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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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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| H6322 | Local CCP | MCLAREN HEALTH PLAN, INC. | McLaren Medicare | McLaren Health Care Corporation | 72% | 58% | 66% | 49% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 58% | 48% | 69% | 50% | 46% | 37% | No data available | 80% | 37% | 57% | 82 | 83 | 92 | 87 | 84 | 86 | 0.58 | 22% | Not enough data available | 100% | 93% | 98% | 95% | 0.58 | 22% | Medicare shows only a Star Rating for this topic | 87 | 89 | 97 | 81% | 88% | 85% | 78% | 82% |
| H5264 | 1876 Cost | DEAN HEALTH PLAN, INC. | Dean Health Plan Inc. | Medica Holding Company | 79% | 84% | 81% | 48% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Benefit not offered by plan | 89% | 88% | 81% | 62% | 44% | Plan not required to report measure | No data available | Plan not required to report measure | Plan not required to report measure | 56% | 82 | 86 | 93 | 89 | 93 | 91 | 0.01 | 1% | Medicare shows only a Star Rating for this topic | 97% | 98% | 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 |
| H9096 | Local CCP | DEAN HEALTH PLAN, INC. | Dean Advantage | Medica Holding Company | 81% | 82% | 79% | 52% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 34% | 83% | 90% | 79% | 51% | 46% | 81% | 10% | 90% | 78% | 55% | 80 | 83 | 91 | 87 | 86 | 89 | 0.08 | 4% | Medicare shows only a Star Rating for this topic | 99% | 96% | 88% | 81% | 0.08 | 4% | Medicare shows only a Star Rating for this topic | 87 | 91 | 100 | 88% | 92% | 91% | 92% | 87% |
| H2458 | Local CCP | MEDICA HEALTH PLANS | Medica | Medica Holding Company | 63% | 67% | 72% | 50% | 73% | 96% | 98% | 18% | 78% | 87% | 76% | 71% | 53% | 82% | 12% | 91% | 74% | 55% | 78 | 81 | 89 | 85 | 87 | 85 | 0.02 | 3% | Medicare shows only a Star Rating for this topic | 100% | 90% | 92% | 95% | 0.02 | 3% | Medicare shows only a Star Rating for this topic | 86 | 87 | 98 | 87% | 86% | 87% | 58% | 88% |
| H8019 | Local CCP | MEDICA CENTRAL HEALTH PLAN | Medica | Medica Holding Company | 77% | 79% | Plan too small to be measured | 53% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 83% | 87% | 77% | Not enough data available | Not enough data available | 83% | No data available | No data available | 83% | 75% | 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 | 100% | 91% | 88% | 81% | Not enough data available | Not enough data available | Medicare shows only a Star Rating for this topic | Plan too small to be measured | Plan too small to be measured | 100 | 84% | 85% | 88% | 92% | 89% |
| H9952 | Local CCP | MEDICA HEALTH PLANS | Medica | Medica Holding Company | 68% | 67% | 71% | No data available | 46% | Not enough data available | Not enough data available | Not enough data available | 73% | 81% | 77% | No data available | No data available | 81% | 11% | 92% | 74% | 73% | 75 | 78 | 84 | 85 | 85 | 84 | 0.04 | 6% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 92% | 95% | 0.04 | 6% | Medicare shows only a Star Rating for this topic | 85 | 83 | 99 | 85% | 84% | 84% | 64% | 85% |
| H2450 | 1876 Cost | MEDICA INSURANCE COMPANY | Medica | Medica Holding Company | 74% | 74% | 76% | 44% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 19% | 77% | 85% | 75% | 48% | 49% | Plan not required to report measure | No data available | Plan not required to report measure | Plan not required to report measure | 54% | 83 | 86 | 91 | 87 | 87 | 89 | 0.04 | 6% | Medicare shows only a Star Rating for this topic | 100% | 99% | Plan not required to report measure | Plan not required to report measure | 0.04 | 6% | Medicare shows only a Star Rating for this topic | 85 | 89 | 99 | 89% | 92% | 90% | 74% | 84% |
| H6154 | Local CCP | MEDICA HEALTH PLANS | Medica | Medica Holding Company | 67% | 70% | 69% | 45% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 66% | 88% | 79% | 37% | 36% | 82% | 9% | 91% | 75% | 62% | 80 | 84 | 91 | 85 | 85 | 88 | 0.27 | 22% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 92% | 95% | 0.27 | 22% | Medicare shows only a Star Rating for this topic | 84 | 89 | 99 | 84% | 87% | 89% | 64% | 82% |
| S9701 | PDP | DEAN HEALTH INSURANCE, INC. | Navitus MedicareRx | Medica Holding Company | 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 | 0.02 | Not enough data available | Medicare shows only a Star Rating for this topic | 88 | 89 | Not enough data available | 88% | 90% | 90% | 63% | 84% |
| H8889 | Local CCP | MEDICA HEALTH PLANS | Medica | Medica Holding Company | 81% | 82% | 76% | 45% | No data available | No data available | No data available | 22% | 81% | 89% | 79% | 48% | 45% | 85% | 12% | 90% | 78% | 59% | 81 | 82 | 91 | 86 | 88 | 88 | 0.08 | 5% | Medicare shows only a Star Rating for this topic | 98% | 95% | 92% | 95% | 0.08 | 5% | Medicare shows only a Star Rating for this topic | 86 | 90 | 99 | 89% | 92% | 91% | 67% | 87% |