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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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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| H3957 | Local CCP | HIGHMARK CHOICE COMPANY | Highmark Blue Cross Blue Shield or Highmark Blue S | Highmark Health | 74% | 74% | 76% | 43% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 49% | 80% | 91% | 85% | 57% | 44% | 90% | 11% | 87% | 77% | 64% | 83 | 85 | 92 | 88 | 88 | 88 | 0.04 | 8% | Medicare shows only a Star Rating for this topic | 99% | 99% | 100% | 98% | 0.04 | 8% | Medicare shows only a Star Rating for this topic | 88 | 91 | 99 | 88% | 92% | 91% | 86% | 89% |
| H3959 | Local CCP | AETNA HEALTH INC. (PA) | Aetna Medicare | CVS Health Corporation | 74% | 74% | 71% | 46% | 75% | 100% | 94% | 54% | 79% | 94% | 86% | 53% | 45% | 92% | 13% | 87% | 54% | 57% | 84 | 86 | 92 | 89 | 91 | 89 | 0.17 | 12% | Medicare shows only a Star Rating for this topic | 90% | 97% | 100% | 97% | 0.17 | 12% | Medicare shows only a Star Rating for this topic | 90 | 92 | 99 | 87% | 91% | 90% | 91% | 87% |
| H3962 | Local CCP | KEYSTONE HEALTH PLAN CENTRAL, INC. | Capital Blue Cross | CAPITAL BLUE CROSS | 72% | 74% | 71% | 46% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 25% | 76% | 85% | 75% | 62% | 43% | 83% | 10% | 87% | 74% | 63% | 84 | 88 | 92 | 88 | 89 | 89 | 0.04 | 10% | Medicare shows only a Star Rating for this topic | 98% | 98% | 100% | 98% | 0.04 | 10% | Medicare shows only a Star Rating for this topic | 87 | 91 | 99 | 89% | 90% | 89% | 81% | 86% |
| H3975 | Local CCP | WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC | Wellcare | Centene Corporation | 63% | 60% | 62% | 33% | 69% | 98% | 94% | Not enough data available | 68% | 84% | 68% | Not enough data available | Not enough data available | 64% | 11% | 82% | 55% | 58% | 84 | 89 | 88 | 87 | 84 | 90 | 0.38 | 42% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 98% | 100% | 0.38 | 42% | Medicare shows only a Star Rating for this topic | 84 | 91 | 99 | 83% | 88% | 88% | 89% | 82% |
| H3979 | Local CCP | GHS HEALTH MAINTENANCE ORGANIZATION, INC. | Blue Cross and Blue Shield of Oklahoma | Health Care Service Corporation | 69% | 76% | 72% | 45% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 73% | 87% | 76% | 49% | 49% | 82% | 13% | 84% | 74% | 45% | 85 | 87 | 92 | 88 | 88 | 87 | 0.1 | 11% | Medicare shows only a Star Rating for this topic | 100% | 96% | 100% | 100% | 0.1 | 11% | Medicare shows only a Star Rating for this topic | 87 | 91 | 99 | 88% | 89% | 88% | 93% | 83% |
| H4003 | Local CCP | MMM HEALTHCARE, LLC | Medicare y Mucho Mas | Elevance Health Inc | 89% | 89% | 66% | 53% | 91% | 99% | 99% | 79% | 92% | 92% | 92% | 71% | 46% | 93% | 11% | 93% | 54% | 59% | 77 | 81 | 89 | 89 | 91 | 86 | 0.09 | 22% | Medicare shows only a Star Rating for this topic | 100% | 97% | 100% | 98% | 0.09 | 22% | Medicare shows only a Star Rating for this topic | 92 | 90 | 99 | 85% | 86% | 80% | 93% | 95% |
| 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% |
| H4005 | Local CCP | TRIPLE S ADVANTAGE, INC. | Triple-S Advantage | Guidewell Mutual Holding Corporation | 79% | 87% | 60% | 56% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 92% | 90% | 90% | 65% | 55% | 72% | 13% | 84% | 42% | 43% | 76 | 82 | 89 | 88 | 89 | 85 | 0.07 | 3% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 97% | 97% | 0.07 | 3% | Medicare shows only a Star Rating for this topic | 91 | 89 | 98 | 89% | 90% | 84% | 95% | 87% |
| H4007 | Local CCP | HUMANA HEALTH PLANS OF PUERTO RICO, INC. | Humana | Humana Inc | 88% | 88% | 60% | 61% | 74% | 98% | 99% | 72% | 84% | 89% | 88% | 68% | 49% | 89% | 11% | 90% | 48% | 47% | 77 | 81 | 89 | 88 | 92 | 87 | 0.2 | 18% | Medicare shows only a Star Rating for this topic | 100% | 95% | 100% | 95% | 0.2 | 18% | Medicare shows only a Star Rating for this topic | 91 | 90 | 88 | 85% | 87% | 81% | 97% | 93% |
| H4036 | Local CCP | ANTHEM INSURANCE COMPANIES, INC. | Anthem Blue Cross and Blue Shield | Elevance Health Inc | 81% | 78% | 74% | 52% | No data available | 98% | 96% | 33% | 74% | 85% | 76% | 58% | 51% | 81% | 11% | 78% | 59% | 61% | 82 | 83 | 89 | 86 | 89 | 86 | 0.09 | 4% | Medicare shows only a Star Rating for this topic | 96% | 99% | 100% | 100% | 0.09 | 4% | Medicare shows only a Star Rating for this topic | 87 | 88 | 98 | 88% | 90% | 89% | 87% | 84% |