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Measure Data : 2025

{"page":"35","controller":"webapps/rptcmsdatasheet","action":"list","rpt":"measuredata","yrtype":"2025"}
hcontract
org type
contract name
org marketing name
parent org
C01 - Breast Cancer Screening
C02 - Colorectal Cancer Screening
C03 - Annual Flu Vaccine
C04 - Monitoring Physical Activity
C05 - Special Needs Plan (SNP) Care Management
C06 - Care for Older Adults - Medication Review
C07 - Care for Older Adults - Pain Assessment
C08 - Osteoporosis Management in Women who had a Fracture
C09 - Diabetes Care - Eye Exam
C10 - Diabetes Care - Blood Sugar Controlled
C11 - Controlling Blood Pressure
C12 - Reducing the Risk of Falling
C13 - Improving Bladder Control
C14 - Medication Reconciliation Post-Discharge
C15 - Plan All-Cause Readmission
C16 - Statin Therapy for Patients with Cardiovascular Disease
C17 - Transitions of Care
C18 - Follow-up after Emergency Department Visit for People with Multiple High-Risk Chronic Conditions
C19 - Getting Needed Care
C20 - Getting Appointments and Care Quickly
C21 - Customer Service
C22 - Rating of Health Care Quality
C23 - Rating of Health Plan
C24 - Care Coordination
C25 - Complaints about the Health Plan
C26 - Members Choosing to Leave the Plan
C27 - Health Plan Quality Improvement
C28 - Plan Makes Timely Decisions about Appeals
C29 - Reviewing Appeals Decisions
C30 - Call Center - Foreign Language Interpreter and TTY Availability
D01 - Call Center - Foreign Language Interpreter and TTY Availability
D02 - Complaints about the Drug Plan
D03 - Members Choosing to Leave the Plan
D04 - Drug Plan Quality Improvement
D05 - Rating of Drug Plan
D06 - Getting Needed Prescription Drugs
D07 - MPF Price Accuracy
D08 - Medication Adherence for Diabetes Medications
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)
H3330 Local CCP HEALTH INSURANCE PLAN OF GREATER NEW YORK EmblemHealth EmblemHealth Inc 81% 77% 75% 54% Plan not required to report measure Plan not required to report measure Plan not required to report measure 32% 76% 86% 76% 63% 34% 63% 11% 86% 67% 52% 79 79 90 84 85 84 0.21 1% Medicare shows only a Star Rating for this topic 97% 95% 97% 100% 0.21 1% Medicare shows only a Star Rating for this topic 87 87 99 86% 89% 86% 56% 88%
H5528 Local CCP EMBLEMHEALTH PLAN, INC. EmblemHealth EmblemHealth Inc 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 not required to report measure Plan not required to report measure Plan not required to report measure 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 Not enough data available Not enough data available Not enough data available Not enough data available Not enough data available 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 required to report Not enough data available
S5966 PDP EMBLEMHEALTH PLAN, INC EmblemHealth EmblemHealth Inc 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 Not enough data available 0.03 Not enough data available Medicare shows only a Star Rating for this topic 86 89 Not enough data available 85% 89% 87% 65% 84%
H3528 Local CCP CONNECTICARE, INC. ConnectiCare EmblemHealth Inc 80% 82% 82% 52% Plan not required to report measure Plan not required to report measure Plan not required to report measure 24% 78% 85% 83% 48% 50% 73% 12% 85% 75% 55% 80 82 90 86 85 85 0.04 9% Medicare shows only a Star Rating for this topic 96% 97% 97% 97% 0.04 9% Medicare shows only a Star Rating for this topic 84 89 99 90% 93% 92% 51% 85%
H5991 Local CCP HEALTH INSURANCE PLAN OF GREATER NEW YORK EmblemHealth EmblemHealth Inc 72% 70% Plan too small to be measured 51% 43% 88% 88% Not enough data available 77% 74% 77% 72% Not enough data available 53% 13% 85% 65% 48% 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 0.51 71% Medicare shows only a Star Rating for this topic Not enough data available Not enough data available 97% 100% 0.51 71% Medicare shows only a Star Rating for this topic Plan too small to be measured Plan too small to be measured 99 89% 89% 85% 55% 93%
H3276 Local CCP CONNECTICARE INSURANCE COMPANY, INC. ConnectiCare EmblemHealth Inc 78% 73% 69% 55% 36% 92% 94% Not enough data available 73% 72% 85% Not enough data available Not enough data available 62% 14% 86% 69% 50% 81 Not enough data available Not enough data available Not enough data available 87 Not enough data available 0.12 17% Medicare shows only a Star Rating for this topic Not enough data available Not enough data available 97% 97% 0.12 17% Medicare shows only a Star Rating for this topic 85 Not enough data available 99 86% 89% 88% 45% 87%
H1280 Local CCP ETERNALHEALTH, INC. eternalHealth Eternal Health of Delaware Inc 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 not required to report measure Plan not required to report measure Plan not required to report measure 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 97% 92% Not enough data available Not enough data available Not enough data available Plan too small to be measured Plan too small to be measured 99 Not enough data available Not enough data available Not enough data available Not enough data available Not enough data available
H3551 Local CCP ETERNALHEALTH OF ARIZONA INC eternalHealth Eternal Health of Delaware 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 not required to report measure Plan not required to report measure Plan not required to report measure 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 97% 92% 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
H2694 Local CCP ETERNALHEALTH, INC. eternalHealth Eternal Health of Delaware Inc 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 not required to report measure Plan not required to report measure Plan not required to report measure 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 97% 92% Not enough data available Not enough data available Not enough data available Plan too small to be measured Plan too small to be measured 99 Not enough data available 77% 86% Not enough data available Not enough data available
H8928 Local CCP FALLON COMMUNITY HEALTH PLAN Fallon Health Fallon Community Health Plan Inc 72% 68% 75% 54% 100% 96% 100% 73% 77% 80% 71% 73% 50% 93% 11% 93% 59% 78% 79 82 89 86 90 83 0.08 4% Medicare shows only a Star Rating for this topic 100% 94% 89% 95% 0.08 4% Medicare shows only a Star Rating for this topic 90 89 98 90% 89% 88% 90% 92%
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