|
hcontract
|
org type
|
contract name
|
org marketing name
|
parent org
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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)
|
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| H0137 | Demo | COMMONWEALTH CARE ALLIANCE, INC. | Commonwealth Care Alliance Massachusetts | Commonwealth Care Alliance 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 |
| H0154 | Local CCP | VIVA HEALTH, INC. | VIVA Medicare | Triton Health Systems LLC | 75% | 80% | 65% | 46% | 87% | 97% | 97% | 76% | 86% | 87% | 83% | 59% | 52% | 87% | 10% | 85% | 82% | 63% | 86 | 89 | 93 | 89 | 92 | 86 | 0.04 | 8% | Medicare shows only a Star Rating for this topic | 99% | 98% | 11% | 11% | 0.04 | 8% | Medicare shows only a Star Rating for this topic | 90 | 93 | 99 | 85% | 88% | 87% | 90% | 86% |
| H0169 | Local CCP | UNITEDHEALTHCARE OF WISCONSIN, INC. | UnitedHealthcare | UnitedHealth Group Inc | 70% | 79% | 62% | 45% | 85% | 95% | 98% | 34% | 81% | 85% | 83% | 67% | 45% | 62% | 12% | 87% | 59% | 59% | 81 | 84 | 89 | 86 | 89 | 86 | 0.19 | 22% | Medicare shows only a Star Rating for this topic | 98% | 97% | 98% | 100% | 0.19 | 22% | Medicare shows only a Star Rating for this topic | 89 | 92 | 99 | 87% | 87% | 89% | 88% | 85% |
| H0174 | Local CCP | WELLCARE OF TEXAS, INC. | Wellcare | Centene Corporation | 69% | 61% | 77% | 55% | 65% | 93% | 91% | 29% | 72% | 77% | 72% | 59% | 41% | 66% | 10% | 86% | 53% | 49% | 82 | 84 | 91 | 90 | 87 | 87 | 0.4 | 33% | Medicare shows only a Star Rating for this topic | 91% | 93% | 98% | 100% | 0.4 | 33% | Medicare shows only a Star Rating for this topic | 87 | Not enough data available | 98 | 84% | 86% | 84% | 94% | 90% |
| H0192 | Demo | AMERIHEALTH MICHIGAN, INC. | AmeriHealth Caritas VIP Care Plus | Independence Health 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 |
| H0251 | Local CCP | UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC. | UnitedHealthcare | UnitedHealth Group Inc | 65% | 69% | 59% | 40% | 71% | 96% | 98% | 28% | 78% | 79% | 78% | 61% | 44% | 63% | 13% | 85% | 42% | 54% | 84 | 85 | 91 | 88 | 92 | 86 | 0.1 | 7% | Medicare shows only a Star Rating for this topic | 99% | 97% | 98% | 100% | 0.1 | 7% | Medicare shows only a Star Rating for this topic | 92 | 92 | 99 | 85% | 86% | 86% | 88% | 85% |
| H0270 | Local CCP | WELLCARE HEALTH INSURANCE COMPANY OF AMERICA | Wellcare | Centene Corporation | 58% | 64% | 61% | 36% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 73% | 76% | 68% | Not enough data available | Not enough data available | 70% | No data available | 87% | 54% | 46% | 86 | Not enough data available | Not enough data available | 87 | 87 | Not enough data available | 0.32 | 42% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 98% | 100% | 0.32 | 42% | Medicare shows only a Star Rating for this topic | 88 | Not enough data available | 98 | 80% | 85% | 84% | 90% | 87% |
| H0292 | Local CCP | HUMANA HEALTH PLAN OF OHIO, INC. | Humana | Humana Inc | 80% | 81% | 72% | 50% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 61% | 86% | 92% | 76% | 54% | 46% | 92% | 14% | 93% | 82% | 73% | 84 | 87 | 91 | 89 | 89 | 89 | 0.07 | 15% | Medicare shows only a Star Rating for this topic | 99% | 99% | 98% | 97% | 0.07 | 15% | Medicare shows only a Star Rating for this topic | 89 | 90 | 86 | 88% | 90% | 90% | 80% | 91% |
| H0294 | Local CCP | UNITEDHEALTHCARE INSURANCE COMPANY | UnitedHealthcare | UnitedHealth Group Inc | 80% | 74% | 67% | 50% | 82% | 96% | 99% | 33% | 76% | 88% | 73% | 51% | 47% | 62% | 10% | 88% | 53% | 58% | 80 | 82 | 88 | 85 | 85 | 86 | 0.2 | 13% | Medicare shows only a Star Rating for this topic | 100% | 98% | 98% | 100% | 0.2 | 13% | Medicare shows only a Star Rating for this topic | 86 | 88 | 99 | 86% | 90% | 89% | 87% | 86% |
| H0302 | Local CCP | MEDISUN, INC. | Blue Cross Blue Shield of Arizona (AZ Blue) | Blue Cross Blue Shield of Arizona | 73% | 82% | 71% | 53% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 56% | 76% | 88% | 81% | 57% | 53% | 84% | 10% | 87% | 80% | 77% | 78 | 81 | 91 | 85 | 87 | 84 | 0.05 | 9% | Medicare shows only a Star Rating for this topic | 97% | 98% | 36% | 63% | 0.05 | 9% | Medicare shows only a Star Rating for this topic | 86 | 87 | 98 | 89% | 92% | 92% | 94% | 89% |