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C01 - Breast Cancer Screening
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C02 - Colorectal Cancer Screening
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C03 - Annual Flu Vaccine
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C04 - Monitoring Physical Activity
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C05 - Special Needs Plan (SNP) Care Management
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C06 - Care for Older Adults - Medication Review
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C07 - Care for Older Adults - Pain Assessment
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C08 - Osteoporosis Management in Women who had a Fracture
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C09 - Diabetes Care - Eye Exam
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C10 - Diabetes Care - Blood Sugar Controlled
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C11 - Controlling Blood Pressure
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C12 - Reducing the Risk of Falling
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C13 - Improving Bladder Control
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C14 - Medication Reconciliation Post-Discharge
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C15 - Plan All-Cause Readmission
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C16 - Statin Therapy for Patients with Cardiovascular Disease
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C17 - Transitions of Care
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C18 - Follow-up after Emergency Department Visit for People with Multiple High-Risk Chronic Conditions
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C19 - Getting Needed Care
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C20 - Getting Appointments and Care Quickly
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C21 - Customer Service
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C22 - Rating of Health Care Quality
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C23 - Rating of Health Plan
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C24 - Care Coordination
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C25 - Complaints about the Health Plan
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C26 - Members Choosing to Leave the Plan
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C27 - Health Plan Quality Improvement
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C28 - Plan Makes Timely Decisions about Appeals
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C29 - Reviewing Appeals Decisions
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C30 - Call Center - Foreign Language Interpreter and TTY Availability
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D01 - Call Center - Foreign Language Interpreter and TTY Availability
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D02 - Complaints about the Drug Plan
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D03 - Members Choosing to Leave the Plan
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D04 - Drug Plan Quality Improvement
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D05 - Rating of Drug Plan
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D06 - Getting Needed Prescription Drugs
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D07 - MPF Price Accuracy
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D08 - Medication Adherence for Diabetes Medications
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D09 - Medication Adherence for Hypertension (RAS antagonists)
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D10 - Medication Adherence for Cholesterol (Statins)
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D11 - MTM Program Completion Rate for CMR
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D12 - Statin Use in Persons with Diabetes (SUPD)
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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| S1140 | PDP | Highmark Western and Northeastern New York Inc. | Highmark Blue Cross Blue Shield or Highmark Blue S | Highmark Health | 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 | Not enough data available | Medicare shows only a Star Rating for this topic | 92 | 92 | Not enough data available | 89% | 91% | 88% | 78% | 84% |
| H3957 | Local CCP | HIGHMARK CHOICE COMPANY | Highmark Blue Cross Blue Shield or Highmark Blue S | Highmark Health | 74% | 74% | 76% | 43% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 49% | 80% | 91% | 85% | 57% | 44% | 90% | 11% | 87% | 77% | 64% | 83 | 85 | 92 | 88 | 88 | 88 | 0.04 | 8% | Medicare shows only a Star Rating for this topic | 99% | 99% | 100% | 98% | 0.04 | 8% | Medicare shows only a Star Rating for this topic | 88 | 91 | 99 | 88% | 92% | 91% | 86% | 89% |
| H0885 | Local CCP | HEALTHIER NEW JERSEY INSURANCE COMPANY | Braven Health | Horizon Mutual Holdings Inc | 73% | 70% | 71% | 54% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 44% | 68% | 83% | 82% | 54% | 36% | 82% | 13% | 89% | 54% | 63% | 81 | 84 | 90 | 87 | 88 | 85 | 0.21 | 6% | Medicare shows only a Star Rating for this topic | 98% | 98% | 98% | 97% | 0.21 | 6% | Medicare shows only a Star Rating for this topic | 85 | 88 | 98 | 88% | 91% | 90% | 93% | 89% |
| S5993 | PDP | HORIZON INSURANCE COMPANY | Horizon Blue Cross Blue Shield of New Jersey | Horizon Mutual Holdings Inc | 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 | 100% | 0.08 | 7% | Medicare shows only a Star Rating for this topic | 80 | 87 | 98 | 85% | 88% | 86% | 6% | 84% |
| H8298 | Local CCP | HORIZON HEALTHCARE OF NEW JERSEY, INC. | Horizon Blue Cross Blue Shield of New Jersey | Horizon Mutual Holdings Inc | 72% | 69% | 62% | 57% | 85% | 88% | 97% | 46% | 75% | 75% | 75% | 67% | Not enough data available | 77% | 15% | 93% | 52% | 60% | 78 | 83 | 90 | 85 | 89 | 85 | 0.29 | 12% | Medicare shows only a Star Rating for this topic | 95% | 96% | 98% | 100% | 0.29 | 12% | Medicare shows only a Star Rating for this topic | 88 | 88 | 98 | 88% | 89% | 87% | 95% | 93% |
| H2624 | Local CCP | CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA | CARE N CARE INSURANCE COMPANY OF NORTH CAROLINA | HTA Holdings LLC | 83% | 86% | 82% | 68% | 70% | 100% | 100% | Not enough data available | 86% | 88% | 81% | 66% | 39% | 90% | 11% | 91% | 85% | 92% | 85 | 87 | 94 | 88 | 92 | 90 | 0.07 | 8% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 95% | 98% | 0.07 | 8% | Medicare shows only a Star Rating for this topic | 90 | 88 | 95 | 83% | 84% | 84% | 85% | 89% |
| H9808 | Local CCP | CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA | CARE N CARE INSURANCE COMPANY OF NORTH CAROLINA | HTA Holdings LLC | 80% | 82% | 75% | 58% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 68% | 84% | 91% | 80% | 51% | 45% | 91% | 12% | 85% | 87% | 73% | 84 | 87 | 95 | 88 | 91 | 88 | 0.04 | 10% | Medicare shows only a Star Rating for this topic | 99% | 92% | 95% | 98% | 0.04 | 10% | Medicare shows only a Star Rating for this topic | 89 | 91 | 95 | 80% | 87% | 84% | 76% | 86% |
| H6622 | Local CCP | HUMANA WI HEALTH ORGANIZATION INSURANCE CORP | Humana | Humana Inc | 74% | 73% | 66% | 52% | 79% | 96% | 98% | 41% | 80% | 87% | 76% | 61% | 50% | 84% | 11% | 88% | 67% | 58% | 80 | 84 | 89 | 87 | 87 | 88 | 0.16 | 22% | Medicare shows only a Star Rating for this topic | 98% | 97% | 98% | 97% | 0.16 | 22% | Medicare shows only a Star Rating for this topic | 88 | 90 | 84 | 86% | 89% | 89% | 79% | 87% |
| H0028 | Local CCP | CHA HMO, INC. | Humana | Humana Inc | 76% | 76% | 67% | 51% | 80% | 97% | 98% | 45% | 81% | 87% | 78% | 60% | 43% | 85% | 11% | 86% | 66% | 60% | 81 | 84 | 91 | 86 | 88 | 85 | 0.15 | 19% | Medicare shows only a Star Rating for this topic | 98% | 98% | 98% | 97% | 0.15 | 19% | Medicare shows only a Star Rating for this topic | 89 | 90 | 84 | 86% | 90% | 89% | 86% | 88% |
| H8145 | PFFS | HUMANA INSURANCE COMPANY | Humana | Humana Inc | 65% | 70% | 70% | 45% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 31% | 68% | 88% | 80% | 57% | 42% | 89% | 12% | 84% | 70% | 57% | 83 | 87 | 91 | 88 | 88 | 88 | 0.08 | 12% | Medicare shows only a Star Rating for this topic | 98% | 95% | 98% | 97% | 0.08 | 12% | Medicare shows only a Star Rating for this topic | 88 | 90 | 84 | 87% | 90% | 90% | 71% | 84% |