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)
H0764 Local CCP UNITEDHEALTHCARE OF NEW ENGLAND, INC. UnitedHealthcare UnitedHealth Group Inc 79% 82% Plan too small to be measured Plan too new to be measured 87% 94% 98% Not enough data available 79% 84% 87% Plan too new to be measured Plan too new to be measured 61% No data available Not enough data available 47% No data available 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 36% Not enough data available Not enough data available Not enough data available 98% 100% Not enough data available 36% Not enough data available Plan too small to be measured Plan too small to be measured 99 90% 90% 84% 90% 88%
H0783 Local CCP HUMANA BENEFIT PLAN OF TEXAS, INC. Humana Humana Inc 70% 77% Plan too small to be measured 51% Plan not required to report measure Plan not required to report measure Plan not required to report measure Not enough data available 78% 84% 81% Not enough data available Not enough data available 75% No data available Not enough data available 64% 56% 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 0.49 44% Not enough data available Not enough data available Not enough data available 98% 97% 0.49 44% Not enough data available Plan too small to be measured Plan too small to be measured 84 87% 89% 92% 79% 87%
H0845 Local CCP UNITEDHEALTHCARE OF ILLINOIS, INC. UnitedHealthcare UnitedHealth Group 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 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
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%
H0907 Local CCP WELLPOINT IOWA, INC. Wellpoint Elevance Health Inc 62% 68% 63% 44% 78% 98% 95% Not enough data available 71% 79% 79% 67% Not enough data available 64% 12% 86% 49% 65% 84 87 90 88 86 89 0.5 31% Medicare shows only a Star Rating for this topic Not enough data available Not enough data available 100% 100% 0.5 31% Medicare shows only a Star Rating for this topic 87 91 97 86% 86% 89% 88% 84%
H0908 Local CCP BUCKEYE COMMUNITY HEALTH PLAN, INC. Wellcare by Allwell Centene Corporation Plan not required to report measure 57% 58% 39% 66% 94% 89% Not enough data available 56% 74% 75% 53% 32% 63% 14% 88% 52% 55% 81 Not enough data available 88 88 85 Not enough data available 0.68 39% Medicare shows only a Star Rating for this topic 100% 100% 98% 100% 0.68 39% Medicare shows only a Star Rating for this topic 87 90 98 82% 86% 85% 94% 84%
H0913 Local CCP WELLCARE HEALTH PLANS OF NEW JERSEY, INC. Wellcare Centene Corporation 64% 53% 69% 58% 70% 94% 92% 23% 58% 78% 73% 68% Not enough data available 43% 9% 87% 46% 55% 76 Not enough data available 86 Not enough data available 83 Not enough data available 0.42 29% Medicare shows only a Star Rating for this topic 90% 94% 98% 100% 0.42 29% Medicare shows only a Star Rating for this topic 85 Not enough data available 98 87% 88% 86% 96% 89%
H0927 Demo HEALTH CARE SERVICE CORPORATION Blue Cross Community MMAI Health Care Service Corporation No data available No data available No data available No data available No data available No data available No data available No data available No data available No data available No data available No data available No data available No data available No data available No data available CMS identified issues with this plan's data No data available No data available No data available No data available No data available No data available No data available No data available No data available No data available No data available No data available No data available No data available No data available No data available No data available No data available No data available No data available No data available No data available No data available No data available No data available
H0976 Local CCP SCAN HEALTH PLAN SCAN Health Plan 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
H0978 Local CCP SCAN HEALTH PLAN NEVADA, INC. SCAN Health Plan SCAN Group Not enough data available 65% 63% 58% 82% 100% 100% Not enough data available 81% 85% 86% 50% 45% 93% No data available Not enough data available 82% 46% 72 79 88 82 88 82 0.45 23% Medicare shows only a Star Rating for this topic Not enough data available Not enough data available 94% 100% 0.45 23% Medicare shows only a Star Rating for this topic 90 89 100 88% 90% 90% 96% 90%
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