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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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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| H4279 | Local CCP | UPMC FOR YOU, INC | UPMC for Life Complete Care | UPMC Health System | 69% | 71% | 67% | 38% | 62% | 88% | 86% | 44% | 82% | 82% | 78% | 62% | 40% | 80% | 10% | 86% | 64% | 61% | 84 | 81 | 92 | 87 | 92 | 87 | 0.09 | 8% | Medicare shows only a Star Rating for this topic | 98% | 98% | 98% | 95% | 0.09 | 8% | Medicare shows only a Star Rating for this topic | 92 | 94 | 99 | 89% | 90% | 90% | 83% | 85% |
| H3907 | Local CCP | UPMC HEALTH PLAN, INC. | UPMC for Life | UPMC Health System | 79% | 77% | 77% | 48% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 45% | 81% | 88% | 79% | 58% | 47% | 82% | 9% | 85% | 69% | 62% | 82 | 80 | 94 | 87 | 90 | 87 | 0.04 | 6% | Medicare shows only a Star Rating for this topic | 99% | 98% | 98% | 95% | 0.04 | 6% | Medicare shows only a Star Rating for this topic | 87 | 91 | 99 | 90% | 93% | 92% | 84% | 85% |
| H7123 | Local CCP | UPMC HEALTH COVERAGE, INC. | UPMC for Life Complete Care | UPMC Health System | 73% | 56% | 69% | Not enough data available | 75% | 79% | 79% | Not enough data available | 72% | 65% | 64% | Not enough data available | Not enough data available | 60% | No data available | No data available | No data available | 53% | 79 | 80 | 94 | Not enough data available | 92 | Not enough data available | Not enough data available | Not enough data available | Medicare shows only a Star Rating for this topic | 94% | 94% | 98% | 95% | Not enough data available | Not enough data available | Medicare shows only a Star Rating for this topic | 91 | 92 | 99 | 87% | 86% | 84% | 83% | 84% |
| H6158 | Local CCP | USABLE HMO, INC. | Arkansas Blue Medicare | USAble Mutual Insurance Company | 74% | 80% | 71% | 44% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 79% | 82% | 76% | 53% | 53% | 68% | 15% | 82% | 52% | 56% | 82 | 77 | 89 | 86 | 86 | 85 | 0.13 | 14% | Medicare shows only a Star Rating for this topic | 98% | 87% | 98% | 97% | 0.13 | 14% | Medicare shows only a Star Rating for this topic | 86 | 89 | 98 | 86% | 89% | 88% | 77% | 82% |
| H9699 | Local CCP | HMO PARTNERS, INC. | Arkansas Blue Medicare | USAble Mutual Insurance Company | 63% | 72% | 74% | 39% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 67% | 84% | 74% | 36% | 50% | 68% | 15% | 80% | 51% | 57% | 83 | 80 | 90 | 87 | 86 | 86 | 0.03 | 21% | Medicare shows only a Star Rating for this topic | 95% | 95% | 98% | 97% | 0.03 | 21% | Medicare shows only a Star Rating for this topic | 85 | 92 | 98 | 86% | 90% | 90% | 72% | 82% |
| H3554 | Local CCP | USABLE PPO INSURANCE COMPANY | Arkansas Blue Medicare | USAble Mutual Insurance Company | 72% | 82% | 70% | 47% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 75% | 82% | 78% | 48% | 45% | 59% | 10% | 72% | 47% | 60% | 82 | 77 | 89 | 86 | 86 | 86 | 0.15 | 18% | Medicare shows only a Star Rating for this topic | 97% | 92% | 98% | 97% | 0.15 | 18% | Medicare shows only a Star Rating for this topic | 85 | 91 | 98 | 88% | 88% | 88% | 72% | 83% |
| S5795 | PDP | USABLE MUTUAL INSURANCE COMPANY | Arkansas Blue Medicare | USAble Mutual Insurance Company | 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 | 97% | 0.04 | 7% | Medicare shows only a Star Rating for this topic | 83 | 91 | 98 | 85% | 87% | 86% | 67% | 78% |
| H4213 | PFFS | USABLE MUTUAL INSURANCE COMPANY | Arkansas Blue Medicare | USAble Mutual Insurance Company | 65% | 70% | 71% | 39% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 64% | 80% | 78% | 41% | 41% | 62% | 11% | 78% | 48% | 52% | 85 | 79 | 91 | 87 | 86 | 87 | 0.17 | 17% | Medicare shows only a Star Rating for this topic | 100% | 93% | 98% | 97% | 0.17 | 17% | Medicare shows only a Star Rating for this topic | 81 | 91 | 98 | 85% | 86% | 85% | 71% | 80% |
| H5163 | Local CCP | VERDA HEALTH PLAN OF TEXAS INC | Verda Health Plan of Texas | Verda Healthcare Inc. | 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 | 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 |
| H2168 | Local CCP | VILLAGE SENIOR SERVICES CORPORATION | VillageCareMAX | Village Care of New York Inc. | 76% | 63% | 85% | 63% | 59% | 95% | 99% | Not enough data available | 88% | 68% | 73% | 88% | 58% | 67% | 7% | 88% | 47% | 59% | 78 | 74 | 90 | 85 | 85 | 84 | 0.23 | 25% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 97% | 98% | 0.23 | 25% | Medicare shows only a Star Rating for this topic | 85 | 87 | 97 | 89% | 89% | 87% | 69% | 93% |