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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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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| H6750 | Local CCP | HARVARD PILGRIM HEALTH CARE OF NEW ENGLAND, INC. | Harvard Pilgrim Health Care of New England Inc. | Point32Health Inc. | 79% | 74% | 79% | 52% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 18% | 72% | 69% | 65% | 48% | 50% | 57% | 8% | 90% | 51% | 59% | 79 | 78 | 92 | 86 | 86 | 86 | 0.09 | 8% | Medicare shows only a Star Rating for this topic | 97% | 98% | 100% | 97% | 0.09 | 8% | Medicare shows only a Star Rating for this topic | 85 | 88 | 98 | 87% | 91% | 89% | 94% | 83% |
| H0342 | Local CCP | CAREPARTNERS OF CONNECTICUT, INC. | CarePartners of Connecticut | Point32Health 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 | 98% | 100% | Not enough data available | Not enough data available | Not enough data available | Plan too small to be measured | Plan too small to be measured | 98 | 93% | 90% | 91% | Not enough data available | 85% |
| H2256 | Local CCP | TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION | Tufts Health Plan | Point32Health Inc. | 83% | 77% | 85% | 54% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 46% | 80% | 87% | 79% | 54% | 45% | 64% | 12% | 89% | 63% | 61% | 81 | 79 | 90 | 87 | 89 | 87 | 0.1 | 6% | Medicare shows only a Star Rating for this topic | 99% | 98% | 98% | 100% | 0.1 | 6% | Medicare shows only a Star Rating for this topic | 85 | 88 | 98 | 89% | 91% | 90% | 71% | 88% |
| H7245 | Local CCP | PREMERA BLUE CROSS | Premera Blue Cross Medicare Advantage | Premera | 74% | 83% | 76% | 49% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 51% | 73% | 85% | 71% | 43% | 50% | 76% | 9% | 83% | 60% | 60% | 76 | 77 | 88 | 84 | 83 | 85 | 0.1 | 7% | Not enough data available | 80% | 92% | 89% | 88% | 0.1 | 7% | Not enough data available | 84 | 89 | 97 | 89% | 92% | 91% | 92% | 84% |
| H3206 | Local CCP | PRESBYTERIAN INSURANCE COMPANY, INC. | Presbyterian Insurance Company Inc. | Presbyterian Healthcare Services | 68% | 70% | 79% | 47% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 66% | 67% | 60% | 48% | 46% | 44% | 10% | 77% | 49% | 56% | 77 | 75 | 91 | 84 | 84 | 87 | 0.19 | 12% | Medicare shows only a Star Rating for this topic | 100% | 85% | 83% | 91% | 0.19 | 12% | Medicare shows only a Star Rating for this topic | 80 | 89 | 99 | 80% | 85% | 85% | Not enough data available | 83% |
| H3204 | Local CCP | PRESBYTERIAN HEALTH PLAN | Presbyterian Health Plan | Presbyterian Healthcare Services | 69% | 70% | 78% | 50% | 49% | 75% | 83% | 27% | 76% | 76% | 69% | 50% | 44% | 46% | 10% | 82% | 52% | 53% | 74 | 70 | 90 | 84 | 85 | 83 | 0.08 | 4% | Medicare shows only a Star Rating for this topic | 100% | 94% | 83% | 91% | 0.08 | 4% | Medicare shows only a Star Rating for this topic | 84 | 87 | 99 | 84% | 86% | 84% | 88% | 81% |
| S3875 | PDP | GRANITE ALLIANCE INSURANCE COMPANY | Granite Alliance | Prime Therapeutics LLC. | 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 | Not enough data available | Not enough data available | Not enough data available | 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 | No data available | Not enough data available |
| H2416 | Local CCP | PRIMEWEST RURAL MN HEALTH CARE ACCESS INITIATIVE | PrimeWest Health | PrimeWest Rural MN Health Care Access Initiative | 73% | 73% | 71% | 38% | 70% | 94% | 92% | Not enough data available | 82% | 85% | 77% | 71% | 54% | 79% | 12% | 79% | 69% | 76% | 85 | 84 | 92 | 88 | 87 | 87 | 0.09 | 1% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 94% | 89% | 0.09 | 1% | Medicare shows only a Star Rating for this topic | 87 | 93 | 97 | 89% | 90% | 92% | 67% | 88% |
| H2926 | Local CCP | PRIMEWEST RURAL MN HEALTH CARE ACCESS INITIATIVE | PrimeWest Health | PrimeWest Rural MN Health Care Access Initiative | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | 35% | Not enough data available | Not enough data available | 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 | 94% | 89% | Not enough data available | Not enough data available | Not enough data available | Plan too small to be measured | Plan too small to be measured | 97 | Not enough data available | 82% | 93% | 74% | Not enough data available |
| H3653 | Local CCP | PARAMOUNT CARE, INC. | Paramount Elite Medicare Plans | Promedica Health System Inc. | 78% | 78% | 80% | 52% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 54% | 73% | 87% | 78% | 55% | 37% | 64% | 12% | 85% | 67% | 58% | 84 | 81 | 91 | 87 | 88 | 87 | 0.1 | 4% | Medicare shows only a Star Rating for this topic | 96% | 100% | 97% | 95% | 0.1 | 4% | Medicare shows only a Star Rating for this topic | 86 | 90 | 96 | 85% | 89% | 89% | 89% | 82% |