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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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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| H4045 | Local CCP | SANTA CLARA COUNTY HEALTH AUTHORITY | Santa Clara Family Health Plan | SANTA CLARA COUNTY HEALTH AUTHORITY | 67% | 67% | 79% | Plan too new to be measured | 24% | 61% | 85% | 38% | 81% | 81% | 63% | Plan too new to be measured | Plan too new to be measured | 49% | 10% | 89% | 50% | 51% | 72 | 75 | 84 | 84 | 86 | 82 | 0.08 | 9% | Not enough data available | 96% | 92% | 70% | 80% | 0.08 | 9% | Not enough data available | 88 | 89 | 98 | 87% | 86% | 85% | 54% | 88% |
| H4054 | Local CCP | PROVIDER PARTNERS HEALTH PLAN OF TEXAS, INC. | Provider Partners Health Plans | Rifkin Managed Care Holding LLC | Not enough data available | 54% | Plan too small to be measured | No data available | 98% | 100% | 100% | Not enough data available | 57% | 68% | 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 | 27% | 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 | 0.45 | 7% | Not enough data available | 50% | 50% | 73% | 80% | 0.45 | 7% | Medicare shows only a Star Rating for this topic | Plan too small to be measured | Plan too small to be measured | 99 | 85% | 71% | 83% | 93% | 82% |
| H4073 | Local CCP | WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC. | Wellcare | Centene Corporation | 67% | 66% | 67% | 50% | 70% | 96% | 89% | Not enough data available | 59% | 76% | 73% | Not enough data available | Not enough data available | 69% | 9% | 86% | 57% | 50% | 81 | Not enough data available | Not enough data available | 87 | 87 | Not enough data available | 0.45 | 49% | Medicare shows only a Star Rating for this topic | 100% | 100% | 98% | 100% | 0.45 | 49% | Medicare shows only a Star Rating for this topic | 86 | Not enough data available | 98 | 85% | 86% | 84% | 92% | 84% |
| H4091 | Local CCP | SIMPRA ADVANTAGE, INC. | Simpra Advantage | Associated Care Ventures Inc | 34% | 71% | Plan too small to be measured | No data available | 100% | 94% | 100% | Not enough data available | 86% | 86% | Not enough data available | No data available | No data available | Not enough data available | 10% | Not enough data available | Not enough data available | 35% | 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 | 6% | Not enough data available | Not enough data available | Not enough data available | 78% | 79% | 0.06 | 6% | Medicare shows only a Star Rating for this topic | Plan too small to be measured | Plan too small to be measured | 97 | 90% | 88% | 91% | 96% | 91% |
| H4093 | Local CCP | PROVIDER PARTNERS HEALTH PLAN OF PENNSYLVANIA, INC | Provider Partners Health Plans | Rifkin Managed Care Holding LLC | Not enough data available | 73% | Plan too small to be measured | No data available | 99% | 100% | 100% | Not enough data available | 89% | 79% | 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 | 23% | 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 | 73% | 80% | 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 | 79% | 81% | 83% | 99% | 90% |
| H4140 | Local CCP | DOCTORS HEALTHCARE PLANS, INC. | Doctors HealthCare Plans Inc. | DOCTORS HEALTHCARE PLANS INC | 82% | 77% | 55% | 68% | 91% | 98% | 97% | 31% | 63% | 88% | 84% | 64% | 53% | 70% | 12% | 88% | 57% | 64% | 83 | 87 | 92 | 92 | 91 | 91 | 0.11 | 26% | Medicare shows only a Star Rating for this topic | 100% | 95% | 100% | 94% | 0.11 | 26% | Medicare shows only a Star Rating for this topic | 91 | 89 | 93 | 83% | 88% | 78% | 86% | 88% |
| H4141 | Local CCP | HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC. | Humana | Humana Inc | 74% | 81% | 63% | 60% | 79% | 98% | 99% | 41% | 82% | 85% | 75% | 58% | 40% | 80% | 11% | 86% | 67% | 54% | 83 | 85 | 91 | 87 | 89 | 86 | 0.17 | 26% | Medicare shows only a Star Rating for this topic | 98% | 97% | 98% | 97% | 0.17 | 26% | Medicare shows only a Star Rating for this topic | 90 | 90 | 84 | 83% | 87% | 85% | 81% | 86% |
| H4152 | 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 | 84% | 81% | 77% | 51% | 80% | 93% | 93% | 42% | 85% | 91% | 81% | 53% | 56% | 84% | 15% | 89% | 68% | 55% | 81 | 85 | 92 | 87 | 90 | 85 | 0.04 | 3% | Medicare shows only a Star Rating for this topic | 98% | 94% | 98% | 98% | 0.04 | 3% | Medicare shows only a Star Rating for this topic | 88 | 90 | 99 | 88% | 92% | 90% | 88% | 90% |
| H4161 | Local CCP | BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC. | Anthem Blue Cross Partnership Plan | Elevance Health Inc | 67% | 73% | 69% | Plan too new to be measured | 60% | No data available | No data available | 42% | 77% | 80% | 71% | Plan too new to be measured | Plan too new to be measured | 56% | 10% | 87% | 37% | 41% | 69 | Not enough data available | Not enough data available | Not enough data available | 80 | Not enough data available | 0.73 | 22% | Not enough data available | 89% | 96% | 100% | 100% | 0.73 | 22% | Not enough data available | 85 | Not enough data available | 98 | 90% | 90% | 88% | 89% | 89% |
| H4172 | Local CCP | NHC ADVANTAGE, LLC | NHC Advantage | Missouri Healthcare Advisors LLC | Not enough data available | 57% | Plan too small to be measured | No data available | 96% | 97% | 100% | Not enough data available | 90% | 68% | Not enough data available | No data available | No data available | Not enough data available | 12% | Not enough data available | Not enough data available | 55% | 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 | 0.14 | 2% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 89% | 97% | 0.14 | 2% | Medicare shows only a Star Rating for this topic | Plan too small to be measured | Plan too small to be measured | 100 | 86% | 88% | 94% | 95% | 83% |