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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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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| H3979 | Local CCP | GHS HEALTH MAINTENANCE ORGANIZATION, INC. | Blue Cross and Blue Shield of Oklahoma | Health Care Service Corporation | 69% | 76% | 72% | 45% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 73% | 87% | 76% | 49% | 49% | 82% | 13% | 84% | 74% | 45% | 85 | 87 | 92 | 88 | 88 | 87 | 0.1 | 11% | Medicare shows only a Star Rating for this topic | 100% | 96% | 100% | 100% | 0.1 | 11% | Medicare shows only a Star Rating for this topic | 87 | 91 | 99 | 88% | 89% | 88% | 93% | 83% |
| H4801 | Local CCP | GHS INSURANCE COMPANY | Blue Cross and Blue Shield of OK, TX | Health Care Service Corporation | 73% | 75% | 69% | 49% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 65% | 79% | 74% | 59% | 55% | 47% | 9% | 80% | 43% | 54% | 82 | 86 | 90 | 86 | 84 | 87 | 0.48 | 18% | Medicare shows only a Star Rating for this topic | 100% | 97% | 100% | 100% | 0.48 | 18% | Medicare shows only a Star Rating for this topic | 79 | 85 | 99 | 80% | 84% | 84% | 92% | 83% |
| H8547 | Local CCP | ILLINOIS BLUE CROSS BLUE SHIELD INSURANCE COMPANY | Blue Cross and Blue Shield of Illinois | Health Care Service Corporation | 80% | 82% | 78% | 57% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 74% | 87% | 82% | Not enough data available | Not enough data available | 82% | No data available | No data available | 72% | No data available | 80 | Not enough data available | 89 | 87 | 87 | 89 | 0.19 | 18% | Not enough data available | Not enough data available | Not enough data available | 100% | 100% | 0.19 | 18% | Medicare shows only a Star Rating for this topic | 84 | 88 | 99 | 78% | 89% | 88% | 96% | 92% |
| H9706 | Local CCP | HCSC INSURANCE SERVICES COMPANY | Blue Cross and Blue Shield of Texas | Health Care Service Corporation | 73% | 71% | 73% | 52% | 15% | 100% | 90% | Not enough data available | 62% | 84% | 73% | 51% | Not enough data available | 50% | 11% | 89% | 45% | 52% | 82 | 82 | 90 | 86 | 84 | 87 | 0.65 | 27% | Medicare shows only a Star Rating for this topic | 100% | 97% | 100% | 100% | 0.65 | 27% | Medicare shows only a Star Rating for this topic | 84 | 88 | 99 | 84% | 85% | 84% | 93% | 86% |
| H3822 | Local CCP | HEALTH CARE SERVICE CORPORATION | Blue Cross and Blue Shield of IL, NM | Health Care Service Corporation | 77% | 75% | 78% | 54% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 30% | 73% | 85% | 75% | 58% | 45% | 73% | 12% | 89% | 59% | 52% | 80 | 82 | 90 | 87 | 87 | 87 | 0.13 | 13% | Medicare shows only a Star Rating for this topic | 99% | 95% | 100% | 100% | 0.13 | 13% | Medicare shows only a Star Rating for this topic | 87 | 89 | 99 | 86% | 90% | 88% | 90% | 88% |
| S5715 | PDP | HCSC INSURANCE SERVICES COMPANY | Blue Cross and Blue Shield of IL, NM, OK, TX | Health Care Service 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 | 100% | 0.05 | 8% | Medicare shows only a Star Rating for this topic | 81 | 87 | 99 | 87% | 89% | 88% | 12% | 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% |
| 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% |
| H1099 | Local CCP | HEALTH FIRST HEALTH PLANS | Health First Health Plans, Inc. | Health First Shared Services, Inc. | 81% | 81% | 67% | 51% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 52% | 79% | 88% | 80% | 56% | 52% | 83% | 11% | 86% | 80% | 74% | 82 | 85 | 92 | 88 | 88 | 87 | 0.07 | 5% | Medicare shows only a Star Rating for this topic | 95% | 97% | 90% | 100% | 0.07 | 5% | Medicare shows only a Star Rating for this topic | 88 | 90 | 99 | 84% | 89% | 88% | 90% | 85% |