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)
H5163	Local CCP	VERDA HEALTH PLAN OF TEXAS INC	Verda Health Plan of Texas	Verda Healthcare 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	88%	81%	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
H5178	Local CCP	HUMANA HEALTH PLAN, INC.	Humana	Humana Inc	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	No data available	Not enough data available	Not enough data available	Not enough data available	Not enough data available	98%	97%	No 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
H5190	Local CCP	SUNSHINE STATE HEALTH PLAN, 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	No 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	No 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
H5209	Local CCP	Molina Healthcare of Wisconsin, Inc.	My Choice Wisconsin	Molina Healthcare Inc	63%	71%	69%	50%	69%	92%	92%	Not enough data available	65%	80%	81%	77%	47%	63%	13%	90%	63%	68%	78	84	90	85	82	88	0.4	18%	Not enough data available	100%	92%	100%	100%	0.4	18%	Not enough data available	84	89	99	87%	86%	89%	89%	88%
H5211	Local CCP	SECURITY HEALTH PLAN OF WISCONSIN, INC.	Security Health Plan of Wisconsin Inc.	Marshfield Clinic Health System Inc	82%	77%	72%	43%	61%	96%	98%	30%	77%	87%	77%	50%	42%	81%	10%	89%	76%	58%	81	84	93	85	87	88	0.01	4%	Medicare shows only a Star Rating for this topic	96%	95%	92%	95%	0.01	4%	Medicare shows only a Star Rating for this topic	85	91	98	89%	92%	90%	75%	85%
H5215	Local CCP	NETWORK HEALTH INSURANCE CORPORATION	Network Health Medicare Advantage Plans	Network Health Inc	81%	87%	72%	47%	79%	98%	98%	54%	86%	96%	86%	49%	46%	94%	11%	89%	88%	73%	84	86	93	88	90	89	0.02	3%	Medicare shows only a Star Rating for this topic	99%	92%	98%	95%	0.02	3%	Medicare shows only a Star Rating for this topic	88	91	99	91%	92%	91%	91%	87%
H5216	Local CCP	HUMANA INSURANCE COMPANY	Humana	Humana Inc	76%	76%	69%	47%	80%	96%	99%	39%	81%	87%	78%	53%	50%	88%	11%	85%	70%	58%	82	86	90	86	87	86	0.16	17%	Medicare shows only a Star Rating for this topic	98%	97%	98%	97%	0.16	17%	Medicare shows only a Star Rating for this topic	88	90	84	85%	89%	88%	87%	84%
H5232	Local CCP	PARAMOUNT INSURANCE COMPANY	Paramount Elite Medicare Plans	MEDICAL MUTUAL OF OHIO	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	84%	81%	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
H5244	Local CCP	SCAN HEALTH PLAN NEW MEXICO	SCAN Health Plan New Mexico	SCAN Group	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	94%	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
H5253	Local CCP	UNITEDHEALTHCARE OF WISCONSIN, INC.	UnitedHealthcare	UnitedHealth Group Inc	75%	80%	68%	51%	83%	96%	99%	29%	76%	82%	76%	55%	44%	69%	11%	87%	56%	59%	82	84	91	87	87	88	0.12	14%	Not enough data available	100%	98%	98%	100%	0.12	14%	Not enough data available	88	90	99	85%	90%	89%	87%	85%

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