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)
H3204	Local CCP	PRESBYTERIAN HEALTH PLAN	Presbyterian Health Plan	Presbyterian Healthcare Services	71%	69%	75%	53%	62%	83%	82%	47%	76%	78%	63%	53%	40%	78%	12%	82%	59%	52%	74	80	91	85	87	86	0.08	5%	Medicare shows only a Star Rating for this topic	100%	95%	89%	97%	0.08	5%	Medicare shows only a Star Rating for this topic	84	86	99	83%	87%	85%	95%	81%
S3875	PDP	GRANITE ALLIANCE INSURANCE COMPANY	Granite Alliance	Prime Therapeutics LLC	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	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
H2416	Local CCP	PRIMEWEST RURAL MN HEALTH CARE ACCESS INITIATIVE	PrimeWest Health	PrimeWest Rural MN Health Care Access Initiative	74%	72%	74%	42%	69%	96%	97%	Not enough data available	81%	84%	77%	70%	51%	72%	12%	86%	69%	73%	83	85	91	85	88	88	0	3%	Medicare shows only a Star Rating for this topic	Not enough data available	Not enough data available	97%	94%	0	3%	Medicare shows only a Star Rating for this topic	88	90	97	91%	92%	92%	37%	88%
H2926	Local CCP	PRIMEWEST RURAL MN HEALTH CARE ACCESS INITIATIVE	PrimeWest Health	PrimeWest Rural MN Health Care Access Initiative	Plan too small to be measured	Plan too small to be measured	Plan too small to be measured	Plan too small to be measured	32%	Not enough data available	Not enough 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	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	97%	94%	Not enough data available	Not enough data available	Not enough data available	Plan too small to be measured	Plan too small to be measured	98	97%	82%	93%	53%	80%
H9047	Local CCP	PROVIDENCE HEALTH ASSURANCE	Providence Medicare Advantage Plans	Providence St Joseph Health	80%	84%	79%	51%	77%	98%	94%	52%	85%	91%	76%	50%	49%	96%	10%	88%	92%	60%	78	80	91	86	88	87	0.06	4%	Medicare shows only a Star Rating for this topic	99%	96%	95%	94%	0.06	4%	Medicare shows only a Star Rating for this topic	86	88	95	88%	91%	90%	79%	85%
H5015	Local CCP	TEXAS INDEPENDENCE HEALTH PLAN, INC.	Texas Independence Health Plan	Regency ISNP Holdings LLC	Not enough data available	81%	Plan too small to be measured	No data available	94%	97%	98%	Not enough data available	91%	85%	Not enough data available	No data available	No data available	Not enough data available	No data available	Not enough data available	Not enough data available	90%	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	0.08	4%	Medicare shows only a Star Rating for this topic	Not enough data available	Not enough data available	83%	80%	0.08	4%	Medicare shows only a Star Rating for this topic	Plan too small to be measured	Plan too small to be measured	99	89%	90%	95%	96%	88%
H2960	Local CCP	HOMETOWN HEALTH PLAN, INC.	Senior Care Plus	Renown Health	80%	81%	76%	57%	83%	99%	99%	55%	85%	91%	90%	47%	50%	97%	9%	92%	94%	76%	82	84	91	88	87	89	0.07	4%	Medicare shows only a Star Rating for this topic	100%	98%	95%	95%	0.07	4%	Medicare shows only a Star Rating for this topic	84	86	77	81%	88%	86%	86%	85%
H8067	Local CCP	PROVIDER PARTNERS HEALTH PLAN, INC.	Provider Partners Health Plans	Rifkin Managed Care Holding LLC	Plan too small to be measured	Plan too small to be measured	Plan too small to be measured	Plan too small to be measured	100%	100%	100%	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	73%	80%	Not enough 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	85%	85%	97%	Not enough data available
H4444	Local CCP	PROVIDER PARTNERS HEALTH PLAN OF INDIANA	Provider Partners Health Plan of Indiana	Rifkin Managed Care Holding LLC	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	Plan too new to be measured	Plan too new to be measured	Not enough data available	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	Plan too new to be measured	Plan too new to be measured	Plan too new to be measured	Plan too new to be measured
H3800	Local CCP	PROVIDER PARTNERS HEALTH PLAN OF ILLINOIS	Provider Partners Health Plans	Rifkin Managed Care Holding LLC	44%	59%	Plan too small to be measured	No data available	98%	100%	100%	Not enough data available	92%	72%	Not enough data available	No data available	No data available	Not enough data available	12%	Not enough data available	Not enough data available	24%	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	0.06	4%	Medicare shows only a Star Rating for this topic	70%	36%	73%	80%	0.06	4%	Medicare shows only a Star Rating for this topic	Plan too small to be measured	Plan too small to be measured	99	86%	79%	83%	94%	87%

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