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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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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| H5471 | Local CCP | SIMPLY HEALTHCARE PLANS, INC. | Simply Healthcare Plans Inc. | Elevance Health Inc | 77% | 75% | 54% | 63% | 93% | 94% | 96% | 53% | 79% | 88% | 86% | 76% | Not enough data available | 61% | 13% | 89% | 37% | 63% | 83 | 85 | 91 | 89 | 90 | 87 | 0.29 | 33% | Medicare shows only a Star Rating for this topic | 98% | 100% | 100% | 100% | 0.29 | 33% | Medicare shows only a Star Rating for this topic | 89 | 90 | 99 | 89% | 90% | 87% | 90% | 93% |
| H5427 | Local CCP | FREEDOM HEALTH, INC. | Freedom Health Inc. | Elevance Health Inc | 84% | 84% | 60% | 52% | CMS identified issues with this plan's data | 97% | 97% | 84% | 89% | 88% | 90% | 59% | 45% | 89% | 10% | 86% | 64% | 68% | 78 | 86 | 88 | 84 | 87 | 85 | 0.11 | 15% | Medicare shows only a Star Rating for this topic | 99% | 100% | 100% | 98% | 0.11 | 15% | Medicare shows only a Star Rating for this topic | 89 | 89 | 99 | 89% | 90% | 89% | 91% | 92% |
| H0544 | Local CCP | BLUE CROSS OF CALIFORNIA | Anthem Blue Cross | Elevance Health Inc | 68% | 65% | 68% | 52% | 51% | 100% | 96% | 54% | 70% | 79% | 69% | 60% | 43% | 70% | 11% | 86% | 42% | 48% | 74 | 79 | 87 | Not enough data available | 84 | Not enough data available | 0.38 | 23% | Medicare shows only a Star Rating for this topic | 95% | 98% | 100% | 100% | 0.38 | 23% | Medicare shows only a Star Rating for this topic | 85 | Not enough data available | 98 | 85% | 88% | 86% | 93% | 89% |
| H1607 | Local CCP | ANTHEM INSURANCE COMPANIES, INC. | Anthem Blue Cross and Blue Shield | Elevance Health Inc | 76% | 80% | 69% | 49% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 35% | 79% | 83% | 75% | 50% | 48% | 87% | 12% | 84% | 62% | 67% | 81 | 86 | 90 | 86 | 85 | 88 | 0.14 | 18% | Medicare shows only a Star Rating for this topic | 100% | 100% | 100% | 100% | 0.14 | 18% | Medicare shows only a Star Rating for this topic | 84 | 87 | 98 | 84% | 90% | 89% | 89% | 83% |
| H7522 | Local CCP | MMM HEALTHCARE, LLC | Medicare y Mucho Mas | Elevance Health Inc | No data available | 74% | 46% | 50% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 72% | 80% | 77% | 69% | Not enough data available | 82% | No data available | No data available | 47% | 46% | 82 | 86 | 92 | 90 | 94 | Not enough data available | Not enough data available | Not enough data available | Not enough data available | Not enough data available | Not enough data available | Not enough data available | Not enough data available | Not enough data available | Not enough data available | Medicare shows only a Star Rating for this topic | 94 | 91 | Not enough data available | 84% | 84% | 78% | Not enough data available | 90% |
| H2441 | Local CCP | ANTHEM INSURANCE COMPANIES, INC. | Anthem Blue Cross and Blue Shield | Elevance Health 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 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 | 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 | 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 | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured |
| S5960 | PDP | WELLPOINT LIFE AND HEALTH INSURANCE COMPANY | Wellpoint | Elevance Health Inc | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 0.09 | Not enough data available | Medicare shows only a Star Rating for this topic | 83 | 87 | Not enough data available | 87% | 87% | 87% | 64% | 82% |
| H4004 | Local CCP | MMM HEALTHCARE, LLC | PMC Medicare Choice | Elevance Health Inc | 90% | 95% | 56% | 58% | 90% | 100% | 100% | 86% | 93% | 90% | 92% | 67% | 46% | 89% | 10% | 94% | 53% | 59% | 76 | 85 | 90 | 88 | 91 | 85 | 0.13 | 38% | Medicare shows only a Star Rating for this topic | 99% | 96% | 100% | 98% | 0.13 | 38% | Medicare shows only a Star Rating for this topic | 92 | 89 | 99 | 85% | 86% | 80% | 94% | 94% |
| H5422 | Local CCP | BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA | Anthem Blue Cross and Blue Shield | Elevance Health Inc | 69% | 66% | 57% | 49% | 65% | 95% | 91% | 26% | 72% | 80% | 67% | 59% | 44% | 65% | 12% | 83% | 48% | 46% | 81 | 87 | 90 | 87 | 89 | Not enough data available | 0.55 | 36% | Medicare shows only a Star Rating for this topic | 95% | 100% | 100% | 100% | 0.55 | 36% | Medicare shows only a Star Rating for this topic | 88 | Not enough data available | 98 | 80% | 84% | 82% | 90% | 82% |
| S5596 | PDP | ANTHEM INSURANCE COMPANIES, INC. | Anthem / Anthem or Blue KC in Missouri | Elevance Health Inc | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 100% | 0.04 | 8% | Medicare shows only a Star Rating for this topic | 83 | 87 | 98 | 86% | 89% | 88% | 67% | 82% |