Measure Data : 2025

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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)
H9001	Local CCP	FALLON COMMUNITY HEALTH PLAN	Fallon Health	Fallon Community Health Plan Inc	82%	80%	74%	48%	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	63%	77%	81%	71%	51%	40%	71%	12%	94%	53%	78%	80	85	93	87	89	85	0.09	7%	Medicare shows only a Star Rating for this topic	99%	96%	92%	97%	0.09	7%	Medicare shows only a Star Rating for this topic	87	90	98	88%	91%	90%	86%	90%
H6130	MSA	FENYX HEALTH INSURANCE COMPANY	Fenyx Health	Fenyx Health Holdings 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	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 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
H3467	Local CCP	PROCARE ADVANTAGE, LLC	ProCare Advantage	First Sacramento Capital Funding LLC	Not enough data available	Not enough data available	Plan too small to be measured	No data available	95%	71%	98%	Not enough data available	Not enough data available	Not enough data available	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	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	Not enough data available	8%	Not enough data available	Not enough data available	Not enough data available	89%	94%	Not enough data available	8%	Medicare shows only a Star Rating for this topic	Plan too small to be measured	Plan too small to be measured	100	85%	57%	75%	98%	85%
H9656	Local CCP	BLUE CROSS OF IDAHO CARE PLUS, INC.	Blue Cross of Idaho	Gemstone Holdings 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	91%	94%	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
H1350	Local CCP	BLUE CROSS OF IDAHO CARE PLUS, INC.	Blue Cross of Idaho	Gemstone Holdings Inc	71%	72%	68%	45%	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	36%	73%	87%	78%	55%	50%	80%	12%	85%	77%	62%	81	81	89	86	87	87	0.06	4%	Medicare shows only a Star Rating for this topic	99%	97%	91%	94%	0.06	4%	Medicare shows only a Star Rating for this topic	88	89	99	84%	89%	88%	90%	77%
H1302	Local CCP	BLUE CROSS OF IDAHO CARE PLUS, INC.	Blue Cross of Idaho	Gemstone Holdings Inc	60%	64%	56%	41%	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Benefit not offered by plan	No data available	16%	76%	43%	Not enough data available	69%	No data available	Benefit not offered by plan	56%	No data available	82	84	91	84	86	86	0	Not enough data available	Medicare shows only a Star Rating for this topic	Not enough data available	Not enough data available	91%	Not enough data available	0	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
H1526	Local CCP	GOLD KIDNEY OF FLORIDA INC	Gold Kidney Health Plan	Gold Kidney Health Plan	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	58%	59%	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
H4869	Local CCP	GOLD KIDNEY OF ARIZONA	Gold Kidney Health Plan	Gold Kidney Health Plan	Plan too small to be measured	Plan too small to be measured	Plan too small to be measured	Plan too new to be measured	72%	64%	85%	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 new to be measured	Plan too new 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	58%	59%	Not enough data available	Not enough data available	Not enough data available	Plan too small to be measured	Plan too small to be measured	98	Not enough data available	76%	86%	Not enough data available	Not enough data available
H8014	Local CCP	CLEAR SPRING HEALTH INSURANCE COMPANY	Clear Spring Health	Group 1001	Plan too small to be measured	Plan too small to be measured	Plan too small 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 small to be measured	Plan too small to be measured	Plan too small to be measured	Plan too small to be measured	Plan too new to be measured	Plan too new 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	86%	91%	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
H3071	Local CCP	CLEAR SPRING HEALTH COMMUNITY CARE, INC.	Clear Spring Health	Group 1001	63%	67%	61%	54%	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Not enough data available	68%	81%	85%	Not enough data available	Not enough data available	88%	16%	76%	59%	41%	80	Not enough data available	87	Not enough data available	84	Not enough data available	0.74	27%	Medicare shows only a Star Rating for this topic	100%	82%	86%	91%	0.74	27%	Medicare shows only a Star Rating for this topic	83	Not enough data available	100	83%	85%	84%	84%	85%

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