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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