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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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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| H6502 | Local CCP | MISSOURI VALLEY LIFE AND HEALTH INSURANCE COMPANY | Blue Medicare Advantage | Blue Cross and Blue Shield of Kansas City | 78% | 80% | 77% | 58% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 28% | 78% | 89% | 73% | 52% | 46% | 51% | 12% | 84% | 41% | 57% | 80 | 78 | 90 | 87 | 88 | 86 | 0.11 | 7% | Medicare shows only a Star Rating for this topic | 97% | 83% | 92% | 95% | 0.11 | 7% | Medicare shows only a Star Rating for this topic | 88 | 90 | 99 | 85% | 89% | 88% | 86% | 83% |
| H2230 | Local CCP | BCBS OF MASSACHUSETTS HMO BLUE, INC. | Blue Cross Blue Shield of Massachusetts | Blue Cross and Blue Shield of Massachusetts Inc. | 83% | 75% | 85% | 57% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 45% | 78% | 82% | 74% | 52% | 48% | 59% | 6% | 87% | 57% | 62% | 79 | 78 | 92 | 85 | 87 | 85 | 0.07 | 2% | Medicare shows only a Star Rating for this topic | 99% | 95% | 92% | 91% | 0.07 | 2% | Medicare shows only a Star Rating for this topic | 84 | 87 | 99 | 90% | 91% | 90% | 69% | 86% |
| H2261 | Local CCP | BCBS OF MASSACHUSETTS HMO BLUE, INC. | Blue Cross Blue Shield of Massachusetts | Blue Cross and Blue Shield of Massachusetts Inc. | 81% | 78% | 83% | 53% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 48% | 74% | 86% | 72% | 51% | 43% | 60% | 6% | 90% | 57% | 60% | 80 | 78 | 92 | 85 | 86 | 86 | 0.08 | 7% | Medicare shows only a Star Rating for this topic | 100% | 100% | 92% | 91% | 0.08 | 7% | Medicare shows only a Star Rating for this topic | 83 | 86 | 99 | 90% | 91% | 90% | 66% | 86% |
| H3777 | Local CCP | EXPERIENCE HEALTH, INC. | Experience Health Inc. | Blue Cross and Blue Shield of North Carolina | 86% | 72% | 81% | 68% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 74% | 88% | 77% | 52% | 43% | 85% | 10% | 80% | 76% | 53% | 82 | 80 | 92 | 88 | 89 | 88 | 0.23 | 10% | Medicare shows only a Star Rating for this topic | 100% | 94% | 94% | 95% | 0.23 | 10% | Medicare shows only a Star Rating for this topic | 89 | 90 | 98 | 83% | 88% | 86% | 89% | 87% |
| H3404 | Local CCP | BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA | Blue Cross and Blue Shield of North Carolina | Blue Cross and Blue Shield of North Carolina | 80% | 82% | 80% | 58% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 31% | 69% | 83% | 70% | 58% | 44% | 78% | 12% | 85% | 67% | 60% | 83 | 80 | 92 | 88 | 90 | 88 | 0.08 | 5% | Medicare shows only a Star Rating for this topic | 98% | 97% | 95% | 95% | 0.08 | 5% | Medicare shows only a Star Rating for this topic | 88 | 90 | 98 | 86% | 91% | 90% | 76% | 84% |
| H3449 | Local CCP | BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA | Blue Cross and Blue Shield of North Carolina | Blue Cross and Blue Shield of North Carolina | 79% | 82% | 75% | 53% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 20% | 65% | 88% | 70% | 51% | 46% | 74% | 11% | 84% | 62% | 58% | 85 | 80 | 92 | 87 | 89 | 89 | 0.12 | 11% | Medicare shows only a Star Rating for this topic | 98% | 97% | 95% | 95% | 0.12 | 11% | Medicare shows only a Star Rating for this topic | 88 | 90 | 98 | 84% | 89% | 86% | 79% | 85% |
| S5540 | PDP | BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA | Blue Cross and Blue Shield of North Carolina | Blue Cross and Blue Shield of North Carolina | 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% | 0.03 | 6% | Medicare shows only a Star Rating for this topic | 83 | 89 | 98 | 85% | 88% | 87% | 65% | 81% |
| H9147 | Local CCP | BLUE CROSS AND BLUE SHIELD OF NC SENIOR HEALTH | Blue Cross and Blue Shield of North Carolina | Blue Cross and Blue Shield of North Carolina | Not enough data available | 55% | 64% | 46% | 61% | 73% | 81% | Not enough data available | 52% | 64% | 65% | 72% | Not enough data available | 42% | No data available | Not enough data available | 34% | 56% | 76 | 76 | 88 | 86 | 85 | 86 | 0.58 | 51% | Not enough data available | Not enough data available | Not enough data available | 95% | 95% | 0.58 | 51% | Not enough data available | 85 | 88 | 98 | 78% | 85% | 84% | 83% | 83% |
| H3557 | Local CCP | BLUE CROSS & BLUE SHIELD OF RHODE ISLAND | Blue Cross and Blue Shield of Rhode Island | Blue Cross and Blue Shield of Rhode Island | 90% | 86% | 88% | 60% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 32% | 90% | 86% | 81% | Not enough data available | 52% | 71% | 14% | 90% | 60% | 62% | 82 | 78 | 90 | 88 | 90 | 84 | 0.07 | 4% | Medicare shows only a Star Rating for this topic | 100% | 100% | 98% | 97% | 0.07 | 4% | Medicare shows only a Star Rating for this topic | 87 | 90 | 98 | 89% | 92% | 91% | 90% | 88% |
| H4152 | Local CCP | BLUE CROSS & BLUE SHIELD OF RHODE ISLAND | Blue Cross and Blue Shield of Rhode Island | Blue Cross and Blue Shield of Rhode Island | 83% | 82% | 84% | 50% | 87% | 89% | 91% | 41% | 82% | 87% | 83% | 59% | 48% | 77% | 15% | 88% | 61% | 57% | 81 | 78 | 92 | 86 | 90 | 85 | 0.04 | 3% | Medicare shows only a Star Rating for this topic | 98% | 96% | 98% | 97% | 0.04 | 3% | Medicare shows only a Star Rating for this topic | 88 | 90 | 98 | 89% | 91% | 90% | 90% | 90% |