|
hcontract
|
org type
|
contract name
|
org marketing name
|
parent org
|
C01 - Breast Cancer Screening
|
C02 - Colorectal Cancer Screening
|
C03 - Annual Flu Vaccine
|
C04 - Monitoring Physical Activity
|
C05 - Special Needs Plan (SNP) Care Management
|
C06 - Care for Older Adults - Medication Review
|
C07 - Care for Older Adults - Pain Assessment
|
C08 - Osteoporosis Management in Women who had a Fracture
|
C09 - Diabetes Care - Eye Exam
|
C10 - Diabetes Care - Blood Sugar Controlled
|
C11 - Controlling Blood Pressure
|
C12 - Reducing the Risk of Falling
|
C13 - Improving Bladder Control
|
C14 - Medication Reconciliation Post-Discharge
|
C15 - Plan All-Cause Readmission
|
C16 - Statin Therapy for Patients with Cardiovascular Disease
|
C17 - Transitions of Care
|
C18 - Follow-up after Emergency Department Visit for People with Multiple High-Risk Chronic Conditions
|
C19 - Getting Needed Care
|
C20 - Getting Appointments and Care Quickly
|
C21 - Customer Service
|
C22 - Rating of Health Care Quality
|
C23 - Rating of Health Plan
|
C24 - Care Coordination
|
C25 - Complaints about the Health Plan
|
C26 - Members Choosing to Leave the Plan
|
C27 - Health Plan Quality Improvement
|
C28 - Plan Makes Timely Decisions about Appeals
|
C29 - Reviewing Appeals Decisions
|
C30 - Call Center - Foreign Language Interpreter and TTY Availability
|
D01 - Call Center - Foreign Language Interpreter and TTY Availability
|
D02 - Complaints about the Drug Plan
|
D03 - Members Choosing to Leave the Plan
|
D04 - Drug Plan Quality Improvement
|
D05 - Rating of Drug Plan
|
D06 - Getting Needed Prescription Drugs
|
D07 - MPF Price Accuracy
|
D08 - Medication Adherence for Diabetes Medications
|
D09 - Medication Adherence for Hypertension (RAS antagonists)
|
D10 - Medication Adherence for Cholesterol (Statins)
|
D11 - MTM Program Completion Rate for CMR
|
D12 - Statin Use in Persons with Diabetes (SUPD)
|
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| H9207 | Local CCP | HEALTH PARTNERS PLANS, INC. | Jefferson Health Plans | Thomas Jefferson University | 78% | 72% | 70% | 55% | 72% | 93% | 95% | 49% | 75% | 82% | 74% | 76% | 47% | 69% | 14% | 93% | 55% | 59% | 79 | 81 | 91 | Not enough data available | 88 | Not enough data available | 0.11 | 16% | Medicare shows only a Star Rating for this topic | 100% | 95% | 91% | 94% | 0.11 | 16% | Medicare shows only a Star Rating for this topic | 88 | 89 | 99 | 87% | 86% | 85% | 94% | 94% |
| H9219 | Local CCP | AMH HEALTH PLANS OF MAINE, INC. | AMH Health | Elevance Health Inc | 79% | 79% | 76% | 50% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 80% | 84% | 77% | Not enough data available | Not enough data available | 71% | No data available | No data available | 56% | 54% | 78 | 83 | Not enough data available | 86 | 79 | 89 | 0.19 | 25% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 100% | 100% | 0.19 | 25% | Medicare shows only a Star Rating for this topic | 80 | Not enough data available | 98 | 88% | 93% | 87% | Not enough data available | 80% |
| H9231 | Local CCP | DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC | Devoted Health | Devoted Health Inc | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | Plan too new to be measured | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 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 new to be measured | Plan too new 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 | 95% | 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 | 99 | Not enough data available | 82% | 91% | Not enough data available | Not enough data available |
| H9239 | Demo | UNITEDHEALTHCARE INSURANCE COMPANY | UnitedHealthcare | UnitedHealth Group Inc | 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 |
| H9306 | Local CCP | ALTERWOOD ADVANTAGE, INC. | Alterwood Advantage | LifeBridge Health Inc | Not enough data available | 65% | 71% | 54% | 87% | 91% | 94% | Not enough data available | 67% | 85% | 76% | 65% | 37% | 53% | 11% | 89% | 43% | 59% | 82 | 83 | 91 | 86 | 86 | 85 | 0.42 | 15% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 97% | 95% | 0.42 | 15% | Medicare shows only a Star Rating for this topic | 86 | 88 | 99 | 79% | 83% | 80% | 95% | 86% |
| H9364 | Local CCP | WELLCARE OF MAINE, INC. | Wellcare | Centene Corporation | 72% | 73% | 67% | 41% | 64% | 95% | 94% | 30% | 76% | 83% | 83% | 53% | 35% | 78% | 9% | 84% | 68% | 51% | 78 | 83 | 88 | 84 | 83 | 83 | 0.21 | 24% | Medicare shows only a Star Rating for this topic | 90% | 90% | 98% | 98% | 0.21 | 24% | Medicare shows only a Star Rating for this topic | 86 | 88 | 97 | 90% | 90% | 90% | 90% | 84% |
| H9387 | Local CCP | SUNFLOWER STATE HEALTH PLAN, INC. | Wellcare by Allwell | Centene Corporation | 59% | 49% | 57% | 38% | 55% | 98% | 91% | Not enough data available | 59% | 66% | 70% | 52% | Not enough data available | 51% | No data available | Not enough data available | 42% | 44% | 82 | 88 | Not enough data available | 85 | 81 | 87 | 0.81 | 43% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 98% | 98% | 0.81 | 43% | Medicare shows only a Star Rating for this topic | 85 | Not enough data available | 98 | 85% | 87% | 87% | 92% | 80% |
| H9412 | Local CCP | GEISINGER QUALITY OPTIONS, INC. | Geisinger Gold | Risant Health Inc | 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 not required to report measure | Plan not required to report measure | Plan not required to report measure | 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 | No data available | Not enough data available | Not enough data available | Not enough data available | Not enough data available | Not enough data available | 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 |
| H9431 | Local CCP | FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY | Aetna Medicare | CVS Health Corporation | 67% | 67% | 61% | 51% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 44% | 78% | 88% | 73% | 50% | 45% | 87% | 9% | 84% | 53% | 54% | 77 | 81 | 90 | 84 | 83 | 84 | 0.27 | 18% | Medicare shows only a Star Rating for this topic | 90% | 96% | 100% | 97% | 0.27 | 18% | Medicare shows only a Star Rating for this topic | 85 | 89 | 99 | 85% | 89% | 88% | 88% | 81% |
| H9460 | Local CCP | CIGNA HEALTHCARE OF ST LOUIS, INC. | Cigna Healthcare | The Cigna Group | 61% | 66% | 61% | 46% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 67% | 79% | 71% | 50% | 48% | 75% | 12% | 81% | 56% | 55% | 81 | 84 | 91 | 87 | 83 | Not enough data available | 0.41 | 33% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 95% | 97% | 0.41 | 33% | Medicare shows only a Star Rating for this topic | 87 | 90 | 100 | 83% | 87% | 86% | Not enough data available | 84% |