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)
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%
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