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)
|
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
H5008 | Local CCP | CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO. | UnitedHealthcare | UnitedHealth Group Inc | 65% | 71% | 61% | 49% | 78% | 93% | 97% | 36% | 77% | 84% | 69% | 65% | 45% | 66% | 12% | 87% | 59% | 58% | 79 | 79 | 87 | 84 | 87 | 83 | 0.25 | 22% | Medicare shows only a Star Rating for this topic | 99% | 98% | 98% | 100% | 0.25 | 22% | Medicare shows only a Star Rating for this topic | 87 | 87 | 99 | 85% | 85% | 85% | 86% | 85% |
H5009 | Local CCP | REGENCE BLUESHIELD | Regence BlueShield | Cambia Health Solutions Inc | 73% | 73% | 73% | 49% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 40% | 68% | 87% | 68% | 45% | 51% | 56% | 9% | 86% | 64% | 59% | 76 | 76 | 90 | 83 | 82 | 85 | 0.1 | 8% | Medicare shows only a Star Rating for this topic | 100% | 97% | 98% | 97% | 0.1 | 8% | Medicare shows only a Star Rating for this topic | 83 | 90 | 99 | 88% | 91% | 90% | 73% | 83% |
H5010 | Local CCP | ASURIS NORTHWEST HEALTH | Asuris Northwest Health | Cambia Health Solutions Inc | 68% | 83% | 68% | 48% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 68% | 83% | 69% | 50% | 47% | 68% | No data available | 78% | 78% | 49% | 79 | 80 | 90 | 85 | 85 | 85 | 0 | 6% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 98% | 97% | 0 | 6% | Medicare shows only a Star Rating for this topic | 83 | 88 | 98 | 82% | 91% | 90% | 72% | 78% |
H5015 | Local CCP | TEXAS INDEPENDENCE HEALTH PLAN, INC. | Texas Independence Health Plan | Regency ISNP Holdings LLC | Not enough data available | 81% | Plan too small to be measured | No data available | 94% | 97% | 98% | Not enough data available | 91% | 85% | 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 | 90% | 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 | 0.08 | 4% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 83% | 80% | 0.08 | 4% | Medicare shows only a Star Rating for this topic | Plan too small to be measured | Plan too small to be measured | 99 | 89% | 90% | 95% | 96% | 88% |
H5042 | Local CCP | CDPHP UNIVERSAL BENEFITS, INC. | CDPHP Medicare Advantage | Capital District Physicians Health Plan Inc | 87% | 86% | 78% | 53% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 45% | 83% | 89% | 84% | 53% | 49% | 78% | 10% | 87% | 77% | 62% | 82 | 86 | 93 | 87 | 91 | 87 | 0.04 | 5% | Medicare shows only a Star Rating for this topic | 100% | 100% | 98% | 100% | 0.04 | 5% | Medicare shows only a Star Rating for this topic | 88 | 89 | 92 | 86% | 90% | 87% | 86% | 83% |
H5050 | Local CCP | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON | Kaiser Permanente | Kaiser Foundation Health Plan Inc | 81% | 87% | 86% | 46% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 72% | 86% | 90% | 86% | 48% | 42% | 92% | 11% | 88% | 88% | 63% | 77 | 76 | 92 | 86 | 86 | 87 | 0.06 | 2% | Medicare shows only a Star Rating for this topic | 96% | 98% | 98% | 100% | 0.06 | 2% | Medicare shows only a Star Rating for this topic | 92 | 94 | 100 | 91% | 93% | 93% | 94% | 89% |
H5087 | Local CCP | WELLCARE OF CALIFORNIA, INC. | Wellcare | Centene Corporation | 69% | 72% | 68% | 53% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 50% | 77% | 83% | 72% | 48% | Not enough data available | 73% | 11% | 83% | 41% | 46% | 74 | Not enough data available | Not enough data available | Not enough data available | 85 | Not enough data available | 0.47 | 24% | Medicare shows only a Star Rating for this topic | 95% | 98% | 98% | 100% | 0.47 | 24% | Medicare shows only a Star Rating for this topic | 87 | Not enough data available | 98 | 86% | 87% | 85% | 97% | 89% |
H5106 | Local CCP | HIGHMARK SENIOR SOLUTIONS COMPANY | Highmark Blue Cross Blue Shield | Highmark Health | 75% | 74% | 67% | 38% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 49% | 74% | 88% | 79% | 47% | 41% | 78% | 11% | 90% | 66% | 63% | 83 | 86 | 93 | 87 | 89 | 88 | 0.17 | 8% | Medicare shows only a Star Rating for this topic | 100% | 97% | 100% | 98% | 0.17 | 8% | Medicare shows only a Star Rating for this topic | 88 | 90 | 99 | 85% | 90% | 89% | 83% | 88% |
H5117 | Local CCP | LOUISIANA HEALTHCARE CONNECTIONS, INC. | Wellcare by Allwell | Centene Corporation | 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 | 99 | 85% | 79% | 82% | Not enough data available | 86% |
H5141 | Local CCP | CLOVER INSURANCE COMPANY | Clover Health | Clover Health Holdings Inc | 83% | 86% | 71% | 53% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 78% | 78% | 93% | 89% | 59% | 40% | 93% | 8% | 94% | 85% | 73% | 81 | 80 | 90 | 87 | 86 | 87 | 0.2 | 17% | Medicare shows only a Star Rating for this topic | 99% | 95% | 95% | 97% | 0.2 | 17% | Medicare shows only a Star Rating for this topic | 87 | 90 | 98 | 82% | 85% | 81% | 86% | 87% |