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Measure Data : 2025

{"page":"37","controller":"webapps/rptcmsdatasheet","action":"list","rpt":"measuredata","yrtype":"2025"}
hcontract
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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)
H5454 Local CCP CLEAR SPRING HEALTH OF ILLINOIS, INC. 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 small to be measured No data available No data available No 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 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 100 Not enough data available 78% 88% Not enough data available Not enough data available
H6672 Local CCP CLEAR SPRING HEALTH (GA), INC. 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 small to be measured 66% No data available No 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 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 100 Not enough data available Not enough data available Not enough data available Not enough data available Not enough data available
H9589 Local CCP CLEAR SPRING HEALTH (GA), INC. 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 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 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 100 Not enough data available Not enough data available Not enough data available Not enough data available Not enough data available
S6946 PDP CLEAR SPRING HEALTH INSURANCE COMPANY Clear Spring Health Group 1001 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 0.07 17% Medicare shows only a Star Rating for this topic 75 83 99 83% 84% 83% 46% 82%
H6379 Local CCP CLEAR SPRING HEALTH (CO), INC. 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 small to be measured No data available No data available No 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 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 77% 92% 84% Not enough data available Not enough data available
H7598 Local CCP GROUP HEALTH COOPERATIVE OF EAU CLAIRE Group Health Cooperative of Eau Claire Group Health Cooperative of Eau Claire Plan too small to be measured Plan too small to be measured Plan too small to be measured Plan too small to be measured No data available No data available No 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 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 63% 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 Not enough data available Not enough data available Not enough data available Not enough data available Not required to report Not enough data available
H4005 Local CCP TRIPLE S ADVANTAGE, INC. Triple-S Advantage Guidewell Mutual Holding Corporation 79% 87% 60% 56% Plan not required to report measure Plan not required to report measure Plan not required to report measure Not enough data available 92% 90% 90% 65% 55% 72% 13% 84% 42% 43% 76 82 89 88 89 85 0.07 3% Medicare shows only a Star Rating for this topic Not enough data available Not enough data available 97% 97% 0.07 3% Medicare shows only a Star Rating for this topic 91 89 98 89% 90% 84% 95% 87%
H5774 Local CCP TRIPLE S ADVANTAGE, INC. Triple S Advantage Guidewell Mutual Holding Corporation 88% 90% 57% 58% 92% 100% 100% 85% 97% 93% 93% 68% 54% 88% 11% 89% 61% 49% 76 82 90 89 91 86 0.19 17% Medicare shows only a Star Rating for this topic 100% 91% 97% 97% 0.19 17% Medicare shows only a Star Rating for this topic 91 89 98 91% 92% 86% 95% 92%
H1035 Local CCP FLORIDA BLUE MEDICARE, INC. Florida Blue HMO Guidewell Mutual Holding Corporation 77% 76% 67% 55% Plan not required to report measure Plan not required to report measure Plan not required to report measure 38% 71% 86% 77% 50% 41% 59% 10% 84% 40% 61% 81 85 90 87 88 86 0.18 15% Medicare shows only a Star Rating for this topic 98% 95% 94% 92% 0.18 15% Medicare shows only a Star Rating for this topic 89 90 98 85% 89% 87% 90% 88%
H5938 Local CCP CAPITAL HEALTH PLAN Capital Health Plan Guidewell Mutual Holding Corporation 85% 82% 79% 53% Plan not required to report measure Plan not required to report measure Plan not required to report measure 81% 86% 90% 82% 56% 51% 76% 9% 87% 65% 54% 83 87 92 89 93 85 0.03 1% Medicare shows only a Star Rating for this topic 100% 98% 98% 100% 0.03 1% Medicare shows only a Star Rating for this topic 89 90 99 85% 90% 89% 87% 86%
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