|
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 Readmission
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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 Emergency Department Visit for People with Multiple High-Risk Chronic Conditions
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C19 - Getting Needed Care
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C20 - Getting Appointments and Care Quickly
|
C21 - Customer Service
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C22 - Rating of Health Care Quality
|
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
|
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
|
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
|
D05 - Rating of Drug Plan
|
D06 - Getting Needed Prescription Drugs
|
D07 - MPF Price Accuracy
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D08 - Medication Adherence for Diabetes Medications
|
D09 - Medication Adherence for Hypertension (RAS antagonists)
|
D10 - Medication Adherence for Cholesterol (Statins)
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D11 - MTM Program Completion Rate for CMR
|
D12 - Statin Use in Persons with Diabetes (SUPD)
|
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| H3923 | Local CCP | CAPITAL ADVANTAGE INSURANCE COMPANY | Capital Blue Cross | CAPITAL BLUE CROSS | 78% | 79% | 74% | 46% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 14% | 85% | 86% | 73% | 52% | 41% | 82% | 10% | 86% | 72% | 62% | 83 | 84 | 91 | 87 | 88 | 88 | 0.08 | 8% | Medicare shows only a Star Rating for this topic | 99% | 97% | 100% | 98% | 0.08 | 8% | Medicare shows only a Star Rating for this topic | 87 | 89 | 99 | 90% | 91% | 89% | 80% | 85% |
| H3962 | Local CCP | KEYSTONE HEALTH PLAN CENTRAL, INC. | Capital Blue Cross | CAPITAL BLUE CROSS | 72% | 74% | 71% | 46% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 25% | 76% | 85% | 75% | 62% | 43% | 83% | 10% | 87% | 74% | 63% | 84 | 88 | 92 | 88 | 89 | 89 | 0.04 | 10% | Medicare shows only a Star Rating for this topic | 98% | 98% | 100% | 98% | 0.04 | 10% | Medicare shows only a Star Rating for this topic | 87 | 91 | 99 | 89% | 90% | 89% | 81% | 86% |
| H5938 | Local CCP | CAPITAL HEALTH PLAN | Capital Health Plan | Guidewell Mutual Holding Corporation | 85% | 82% | 79% | 53% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 81% | 86% | 90% | 82% | 56% | 51% | 76% | 9% | 87% | 65% | 54% | 83 | 87 | 92 | 89 | 93 | 85 | 0.03 | 1% | Medicare shows only a Star Rating for this topic | 100% | 98% | 98% | 100% | 0.03 | 1% | Medicare shows only a Star Rating for this topic | 89 | 90 | 99 | 85% | 90% | 89% | 87% | 86% |