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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
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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
|
D12 - Statin Use in Persons with Diabetes (SUPD)
|
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| H0982 | Local CCP | SOLIS HEALTH PLANS, INC. | Solis Health Plans | Athena Healthcare Holdings LLC | 80% | 66% | 52% | 66% | CMS identified issues with this plan's data | 96% | 98% | Not enough data available | 77% | 83% | 90% | 72% | Not enough data available | 64% | No data available | 97% | 38% | 49% | 88 | 92 | 93 | 94 | 92 | 93 | 0.83 | 27% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 70% | 71% | 0.83 | 27% | Medicare shows only a Star Rating for this topic | 93 | Not enough data available | 100 | 91% | 89% | 86% | 91% | 94% |
| H1016 | Local CCP | AVMED, INC. | AvMed Medicare | Sentara Health Care SHC | 85% | 81% | 72% | 64% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 67% | 79% | 90% | 82% | 63% | 54% | 69% | 12% | 88% | 51% | 66% | 81 | 85 | 92 | 87 | 88 | 88 | 0.16 | 9% | Medicare shows only a Star Rating for this topic | 98% | 91% | 100% | 92% | 0.16 | 9% | Medicare shows only a Star Rating for this topic | 87 | 89 | 99 | 86% | 92% | 89% | 67% | 88% |
| H1019 | Local CCP | CAREPLUS HEALTH PLANS, INC. | CarePlus Health Plans Inc. | Humana Inc | 82% | 78% | 57% | 62% | 86% | 95% | 97% | 62% | 81% | 89% | 87% | 63% | 47% | 86% | 12% | 88% | 57% | 68% | 81 | 85 | 91 | 88 | 89 | 86 | 0.21 | 26% | Medicare shows only a Star Rating for this topic | 99% | 99% | 97% | 100% | 0.21 | 26% | Medicare shows only a Star Rating for this topic | 89 | 89 | 84 | 89% | 91% | 90% | 94% | 92% |
| H1032 | Local CCP | Sunshine State Health Plan, Inc. | Wellcare | Centene Corporation | 76% | 70% | 62% | 47% | 64% | 94% | 93% | 38% | 83% | 83% | 79% | 58% | Not enough data available | 77% | 11% | 86% | 59% | 61% | 82 | 84 | 91 | Not enough data available | 85 | Not enough data available | 0.28 | 32% | Medicare shows only a Star Rating for this topic | 90% | 93% | 98% | 100% | 0.28 | 32% | Medicare shows only a Star Rating for this topic | 89 | Not enough data available | 98 | 87% | 90% | 89% | 97% | 90% |
| H1035 | Local CCP | FLORIDA BLUE MEDICARE, INC. | Florida Blue HMO | Guidewell Mutual Holding Corporation | 77% | 76% | 67% | 55% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 38% | 71% | 86% | 77% | 50% | 41% | 59% | 10% | 84% | 40% | 61% | 81 | 85 | 90 | 87 | 88 | 86 | 0.18 | 15% | Medicare shows only a Star Rating for this topic | 98% | 95% | 94% | 92% | 0.18 | 15% | Medicare shows only a Star Rating for this topic | 89 | 90 | 98 | 85% | 89% | 87% | 90% | 88% |
| H1036 | Local CCP | HUMANA MEDICAL PLAN, INC. | Humana | Humana Inc | 81% | 83% | 61% | 56% | 76% | 97% | 98% | 57% | 86% | 87% | 84% | 61% | 51% | 85% | 11% | 88% | 68% | 67% | 81 | 84 | 90 | 87 | 89 | 86 | 0.17 | 15% | Medicare shows only a Star Rating for this topic | 97% | 98% | 98% | 97% | 0.17 | 15% | Medicare shows only a Star Rating for this topic | 89 | 90 | 83 | 87% | 90% | 89% | 87% | 91% |
| H1045 | Local CCP | PREFERRED CARE PARTNERS, INC. | UnitedHealthcare | UnitedHealth Group Inc | 79% | 81% | 62% | 54% | 83% | 96% | 99% | 53% | 79% | 88% | 80% | 57% | 46% | 73% | 12% | 85% | 49% | 61% | 83 | 88 | 90 | 87 | 88 | 87 | 0.16 | 17% | Medicare shows only a Star Rating for this topic | 100% | 98% | 98% | 100% | 0.16 | 17% | Medicare shows only a Star Rating for this topic | 89 | 90 | 99 | 86% | 90% | 89% | 88% | 88% |
| H1099 | Local CCP | HEALTH FIRST HEALTH PLANS | Health First Health Plans Inc. | Health First Shared Services Inc | 81% | 81% | 67% | 51% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 52% | 79% | 88% | 80% | 56% | 52% | 83% | 11% | 86% | 80% | 74% | 82 | 85 | 92 | 88 | 88 | 87 | 0.07 | 5% | Medicare shows only a Star Rating for this topic | 95% | 97% | 90% | 100% | 0.07 | 5% | Medicare shows only a Star Rating for this topic | 88 | 90 | 99 | 84% | 89% | 88% | 90% | 85% |
| H1109 | Local CCP | AETNA HEALTH INC.(GA) | Aetna Medicare | CVS Health Corporation | 71% | 77% | 66% | 56% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 69% | 96% | 80% | 54% | Not enough data available | 94% | 12% | 96% | 58% | 61% | 82 | 84 | 92 | 86 | 88 | 86 | 0.23 | 14% | Medicare shows only a Star Rating for this topic | 100% | 100% | 100% | 97% | 0.23 | 14% | Medicare shows only a Star Rating for this topic | 88 | 91 | 98 | 82% | 90% | 87% | 91% | 86% |
| H1112 | Local CCP | WELLCARE OF GEORGIA, INC. | Wellcare | Centene Corporation | 70% | 67% | 63% | 52% | 63% | 91% | 89% | 27% | 65% | 78% | 65% | 56% | 45% | 62% | 9% | 85% | 54% | 48% | 81 | 85 | 89 | 85 | 84 | 85 | 0.27 | 35% | Medicare shows only a Star Rating for this topic | 91% | 90% | 98% | 100% | 0.27 | 35% | Medicare shows only a Star Rating for this topic | 87 | 88 | 98 | 83% | 86% | 84% | 96% | 86% |