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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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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| H9525 | Local CCP | COMPCARE HEALTH SERVICES INSURANCE CORPORATION | Anthem Blue Cross and Blue Shield | Elevance Health, Inc. | 67% | 70% | 62% | 42% | 65% | 99% | 97% | 29% | 71% | 82% | 72% | 54% | 38% | 85% | 12% | 86% | 62% | 64% | 84 | 84 | 89 | 86 | 86 | 88 | 0.16 | 17% | Medicare shows only a Star Rating for this topic | 98% | 99% | 100% | 100% | 0.16 | 17% | Medicare shows only a Star Rating for this topic | 84 | 87 | 98 | 83% | 87% | 86% | 88% | 84% |
| H1423 | Local CCP | WELLPOINT OHIO, INC. | Wellpoint | Elevance Health, Inc. | 75% | 68% | 74% | 47% | CMS identified issues with this plan's data | 100% | 98% | Not enough data available | 76% | 79% | 78% | 54% | 48% | 75% | 11% | 81% | 43% | 57% | 79 | 80 | 88 | 81 | 82 | 80 | 0.33 | 28% | Medicare shows only a Star Rating for this topic | 91% | 100% | 100% | 100% | 0.33 | 28% | Medicare shows only a Star Rating for this topic | 84 | 86 | 98 | 87% | 90% | 90% | 91% | 89% |
| H1894 | Local CCP | WELLPOINT WASHINGTON, INC. | Wellpoint | Elevance Health, Inc. | 53% | 58% | 58% | 45% | 55% | 92% | 88% | Not enough data available | 51% | 77% | 71% | 57% | 43% | 63% | 12% | 87% | 46% | 51% | Not enough data available | Not enough data available | Not enough data available | Not enough data available | 77 | Not enough data available | 0.69 | 21% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 100% | 100% | 0.69 | 21% | Medicare shows only a Star Rating for this topic | 81 | Not enough data available | 98 | 83% | 86% | 84% | 86% | 87% |
| H2836 | Local CCP | ANTHEM HEALTH PLANS, INC. | Anthem Blue Cross and Blue Shield | Elevance Health, Inc. | 79% | 77% | 70% | 53% | 58% | 98% | 95% | 33% | 77% | 84% | 77% | 61% | 45% | 85% | 13% | 84% | 66% | 62% | 82 | 82 | Not enough data available | 84 | 82 | Not enough data available | 0.33 | 36% | Medicare shows only a Star Rating for this topic | 87% | 100% | 100% | 100% | 0.33 | 36% | Medicare shows only a Star Rating for this topic | 84 | 86 | 98 | 85% | 90% | 88% | 87% | 86% |
| H3240 | Local CCP | WELLPOINT NEW JERSEY, INC. | Wellpoint | Elevance Health, Inc. | 60% | 54% | 66% | 55% | 60% | 96% | 93% | 16% | 62% | 79% | 73% | 74% | 43% | 48% | 12% | 85% | 39% | 58% | 82 | 82 | 86 | 85 | 86 | 86 | 0.27 | 26% | Medicare shows only a Star Rating for this topic | 100% | 96% | 100% | 100% | 0.27 | 26% | Medicare shows only a Star Rating for this topic | 89 | 91 | 98 | 84% | 83% | 82% | 88% | 88% |
| H3447 | Local CCP | HEALTHKEEPERS, INC. | Anthem HealthKeepers | Elevance Health, Inc. | 69% | 72% | 61% | 45% | 64% | 99% | 96% | 30% | 74% | 82% | 72% | 61% | 42% | 83% | 12% | 85% | 54% | 61% | 82 | 84 | 89 | 86 | 86 | 88 | 0.23 | 20% | Medicare shows only a Star Rating for this topic | 98% | 98% | 100% | 100% | 0.23 | 20% | Medicare shows only a Star Rating for this topic | 86 | 88 | 98 | 83% | 87% | 86% | 90% | 84% |
| H4003 | Local CCP | MMM HEALTHCARE, LLC | Medicare y Mucho Mas | Elevance Health, Inc. | 89% | 89% | 66% | 53% | 91% | 99% | 99% | 79% | 92% | 92% | 92% | 71% | 46% | 93% | 11% | 93% | 54% | 59% | 77 | 81 | 89 | 89 | 91 | 86 | 0.09 | 22% | Medicare shows only a Star Rating for this topic | 100% | 97% | 100% | 98% | 0.09 | 22% | Medicare shows only a Star Rating for this topic | 92 | 90 | 99 | 85% | 86% | 80% | 93% | 95% |
| H4036 | Local CCP | ANTHEM INSURANCE COMPANIES, INC. | Anthem Blue Cross and Blue Shield | Elevance Health, Inc. | 81% | 78% | 74% | 52% | No data available | 98% | 96% | 33% | 74% | 85% | 76% | 58% | 51% | 81% | 11% | 78% | 59% | 61% | 82 | 83 | 89 | 86 | 89 | 86 | 0.09 | 4% | Medicare shows only a Star Rating for this topic | 96% | 99% | 100% | 100% | 0.09 | 4% | Medicare shows only a Star Rating for this topic | 87 | 88 | 98 | 88% | 90% | 89% | 87% | 84% |
| H4346 | Local CCP | HMO COLORADO, INC. | Anthem Blue Cross and Blue Shield | Elevance Health, Inc. | 61% | 65% | 70% | 52% | 45% | 96% | 91% | 31% | 69% | 76% | 72% | 55% | 42% | 65% | 13% | 87% | 39% | 48% | 78 | Not enough data available | 88 | Not enough data available | 82 | Not enough data available | 0.35 | 28% | Medicare shows only a Star Rating for this topic | 96% | 100% | 100% | 100% | 0.35 | 28% | Medicare shows only a Star Rating for this topic | 86 | Not enough data available | 98 | 84% | 87% | 87% | 87% | 87% |
| S2893 | PDP | ANTHEM INSURANCE CO. & BCBSMA & BCBSRI & BCBSVT | Blue MedicareRx | Elevance Health, Inc. & BCBSMA & BCBSRI & BCBSVT | 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 | 90% | 0.02 | 2% | Medicare shows only a Star Rating for this topic | 83 | 87 | 96 | 88% | 90% | 89% | 66% | 83% |