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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
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D12 - Statin Use in Persons with Diabetes (SUPD)
|
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| H9968 | Local CCP | AMERICAN HEALTH PLAN OF PENNSYLVANIA INC | American Health Advantage of Pennsylvania | Mitchell Family Office | 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 |
| H9986 | Local CCP | HPMP OF FLORIDA, INC. | Florida Complete Care | Independent Living Systems LLC | Not enough data available | 6% | Plan too small to be measured | No data available | 99% | 25% | 55% | Not enough data available | 16% | 2% | No data available | No data available | No data available | 7% | No data available | Not enough data available | CMS identified issues with this plan's data | 65% | 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 | 0.35 | 24% | Not enough data available | 100% | 98% | 95% | 91% | 0.35 | 24% | Medicare shows only a Star Rating for this topic | Plan too small to be measured | Plan too small to be measured | 98 | 94% | 94% | 93% | 96% | 80% |
| R0110 | Regional CCP | HUMANA INSURANCE COMPANY | Humana | Humana Inc | 66% | 73% | 66% | 45% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 33% | 72% | 84% | 73% | 61% | 43% | 78% | 11% | 86% | 63% | 57% | 84 | 87 | 91 | 87 | 87 | 88 | 0.07 | 20% | Not enough data available | 98% | 95% | 98% | 97% | 0.07 | 20% | Not enough data available | 88 | 90 | 85 | 86% | 89% | 89% | 75% | 84% |
| R0759 | Regional CCP | CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO. | UnitedHealthcare | UnitedHealth Group Inc | 68% | 74% | 69% | 49% | 49% | 86% | 90% | 43% | 66% | 83% | 76% | 59% | 48% | 63% | 12% | 81% | 45% | 58% | 84 | 86 | Not enough data available | 88 | 87 | 88 | 0.11 | 18% | Medicare shows only a Star Rating for this topic | 100% | 97% | 98% | 100% | 0.11 | 18% | Medicare shows only a Star Rating for this topic | 88 | 91 | 99 | 86% | 89% | 88% | 84% | 83% |
| R1532 | Regional CCP | HUMANA INSURANCE COMPANY | Humana | Humana Inc | 57% | 66% | 55% | 37% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 66% | 82% | 72% | 55% | 44% | 67% | 11% | 87% | 57% | 62% | 85 | 88 | 92 | 87 | 86 | 90 | 0.14 | 23% | Medicare shows only a Star Rating for this topic | 98% | 95% | 98% | 97% | 0.14 | 23% | Medicare shows only a Star Rating for this topic | 86 | 91 | 85 | 86% | 87% | 87% | 82% | 82% |
| R2604 | Regional CCP | CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO. | UnitedHealthcare | UnitedHealth Group Inc | 73% | 76% | 71% | 51% | 77% | 95% | 97% | 34% | 77% | 86% | 73% | 62% | 43% | 65% | 11% | 85% | 58% | 55% | 84 | 86 | 90 | 87 | 87 | 88 | 0.11 | 46% | Medicare shows only a Star Rating for this topic | 100% | 97% | 98% | 100% | 0.11 | 46% | Medicare shows only a Star Rating for this topic | 88 | 90 | 99 | 86% | 89% | 88% | 86% | 84% |
| R3175 | Regional CCP | UNITEDHEALTHCARE INSURANCE COMPANY | UnitedHealthcare | UnitedHealth Group Inc | 39% | 47% | Plan too small to be measured | Not enough data available | 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 | 67% | No data available | Not enough data available | Not enough data available | 41% | No data available | Not enough data available | 33% | 33% | 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 | 98% | 100% | Not enough data available | 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 | 84% | 90% | 87% | Not enough data available | 75% |
| R3444 | Regional CCP | CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO. | UnitedHealthcare | UnitedHealth Group Inc | 62% | 67% | 67% | 42% | 75% | 95% | 98% | 33% | 69% | 81% | 73% | 61% | 41% | 62% | 13% | 84% | 57% | 56% | 81 | 85 | 88 | 87 | 84 | 86 | 0.14 | 38% | Not enough data available | 98% | 97% | 98% | 100% | 0.14 | 38% | Not enough data available | 84 | 89 | 99 | 84% | 86% | 86% | 82% | 83% |
| R4182 | Regional CCP | HUMANA INSURANCE COMPANY | Humana | Humana Inc | 59% | 68% | 62% | 48% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 20% | 65% | 79% | 70% | 56% | 44% | 77% | 11% | 81% | 58% | 50% | 85 | 87 | 90 | 88 | 87 | 87 | 0.11 | 18% | Medicare shows only a Star Rating for this topic | 99% | 99% | 98% | 97% | 0.11 | 18% | Medicare shows only a Star Rating for this topic | 87 | 89 | 84 | 84% | 88% | 87% | 78% | 82% |
| R4487 | Regional CCP | ANTHEM INSURANCE COMPANIES, INC. | Anthem Blue Cross and Blue Shield | Elevance Health Inc | 70% | 73% | 71% | 43% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 24% | 68% | 84% | 73% | 55% | 41% | 83% | 12% | 80% | 59% | 62% | 84 | 88 | 90 | 88 | 86 | 88 | 0.05 | 12% | Medicare shows only a Star Rating for this topic | 96% | 100% | 100% | 100% | 0.05 | 12% | Medicare shows only a Star Rating for this topic | 85 | 88 | 98 | 86% | 89% | 88% | 86% | 81% |