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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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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| H5774 | Local CCP | TRIPLE S ADVANTAGE, INC. | Triple S Advantage | Guidewell Mutual Holding Corporation | 88% | 90% | 57% | 58% | 92% | 100% | 100% | 85% | 97% | 93% | 93% | 68% | 54% | 88% | 11% | 89% | 61% | 49% | 76 | 82 | 90 | 89 | 91 | 86 | 0.19 | 17% | Medicare shows only a Star Rating for this topic | 100% | 91% | 97% | 97% | 0.19 | 17% | Medicare shows only a Star Rating for this topic | 91 | 89 | 98 | 91% | 92% | 86% | 95% | 92% |
| 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% |
| 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% |
| H9826 | Local CCP | COMMUNITY HEALTH CHOICE TEXAS, INC. | Community Health Choice | Harris 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% | 85% | 83% | 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 | 80% | 84% | Not enough data available | Not enough data available | Medicare shows only a Star Rating for this topic | Plan too small to be measured | Plan too small to be measured | 100 | 81% | 85% | 78% | 63% | 89% |
| S3994 | PDP | HAWAII MEDICAL SERVICE ASSOCIATION (HMSA) | HMSAs Medicare Rx Plan | Hawaii Medical Service 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 | 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 |
| H3832 | Local CCP | HAWAII MEDICAL SERVICE ASSOCIATION | HMSA Akamai Advantage | Hawaii Medical Service Association | 79% | 72% | 78% | 55% | 70% | 98% | 89% | 55% | 82% | 86% | 69% | 53% | 44% | 71% | 9% | 83% | 51% | 57% | 81 | 82 | 88 | 86 | 87 | 86 | 0.02 | 3% | Medicare shows only a Star Rating for this topic | 94% | 97% | 100% | 95% | 0.02 | 3% | Medicare shows only a Star Rating for this topic | 85 | 89 | 99 | 88% | 88% | 87% | 79% | 85% |
| 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% |
| H3251 | Local CCP | HEALTH CARE SERVICE CORPORATION | Blue Cross and Blue Shield of New Mexico | Health Care Service Corporation | 73% | 74% | 79% | 47% | 41% | 99% | 90% | 35% | 75% | 81% | 73% | 58% | 39% | 72% | 8% | 80% | 55% | 57% | 73 | 75 | 89 | 82 | 85 | Not enough data available | 0.1 | 9% | Medicare shows only a Star Rating for this topic | 100% | 98% | 100% | 100% | 0.1 | 9% | Medicare shows only a Star Rating for this topic | 85 | 86 | 99 | 84% | 89% | 89% | 94% | 82% |
| H8133 | Local CCP | GHS INSURANCE COMPANY | Blue Cross and Blue Shield of Texas | Health Care Service Corporation | 70% | 70% | 68% | 56% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 65% | 69% | 67% | 63% | Not enough data available | 48% | 10% | 86% | 41% | 55% | 80 | Not enough data available | 90 | 86 | 87 | 88 | 0.24 | 18% | Medicare shows only a Star Rating for this topic | 100% | 92% | 100% | 100% | 0.24 | 18% | Medicare shows only a Star Rating for this topic | 86 | Not enough data available | 99 | 83% | 85% | 82% | 93% | 89% |
| H0927 | Demo | HEALTH CARE SERVICE CORPORATION | Blue Cross Community MMAI | Health Care Service 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 | CMS identified issues with this plan's data | 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 |