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hcontract
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org type
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contract name
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org marketing name
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parent org
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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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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| H3551 | Local CCP | ETERNALHEALTH OF ARIZONA INC | eternalHealth | Eternal Health of Delaware Inc | Plan too new to be measured | Plan too new to be measured | Plan too new 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 new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Not enough data available | Plan too new to be measured | Not enough data available | Not enough data available | 97% | 92% | Plan too new to be measured | Not enough data available | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured |
| H3554 | Local CCP | USABLE PPO INSURANCE COMPANY | Arkansas Blue Medicare | USAble Mutual Insurance Company | 72% | 78% | 64% | 42% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 76% | 84% | 75% | 53% | 50% | 73% | 14% | 78% | 55% | 58% | 82 | 84 | 90 | 87 | 86 | 87 | 0.06 | 16% | Medicare shows only a Star Rating for this topic | 98% | 88% | 98% | 97% | 0.06 | 16% | Medicare shows only a Star Rating for this topic | 85 | 90 | 98 | 83% | 86% | 86% | 82% | 80% |
| H3557 | Local CCP | BLUE CROSS & BLUE SHIELD OF RHODE ISLAND | Blue Cross and Blue Shield of Rhode Island | Blue Cross and Blue Shield of Rhode Island | 90% | 89% | 85% | 56% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 36% | 89% | 90% | 79% | 57% | 54% | 80% | 16% | 89% | 66% | 65% | 82 | 84 | 93 | 88 | 90 | 87 | 0.04 | 5% | Medicare shows only a Star Rating for this topic | 98% | 91% | 98% | 98% | 0.04 | 5% | Medicare shows only a Star Rating for this topic | 89 | 90 | 99 | 89% | 92% | 91% | 89% | 87% |
| H3561 | Local CCP | HEALTH NET COMMUNITY SOLUTIONS, INC. | Wellcare by Health Net | Centene Corporation | 72% | 73% | 63% | 44% | 63% | 88% | 87% | 50% | 77% | 82% | 76% | 64% | Not enough data available | 64% | 10% | 85% | 40% | 50% | 72 | Not enough data available | 85 | Not enough data available | 79 | Not enough data available | 1.76 | 28% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 98% | 100% | 1.76 | 28% | Medicare shows only a Star Rating for this topic | 82 | Not enough data available | 97 | 88% | 87% | 86% | 94% | 86% |
| H3597 | Local CCP | AETNA HEALTH INC. (ME) | Aetna Medicare | CVS Health Corporation | 85% | 85% | 77% | 48% | 70% | 100% | 95% | 54% | 88% | 94% | 79% | 52% | 40% | 96% | 11% | 88% | 62% | 54% | 80 | 84 | 90 | 87 | 88 | 89 | 0.07 | 6% | Medicare shows only a Star Rating for this topic | 94% | 92% | 100% | 97% | 0.07 | 6% | Medicare shows only a Star Rating for this topic | 87 | 92 | 99 | 90% | 92% | 91% | 86% | 84% |
| H3653 | Local CCP | PARAMOUNT CARE, INC. | Paramount Elite Medicare Plans | MEDICAL MUTUAL OF OHIO | 78% | 81% | 77% | 51% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 41% | 78% | 86% | 72% | 54% | 41% | 78% | 12% | 87% | 75% | 62% | 84 | 85 | 92 | 89 | 89 | 88 | 0.11 | 3% | Medicare shows only a Star Rating for this topic | 8% | 89% | 84% | 81% | 0.11 | 3% | Medicare shows only a Star Rating for this topic | 88 | 90 | 99 | 85% | 90% | 89% | 89% | 84% |
| H3655 | Local CCP | COMMUNITY INSURANCE COMPANY | Anthem Blue Cross and Blue Shield | Elevance Health Inc | 71% | 78% | 71% | 44% | 59% | 99% | 98% | 30% | 72% | 83% | 72% | 54% | 40% | 86% | 12% | 86% | 59% | 67% | 83 | 85 | 89 | 88 | 88 | 87 | 0.12 | 15% | Medicare shows only a Star Rating for this topic | 97% | 99% | 100% | 100% | 0.12 | 15% | Medicare shows only a Star Rating for this topic | 86 | 89 | 98 | 85% | 89% | 88% | 89% | 85% |
| H3660 | Local CCP | SUMMACARE INC. | SummaCare Medicare Advantage Plans | Summa Health | 75% | 77% | 77% | 52% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 28% | 78% | 86% | 86% | 58% | 54% | 83% | 12% | 86% | 72% | 69% | 86 | 88 | 93 | 89 | 90 | 88 | 0.03 | 5% | Medicare shows only a Star Rating for this topic | 95% | 95% | 86% | 97% | 0.03 | 5% | Medicare shows only a Star Rating for this topic | 89 | 92 | 96 | 88% | 91% | 90% | 98% | 82% |
| H3664 | Local CCP | AULTCARE HEALTH INSURING CORPORATION | PrimeTime Health Plan | Aultman Health Foundation | 76% | 77% | 74% | 48% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 48% | 82% | 89% | 86% | 53% | 42% | 71% | 13% | 85% | 66% | 61% | 84 | 87 | 95 | 90 | 92 | 89 | 0.01 | 3% | Medicare shows only a Star Rating for this topic | 100% | 100% | 94% | 98% | 0.01 | 3% | Medicare shows only a Star Rating for this topic | 91 | 93 | 99 | 87% | 91% | 89% | 91% | 84% |
| H3668 | Local CCP | MOUNT CARMEL HEALTH PLAN, INC. | MediGold | Trinity Health Corporation | 74% | 78% | 72% | 44% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 34% | 71% | 80% | 82% | 53% | 38% | 70% | 12% | 87% | 60% | 61% | 83 | 86 | 92 | 88 | 90 | 86 | 0.04 | 5% | Medicare shows only a Star Rating for this topic | 100% | 98% | 95% | 92% | 0.04 | 5% | Medicare shows only a Star Rating for this topic | 88 | 90 | 99 | 87% | 90% | 89% | 85% | 86% |