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)
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%
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