|
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)
|
D10 - Medication Adherence for Cholesterol (Statins)
|
D11 - MTM Program Completion Rate for CMR
|
D12 - Statin Use in Persons with Diabetes (SUPD)
|
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| H4213 | PFFS | USABLE MUTUAL INSURANCE COMPANY | Arkansas Blue Medicare | USAble Mutual Insurance Company | 65% | 73% | 69% | 36% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 63% | 87% | 74% | 39% | 38% | 70% | 13% | 76% | 54% | 57% | 85 | 87 | 92 | 88 | 86 | 88 | 0.09 | 14% | Medicare shows only a Star Rating for this topic | 100% | 96% | 98% | 97% | 0.09 | 14% | Medicare shows only a Star Rating for this topic | 81 | 89 | 98 | 81% | 88% | 85% | 78% | 79% |
| H4227 | Local CCP | VISTA HEALTH PLAN, INC. | VISTA Health Plan Inc. | Independence Health Group Inc | 77% | 69% | 75% | 56% | CMS identified issues with this plan's data | 100% | 94% | 33% | 74% | 76% | 71% | 68% | 46% | 64% | 14% | 90% | 57% | 54% | 84 | 85 | 91 | 87 | 88 | 89 | 0.33 | 19% | Medicare shows only a Star Rating for this topic | 100% | 95% | 97% | 97% | 0.33 | 19% | Medicare shows only a Star Rating for this topic | 89 | 91 | 98 | 84% | 85% | 82% | 91% | 89% |
| H4232 | Local CCP | AMERICAN HEALTH PLAN OF UT, INC. | American Health Advantage of Utah | Mitchell Family Office | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | 90% | 100% | 99% | 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 | 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 | 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 | 84% | 86% | 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 | 100 | 85% | 85% | 90% | Not enough data available | 76% |
| H4279 | Local CCP | UPMC FOR YOU, INC | UPMC for Life Complete Care | UPMC Health System | 69% | 71% | 55% | 39% | 65% | 92% | 90% | 41% | 81% | 85% | 82% | 59% | Not enough data available | 81% | 11% | 87% | 72% | 62% | 81 | 83 | 91 | 87 | 91 | 87 | 0.07 | 10% | Medicare shows only a Star Rating for this topic | 99% | 98% | 84% | 86% | 0.07 | 10% | Medicare shows only a Star Rating for this topic | 91 | 93 | 99 | 90% | 90% | 91% | 87% | 86% |
| H4286 | Local CCP | LEON HEALTH, INC. | Leon Health Inc. | LMC Family Holdings LLC | Not enough data available | 92% | 82% | 56% | CMS identified issues with this plan's data | 100% | 100% | Not enough data available | 94% | 91% | 91% | Not enough data available | Not enough data available | 96% | 9% | 95% | 88% | 83% | 92 | 93 | 94 | 96 | 94 | 95 | 0.06 | 7% | Medicare shows only a Star Rating for this topic | 97% | 100% | 100% | 98% | 0.06 | 7% | Medicare shows only a Star Rating for this topic | 94 | 96 | 96 | 96% | 96% | 94% | 95% | 95% |
| H4346 | Local CCP | HMO COLORADO, INC. | Anthem Blue Cross and Blue Shield | Elevance Health Inc | 61% | 65% | 70% | 52% | 45% | 96% | 91% | 31% | 69% | 76% | 72% | 55% | 42% | 65% | 13% | 87% | 39% | 48% | 78 | Not enough data available | 88 | Not enough data available | 82 | Not enough data available | 0.35 | 28% | Medicare shows only a Star Rating for this topic | 96% | 100% | 100% | 100% | 0.35 | 28% | Medicare shows only a Star Rating for this topic | 86 | Not enough data available | 98 | 84% | 87% | 87% | 87% | 87% |
| H4407 | Local CCP | HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. | Cigna Healthcare | The Cigna Group | 80% | 83% | 71% | 41% | 79% | 97% | 97% | 67% | 79% | 87% | 74% | 53% | 44% | 86% | 10% | 88% | 72% | 60% | 86 | 88 | 92 | 87 | 87 | 90 | 0.15 | 12% | Medicare shows only a Star Rating for this topic | 100% | 94% | 95% | 97% | 0.15 | 12% | Medicare shows only a Star Rating for this topic | 87 | 91 | 100 | 84% | 89% | 88% | 91% | 87% |
| H4439 | Local CCP | PROVIDER PARTNERS HEALTH PLAN OF NORTH CAROLINA | Provider Partners Health Plans | Rifkin Managed Care Holding LLC | 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 | 73% | 80% | 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 |
| H4444 | Local CCP | PROVIDER PARTNERS HEALTH PLAN OF INDIANA | Provider Partners Health Plan of Indiana | Rifkin Managed Care Holding LLC | 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 |
| H4461 | Local CCP | CARITEN HEALTH PLAN INC. | Humana | Humana Inc | 77% | 75% | 71% | 49% | 77% | 96% | 98% | 53% | 81% | 89% | 77% | 62% | 50% | 85% | 10% | 87% | 65% | 61% | 84 | 87 | 91 | 89 | 90 | 89 | 0.15 | 14% | Medicare shows only a Star Rating for this topic | 98% | 98% | 98% | 97% | 0.15 | 14% | Medicare shows only a Star Rating for this topic | 91 | 92 | 85 | 85% | 90% | 89% | 81% | 86% |