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hcontract
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org type
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contract name
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org marketing name
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parent org
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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)
|
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| H3813 | Local CCP | MODA HEALTH PLAN INC. | Moda Health Plan Inc. | Moda Partners Inc. | 77% | 79% | 78% | 50% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 43% | 79% | 76% | 64% | 52% | 47% | 59% | 11% | 87% | 61% | 55% | 77 | 76 | 91 | 82 | 84 | 81 | 0.07 | 7% | Medicare shows only a Star Rating for this topic | 99% | 97% | 95% | 97% | 0.07 | 7% | Medicare shows only a Star Rating for this topic | 82 | 86 | 98 | 86% | 87% | 87% | 60% | 84% |
| H0571 | Local CCP | CHINESE COMMUNITY HEALTH PLAN | CCHP (Chinese Community Health Plan) | Chinese Hospital Association | 66% | 72% | 86% | 53% | 96% | 78% | 77% | 17% | 62% | 82% | 61% | 75% | 32% | 50% | 11% | 83% | 39% | 43% | 75 | 73 | 89 | 86 | 86 | 81 | 0.05 | 4% | Medicare shows only a Star Rating for this topic | 100% | 91% | 86% | 88% | 0.05 | 4% | Medicare shows only a Star Rating for this topic | 87 | 84 | 96 | 88% | 88% | 85% | 86% | 90% |
| H5475 | Local CCP | MERIDIAN HEALTH PLAN OF MICHIGAN INC. | Wellcare | Centene Corporation | 65% | 54% | 61% | 51% | 54% | 81% | 81% | 27% | 70% | 62% | 64% | Not enough data available | Not enough data available | 38% | 10% | 84% | 34% | 55% | 79 | 75 | 89 | 83 | 83 | 81 | 0.59 | 35% | Medicare shows only a Star Rating for this topic | 70% | 94% | 98% | 100% | 0.59 | 35% | Medicare shows only a Star Rating for this topic | 86 | 91 | 97 | 81% | 84% | 82% | 89% | 87% |
| H5587 | Local CCP | HEALTH CHOICE ARIZONA INC. | BCBSAZ Health Choice | Blue Cross Blue Shield of Arizona | 54% | 60% | 45% | 48% | 79% | 92% | 95% | 57% | 72% | 80% | 77% | 53% | Not enough data available | 84% | 12% | 88% | 64% | 58% | 77 | 75 | 90 | 84 | 88 | 81 | 0.13 | 11% | Medicare shows only a Star Rating for this topic | 95% | 84% | 87% | 87% | 0.13 | 11% | Medicare shows only a Star Rating for this topic | 88 | 88 | 99 | 92% | 92% | 94% | 93% | 89% |
| H5928 | Local CCP | California Physicians' Service | Blue Shield of California | California Physicians' Service | 74% | 72% | 77% | 58% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 57% | 80% | 79% | 71% | 56% | Not enough data available | 65% | 11% | 85% | 42% | 57% | 78 | 75 | 87 | 86 | 86 | 81 | 0.09 | 14% | Medicare shows only a Star Rating for this topic | 98% | 97% | 100% | 100% | 0.09 | 14% | Medicare shows only a Star Rating for this topic | 86 | 88 | 98 | 85% | 86% | 83% | 86% | 90% |
| H0321 | Local CCP | ARIZONA PHYSICIANS IPA INC. | UnitedHealthcare | UnitedHealth Group Inc. | 67% | 69% | 68% | 53% | 78% | 94% | 94% | 41% | 82% | 81% | 76% | 65% | 47% | 60% | 14% | 82% | 42% | 62% | 76 | 77 | 90 | 86 | 91 | 81 | 0.16 | 6% | Medicare shows only a Star Rating for this topic | 95% | 99% | 98% | 98% | 0.16 | 6% | Medicare shows only a Star Rating for this topic | 91 | 88 | 98 | 85% | 85% | 84% | 81% | 86% |
| H0838 | Local CCP | UNIVERSAL CARE INC. | Brand New Day | Bright Health Group Inc. | 69% | 70% | 73% | 58% | 62% | 89% | 92% | 78% | 71% | 80% | 75% | 60% | Not enough data available | 63% | 10% | 83% | 41% | 51% | 74 | 70 | 86 | 84 | 86 | 80 | 0.25 | 15% | Medicare shows only a Star Rating for this topic | 96% | 94% | 97% | 97% | 0.25 | 15% | Medicare shows only a Star Rating for this topic | 85 | 87 | 97 | 82% | 84% | 80% | 60% | 88% |
| 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% |
| H0544 | Local CCP | BLUE CROSS OF CALIFORNIA | Anthem Blue Cross | Elevance Health Inc. | 69% | 70% | 78% | 51% | 51% | 98% | 90% | 58% | 77% | 81% | 67% | 63% | 42% | 75% | 12% | 85% | 42% | 48% | 73 | 70 | 86 | 83 | 85 | 80 | 0.46 | 22% | Medicare shows only a Star Rating for this topic | 90% | 99% | 98% | 98% | 0.46 | 22% | Medicare shows only a Star Rating for this topic | 85 | 88 | 97 | 86% | 87% | 86% | 89% | 89% |
| H3251 | Local CCP | HEALTH CARE SERVICE CORPORATION | Blue Cross and Blue Shield of New Mexico | Health Care Service Corporation | 74% | 78% | 77% | 51% | 54% | 100% | 93% | 30% | 69% | 76% | 67% | 54% | 45% | 76% | 11% | 84% | 65% | 50% | 73 | 69 | 88 | 81 | 84 | 80 | 0.07 | 8% | Medicare shows only a Star Rating for this topic | 100% | 88% | 98% | 97% | 0.07 | 8% | Medicare shows only a Star Rating for this topic | 82 | 85 | 98 | 85% | 88% | 86% | 91% | 84% |