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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
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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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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| H4140 | Local CCP | DOCTORS HEALTHCARE PLANS, INC. | Doctors HealthCare Plans, Inc. | DOCTORS HEALTHCARE PLANS, INC. | 82% | 77% | 55% | 68% | 91% | 98% | 97% | 31% | 63% | 88% | 84% | 64% | 53% | 70% | 12% | 88% | 57% | 64% | 83 | 87 | 92 | 92 | 91 | 91 | 0.11 | 26% | Medicare shows only a Star Rating for this topic | 100% | 95% | 100% | 94% | 0.11 | 26% | Medicare shows only a Star Rating for this topic | 91 | 89 | 93 | 83% | 88% | 78% | 86% | 88% |
| S5877 | PDP | EDUCATORS MUTUAL INSURANCE ASSOCIATION | EMI Health | Educators Mutual Insurance Association | 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 | Not enough data available | Medicare shows only a Star Rating for this topic | 87 | 91 | Not enough data available | 88% | 86% | 87% | 63% | 83% |
| H3407 | Local CCP | EL PASO FIRST HEALTH PLANS, INC. | El Paso Health Medicare Advantage | El Paso County Hospital District | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | 67% | 35% | 18% | 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 | Not enough data available | Not enough data available | Not enough data available | Not enough data available | Not enough data available | 81% | 91% | Not enough data available | Not enough data available | Not enough data available | Plan too small to be measured | Plan too small to be measured | 100 | Not enough data available | 76% | 63% | Not enough data available | Not enough data available |
| H3347 | Local CCP | ELDERPLAN, INC. | Elderplan | Elderplan, Inc. | 72% | 58% | 72% | 57% | 92% | 76% | 97% | Not enough data available | 69% | 71% | 59% | 79% | Not enough data available | 83% | 11% | 89% | 64% | 46% | 82 | 83 | 90 | 90 | 91 | 88 | 0.18 | 19% | Medicare shows only a Star Rating for this topic | 100% | 100% | 84% | 86% | 0.18 | 19% | Medicare shows only a Star Rating for this topic | 88 | 90 | 99 | 88% | 86% | 85% | 98% | 90% |
| R4487 | Regional CCP | ANTHEM INSURANCE COMPANIES, INC. | Anthem Blue Cross and Blue Shield | Elevance Health, Inc. | 70% | 73% | 71% | 43% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 24% | 68% | 84% | 73% | 55% | 41% | 83% | 12% | 80% | 59% | 62% | 84 | 88 | 90 | 88 | 86 | 88 | 0.05 | 12% | Medicare shows only a Star Rating for this topic | 96% | 100% | 100% | 100% | 0.05 | 12% | Medicare shows only a Star Rating for this topic | 85 | 88 | 98 | 86% | 89% | 88% | 86% | 81% |
| R5941 | Regional CCP | ANTHEM INSURANCE COMPANIES, INC. | Anthem Blue Cross and Blue Shield | Elevance Health, Inc. | 68% | 72% | 72% | 42% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 26% | 66% | 85% | 71% | 54% | 42% | 84% | 13% | 75% | 60% | 62% | 83 | 86 | 90 | 88 | 86 | 88 | 0.06 | 13% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 100% | 100% | 0.06 | 13% | Medicare shows only a Star Rating for this topic | 85 | 89 | 98 | 86% | 90% | 89% | 87% | 83% |
| H0544 | Local CCP | BLUE CROSS OF CALIFORNIA | Anthem Blue Cross | Elevance Health, Inc. | 68% | 65% | 68% | 52% | 51% | 100% | 96% | 54% | 70% | 79% | 69% | 60% | 43% | 70% | 11% | 86% | 42% | 48% | 74 | 79 | 87 | Not enough data available | 84 | Not enough data available | 0.38 | 23% | Medicare shows only a Star Rating for this topic | 95% | 98% | 100% | 100% | 0.38 | 23% | Medicare shows only a Star Rating for this topic | 85 | Not enough data available | 98 | 85% | 88% | 86% | 93% | 89% |
| H1607 | Local CCP | ANTHEM INSURANCE COMPANIES, INC. | Anthem Blue Cross and Blue Shield | Elevance Health, Inc. | 76% | 80% | 69% | 49% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 35% | 79% | 83% | 75% | 50% | 48% | 87% | 12% | 84% | 62% | 67% | 81 | 86 | 90 | 86 | 85 | 88 | 0.14 | 18% | Medicare shows only a Star Rating for this topic | 100% | 100% | 100% | 100% | 0.14 | 18% | Medicare shows only a Star Rating for this topic | 84 | 87 | 98 | 84% | 90% | 89% | 89% | 83% |
| H1947 | Local CCP | COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC. | Healthy Blue | Elevance Health, Inc. | 75% | 61% | 59% | 47% | 68% | 95% | 91% | Not enough data available | 66% | 77% | 64% | 68% | Not enough data available | 59% | 14% | 86% | 48% | 47% | 83 | 84 | 90 | 89 | 88 | 88 | 0.48 | 46% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 100% | 100% | 0.48 | 46% | Medicare shows only a Star Rating for this topic | 90 | 90 | 97 | 80% | 81% | 81% | 89% | 82% |
| H3536 | Local CCP | MATTHEW THORNTON HEALTH PLAN, INC. | Anthem Blue Cross and Blue Shield | Elevance Health, Inc. | 64% | 67% | 68% | 50% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 68% | 76% | 69% | 61% | 42% | 72% | 14% | 86% | 54% | 59% | 81 | 84 | 88 | 84 | 83 | 86 | 0.43 | 17% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 100% | 100% | 0.43 | 17% | Medicare shows only a Star Rating for this topic | 81 | 85 | 98 | 80% | 89% | 88% | 86% | 78% |