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hcontract
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contract name
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org marketing name
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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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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| H9662 | Local CCP | CIGNA HEALTHCARE OF CALIFORNIA, INC. | Cigna | The Cigna Group | 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 | No 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 | No 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 | Plan not required to report | Not enough data available |
| H0354 | Local CCP | CIGNA HEALTHCARE OF ARIZONA, INC. | Cigna Healthcare | The Cigna Group | 77% | 75% | 79% | 52% | 66% | 99% | 99% | 33% | 84% | 86% | 79% | 58% | 51% | 88% | 11% | 87% | 75% | 66% | 80 | 76 | 91 | 86 | 90 | 85 | 0.12 | 7% | Medicare shows only a Star Rating for this topic | 97% | 94% | 95% | 94% | 0.12 | 7% | Medicare shows only a Star Rating for this topic | 89 | 92 | 100 | 88% | 90% | 90% | 92% | 90% |
| H9725 | Local CCP | CIGNA HEALTHCARE OF NORTH CAROLINA, INC. | Cigna Healthcare | The Cigna Group | 76% | 78% | 70% | 50% | 68% | 92% | 96% | 49% | 78% | 78% | 74% | 56% | 49% | 89% | 9% | 87% | 64% | 60% | 84 | 81 | 92 | 87 | 89 | 88 | 0.27 | 17% | Medicare shows only a Star Rating for this topic | 98% | 93% | 95% | 93% | 0.27 | 17% | Medicare shows only a Star Rating for this topic | 88 | 91 | 99 | 84% | 89% | 88% | 87% | 85% |
| H3672 | Local CCP | THE HEALTH PLAN OF WEST VIRGINIA, INC. | The Health Plan | The Health Plan of West Virginia Inc. | 65% | 75% | 71% | 35% | 56% | 98% | 95% | 51% | 66% | 79% | 70% | 55% | 37% | 76% | 12% | 92% | 48% | 55% | 85 | 81 | 94 | 88 | 91 | 86 | 0.07 | 10% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 98% | 95% | 0.07 | 10% | Medicare shows only a Star Rating for this topic | 89 | 92 | 99 | 88% | 88% | 87% | 79% | 88% |
| H8604 | Local CCP | THP INSURANCE COMPANY | The Health Plan | The Health Plan of West Virginia Inc. | 75% | 75% | 74% | 41% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 69% | 83% | 67% | 55% | 40% | 62% | No data available | No data available | No data available | 61% | 86 | 81 | 93 | 87 | 89 | 87 | 0 | 8% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 98% | 95% | 0 | 8% | Medicare shows only a Star Rating for this topic | 85 | 88 | 99 | 89% | 90% | 88% | 78% | 85% |
| H1119 | Local CCP | TSG GUARD, INC. | Valor Health Plan | The Schroer Group Inc. | Not enough data available | Not enough data available | Plan too small to be measured | No data available | CMS identified issues with this plan's data | 99% | 99% | Not enough data available | Not enough data available | Not enough data available | Not enough data available | No data available | No data available | Not enough data available | No data available | Not enough data available | Not enough data available | 11% | 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 | 0 | 3% | Not enough data available | Not enough data available | Not enough data available | 95% | 91% | 0 | 3% | Medicare shows only a Star Rating for this topic | Plan too small to be measured | Plan too small to be measured | 99 | 91% | 92% | 95% | 100% | 88% |
| H9207 | Local CCP | HEALTH PARTNERS PLANS, INC. | Jefferson Health Plans | Thomas Jefferson University | 78% | 66% | 75% | 51% | 61% | 90% | 90% | 56% | 71% | 79% | 68% | 77% | Not enough data available | 61% | 14% | 90% | 51% | 60% | 80 | 78 | 91 | Not enough data available | 92 | 84 | 0.08 | 12% | Medicare shows only a Star Rating for this topic | 100% | 88% | 92% | 88% | 0.08 | 12% | Medicare shows only a Star Rating for this topic | 89 | Not enough data available | 91 | 83% | 85% | 83% | 82% | 95% |
| H1619 | Local CCP | PARTNERS INSURANCE COMPANY INC | Jefferson Health Plans Medicare | Thomas Jefferson University | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Not enough data available | Not enough data available | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured |
| H3668 | Local CCP | MOUNT CARMEL HEALTH PLAN, INC. | MediGold | Trinity Health Corporation | 74% | 76% | 76% | 49% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 32% | 68% | 82% | 73% | 55% | 42% | 69% | 11% | 86% | 55% | 59% | 86 | 81 | 94 | 89 | 92 | 88 | 0.03 | 5% | Medicare shows only a Star Rating for this topic | 100% | 99% | 84% | 98% | 0.03 | 5% | Medicare shows only a Star Rating for this topic | 89 | 92 | 93 | 88% | 90% | 89% | 86% | 86% |
| H9179 | Local CCP | TRINITY HEALTH PLAN OF MICHIGAN INC | Trinity Health Plan of Michigan | Trinity Health Corporation | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Not enough data available | Not enough data available | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured |