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Measure Data : 2025

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hcontract
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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)
H1692 Local CCP COVENTRY HEALTH CARE OF WEST VIRGINIA, INC. Aetna Medicare CVS Health Corporation 65% 65% 61% 34% 71% 100% 93% 58% 66% 91% 78% 60% 37% 91% 12% 87% 54% 55% 85 88 93 87 90 90 0.16 19% Medicare shows only a Star Rating for this topic 89% 97% 100% 97% 0.16 19% Medicare shows only a Star Rating for this topic 89 93 99 85% 88% 88% 90% 84%
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%
H1608 Local CCP COVENTRY HEALTH AND LIFE INSURANCE COMPANY Aetna Medicare CVS Health Corporation 70% 71% 69% 44% 69% 100% 93% 57% 77% 92% 81% 50% 42% 95% 12% 85% 56% 57% 83 85 90 87 88 87 0.12 12% Medicare shows only a Star Rating for this topic 93% 95% 100% 97% 0.12 12% Medicare shows only a Star Rating for this topic 88 92 99 86% 91% 90% 90% 84%
H7149 Local CCP AETNA HEALTH INC. (PA) Aetna Medicare CVS Health Corporation 71% 73% 75% 42% 72% 100% 94% 63% 77% 93% 78% 53% 46% 92% 12% 87% 56% 62% 86 86 91 88 88 90 0.2 13% Medicare shows only a Star Rating for this topic 83% 100% 100% 97% 0.2 13% Medicare shows only a Star Rating for this topic 88 91 99 88% 89% 89% 96% 86%
H1109 Local CCP AETNA HEALTH INC.(GA) Aetna Medicare CVS Health Corporation 71% 77% 66% 56% Plan not required to report measure Plan not required to report measure Plan not required to report measure Not enough data available 69% 96% 80% 54% Not enough data available 94% 12% 96% 58% 61% 82 84 92 86 88 86 0.23 14% Medicare shows only a Star Rating for this topic 100% 100% 100% 97% 0.23 14% Medicare shows only a Star Rating for this topic 88 91 98 82% 90% 87% 91% 86%
H4523 Local CCP AETNA HEALTH INC. (TX) Aetna Medicare CVS Health Corporation 69% 74% 72% 50% No data available No data available No data available 46% 81% 96% 77% 59% 34% 95% 12% 89% 54% 54% 83 86 87 89 88 86 0.21 19% Medicare shows only a Star Rating for this topic 92% 97% 100% 97% 0.21 19% Medicare shows only a Star Rating for this topic 89 90 99 86% 89% 88% 92% 89%
H4982 Local CCP AETNA BETTER HEALTH OF CALIFORNIA INC. Aetna Medicare CVS Health Corporation 72% 74% 62% 51% 64% 100% 91% 61% 81% 97% 76% 57% 40% 80% 10% 87% 45% 52% 74 Not enough data available 86 82 84 Not enough data available 0.45 25% Medicare shows only a Star Rating for this topic 84% 90% 100% 97% 0.45 25% Medicare shows only a Star Rating for this topic 85 88 99 86% 89% 88% 96% 87%
H5325 Local CCP COVENTRY HEALTH CARE OF KANSAS, INC. Aetna Medicare CVS Health Corporation 70% 74% 63% 46% 71% 100% 93% 55% 79% 92% 80% 65% 43% 93% 13% 84% 53% 52% 84 84 92 89 91 88 0.29 24% Medicare shows only a Star Rating for this topic 91% 97% 100% 97% 0.29 24% Medicare shows only a Star Rating for this topic 91 92 99 86% 87% 88% 94% 85%
H5793 Local CCP AETNA HEALTH INC. (CT) Aetna Medicare CVS Health Corporation 73% 72% 70% 52% 67% 100% 90% 45% 76% 88% 79% 60% 42% 90% 13% 89% 53% 56% 80 81 90 87 88 86 0.22 14% Medicare shows only a Star Rating for this topic 91% 99% 100% 97% 0.22 14% Medicare shows only a Star Rating for this topic 88 90 99 89% 91% 90% 88% 87%
H8597 Local CCP AETNA BETTER HEALTH OF TEXAS INC. Aetna Medicare CVS Health Corporation 70% 72% 66% 51% 75% 100% 95% 47% 82% 90% 79% 71% 43% 91% 14% 84% 49% 49% 79 83 89 87 89 86 0.54 36% Medicare shows only a Star Rating for this topic 93% 98% 100% 97% 0.54 36% Medicare shows only a Star Rating for this topic 88 88 99 88% 88% 86% 95% 89%
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