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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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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| H3305 | Local CCP | MVP HEALTH PLAN, INC. | MVP HEALTH CARE | MVP Health Care Inc. | 83% | 77% | 85% | 53% | 60% | 80% | 83% | 43% | 79% | 81% | 69% | 53% | 46% | 59% | 11% | 86% | 57% | 55% | 83 | 80 | 91 | 87 | 90 | 89 | 0.05 | 5% | Medicare shows only a Star Rating for this topic | 100% | 94% | 91% | 86% | 0.05 | 5% | Medicare shows only a Star Rating for this topic | 88 | 92 | 98 | 88% | 91% | 90% | 54% | 83% |
| 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% |
| H9576 | Demo | NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND | NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND | NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available |
| 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% |
| H1181 | MSA | NETWORK HEALTH INSURANCE CORPORATION | Network Health Medicare Advantage Plans | Network Health Inc. | 63% | 63% | 60% | 42% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Benefit not offered by plan | 65% | 83% | 75% | Not enough data available | Not enough data available | 94% | No data available | Benefit not offered by plan | 92% | 67% | 84 | 84 | Not enough data available | 86 | 84 | 88 | 0 | 22% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | Not enough data available | 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 |
| H5644 | Local CCP | NETWORK HEALTH INSURANCE CORPORATION | Network Health Medicare Advantage Plans | Network Health 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 | Not enough data available | Not enough data available | Not enough data available | Not enough data available | Not enough data available | Plan too small to be measured | Plan too small to be measured | 100 | 91% | 91% | 88% | 88% | Not enough data available |
| H0423 | Local CCP | METROPLUS HEALTH PLAN, INC. | MetroPlus Health Plan | New York City Health and Hospitals Corporation | 79% | 69% | 63% | 58% | 75% | 94% | 91% | Not enough data available | 82% | 84% | 81% | 71% | Not enough data available | 67% | 11% | 86% | 57% | 47% | 79 | 74 | 89 | 83 | 86 | 84 | 0.2 | 17% | Medicare shows only a Star Rating for this topic | 94% | 94% | 89% | 95% | 0.2 | 17% | Medicare shows only a Star Rating for this topic | 85 | 88 | 98 | 90% | 90% | 89% | 91% | 91% |
| H0885 | Local CCP | HEALTHIER NEW JERSEY INSURANCE COMPANY | Braven Health | NJ Collaborative Care LLC | Not enough data available | 63% | 70% | 54% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 56% | 68% | 84% | 74% | Not enough data available | Not enough data available | 74% | 13% | 89% | 48% | 60% | 82 | 76 | 90 | 87 | 88 | 84 | 0.21 | 6% | Medicare shows only a Star Rating for this topic | 91% | 95% | 97% | 100% | 0.21 | 6% | Medicare shows only a Star Rating for this topic | 83 | 88 | 97 | 89% | 92% | 90% | 90% | 88% |
| H9763 | Local CCP | OCHSNER HEALTH PLAN, INC. | Ochsner Health Plan | Ochsner Clinic Foundation | Not enough data available | Not enough data available | 82% | 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 | 82% | 91% | 85% | Plan too new to be measured | Plan too new to be measured | 92% | No data available | Not enough data available | 90% | Not enough data available | 79 | 77 | 89 | 90 | 89 | 91 | 0.21 | 9% | Not enough data available | Not enough data available | Not enough data available | 84% | 80% | 0.21 | 9% | Not enough data available | 91 | 91 | 98 | 81% | 87% | 85% | 68% | 85% |
| H5433 | Local CCP | ORANGE COUNTY HEALTH AUTHORITY | CalOptima Health OneCare | Orange County Health Authority | 66% | 65% | 68% | 53% | 35% | 84% | 85% | Not enough data available | 73% | 78% | 68% | Not enough data available | Not enough data available | 62% | 9% | 82% | 41% | 47% | 75 | 73 | 87 | 86 | 86 | 80 | 0.09 | 15% | Medicare shows only a Star Rating for this topic | 100% | 100% | 91% | 92% | 0.09 | 15% | Medicare shows only a Star Rating for this topic | 88 | 88 | 97 | 88% | 86% | 84% | 79% | 88% |