|
hcontract
|
org type
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contract name
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org marketing name
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parent org
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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
|
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
|
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
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D03 - Members Choosing to Leave the Plan
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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)
|
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| H4661 | Local CCP | CELTIC INSURANCE COMPANY | Wellcare | Centene Corporation | 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 | 98% | 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 |
| H4847 | Local CCP | WELLCARE OF SOUTH CAROLINA, INC. | Wellcare | Centene Corporation | 73% | 68% | 67% | 47% | 72% | 94% | 88% | Not enough data available | 69% | 78% | 75% | 56% | 43% | 62% | 9% | 84% | 53% | 54% | 82 | 85 | 90 | 86 | 86 | 88 | 0.18 | 39% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 98% | 100% | 0.18 | 39% | Medicare shows only a Star Rating for this topic | 87 | 89 | 98 | 83% | 86% | 84% | 93% | 85% |
| H4868 | Local CCP | NEW YORK QUALITY HEALTHCARE CORPORATION | Wellcare | Centene Corporation | 69% | 66% | 70% | 57% | 54% | 91% | 86% | 31% | 73% | 82% | 72% | 74% | Not enough data available | 59% | 10% | 86% | 56% | 51% | 77 | Not enough data available | Not enough data available | Not enough data available | 83 | Not enough data available | 0.24 | 30% | Medicare shows only a Star Rating for this topic | 92% | 97% | 98% | 100% | 0.24 | 30% | Medicare shows only a Star Rating for this topic | 84 | Not enough data available | 98 | 87% | 88% | 85% | 95% | 90% |
| 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% |
| 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% |
| 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 |
| H5294 | Local CCP | SUPERIOR HEALTHPLAN, INC. | Wellcare by Allwell | Centene Corporation | 67% | 60% | 72% | 54% | 66% | 97% | 90% | 22% | 69% | 73% | 66% | 60% | 45% | 67% | 13% | 85% | 48% | 52% | 81 | 83 | 88 | 89 | 89 | Not enough data available | 0.45 | 34% | Medicare shows only a Star Rating for this topic | 98% | 96% | 98% | 100% | 0.45 | 34% | Medicare shows only a Star Rating for this topic | 90 | Not enough data available | 98 | 85% | 86% | 85% | 92% | 87% |
| H5398 | Local CCP | CENTENE VENTURE COMPANY KANSAS | Wellcare by Allwell | Centene Corporation | 68% | 71% | 70% | 47% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 70% | 86% | 65% | 56% | 36% | 65% | No data available | 88% | 49% | 57% | 83 | 85 | 89 | 86 | 84 | 88 | 0.58 | 35% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 98% | 100% | 0.58 | 35% | Medicare shows only a Star Rating for this topic | 87 | 91 | 99 | 86% | 89% | 91% | 82% | 86% |
| H5439 | Local CCP | HEALTH NET LIFE INSURANCE COMPANY | Wellcare by Health Net | Centene Corporation | 65% | 68% | 71% | 46% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 35% | 65% | 77% | 72% | 48% | 44% | 79% | 10% | 82% | 59% | 54% | 78 | 82 | Not enough data available | 85 | 81 | 85 | 0.19 | 16% | Medicare shows only a Star Rating for this topic | 100% | 100% | 98% | 100% | 0.19 | 16% | Medicare shows only a Star Rating for this topic | 81 | 85 | 99 | 86% | 89% | 89% | 76% | 81% |
| H5475 | Local CCP | MERIDIAN HEALTH PLAN OF MICHIGAN, INC. | Wellcare | Centene Corporation | 64% | 62% | 61% | 42% | 62% | 87% | 84% | 27% | 73% | 74% | 71% | Not enough data available | Not enough data available | 61% | 10% | 85% | 52% | 54% | 81 | 84 | 88 | Not enough data available | 81 | Not enough data available | 0.33 | 37% | Medicare shows only a Star Rating for this topic | 93% | 95% | 98% | 100% | 0.33 | 37% | Medicare shows only a Star Rating for this topic | 84 | Not enough data available | 98 | 81% | 85% | 84% | 93% | 86% |