|
hcontract
|
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
|
C22 - Rating of Health Care Quality
|
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
|
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
|
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
|
D07 - MPF Price Accuracy
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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)
|
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| H3672 | Local CCP | THE HEALTH PLAN OF WEST VIRGINIA, INC. | The Health Plan | The Health Plan of West Virginia Inc | 69% | 70% | 68% | 35% | 69% | 99% | 96% | 46% | 75% | 82% | 72% | 51% | 40% | 82% | 13% | 94% | 54% | 55% | 85 | 87 | 94 | 88 | 91 | 88 | 0.03 | 8% | Medicare shows only a Star Rating for this topic | 100% | 93% | 98% | 100% | 0.03 | 8% | Medicare shows only a Star Rating for this topic | 90 | 92 | 99 | 86% | 90% | 88% | 92% | 90% |
| H3706 | Local CCP | GLOBALHEALTH, INC. | GlobalHealth | MHH Healthcare LP | 78% | 81% | 73% | 48% | 91% | 98% | 98% | 59% | 83% | 89% | 82% | 50% | 45% | 93% | 12% | 87% | 80% | 53% | 84 | 85 | 92 | 88 | 88 | 86 | 0.1 | 8% | Medicare shows only a Star Rating for this topic | 98% | 91% | 98% | 100% | 0.1 | 8% | Medicare shows only a Star Rating for this topic | 88 | 91 | 99 | 86% | 88% | 88% | 94% | 85% |
| H3708 | Local CCP | OKLAHOMA SUPERIOR SELECT, INC. | American Health Advantage of Oklahoma | Mitchell Family Office | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | 88% | 98% | 100% | 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 | 84% | 86% | Not enough data available | Not enough data available | Medicare shows only a Star Rating for this topic | Plan too small to be measured | Plan too small to be measured | 99 | Not enough data available | 92% | 91% | 94% | 75% |
| H3727 | Local CCP | OH CHS SNP INC. | Communicare Advantage | SNP Holdings LLC | 11% | 8% | Plan too small to be measured | No data available | 85% | 2% | 1% | Not enough data available | 64% | 0% | Not enough data available | No data available | No data available | Not enough data available | No data available | Not enough data available | 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 | 0.04 | 5% | Not enough data available | Not enough data available | Not enough data available | 87% | 83% | 0.04 | 5% | Medicare shows only a Star Rating for this topic | Plan too small to be measured | Plan too small to be measured | 99 | 85% | 79% | 84% | 96% | 88% |
| H3748 | Local CCP | AETNA BETTER HEALTH OF WASHINGTON, INC. | Aetna Medicare | CVS Health Corporation | 72% | 80% | 70% | 54% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 55% | 78% | 96% | 77% | 51% | 49% | 96% | 10% | 89% | 60% | 60% | 74 | 75 | 89 | 83 | 86 | 85 | 0.16 | 27% | Medicare shows only a Star Rating for this topic | 90% | 98% | 100% | 97% | 0.16 | 27% | Medicare shows only a Star Rating for this topic | 86 | 89 | 99 | 86% | 90% | 90% | 87% | 86% |
| H3755 | Local CCP | COMMUNITYCARE GOVERNMENT PROGRAMS, INC. | CommunityCare Senior Health Plan (HMO) | St Francis Health System and St John Health System | 80% | 81% | 72% | 47% | No data available | No data available | No data available | 59% | 84% | 87% | 75% | 52% | 38% | 86% | 10% | 87% | 68% | 64% | 83 | 84 | 93 | 87 | 90 | 86 | 0.05 | 4% | Not enough data available | 95% | 97% | 94% | 98% | 0.05 | 4% | Not enough data available | 87 | 89 | 99 | 82% | 88% | 87% | 90% | 85% |
| H3777 | Local CCP | BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA | Experience Health | Blue Cross and Blue Shield of North Carolina | 82% | 72% | 81% | 65% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 73% | 88% | 73% | 52% | 48% | 83% | 10% | 85% | 77% | 60% | 81 | 85 | 91 | 88 | 89 | 89 | 0.14 | 10% | Medicare shows only a Star Rating for this topic | 97% | 95% | 97% | 95% | 0.14 | 10% | Medicare shows only a Star Rating for this topic | 89 | 91 | 99 | 85% | 88% | 87% | 92% | 86% |
| H3794 | Local CCP | UNITEDHEALTHCARE OF WISCONSIN, INC. | UnitedHealthcare | UnitedHealth Group Inc | 73% | 78% | 66% | 44% | 83% | 95% | 98% | 39% | 74% | 87% | 78% | 67% | 50% | 71% | 12% | 90% | 70% | 62% | 81 | 85 | 90 | 87 | 88 | 86 | 0.16 | 18% | Not enough data available | 98% | 99% | 98% | 100% | 0.16 | 18% | Not enough data available | 89 | 89 | 99 | 87% | 88% | 89% | 87% | 87% |
| H3800 | Local CCP | PROVIDER PARTNERS HEALTH PLAN OF ILLINOIS | Provider Partners Health Plans | Rifkin Managed Care Holding LLC | 44% | 59% | Plan too small to be measured | No data available | 98% | 100% | 100% | Not enough data available | 92% | 72% | Not enough data available | No data available | No data available | Not enough data available | 12% | Not enough data available | Not enough data available | 24% | 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 | 0.06 | 4% | Medicare shows only a Star Rating for this topic | 70% | 36% | 73% | 80% | 0.06 | 4% | Medicare shows only a Star Rating for this topic | Plan too small to be measured | Plan too small to be measured | 99 | 86% | 79% | 83% | 94% | 87% |
| H3805 | Local CCP | UnitedHealthcare Benefits of Texas, Inc. | UnitedHealthcare | UnitedHealth Group Inc | 75% | 81% | 79% | 51% | No data available | No data available | No data available | 42% | 83% | 86% | 76% | 51% | 47% | 77% | 11% | 88% | 63% | 58% | 78 | 83 | 89 | 86 | 87 | 89 | 0.11 | 10% | Medicare shows only a Star Rating for this topic | 100% | 98% | 98% | 100% | 0.11 | 10% | Medicare shows only a Star Rating for this topic | 87 | 87 | 99 | 87% | 91% | 90% | 87% | 86% |