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hcontract
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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
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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
|
C22 - Rating of Health Care Quality
|
C23 - Rating of Health Plan
|
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
|
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
|
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
|
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)
|
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| H6870 | Demo | SUPERIOR HEALTHPLAN, INC. | Superior HealthPlan | Centene 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 | 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 | No data available |
| H7169 | Local CCP | BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC. | Wellcare | Centene Corporation | Plan not required to report measure | 50% | 64% | 38% | 76% | 96% | 91% | Not enough data available | 55% | 68% | 76% | 54% | 46% | 65% | 17% | 84% | 51% | 49% | 82 | Not enough data available | 90 | 86 | 82 | 88 | 0.71 | 41% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 98% | 100% | 0.71 | 41% | Medicare shows only a Star Rating for this topic | 85 | 90 | 98 | 85% | 86% | 89% | 95% | 82% |
| H7175 | Local CCP | WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC. | Wellcare | Centene Corporation | 61% | 57% | 62% | 48% | 64% | 93% | 88% | Not enough data available | 61% | 78% | 69% | Not enough data available | Not enough data available | 68% | 8% | 78% | 54% | 48% | 84 | Not enough data available | 92 | Not enough data available | 86 | Not enough data available | 0.51 | 41% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | Not enough data available | Not enough data available | 0.51 | 41% | Medicare shows only a Star Rating for this topic | 90 | 92 | 98 | 82% | 88% | 86% | 92% | 83% |
| H7323 | Local CCP | WELLCARE NATIONAL HEALTH INSURANCE COMPANY | Wellcare | Centene Corporation | 61% | 59% | 65% | 50% | 66% | 91% | 84% | Not enough data available | 59% | 55% | 69% | 59% | Not enough data available | 58% | 11% | 78% | 47% | 50% | 84 | 87 | 92 | 86 | 85 | 87 | 1.24 | 44% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 98% | 100% | 1.24 | 44% | Medicare shows only a Star Rating for this topic | 88 | 90 | 98 | 84% | 85% | 85% | 93% | 86% |
| H7326 | Local CCP | WELLCARE OF SOUTH CAROLINA, INC. | Wellcare | Centene Corporation | 74% | 70% | 67% | 42% | 85% | 91% | 90% | 21% | 64% | 80% | 76% | 48% | Not enough data available | 66% | 9% | 80% | 55% | 53% | 82 | 85 | 89 | 86 | 86 | 89 | 0.34 | 35% | Medicare shows only a Star Rating for this topic | 87% | 100% | 98% | 100% | 0.34 | 35% | Medicare shows only a Star Rating for this topic | 87 | 89 | 99 | 83% | 87% | 86% | 92% | 84% |
| H7512 | Local CCP | CENTENE VENTURE COMPANY MICHIGAN | Ascension Complete | Centene Corporation | Not enough data available | 46% | Plan too small to be measured | 47% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 59% | 47% | 56% | 45% | 46% | 51% | No data available | 96% | 35% | 47% | 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 | 0.67 | Not enough data available | Not enough data available | Not enough data available | Not enough data available | Not enough data available | Not enough data available | 0.67 | 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 | 99 | 81% | 84% | 83% | 91% | 87% |
| H7518 | Local CCP | WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC | Wellcare | Centene Corporation | 59% | 46% | 53% | 39% | 72% | 90% | 86% | Not enough data available | 54% | 73% | 73% | 56% | 37% | 51% | 8% | 85% | 41% | 44% | 81 | 85 | 92 | 87 | 87 | 85 | 0.83 | 41% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 98% | 100% | 0.83 | 41% | Medicare shows only a Star Rating for this topic | 87 | 88 | 98 | 83% | 91% | 91% | 95% | 83% |
| H7925 | Local CCP | CENTENE VENTURE COMPANY INDIANA, INC. | Wellcare by Allwell | Centene Corporation | 68% | 74% | Plan too small to be measured | 48% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 65% | 79% | 78% | 56% | 54% | 59% | No data available | 88% | 44% | 57% | 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 | 18% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 98% | 100% | 0.06 | 18% | Medicare shows only a Star Rating for this topic | Plan too small to be measured | Plan too small to be measured | 99 | 80% | 87% | 86% | 92% | 83% |
| H8121 | Local CCP | CENTENE VENTURE COMPANY TENNESSEE | Ascension Complete | Centene Corporation | Not enough data available | 47% | Plan too small to be measured | 59% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 62% | 59% | 58% | Not enough data available | Not enough data available | 41% | No data available | Not enough data available | 30% | 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 | 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 | 82% | 87% | 87% | Not enough data available | 84% |
| H8189 | Local CCP | MANAGED HEALTH SERVICES INSURANCE CORP. | Wellcare by Allwell | Centene Corporation | 68% | 70% | 64% | 52% | 60% | 95% | 88% | Not enough data available | 67% | 84% | 81% | Not enough data available | Not enough data available | 72% | 14% | 87% | 58% | 54% | 82 | 84 | 90 | 86 | 87 | 88 | 0.55 | 31% | Medicare shows only a Star Rating for this topic | 100% | 100% | 98% | 100% | 0.55 | 31% | Medicare shows only a Star Rating for this topic | 87 | 89 | 97 | 88% | 89% | 91% | 88% | 86% |