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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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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| H5262 | Local CCP | QUARTZ HEALTH PLAN CORPORATION | Quartz Medicare Advantage | University of Wisconsin Hospitals and Clincs Autho | 82% | 77% | 76% | 54% | CMS identified issues with this plan's data | No data available | No data available | 21% | 83% | 86% | 64% | 51% | 45% | 79% | 9% | 86% | 80% | 60% | 80 | 84 | 94 | 89 | 88 | 90 | 0.05 | 4% | Medicare shows only a Star Rating for this topic | 98% | 95% | 89% | 94% | 0.05 | 4% | Medicare shows only a Star Rating for this topic | 86 | 91 | 93 | 89% | 92% | 91% | 69% | 89% |
| H7123 | Local CCP | UPMC HEALTH COVERAGE, INC. | UPMC for Life Complete Care | UPMC Health System | 74% | 61% | 71% | 52% | 78% | 83% | 81% | Not enough data available | 66% | 70% | 72% | Not enough data available | Not enough data available | 50% | No data available | No data available | 45% | 49% | 82 | 86 | 93 | 87 | 90 | Not enough data available | Not enough data available | Not enough data available | Medicare shows only a Star Rating for this topic | 94% | 94% | 84% | 86% | Not enough data available | Not enough data available | Medicare shows only a Star Rating for this topic | 89 | 91 | 99 | 87% | 86% | 90% | 77% | 89% |
| H5533 | Local CCP | UPMC HEALTH NETWORK, INC. | UPMC for Life | UPMC Health System | 80% | 80% | 70% | 49% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 46% | 82% | 89% | 81% | 52% | 51% | 86% | 10% | 87% | 76% | 61% | 82 | 88 | 93 | 88 | 89 | 88 | 0.09 | 5% | Medicare shows only a Star Rating for this topic | 99% | 96% | 84% | 86% | 0.09 | 5% | Medicare shows only a Star Rating for this topic | 88 | 91 | 99 | 88% | 92% | 92% | 86% | 84% |
| H3907 | Local CCP | UPMC HEALTH PLAN, INC. | UPMC for Life | UPMC Health System | 78% | 76% | 75% | 44% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 42% | 83% | 90% | 80% | 50% | 39% | 84% | 10% | 87% | 75% | 62% | 84 | 87 | 93 | 89 | 92 | 88 | 0.04 | 5% | Medicare shows only a Star Rating for this topic | 99% | 98% | 84% | 86% | 0.04 | 5% | Medicare shows only a Star Rating for this topic | 90 | 92 | 99 | 90% | 93% | 92% | 87% | 87% |
| H4279 | Local CCP | UPMC FOR YOU, INC | UPMC for Life Complete Care | UPMC Health System | 69% | 71% | 55% | 39% | 65% | 92% | 90% | 41% | 81% | 85% | 82% | 59% | Not enough data available | 81% | 11% | 87% | 72% | 62% | 81 | 83 | 91 | 87 | 91 | 87 | 0.07 | 10% | Medicare shows only a Star Rating for this topic | 99% | 98% | 84% | 86% | 0.07 | 10% | Medicare shows only a Star Rating for this topic | 91 | 93 | 99 | 90% | 90% | 91% | 87% | 86% |
| S3389 | PDP | UPMC HEALTH BENEFITS, INC. | UPMC Health Plan | UPMC Health System | 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 | 0 | Not enough data available | Medicare shows only a Star Rating for this topic | 89 | 92 | Not enough data available | 89% | 93% | 89% | 81% | 86% |
| H4213 | PFFS | USABLE MUTUAL INSURANCE COMPANY | Arkansas Blue Medicare | USAble Mutual Insurance Company | 65% | 73% | 69% | 36% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 63% | 87% | 74% | 39% | 38% | 70% | 13% | 76% | 54% | 57% | 85 | 87 | 92 | 88 | 86 | 88 | 0.09 | 14% | Medicare shows only a Star Rating for this topic | 100% | 96% | 98% | 97% | 0.09 | 14% | Medicare shows only a Star Rating for this topic | 81 | 89 | 98 | 81% | 88% | 85% | 78% | 79% |
| S5795 | PDP | USABLE MUTUAL INSURANCE COMPANY | Arkansas Blue Medicare | USAble Mutual Insurance Company | 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 | 97% | 0.02 | 8% | Medicare shows only a Star Rating for this topic | 84 | 90 | 98 | 82% | 82% | 83% | 74% | 77% |
| H3554 | Local CCP | USABLE PPO INSURANCE COMPANY | Arkansas Blue Medicare | USAble Mutual Insurance Company | 72% | 78% | 64% | 42% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 76% | 84% | 75% | 53% | 50% | 73% | 14% | 78% | 55% | 58% | 82 | 84 | 90 | 87 | 86 | 87 | 0.06 | 16% | Medicare shows only a Star Rating for this topic | 98% | 88% | 98% | 97% | 0.06 | 16% | Medicare shows only a Star Rating for this topic | 85 | 90 | 98 | 83% | 86% | 86% | 82% | 80% |
| H6158 | Local CCP | USABLE HMO, INC. | Arkansas Blue Medicare | USAble Mutual Insurance Company | 76% | 78% | 65% | 42% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 45% | 79% | 87% | 77% | 47% | 48% | 78% | 16% | 83% | 60% | 57% | 83 | 86 | 91 | 87 | 87 | 86 | 0.06 | 17% | Medicare shows only a Star Rating for this topic | 98% | 88% | 98% | 97% | 0.06 | 17% | Medicare shows only a Star Rating for this topic | 86 | 90 | 98 | 84% | 88% | 86% | 82% | 81% |