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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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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| H6306 | Local CCP | FIRSTCAROLINACARE INSURANCE COMPANY | FirstMedicare Direct | The Carle Foundation | 83% | 85% | 80% | 56% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 75% | 88% | 79% | 54% | 51% | 89% | 10% | 84% | 81% | 74% | 85 | 78 | 93 | 88 | 88 | 89 | 0.07 | 9% | Medicare shows only a Star Rating for this topic | 100% | 88% | 87% | 90% | 0.07 | 9% | Medicare shows only a Star Rating for this topic | 88 | 92 | 99 | 84% | 87% | 85% | 87% | 79% |
| H1463 | Local CCP | HEALTH ALLIANCE CONNECT, INC. | Health Alliance Medicare | The Carle Foundation | 77% | 75% | 76% | 46% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 38% | 69% | 78% | 87% | 48% | 48% | 66% | 13% | 85% | 61% | 62% | 84 | 81 | 93 | 88 | 90 | 88 | 0.04 | 5% | Medicare shows only a Star Rating for this topic | 98% | 86% | 87% | 90% | 0.04 | 5% | Medicare shows only a Star Rating for this topic | 87 | 89 | 99 | 87% | 89% | 87% | 85% | 83% |
| H1737 | Local CCP | HEALTH ALLIANCE - MIDWEST, INC. | Health Alliance Medicare | The Carle Foundation | 85% | 78% | 89% | 58% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 84% | 81% | 70% | Not enough data available | Not enough data available | 62% | No data available | No data available | No data available | No data available | 82 | 80 | 92 | 88 | 86 | 90 | Not enough data available | Not enough data available | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 87% | 90% | Not enough data available | Not enough data available | Medicare shows only a Star Rating for this topic | 85 | 90 | 99 | 83% | 94% | 89% | 92% | 76% |
| H3471 | Local CCP | HEALTH ALLIANCE NORTHWEST HEALTH PLAN | Health Alliance Northwest | The Carle Foundation | 72% | 77% | 72% | 47% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 44% | 71% | 83% | 83% | 50% | 44% | 70% | 10% | 85% | 68% | 58% | 76 | 77 | 91 | 84 | 83 | 85 | 0.09 | 5% | Medicare shows only a Star Rating for this topic | 100% | 85% | 86% | 91% | 0.09 | 5% | Medicare shows only a Star Rating for this topic | 83 | 89 | 98 | 85% | 87% | 86% | 85% | 82% |
| H8064 | Local CCP | FIRSTCAROLINACARE INSURANCE COMPANY | FirstMedicare Direct | The Carle Foundation | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | 44% | 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 | 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 | Not enough data available | Not enough data available | Not enough data available | Not enough data available | Not enough data available | 87% | 90% | 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 | 99 | 84% | 90% | 89% | Not enough data available | 90% |
| H0672 | Local CCP | CIGNA HEALTHCARE OF COLORADO, INC. | Cigna Healthcare | The Cigna Group | 60% | 62% | 69% | 55% | 65% | 88% | 94% | Not enough data available | 67% | 79% | 79% | 56% | Not enough data available | 85% | 10% | 90% | 64% | 54% | 78 | 77 | 86 | 83 | 84 | 83 | 0.82 | 29% | Medicare shows only a Star Rating for this topic | 97% | 100% | 95% | 93% | 0.82 | 29% | Medicare shows only a Star Rating for this topic | 85 | 86 | 100 | 80% | 87% | 87% | 94% | 85% |
| H4407 | Local CCP | HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. | Cigna Healthcare | The Cigna Group | 78% | 82% | 68% | 44% | 80% | 96% | 98% | 48% | 82% | 86% | 76% | 53% | 45% | 88% | 11% | 86% | 69% | 59% | 84 | 77 | 91 | 87 | 88 | 89 | 0.17 | 15% | Medicare shows only a Star Rating for this topic | 97% | 96% | 95% | 93% | 0.17 | 15% | Medicare shows only a Star Rating for this topic | 88 | 91 | 99 | 84% | 87% | 86% | 86% | 86% |
| H7020 | Local CCP | CIGNA HEALTHCARE OF SOUTH CAROLINA, INC. | Cigna Healthcare | The Cigna Group | 72% | 80% | 70% | 43% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 79% | 81% | 72% | 43% | 42% | 87% | 8% | 77% | 56% | 57% | 83 | 78 | 90 | 88 | 88 | 87 | 0.24 | 19% | Medicare shows only a Star Rating for this topic | 100% | 98% | 95% | 93% | 0.24 | 19% | Medicare shows only a Star Rating for this topic | 89 | 91 | 100 | 85% | 89% | 87% | 86% | 86% |
| S5617 | PDP | CIGNA HEALTH AND LIFE INSURANCE COMPANY | Cigna | The Cigna Group | 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 | 88% | 0.09 | 13% | Medicare shows only a Star Rating for this topic | 81 | 88 | 99 | 85% | 87% | 87% | 35% | 81% |
| H4513 | Local CCP | HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. | Cigna Healthcare | The Cigna Group | 79% | 82% | 74% | 54% | 72% | 96% | 98% | 51% | 80% | 87% | 81% | 56% | 47% | 89% | 11% | 87% | 62% | 56% | 83 | 77 | 92 | 86 | 89 | 86 | 0.17 | 17% | Not enough data available | 97% | 96% | 95% | 93% | 0.17 | 17% | Not enough data available | 88 | 90 | 99 | 86% | 89% | 88% | 87% | 90% |