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hcontract
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org type
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contract name
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org marketing name
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parent org
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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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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| H0439 | Local CCP | CIGNA HEALTHCARE OF GEORGIA, INC. | Cigna Healthcare | The Cigna Group | 72% | 79% | 68% | 53% | 70% | 94% | 94% | 45% | 71% | 80% | 73% | 57% | 42% | 84% | 10% | 83% | 57% | 57% | 84 | 87 | 90 | 88 | 88 | 88 | 0.15 | 22% | Medicare shows only a Star Rating for this topic | 99% | 97% | 95% | 97% | 0.15 | 22% | Medicare shows only a Star Rating for this topic | 88 | 90 | 99 | 84% | 88% | 87% | 93% | 83% |
| H0473 | Local CCP | HUMANA INSURANCE COMPANY OF KENTUCKY | Humana | Humana Inc | 70% | 74% | 63% | 51% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 38% | 76% | 85% | 73% | 62% | 45% | 85% | 11% | 84% | 66% | 53% | 83 | 84 | 90 | 88 | 88 | 87 | 0.16 | 23% | Medicare shows only a Star Rating for this topic | 99% | 97% | 98% | 97% | 0.16 | 23% | Medicare shows only a Star Rating for this topic | 89 | 90 | 84 | 82% | 88% | 88% | 79% | 82% |
| H0480 | Demo | MERIDIAN HEALTH PLAN OF MICHIGAN, INC. | MeridianComplete (Medicare-Medicaid Plan) | Centene 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 | 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 | No data available |
| H0504 | Local CCP | CALIFORNIA PHYSICIANS' SERVICE | Blue Shield of California | California Physicians Service | 79% | 79% | 73% | 53% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 55% | 82% | 86% | 75% | 57% | 51% | 72% | 12% | 86% | 48% | 62% | 77 | 78 | 89 | 86 | 88 | 83 | 0.1 | 13% | Medicare shows only a Star Rating for this topic | 98% | 98% | 98% | 97% | 0.1 | 13% | Medicare shows only a Star Rating for this topic | 88 | 89 | 98 | 87% | 91% | 90% | 92% | 89% |
| H0523 | Local CCP | AETNA HEALTH OF CALIFORNIA INC. | Aetna Medicare | CVS Health Corporation | 73% | 78% | 69% | 47% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 78% | 97% | 79% | 55% | 38% | 77% | 12% | 83% | 46% | 50% | 76 | 80 | Not enough data available | 83 | 83 | Not enough data available | 0.46 | 18% | Medicare shows only a Star Rating for this topic | 94% | 92% | 100% | 97% | 0.46 | 18% | Medicare shows only a Star Rating for this topic | 85 | Not enough data available | 99 | 87% | 91% | 88% | 95% | 90% |
| H0524 | Local CCP | KAISER FOUNDATION HP, INC. | Kaiser Permanente | Kaiser Foundation Health Plan Inc | 87% | 88% | 83% | 61% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 82% | 86% | 90% | 85% | 55% | 45% | 96% | 12% | 90% | 89% | 72% | 79 | 80 | 92 | 86 | 88 | 85 | 0.05 | 1% | Medicare shows only a Star Rating for this topic | 99% | 98% | 98% | 100% | 0.05 | 1% | Medicare shows only a Star Rating for this topic | 93 | 93 | 100 | 90% | 91% | 90% | 94% | 91% |
| H0543 | Local CCP | UHC OF CALIFORNIA | UnitedHealthcare | UnitedHealth Group Inc | 78% | 77% | 70% | 55% | 85% | 97% | 99% | 54% | 82% | 87% | 77% | 56% | 46% | 70% | 12% | 85% | 50% | 54% | 75 | 78 | 89 | 85 | 86 | 83 | 0.18 | 13% | Medicare shows only a Star Rating for this topic | 99% | 99% | 98% | 98% | 0.18 | 13% | Medicare shows only a Star Rating for this topic | 87 | 87 | 99 | 87% | 90% | 89% | 87% | 89% |
| 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% |
| H0562 | Local CCP | HEALTH NET OF CALIFORNIA, INC. | Wellcare by Health Net | Centene Corporation | 78% | 78% | 75% | 55% | 47% | 99% | 95% | 50% | 79% | 88% | 76% | 64% | 44% | 73% | 10% | 85% | 47% | 55% | 77 | 79 | 87 | 84 | 85 | 84 | 0.42 | 16% | Medicare shows only a Star Rating for this topic | 97% | 94% | 98% | 98% | 0.42 | 16% | Medicare shows only a Star Rating for this topic | 86 | 87 | 98 | 87% | 88% | 87% | 95% | 89% |
| H0571 | Local CCP | CHINESE COMMUNITY HEALTH PLAN | CCHP (Chinese Community Health Plan) | Chinese Hospital Association | 73% | 82% | 83% | 52% | 95% | 87% | 89% | Not enough data available | 70% | 83% | 68% | 77% | 32% | 32% | 9% | 82% | 32% | 48% | 71 | 75 | 86 | 82 | 84 | 82 | 0.04 | 7% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 86% | 84% | 0.04 | 7% | Medicare shows only a Star Rating for this topic | 85 | 83 | 98 | 90% | 89% | 86% | 74% | 90% |