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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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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| H3907 | Local CCP | UPMC HEALTH PLAN, INC. | UPMC for Life | UPMC Health System | 78% | 76% | 75% | 44% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 42% | 83% | 90% | 80% | 50% | 39% | 84% | 10% | 87% | 75% | 62% | 84 | 87 | 93 | 89 | 92 | 88 | 0.04 | 5% | Medicare shows only a Star Rating for this topic | 99% | 98% | 84% | 86% | 0.04 | 5% | Medicare shows only a Star Rating for this topic | 90 | 92 | 99 | 90% | 93% | 92% | 87% | 87% |
| H3909 | Local CCP | QCC INSURANCE COMPANY | Independence Blue Cross | Independence Health Group Inc | 79% | 74% | 81% | 57% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 47% | 75% | 86% | 75% | 56% | 51% | 75% | 10% | 89% | 64% | 72% | 81 | 84 | 92 | 87 | 89 | 86 | 0.11 | 4% | Medicare shows only a Star Rating for this topic | 97% | 100% | 97% | 95% | 0.11 | 4% | Medicare shows only a Star Rating for this topic | 87 | 89 | 97 | 85% | 91% | 88% | 89% | 86% |
| H3916 | Local CCP | HIGHMARK SENIOR HEALTH COMPANY | Highmark Blue Cross Blue Shield or Highmark Blue S | Highmark Health | 78% | 83% | 74% | 45% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 44% | 77% | 88% | 81% | 50% | 46% | 86% | 11% | 84% | 74% | 63% | 81 | 85 | 91 | 87 | 88 | 87 | 0.07 | 4% | Medicare shows only a Star Rating for this topic | 99% | 99% | 100% | 98% | 0.07 | 4% | Medicare shows only a Star Rating for this topic | 88 | 91 | 99 | 89% | 92% | 91% | 80% | 85% |
| H3923 | Local CCP | CAPITAL ADVANTAGE INSURANCE COMPANY | Capital Blue Cross | CAPITAL BLUE CROSS | 78% | 79% | 74% | 46% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 14% | 85% | 86% | 73% | 52% | 41% | 82% | 10% | 86% | 72% | 62% | 83 | 84 | 91 | 87 | 88 | 88 | 0.08 | 8% | Medicare shows only a Star Rating for this topic | 99% | 97% | 100% | 98% | 0.08 | 8% | Medicare shows only a Star Rating for this topic | 87 | 89 | 99 | 90% | 91% | 89% | 80% | 85% |
| H3924 | Local CCP | GEISINGER INDEMNITY INSURANCE COMPANY | Geisinger Gold | Risant Health Inc | 77% | 75% | 74% | 43% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 35% | 83% | 89% | 80% | 51% | 49% | 88% | 8% | 86% | 83% | 60% | 79 | 84 | 93 | 89 | 90 | 89 | 0.09 | 7% | Medicare shows only a Star Rating for this topic | 100% | 92% | 97% | 98% | 0.09 | 7% | Medicare shows only a Star Rating for this topic | 90 | 92 | 97 | 88% | 92% | 91% | 94% | 84% |
| H3928 | Local CCP | AETNA HEALTH INC. (LA) | Aetna Medicare | CVS Health Corporation | 73% | 69% | 66% | 46% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 74% | 93% | 74% | Not enough data available | Not enough data available | 96% | No data available | No data available | 56% | 56% | 87 | 89 | 93 | 90 | 91 | Not enough data available | 0.37 | 27% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 100% | 97% | 0.37 | 27% | Medicare shows only a Star Rating for this topic | 90 | 91 | 99 | 88% | 89% | 87% | 97% | 86% |
| H3931 | Local CCP | AETNA HEALTH INC. (PA) | Aetna Medicare | CVS Health Corporation | 74% | 71% | 68% | 49% | No data available | No data available | No data available | 50% | 76% | 94% | 77% | 60% | 39% | 94% | 12% | 85% | 55% | 57% | 81 | 82 | 89 | 86 | 88 | 86 | 0.17 | 15% | Medicare shows only a Star Rating for this topic | 91% | 97% | 100% | 97% | 0.17 | 15% | Medicare shows only a Star Rating for this topic | 87 | 90 | 99 | 85% | 90% | 89% | 85% | 85% |
| H3949 | Local CCP | BRAVO HEALTH PENNSYLVANIA, INC. | Cigna Healthcare | The Cigna Group | 73% | 74% | 78% | 55% | 57% | 96% | 97% | 47% | 75% | 84% | 76% | 70% | 54% | 85% | 12% | 90% | 68% | 54% | 79 | 83 | 90 | Not enough data available | 85 | 89 | 0.22 | 23% | Medicare shows only a Star Rating for this topic | 99% | 98% | 95% | 97% | 0.22 | 23% | Medicare shows only a Star Rating for this topic | 86 | 88 | 99 | 86% | 89% | 87% | 90% | 90% |
| H3952 | Local CCP | KEYSTONE HEALTH PLAN EAST, INC. | Independence Blue Cross | Independence Health Group Inc | 77% | 76% | 81% | 50% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 51% | 76% | 89% | 77% | 58% | 46% | 73% | 10% | 88% | 62% | 71% | 82 | 86 | 93 | 88 | 90 | 87 | 0.08 | 6% | Medicare shows only a Star Rating for this topic | 98% | 98% | 97% | 95% | 0.08 | 6% | Medicare shows only a Star Rating for this topic | 88 | 91 | 97 | 86% | 90% | 88% | 89% | 88% |
| H3954 | Local CCP | GEISINGER HEALTH PLAN | Geisinger Gold | Risant Health Inc | 76% | 73% | 72% | 42% | 81% | 95% | 98% | 39% | 83% | 89% | 81% | 58% | 41% | 87% | 8% | 86% | 83% | 57% | 80 | 86 | 94 | 88 | 89 | 89 | 0.05 | 9% | Medicare shows only a Star Rating for this topic | 100% | 95% | 97% | 98% | 0.05 | 9% | Medicare shows only a Star Rating for this topic | 89 | 92 | 96 | 89% | 91% | 91% | 95% | 86% |