hcontract
|
org type
|
contract name
|
org marketing name
|
parent org
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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)
|
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H4471 | Local CCP | BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC. | Anthem Blue Cross | 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 |
H4490 | Local CCP | AMERICAN HEALTH PLAN OF MISSOURI, INC. | American Health Advantage of Missouri | 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 | 98% | 100% | 100% | 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 | 93% | 87% | 85% | 97% | 85% |
H4497 | Local CCP | MEDICAL MUTUAL OF OHIO | Medical Mutual of Ohio | MEDICAL MUTUAL OF OHIO | 78% | 76% | 73% | 55% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 24% | 76% | 83% | 78% | 50% | 47% | 72% | 16% | 85% | 53% | 64% | 84 | 85 | 93 | 88 | 89 | 88 | 0.09 | 10% | Medicare shows only a Star Rating for this topic | 87% | 96% | 100% | 98% | 0.09 | 10% | Medicare shows only a Star Rating for this topic | 88 | 89 | 99 | 88% | 91% | 89% | 86% | 83% |
H4499 | Local CCP | SENTARA HEALTH PLANS | Sentara Medicare | Sentara Health Care SHC | 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 |
H4506 | Local CCP | SELECTCARE OF TEXAS, INC. | Wellcare | Centene Corporation | 74% | 75% | 76% | 46% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 41% | 77% | 85% | 76% | 58% | 42% | 69% | 9% | 88% | 52% | 56% | 82 | 84 | 89 | 86 | 86 | 85 | 0.23 | 19% | Medicare shows only a Star Rating for this topic | 83% | 96% | 98% | 100% | 0.23 | 19% | Medicare shows only a Star Rating for this topic | 89 | 89 | 99 | 87% | 90% | 89% | 95% | 91% |
H4513 | Local CCP | HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. | Cigna Healthcare | The Cigna Group | 79% | 80% | 71% | 49% | 69% | 96% | 97% | 59% | 81% | 87% | 79% | 57% | 51% | 88% | 11% | 89% | 65% | 57% | 84 | 86 | 92 | 88 | 89 | 86 | 0.3 | 17% | Medicare shows only a Star Rating for this topic | 99% | 97% | 95% | 97% | 0.3 | 17% | Medicare shows only a Star Rating for this topic | 89 | 90 | 100 | 86% | 90% | 89% | 93% | 90% |
H4514 | Local CCP | UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C. | UnitedHealthcare | UnitedHealth Group Inc | 69% | 78% | 69% | 54% | 78% | 92% | 95% | 29% | 80% | 82% | 78% | 66% | 47% | 46% | 11% | 84% | 39% | 57% | 83 | 84 | 88 | 88 | 89 | 86 | 0.27 | 18% | Medicare shows only a Star Rating for this topic | 99% | 99% | 98% | 100% | 0.27 | 18% | Medicare shows only a Star Rating for this topic | 89 | 89 | 99 | 86% | 87% | 86% | 88% | 89% |
H4523 | Local CCP | AETNA HEALTH INC. (TX) | Aetna Medicare | CVS Health Corporation | 69% | 74% | 72% | 50% | No data available | No data available | No data available | 46% | 81% | 96% | 77% | 59% | 34% | 95% | 12% | 89% | 54% | 54% | 83 | 86 | 87 | 89 | 88 | 86 | 0.21 | 19% | Medicare shows only a Star Rating for this topic | 92% | 97% | 100% | 97% | 0.21 | 19% | Medicare shows only a Star Rating for this topic | 89 | 90 | 99 | 86% | 89% | 88% | 92% | 89% |
H4527 | Local CCP | PHYSICIANS HEALTH CHOICE OF TEXAS, LLC | UnitedHealthcare | UnitedHealth Group Inc | 79% | 81% | 74% | 54% | 77% | 98% | 99% | 40% | 84% | 89% | 84% | 61% | 52% | 70% | 12% | 88% | 55% | 60% | 83 | 86 | 91 | 88 | 90 | 86 | 0.12 | 17% | Medicare shows only a Star Rating for this topic | 99% | 99% | 98% | 100% | 0.12 | 17% | Medicare shows only a Star Rating for this topic | 90 | 89 | 99 | 86% | 90% | 89% | 87% | 90% |
H4537 | Local CCP | WELLCARE HEALTH INSURANCE COMPANY OF OKLAHOMA, INC | Wellcare | Centene Corporation | Not enough data available | 54% | Plan too small to be measured | Plan too small to be measured | 47% | Not enough data available | Not enough data available | Not enough data available | No data available | 74% | 76% | Plan too small to be measured | Plan too small to be measured | 59% | No data available | Not enough data available | 45% | Not enough data available | 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 | 98% | 100% | 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 | 98 | 84% | 90% | 87% | 79% | 76% |