Measure Data : 2025

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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)
H1846 Local CCP MOUNT CARMEL HEALTH INSURANCE COMPANY MediGold Trinity Health Corporation 69% 69% 73% 50% Plan not required to report measure Plan not required to report measure Plan not required to report measure Not enough data available 63% 82% 73% 48% 30% 65% No data available 90% 54% 58% 86 87 91 88 89 88 0.08 14% Medicare shows only a Star Rating for this topic Not enough data available Not enough data available 95% 92% 0.08 14% Medicare shows only a Star Rating for this topic 88 90 99 89% 90% 92% 89% 86%
H1862 Local CCP WELLCARE HEALTH PLANS OF VERMONT, INC. Wellcare Centene Corporation 68% 68% 69% 35% No data available No data available No data available Not enough data available 43% 75% 69% 49% Not enough data available 75% No data available Not enough data available 64% 58% 78 81 Not enough data available 86 82 86 0.09 25% Not enough data available Not enough data available Not enough data available 98% 100% 0.09 25% Medicare shows only a Star Rating for this topic 83 87 99 80% 88% 85% 93% 84%
H1889 Local CCP CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO. UnitedHealthcare UnitedHealth Group Inc 73% 78% 61% 50% 80% 96% 98% 32% 82% 88% 76% 62% 46% 64% 13% 83% 46% 58% 82 85 90 87 90 86 0.25 25% Medicare shows only a Star Rating for this topic 99% 97% 98% 100% 0.25 25% Medicare shows only a Star Rating for this topic 89 90 99 85% 87% 87% 87% 84%
H1894 Local CCP WELLPOINT WASHINGTON, INC. Wellpoint Elevance Health Inc 53% 58% 58% 45% 55% 92% 88% Not enough data available 51% 77% 71% 57% 43% 63% 12% 87% 46% 51% Not enough data available Not enough data available Not enough data available Not enough data available 77 Not enough data available 0.69 21% Medicare shows only a Star Rating for this topic Not enough data available Not enough data available 100% 100% 0.69 21% Medicare shows only a Star Rating for this topic 81 Not enough data available 98 83% 86% 84% 86% 87%
H1914 Local CCP WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC. Wellcare Centene Corporation 65% 66% 63% 52% 72% 97% 91% Not enough data available 62% 82% 77% 53% Not enough data available 55% 9% 85% 48% 54% 83 85 86 Not enough data available 81 Not enough data available 0.47 29% Medicare shows only a Star Rating for this topic 100% 100% 98% 100% 0.47 29% Medicare shows only a Star Rating for this topic 83 87 99 87% 89% 88% 88% 87%
H1947 Local CCP COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC. Healthy Blue Elevance Health Inc 75% 61% 59% 47% 68% 95% 91% Not enough data available 66% 77% 64% 68% Not enough data available 59% 14% 86% 48% 47% 83 84 90 89 88 88 0.48 46% Medicare shows only a Star Rating for this topic Not enough data available Not enough data available 100% 100% 0.48 46% Medicare shows only a Star Rating for this topic 90 90 97 80% 81% 81% 89% 82%
H1951 Local CCP HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC. Humana Humana Inc 80% 80% 68% 50% 76% 97% 99% 44% 82% 87% 79% 59% 43% 87% 12% 86% 69% 58% 84 84 91 89 89 89 0.11 17% Medicare shows only a Star Rating for this topic 98% 98% 98% 97% 0.11 17% Medicare shows only a Star Rating for this topic 89 89 85 83% 87% 87% 86% 86%
H1961 Local CCP PEOPLES HEALTH, INC. Peoples Health UnitedHealth Group Inc 81% 75% 67% 49% 74% 100% 96% 62% 80% 84% 77% 56% 47% 98% 11% 85% 81% 56% 84 84 92 89 90 88 0.11 9% Medicare shows only a Star Rating for this topic 90% 94% 98% 100% 0.11 9% Medicare shows only a Star Rating for this topic 89 89 99 82% 88% 87% 91% 86%
H1969 Local CCP REGENCE BLUESHIELD OF IDAHO, INC. Regence BlueShield of Idaho Cambia Health Solutions Inc 72% 75% 67% 56% Plan not required to report measure Plan not required to report measure Plan not required to report measure Not enough data available 77% 84% 71% 53% 48% 73% 8% 89% 76% 59% 83 87 92 87 86 88 0.04 21% Medicare shows only a Star Rating for this topic Not enough data available Not enough data available 98% 97% 0.04 21% Medicare shows only a Star Rating for this topic 85 89 99 88% 91% 91% 82% 87%
H1977 Demo UPPER PENINSULA HEALTH PLAN, LLC Upper Peninsula Health Plan (UPHP) MI Health Link DLP Marquette General Hospital LLC 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
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