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Measure Data : 2025-i

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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)
H3931 Local CCP AETNA HEALTH INC. (PA) Aetna Medicare CVS Health Corporation 74% 71% 68% 49% No data available No data available No data available 50% 76% 94% 77% 60% 39% 94% 12% 85% 55% 57% 81 82 89 86 88 86 0.17 15% Medicare shows only a Star Rating for this topic 91% 97% 100% 97% 0.17 15% Medicare shows only a Star Rating for this topic 87 90 99 85% 90% 89% 85% 85%
H4711 Local CCP COVENTRY HEALTH CARE OF NEBRASKA, INC. Aetna Medicare CVS Health Corporation 65% 66% 61% 46% 74% 100% 91% 52% 75% 94% 77% 60% 32% 91% 12% 84% 49% 49% 76 Not enough data available 90 85 86 Not enough data available 0.26 28% Medicare shows only a Star Rating for this topic 88% 95% 100% 97% 0.26 28% Medicare shows only a Star Rating for this topic 88 89 98 85% 87% 86% 89% 86%
H5325 Local CCP COVENTRY HEALTH CARE OF KANSAS, INC. Aetna Medicare CVS Health Corporation 70% 74% 63% 46% 71% 100% 93% 55% 79% 92% 80% 65% 43% 93% 13% 84% 53% 52% 84 84 92 89 91 88 0.29 24% Medicare shows only a Star Rating for this topic 91% 97% 100% 97% 0.29 24% Medicare shows only a Star Rating for this topic 91 92 99 86% 87% 88% 94% 85%
H5522 Local CCP AETNA LIFE INSURANCE COMPANY Aetna Medicare CVS Health Corporation 75% 74% 73% 44% No data available No data available No data available 54% 77% 92% 83% 52% 40% 92% 12% 87% 57% 61% 82 86 91 88 89 89 0.14 10% Medicare shows only a Star Rating for this topic 93% 96% 100% 97% 0.14 10% Medicare shows only a Star Rating for this topic 89 92 99 89% 92% 91% 90% 86%
H5793 Local CCP AETNA HEALTH INC. (CT) Aetna Medicare CVS Health Corporation 73% 72% 70% 52% 67% 100% 90% 45% 76% 88% 79% 60% 42% 90% 13% 89% 53% 56% 80 81 90 87 88 86 0.22 14% Medicare shows only a Star Rating for this topic 91% 99% 100% 97% 0.22 14% Medicare shows only a Star Rating for this topic 88 90 99 89% 91% 90% 88% 87%
H8597 Local CCP AETNA BETTER HEALTH OF TEXAS INC. Aetna Medicare CVS Health Corporation 70% 72% 66% 51% 75% 100% 95% 47% 82% 90% 79% 71% 43% 91% 14% 84% 49% 49% 79 83 89 87 89 86 0.54 36% Medicare shows only a Star Rating for this topic 93% 98% 100% 97% 0.54 36% Medicare shows only a Star Rating for this topic 88 88 99 88% 88% 86% 95% 89%
S5601 PDP SILVERSCRIPT INSURANCE COMPANY Aetna Medicare CVS Health Corporation 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% 0.06 14% Medicare shows only a Star Rating for this topic 80 87 97 85% 87% 86% 6% 82%
H1609 Local CCP AETNA HEALTH INC. (FL) Aetna Medicare CVS Health Corporation 81% 77% 67% 55% 75% 100% 96% 62% 83% 93% 88% 62% 47% 95% 13% 89% 57% 65% 82 83 89 87 88 87 0.29 20% Medicare shows only a Star Rating for this topic 92% 95% 100% 97% 0.29 20% Medicare shows only a Star Rating for this topic 89 89 98 89% 91% 89% 96% 91%
H1692 Local CCP COVENTRY HEALTH CARE OF WEST VIRGINIA, INC. Aetna Medicare CVS Health Corporation 65% 65% 61% 34% 71% 100% 93% 58% 66% 91% 78% 60% 37% 91% 12% 87% 54% 55% 85 88 93 87 90 90 0.16 19% Medicare shows only a Star Rating for this topic 89% 97% 100% 97% 0.16 19% Medicare shows only a Star Rating for this topic 89 93 99 85% 88% 88% 90% 84%
H2663 Local CCP COVENTRY HEALTH CARE OF MISSOURI, INC. Aetna Medicare CVS Health Corporation 76% 77% 74% 51% Plan not required to report measure Plan not required to report measure Plan not required to report measure 62% 83% 96% 87% 56% 47% 97% 12% 87% 63% 65% 82 85 90 88 91 88 0.13 11% Medicare shows only a Star Rating for this topic 96% 96% 100% 97% 0.13 11% Medicare shows only a Star Rating for this topic 89 91 99 86% 91% 91% 93% 86%
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