|
hcontract
|
org type
|
contract name
|
org marketing name
|
parent org
|
C01 - Breast Cancer Screening
|
C02 - Colorectal Cancer Screening
|
C03 - Annual Flu Vaccine
|
C04 - Monitoring Physical Activity
|
C05 - Special Needs Plan (SNP) Care Management
|
C06 - Care for Older Adults - Medication Review
|
C07 - Care for Older Adults - Pain Assessment
|
C08 - Osteoporosis Management in Women who had a Fracture
|
C09 - Diabetes Care - Eye Exam
|
C10 - Diabetes Care - Blood Sugar Controlled
|
C11 - Controlling Blood Pressure
|
C12 - Reducing the Risk of Falling
|
C13 - Improving Bladder Control
|
C14 - Medication Reconciliation Post-Discharge
|
C15 - Plan All-Cause Readmission
|
C16 - Statin Therapy for Patients with Cardiovascular Disease
|
C17 - Transitions of Care
|
C18 - Follow-up after Emergency Department Visit for People with Multiple High-Risk Chronic Conditions
|
C19 - Getting Needed Care
|
C20 - Getting Appointments and Care Quickly
|
C21 - Customer Service
|
C22 - Rating of Health Care Quality
|
C23 - Rating of Health Plan
|
C24 - Care Coordination
|
C25 - Complaints about the Health Plan
|
C26 - Members Choosing to Leave the Plan
|
C27 - Health Plan Quality Improvement
|
C28 - Plan Makes Timely Decisions about Appeals
|
C29 - Reviewing Appeals Decisions
|
C30 - Call Center - Foreign Language Interpreter and TTY Availability
|
D01 - Call Center - Foreign Language Interpreter and TTY Availability
|
D02 - Complaints about the Drug Plan
|
D03 - Members Choosing to Leave the Plan
|
D04 - Drug Plan Quality Improvement
|
D05 - Rating of Drug Plan
|
D06 - Getting Needed Prescription Drugs
|
D07 - MPF Price Accuracy
|
D08 - Medication Adherence for Diabetes Medications
|
D09 - Medication Adherence for Hypertension (RAS antagonists)
|
D10 - Medication Adherence for Cholesterol (Statins)
|
D11 - MTM Program Completion Rate for CMR
|
D12 - Statin Use in Persons with Diabetes (SUPD)
|
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| E3014 | Employer/Union Only Direct Contract PDP | PSERS HOP PROGRAM | Pennsylvania Public School Employees Retirement Sy | Commonwealth of PA Pub Schools Retirement System | 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 | Not enough data available | 0.01 | Not enough data available | Medicare shows only a Star Rating for this topic | 89 | 93 | Not enough data available | 89% | 91% | 89% | 68% | 86% |
| H0022 | Demo | BUCKEYE COMMUNITY HEALTH PLAN, INC. | Buckeye Health Plan - MyCare Ohio | Centene Corporation | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available |
| H0028 | Local CCP | CHA HMO, INC. | Humana | Humana Inc | 76% | 76% | 67% | 51% | 80% | 97% | 98% | 45% | 81% | 87% | 78% | 60% | 43% | 85% | 11% | 86% | 66% | 60% | 81 | 84 | 91 | 86 | 88 | 85 | 0.15 | 19% | Medicare shows only a Star Rating for this topic | 98% | 98% | 98% | 97% | 0.15 | 19% | Medicare shows only a Star Rating for this topic | 89 | 90 | 84 | 86% | 90% | 89% | 86% | 88% |
| H0029 | Local CCP | COORDINATED CARE OF WASHINGTON, INC. | Allwell | Centene Corporation | 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 | No data available | No 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 | 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 | Not required to report | Not enough data available |
| H0034 | Local CCP | HAMASPIK, INC. | Hamaspik Inc. | Hamaspik of Rockland County Inc | 47% | 31% | 63% | 51% | 83% | 79% | 99% | Not enough data available | 68% | 70% | 70% | 89% | Not enough data available | 31% | No data available | Not enough data available | 35% | 61% | 75 | 82 | 87 | Not enough data available | 80 | Not enough data available | 0.29 | 23% | Not enough data available | 94% | 81% | 95% | 95% | 0.29 | 23% | Medicare shows only a Star Rating for this topic | 82 | Not enough data available | 88 | 83% | 83% | 79% | 92% | 85% |
| H0062 | Local CCP | SUPERIOR HEALTHPLAN, INC. | Wellcare by Allwell | Centene Corporation | 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 | Not required to report | Not enough data available |
| H0074 | Local CCP | WELLCARE OF MISSISSIPPI, INC. | Wellcare | Centene Corporation | 71% | 62% | 61% | 42% | 64% | 92% | 85% | Not enough data available | 71% | 71% | 61% | 43% | Not enough data available | 55% | No data available | 82% | 47% | 55% | 84 | 86 | 91 | Not enough data available | 84 | Not enough data available | 0.41 | 41% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 98% | 98% | 0.41 | 41% | Medicare shows only a Star Rating for this topic | 86 | Not enough data available | 98 | 85% | 85% | 83% | 94% | 81% |
| H0104 | Local CCP | BLUE CROSS AND BLUE SHIELD OF ALABAMA | Blue Cross and Blue Shield of Alabama | BlueCross BlueShield of Alabama | 77% | 84% | 67% | 47% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 30% | 78% | 87% | 73% | 47% | 49% | 90% | 11% | 80% | 74% | 52% | 83 | 87 | 92 | 88 | 90 | 86 | 0.04 | 4% | Medicare shows only a Star Rating for this topic | 98% | 98% | 97% | 100% | 0.04 | 4% | Medicare shows only a Star Rating for this topic | 87 | 90 | 99 | 82% | 88% | 86% | 81% | 83% |
| H0107 | Local CCP | HEALTH CARE SERVICE CORPORATION | Blue Cross and Blue Shield of Montana | Health Care Service Corporation | 75% | 75% | 82% | 52% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 25% | 71% | 84% | 76% | 48% | 51% | 58% | 10% | 83% | 50% | 56% | 81 | 83 | 90 | 86 | 87 | 86 | 0.12 | 2% | Medicare shows only a Star Rating for this topic | 99% | 97% | 100% | 100% | 0.12 | 2% | Medicare shows only a Star Rating for this topic | 83 | 89 | 98 | 86% | 90% | 88% | 92% | 83% |
| H0111 | Local CCP | WELLCARE OF GEORGIA, INC. | Wellcare | Centene Corporation | 68% | 66% | 63% | 52% | 65% | 95% | 88% | 37% | 64% | 76% | 67% | 57% | 46% | 62% | 11% | 84% | 56% | 53% | 81 | 84 | 89 | 86 | 85 | 85 | 0.33 | 39% | Medicare shows only a Star Rating for this topic | 71% | 88% | 98% | 98% | 0.33 | 39% | Medicare shows only a Star Rating for this topic | 86 | 88 | 98 | 85% | 88% | 86% | 96% | 82% |