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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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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| H5475 | Local CCP | MERIDIAN HEALTH PLAN OF MICHIGAN, INC. | Wellcare | Centene Corporation | 64% | 62% | 61% | 42% | 62% | 87% | 84% | 27% | 73% | 74% | 71% | Not enough data available | Not enough data available | 61% | 10% | 85% | 52% | 54% | 81 | 84 | 88 | Not enough data available | 81 | Not enough data available | 0.33 | 37% | Medicare shows only a Star Rating for this topic | 93% | 95% | 98% | 100% | 0.33 | 37% | Medicare shows only a Star Rating for this topic | 84 | Not enough data available | 98 | 81% | 85% | 84% | 93% | 86% |
| H5599 | Local CCP | NEW YORK QUALITY HEALTHCARE CORPORATION | Wellcare by Fidelis Care | Centene Corporation | 69% | 63% | 57% | 46% | 60% | 92% | 81% | 50% | 73% | 76% | 76% | Not enough data available | Not enough data available | 45% | 11% | 86% | 40% | 57% | 83 | 86 | 87 | 86 | 84 | 87 | 0.21 | 19% | Medicare shows only a Star Rating for this topic | 96% | 79% | 98% | 100% | 0.21 | 19% | Medicare shows only a Star Rating for this topic | 87 | 91 | 97 | 86% | 87% | 84% | 89% | 86% |
| H7169 | Local CCP | BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC. | Wellcare | Centene Corporation | Plan not required to report measure | 50% | 64% | 38% | 76% | 96% | 91% | Not enough data available | 55% | 68% | 76% | 54% | 46% | 65% | 17% | 84% | 51% | 49% | 82 | Not enough data available | 90 | 86 | 82 | 88 | 0.71 | 41% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 98% | 100% | 0.71 | 41% | Medicare shows only a Star Rating for this topic | 85 | 90 | 98 | 85% | 86% | 89% | 95% | 82% |
| H8189 | Local CCP | MANAGED HEALTH SERVICES INSURANCE CORP. | Wellcare by Allwell | Centene Corporation | 68% | 70% | 64% | 52% | 60% | 95% | 88% | Not enough data available | 67% | 84% | 81% | Not enough data available | Not enough data available | 72% | 14% | 87% | 58% | 54% | 82 | 84 | 90 | 86 | 87 | 88 | 0.55 | 31% | Medicare shows only a Star Rating for this topic | 100% | 100% | 98% | 100% | 0.55 | 31% | Medicare shows only a Star Rating for this topic | 87 | 89 | 97 | 88% | 89% | 91% | 88% | 86% |
| H0908 | Local CCP | BUCKEYE COMMUNITY HEALTH PLAN, INC. | Wellcare by Allwell | Centene Corporation | Plan not required to report measure | 57% | 58% | 39% | 66% | 94% | 89% | Not enough data available | 56% | 74% | 75% | 53% | 32% | 63% | 14% | 88% | 52% | 55% | 81 | Not enough data available | 88 | 88 | 85 | Not enough data available | 0.68 | 39% | Medicare shows only a Star Rating for this topic | 100% | 100% | 98% | 100% | 0.68 | 39% | Medicare shows only a Star Rating for this topic | 87 | 90 | 98 | 82% | 86% | 85% | 94% | 84% |
| H9900 | Local CCP | WELLCARE OF OKLAHOMA, INC. | Wellcare | Centene Corporation | Not enough data available | 46% | 57% | 30% | 55% | 91% | 85% | Not enough data available | 61% | 75% | 75% | Not enough data available | Not enough data available | 60% | No data available | 82% | 46% | 36% | 79 | Not enough data available | 89 | Not enough data available | 82 | Not enough data available | 1.53 | 50% | Not enough data available | Not enough data available | Not enough data available | 98% | 100% | 1.53 | 50% | Medicare shows only a Star Rating for this topic | 83 | Not enough data available | 98 | 81% | 84% | 83% | 80% | 81% |
| H2491 | Local CCP | WELLCARE HEALTH INSURANCE OF ARIZONA, INC. | Wellcare | Centene Corporation | 67% | 60% | 62% | 43% | 53% | 87% | 86% | 23% | 67% | 77% | 70% | 57% | Not enough data available | 62% | 10% | 85% | 52% | 51% | 76 | 82 | 90 | 84 | 85 | Not enough data available | 0.26 | 29% | Medicare shows only a Star Rating for this topic | 92% | 93% | 98% | 100% | 0.26 | 29% | Medicare shows only a Star Rating for this topic | 84 | 86 | 98 | 85% | 86% | 86% | 95% | 86% |
| H5965 | Local CCP | WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON | Wellcare | Centene Corporation | 61% | 42% | 55% | 41% | 66% | 93% | 69% | Not enough data available | 48% | 64% | 66% | 52% | Not enough data available | 51% | No data available | Not enough data available | 42% | 41% | Not enough data available | Not enough data available | Not enough data available | Not enough data available | 78 | Not enough data available | 0.98 | 41% | Not enough data available | Not enough data available | Not enough data available | 98% | 100% | 0.98 | 41% | Medicare shows only a Star Rating for this topic | 82 | Not enough data available | 97 | 87% | 85% | 85% | 87% | 85% |
| H6830 | Local CCP | CENTENE VENTURE COMPANY KANSAS | Wellcare by Allwell | Centene Corporation | Not enough data available | 69% | Plan too small to be measured | 49% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 66% | 78% | 67% | Not enough data available | Not enough data available | 66% | No data available | Not enough data available | 47% | No data available | 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 | 98% | 100% | Not enough data available | Not enough data available | Medicare shows only a Star Rating for this topic | Plan too small to be measured | Plan too small to be measured | 99 | 87% | 87% | 85% | Not enough data available | 78% |
| H0712 | Local CCP | WELLCARE OF CONNECTICUT, INC. | Wellcare | Centene Corporation | 67% | 74% | 75% | 52% | 63% | 93% | 91% | Not enough data available | 71% | 82% | 79% | 64% | Not enough data available | 64% | 9% | 85% | 53% | 50% | 81 | 84 | 90 | 86 | 84 | 86 | 0.24 | 27% | Medicare shows only a Star Rating for this topic | 85% | 97% | 98% | 100% | 0.24 | 27% | Medicare shows only a Star Rating for this topic | 88 | 89 | 98 | 89% | 89% | 88% | 88% | 85% |