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)
H3189 Local CCP ESSENCE HEALTHCARE OF OHIO, INC. Essence Healthcare Lumeris Group Holdings Corporation Plan too small to be measured Plan too small to be measured Plan too small to be measured Plan too new to be measured Plan not required to report measure Plan not required to report measure Plan not required to report measure 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 new to be measured Plan too new 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 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 95% 91% Not enough data available Not enough data available Not enough data available Plan too small to be measured Plan too small to be measured 97 Not enough data available Not enough data available 83% Not enough data available Not enough data available
H3192 Local CCP AETNA HEALTH OF MICHIGAN INC. Aetna Medicare CVS Health Corporation 73% 67% 59% 46% 72% 100% 97% 43% 73% 94% 83% 57% 49% 94% 14% 87% 52% 57% 82 85 91 86 88 87 0.33 30% Medicare shows only a Star Rating for this topic 89% 96% 100% 97% 0.33 30% Medicare shows only a Star Rating for this topic 87 89 99 83% 88% 86% 97% 86%
H3204 Local CCP PRESBYTERIAN HEALTH PLAN Presbyterian Health Plan Presbyterian Healthcare Services 71% 69% 75% 53% 62% 83% 82% 47% 76% 78% 63% 53% 40% 78% 12% 82% 59% 52% 74 80 91 85 87 86 0.08 5% Medicare shows only a Star Rating for this topic 100% 95% 89% 97% 0.08 5% Medicare shows only a Star Rating for this topic 84 86 99 83% 87% 85% 95% 81%
H3219 Local CCP ALLINA HEALTH AND AETNA INSURANCE COMPANY Allina Health Aetna Medicare Allina Health and Aetna Insurance Holding Company 79% 78% 72% 45% Plan not required to report measure Plan not required to report measure Plan not required to report measure 50% 82% 96% 90% 47% 48% 94% 12% 92% 68% 61% 80 82 90 87 89 88 0.11 7% Medicare shows only a Star Rating for this topic 79% 79% 98% 100% 0.11 7% Medicare shows only a Star Rating for this topic 89 91 99 87% 91% 90% 93% 87%
H3239 Local CCP AETNA BETTER HEALTH, INC. (LA) Aetna Medicare CVS Health Corporation 74% 68% 58% 43% 72% 100% 95% Not enough data available 79% 93% 71% 63% 38% 95% 14% 85% 50% 49% 85 86 93 88 89 86 0.31 33% Medicare shows only a Star Rating for this topic 88% 97% 100% 97% 0.31 33% Medicare shows only a Star Rating for this topic 90 93 99 85% 86% 86% 96% 85%
H3240 Local CCP WELLPOINT NEW JERSEY, INC. Wellpoint Elevance Health Inc 60% 54% 66% 55% 60% 96% 93% 16% 62% 79% 73% 74% 43% 48% 12% 85% 39% 58% 82 82 86 85 86 86 0.27 26% Medicare shows only a Star Rating for this topic 100% 96% 100% 100% 0.27 26% Medicare shows only a Star Rating for this topic 89 91 98 84% 83% 82% 88% 88%
H3251 Local CCP HEALTH CARE SERVICE CORPORATION Blue Cross and Blue Shield of New Mexico Health Care Service Corporation 73% 74% 79% 47% 41% 99% 90% 35% 75% 81% 73% 58% 39% 72% 8% 80% 55% 57% 73 75 89 82 85 Not enough data available 0.1 9% Medicare shows only a Star Rating for this topic 100% 98% 100% 100% 0.1 9% Medicare shows only a Star Rating for this topic 85 86 99 84% 89% 89% 94% 82%
H3256 Local CCP CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO. UnitedHealthcare UnitedHealth Group Inc 76% 85% 63% 48% 87% 98% 99% 52% 82% 84% 73% 70% 45% 68% 11% 87% 62% 58% 84 88 92 87 89 86 0.13 31% Medicare shows only a Star Rating for this topic 99% 95% 98% 100% 0.13 31% Medicare shows only a Star Rating for this topic 90 92 99 88% 88% 88% 88% 85%
H3259 Local CCP VOLUNTEER STATE HEALTH PLAN BlueCare Plus Tennessee BlueCross BlueShield of Tennessee 73% 74% 57% 39% 69% 94% 94% 62% 83% 80% 74% 62% 44% 59% 12% 83% 49% 57% 83 86 92 88 90 87 0.27 8% Medicare shows only a Star Rating for this topic 98% 99% 98% 97% 0.27 8% Medicare shows only a Star Rating for this topic 90 92 98 85% 87% 87% 88% 82%
H3274 Local CCP ALIGN SENIOR CARE CALIFORNIA INC. Align Senior Care Curana Health Holdings LLC Plan too small to be measured Plan too small to be measured Plan too small to be measured Plan too small to be measured 72% Not enough data available Not enough 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 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 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 90% 91% Not enough data available Not enough data available Not enough data available Plan too small to be measured Plan too small to be measured 99 Not enough data available Not enough data available Not enough data available Not enough data available Not enough data available
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