hcontract
|
org type
|
contract name
|
org marketing name
|
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
|
C04 - Monitoring Physical Activity
|
C05 - Special Needs Plan (SNP) Care Management
|
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
|
C10 - Diabetes Care - Blood Sugar Controlled
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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)
|
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R5342 | Regional CCP | CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO. | UnitedHealthcare | UnitedHealth Group Inc | 73% | 73% | 70% | 51% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 26% | 77% | 85% | 74% | 57% | 43% | 53% | 12% | 87% | 43% | 62% | 80 | 84 | 86 | 85 | 83 | 86 | 0.11 | 30% | Medicare shows only a Star Rating for this topic | 99% | 95% | 98% | 100% | 0.11 | 30% | Medicare shows only a Star Rating for this topic | 83 | 90 | 99 | 87% | 91% | 90% | 83% | 86% |
R5361 | Regional CCP | HUMANA INSURANCE COMPANY | Humana | Humana Inc | 62% | 69% | 71% | 39% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 59% | 81% | 76% | 61% | 45% | 79% | 11% | 86% | 67% | 54% | 84 | 87 | Not enough data available | 88 | 85 | 89 | 0.06 | 20% | Medicare shows only a Star Rating for this topic | 98% | 95% | 98% | 97% | 0.06 | 20% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 84 | 90% | 90% | 90% | 74% | 84% |
R5826 | Regional CCP | HUMANA INSURANCE COMPANY | Humana | Humana Inc | 61% | 71% | 62% | 55% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 34% | 63% | 81% | 75% | 59% | Not enough data available | 77% | 11% | 83% | 57% | 54% | 81 | 85 | Not enough data available | 86 | 83 | 84 | 0.12 | 24% | Medicare shows only a Star Rating for this topic | 99% | 96% | 98% | 97% | 0.12 | 24% | Medicare shows only a Star Rating for this topic | 85 | Not enough data available | 83 | 85% | 88% | 87% | 70% | 84% |
R5941 | Regional CCP | ANTHEM INSURANCE COMPANIES, INC. | Anthem Blue Cross and Blue Shield | Elevance Health Inc | 68% | 72% | 72% | 42% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 26% | 66% | 85% | 71% | 54% | 42% | 84% | 13% | 75% | 60% | 62% | 83 | 86 | 90 | 88 | 86 | 88 | 0.06 | 13% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 100% | 100% | 0.06 | 13% | Medicare shows only a Star Rating for this topic | 85 | 89 | 98 | 86% | 90% | 89% | 87% | 83% |
R6694 | Regional CCP | AETNA LIFE INSURANCE COMPANY | Aetna Medicare | CVS Health Corporation | 69% | 70% | 77% | 53% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 74% | 95% | 78% | 58% | 42% | 96% | 11% | 84% | 57% | 58% | 84 | 87 | 89 | 87 | 87 | 87 | 0.12 | 9% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 100% | 97% | 0.12 | 9% | Medicare shows only a Star Rating for this topic | 87 | 91 | 99 | 88% | 92% | 90% | 91% | 81% |
R6801 | Regional CCP | CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO. | UnitedHealthcare | UnitedHealth Group Inc | 65% | 68% | 67% | 48% | 74% | 94% | 96% | 21% | 70% | 82% | 76% | 60% | 44% | 55% | 13% | 84% | 47% | 53% | 83 | 84 | 89 | 87 | 87 | 87 | 0.2 | 29% | Medicare shows only a Star Rating for this topic | 99% | 98% | 98% | 100% | 0.2 | 29% | Medicare shows only a Star Rating for this topic | 87 | 88 | 99 | 83% | 86% | 85% | 85% | 83% |
R7220 | Regional CCP | HUMANA INSURANCE COMPANY | Humana | Humana Inc | 56% | 64% | 56% | 40% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 69% | 84% | 70% | 49% | 48% | 73% | 10% | 82% | 59% | 54% | 79 | 81 | Not enough data available | Not enough data available | 83 | Not enough data available | 0 | 17% | Medicare shows only a Star Rating for this topic | 100% | 100% | 98% | 97% | 0 | 17% | Medicare shows only a Star Rating for this topic | 84 | 89 | 82 | 87% | 88% | 89% | 85% | 88% |
R7444 | Regional CCP | CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO. | UnitedHealthcare | UnitedHealth Group Inc | 73% | 75% | 79% | 51% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 29% | 72% | 82% | 78% | 49% | 46% | 63% | 12% | 89% | 52% | 56% | 78 | 83 | Not enough data available | 85 | 83 | 88 | 0.08 | 14% | Medicare shows only a Star Rating for this topic | 100% | 96% | 98% | 100% | 0.08 | 14% | Medicare shows only a Star Rating for this topic | 83 | 89 | 99 | 87% | 91% | 90% | 83% | 85% |
S0262 | PDP | KAISER PERMANENTE INSURANCE COMPANY | Kaiser Permanente | Kaiser Foundation Health Plan Inc | 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 | 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 |
S0375 | PDP | CAREFIRST ADVANTAGE PPO, INC | CareFirst BlueCross BlueShield Group Prescription | CareFirst Inc | 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 | 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 |