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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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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| H4704 | Local CCP | ANTHEM BLUE CROSS LIFE AND HEALTH INS COMPANY | Anthem Blue Cross Life and Health Insurance Compan | 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 | Not enough data available | Plan too new to be measured | Not enough data available | Not enough data available | 100% | 100% | Plan too new to be measured | 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 |
| R4487 | Regional CCP | ANTHEM INSURANCE COMPANIES, INC. | Anthem Blue Cross and Blue Shield | Elevance Health Inc | 70% | 73% | 71% | 43% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 24% | 68% | 84% | 73% | 55% | 41% | 83% | 12% | 80% | 59% | 62% | 84 | 88 | 90 | 88 | 86 | 88 | 0.05 | 12% | Medicare shows only a Star Rating for this topic | 96% | 100% | 100% | 100% | 0.05 | 12% | Medicare shows only a Star Rating for this topic | 85 | 88 | 98 | 86% | 89% | 88% | 86% | 81% |
| H7093 | Local CCP | COMMUNITY INSURANCE COMPANY | Anthem Blue Cross and Blue Shield | Elevance Health Inc | 74% | 70% | 64% | 46% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 43% | 71% | 78% | 77% | 50% | 38% | 70% | 11% | 76% | 53% | 61% | 81 | 86 | 92 | 86 | 87 | 86 | 0.21 | 27% | Medicare shows only a Star Rating for this topic | 100% | 100% | 100% | 100% | 0.21 | 27% | Medicare shows only a Star Rating for this topic | 86 | Not enough data available | 98 | 81% | 88% | 88% | 88% | 82% |
| H2593 | Local CCP | WELLPOINT TEXAS, INC. | Wellpoint | Elevance Health Inc | 54% | 56% | 74% | 49% | CMS identified issues with this plan's data | 94% | 86% | Not enough data available | 60% | 72% | 65% | 72% | 38% | 61% | 11% | 83% | 40% | 46% | Not enough data available | Not enough data available | Not enough data available | Not enough data available | 83 | Not enough data available | 0.2 | 19% | Medicare shows only a Star Rating for this topic | 100% | 96% | 100% | 100% | 0.2 | 19% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 98 | 83% | 83% | 83% | 85% | 88% |
| H6078 | Local CCP | Group Retiree Health Solutions, Inc. | Blue Medicare Advantage | Elevance Health Inc | 75% | 73% | 75% | 47% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 31% | 67% | 84% | 72% | 52% | 45% | 68% | 11% | 80% | 53% | 63% | 81 | 83 | 90 | 87 | 90 | 86 | 0.04 | Not enough data available | Medicare shows only a Star Rating for this topic | 89% | 100% | Not enough data available | Not enough data available | 0.04 | Not enough data available | Medicare shows only a Star Rating for this topic | 86 | 87 | Not enough data available | 87% | 91% | 88% | 91% | 83% |
| H8552 | Local CCP | ANTHEM BLUE CROSS LIFE AND HEALTH INS COMPANY | Anthem Blue Cross Life and Health Insurance Compan | Elevance Health Inc | 58% | 62% | 66% | 45% | CMS identified issues with this plan's data | 95% | 91% | 27% | 64% | 72% | 68% | 58% | 40% | 58% | 11% | 85% | 43% | 52% | 75 | Not enough data available | Not enough data available | Not enough data available | 79 | Not enough data available | 0.32 | 11% | Medicare shows only a Star Rating for this topic | 98% | 100% | 100% | 100% | 0.32 | 11% | Medicare shows only a Star Rating for this topic | 81 | Not enough data available | 97 | 82% | 84% | 83% | 89% | 81% |
| H9065 | Local CCP | AMH HEALTH, LLC | AMH Health | Elevance Health Inc | 75% | 78% | 73% | 47% | 60% | 97% | 94% | 26% | 74% | 81% | 74% | 60% | 47% | 86% | 11% | 86% | 61% | 56% | 81 | 81 | Not enough data available | 84 | 82 | 86 | 0.12 | 20% | Medicare shows only a Star Rating for this topic | 96% | 96% | 100% | 100% | 0.12 | 20% | Medicare shows only a Star Rating for this topic | 84 | 85 | 98 | 87% | 90% | 89% | 89% | 83% |
| H3447 | Local CCP | HEALTHKEEPERS, INC. | Anthem HealthKeepers | Elevance Health Inc | 69% | 72% | 61% | 45% | 64% | 99% | 96% | 30% | 74% | 82% | 72% | 61% | 42% | 83% | 12% | 85% | 54% | 61% | 82 | 84 | 89 | 86 | 86 | 88 | 0.23 | 20% | Medicare shows only a Star Rating for this topic | 98% | 98% | 100% | 100% | 0.23 | 20% | Medicare shows only a Star Rating for this topic | 86 | 88 | 98 | 83% | 87% | 86% | 90% | 84% |
| 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% |
| S2893 | PDP | ANTHEM INSURANCE CO. & BCBSMA & BCBSRI & BCBSVT | Blue MedicareRx | Elevance Health Inc and BCBSMA and BCBSRI and BCBSVT | 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 | 90% | 0.02 | 2% | Medicare shows only a Star Rating for this topic | 83 | 87 | 96 | 88% | 90% | 89% | 66% | 83% |