% | 83% | 86% | 86% |
| R4845 | Regional CCP | HUMANA INSURANCE COMPANY | Humana | Humana Inc. | 50% | 59% | 61% | 38% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 64% | 70% | 68% | 43% | 33% | 68% | 11% | 81% | 52% | 55% | 83 | 82 | Not enough data available | 89 | 83 | 87 | 0.32 | 30% | Medicare shows only a Star Rating for this topic | 96% | 95% | 97% | 100% | 0.32 | 30% | Medicare shows only a Star Rating for this topic | 83 | 91 | 88 | 84% | 85% | 85% | 76% | 84% |
| H2944 | PFFS | HUMANA INSURANCE COMPANY | Humana | Humana Inc. | 54% | 65% | 64% | 36% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 62% | 78% | 72% | 56% | 38% | 74% | 12% | 88% | 53% | 57% | 87 | 81 | 91 | 87 | 83 | 88 | 0.38 | 16% | Medicare shows only a Star Rating for this topic | 96% | 100% | 97% | 100% | 0.38 | 16% | Medicare shows only a Star Rating for this topic | 85 | 91 | 88 | 89% | 86% | 87% | 80% | 87% |
| H5377 | Local CCP | HUMANA MEDICAL PLAN OF PENNSYLVANIA, 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 | Medicare shows only a Star Rating for this topic | Plan too small to be measured | Plan too small to be measured | 87 | 92% | 89% | 85% | Not enough data available | 86% |
| H1019 | Local CCP | CAREPLUS HEALTH PLANS, INC. | CarePlus Health Plans Inc. | Humana Inc. | 82% | 79% | 65% | 62% | 83% | 97% | 97% | 55% | 87% | 90% | 85% | 63% | 47% | 87% | 12% | 87% | 54% | 66% | 80 | 76 | 90 | 85 | 90 | 82 | 0.3 | 24% | Medicare shows only a Star Rating for this topic | 97% | 99% | 100% | 95% | 0.3 | 24% | Medicare shows only a Star Rating for this topic | 89 | 89 | 89 | 90% | 90% | 89% | 90% | 92% |
| R1532 | Regional CCP | HUMANA INSURANCE COMPANY | Humana | Humana Inc. | 56% | 66% | 60% | 37% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 62% | 77% | 68% | 54% | 40% | 70% | 10% | 83% | 54% | 57% | 84 | 77 | 91 | 86 | 85 | 87 | 0.23 | 28% | Medicare shows only a Star Rating for this topic | 95% | 100% | 97% | 100% | 0.23 | 28% | Medicare shows only a Star Rating for this topic | 83 | Not enough data available | 88 | 85% | 86% | 85% | 82% | 83% |