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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)
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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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% | 98% | 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% |
| H2915 | Local CCP | PENNSYLVANIA HEALTH & WELLNESS, INC. | Wellcare by Allwell | Centene Corporation | 61% | 55% | 61% | 41% | 68% | 94% | 87% | Not enough data available | 61% | 78% | 70% | 59% | Not enough data available | 64% | 14% | 88% | 45% | 51% | 81 | 85 | 90 | 86 | 86 | 88 | 0.41 | 33% | Medicare shows only a Star Rating for this topic | 100% | 100% | 98% | 98% | 0.41 | 33% | Medicare shows only a Star Rating for this topic | 87 | 91 | 97 | 89% | 91% | 91% | 87% | 89% |
| H3499 | Local CCP | COORDINATED CARE CORPORATION | Wellcare by Allwell | Centene Corporation | 63% | 58% | 61% | 41% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 65% | 68% | 76% | 47% | 35% | 55% | 15% | 88% | 43% | 50% | 82 | 86 | 90 | 88 | 88 | 87 | 0.4 | 37% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 98% | 98% | 0.4 | 37% | Medicare shows only a Star Rating for this topic | 89 | 90 | 98 | 84% | 88% | 88% | 93% | 84% |
| H6830 | Local CCP | CENTENE VENTURE COMPANY KANSAS | Wellcare by Allwell | Centene Corporation | Not enough data available | 69% | Plan too small to be measured | 49% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 66% | 78% | 67% | Not enough data available | Not enough data available | 66% | No data available | Not enough data available | 47% | 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 | 98% | 98% | 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 | 87% | 87% | 85% | Not enough data available | 78% |
| H5599 | Local CCP | NEW YORK QUALITY HEALTHCARE CORPORATION | Wellcare by Fidelis Care | Centene Corporation | 69% | 63% | 57% | 46% | 60% | 92% | 81% | 50% | 73% | 76% | 76% | Not enough data available | Not enough data available | 45% | 11% | 86% | 40% | 57% | 83 | 86 | 87 | 86 | 84 | 87 | 0.21 | 19% | Medicare shows only a Star Rating for this topic | 96% | 79% | 98% | 98% | 0.21 | 19% | Medicare shows only a Star Rating for this topic | 87 | 91 | 97 | 86% | 87% | 84% | 89% | 86% |
| H3561 | Local CCP | HEALTH NET COMMUNITY SOLUTIONS, INC. | Wellcare by Health Net | Centene Corporation | 72% | 73% | 63% | 44% | 63% | 88% | 87% | 50% | 77% | 82% | 76% | 64% | Not enough data available | 64% | 10% | 85% | 40% | 50% | 72 | Not enough data available | 85 | Not enough data available | 79 | Not enough data available | 1.76 | 28% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 98% | 98% | 1.76 | 28% | Medicare shows only a Star Rating for this topic | 82 | Not enough data available | 97 | 88% | 87% | 86% | 94% | 86% |
| H6815 | Local CCP | HEALTH NET HEALTH PLAN OF OREGON, INC. | Wellcare by Health Net | Centene Corporation | 74% | 72% | 60% | 49% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 34% | 73% | 76% | 72% | 47% | 44% | 78% | 11% | 84% | 58% | 53% | 81 | 80 | 86 | 84 | 85 | 88 | 0.18 | 26% | Medicare shows only a Star Rating for this topic | 100% | 92% | 98% | 98% | 0.18 | 26% | Medicare shows only a Star Rating for this topic | 83 | 83 | 98 | 86% | 90% | 89% | 83% | 84% |
| H0562 | Local CCP | HEALTH NET OF CALIFORNIA, INC. | Wellcare by Health Net | Centene Corporation | 78% | 78% | 75% | 55% | 47% | 99% | 95% | 50% | 79% | 88% | 76% | 64% | 44% | 73% | 10% | 85% | 47% | 55% | 77 | 79 | 87 | 84 | 85 | 84 | 0.42 | 16% | Medicare shows only a Star Rating for this topic | 97% | 94% | 98% | 98% | 0.42 | 16% | Medicare shows only a Star Rating for this topic | 86 | 87 | 98 | 87% | 88% | 87% | 95% | 89% |
| H5439 | Local CCP | HEALTH NET LIFE INSURANCE COMPANY | Wellcare by Health Net | Centene Corporation | 65% | 68% | 71% | 46% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 35% | 65% | 77% | 72% | 48% | 44% | 79% | 10% | 82% | 59% | 54% | 78 | 82 | Not enough data available | 85 | 81 | 85 | 0.19 | 16% | Medicare shows only a Star Rating for this topic | 100% | 100% | 98% | 98% | 0.19 | 16% | Medicare shows only a Star Rating for this topic | 81 | 85 | 99 | 86% | 89% | 89% | 76% | 81% |
| H2174 | Local CCP | TRILLIUM COMMUNITY HEALTH PLAN, INC. | Wellcare by Trillium | Centene Corporation | 55% | 61% | 57% | 41% | 49% | 94% | 77% | Not enough data available | 78% | 84% | 81% | Not enough data available | Not enough data available | 66% | No data available | Not enough data available | 47% | 48% | 73 | Not enough data available | 86 | Not enough data available | 80 | Not enough data available | 0.41 | 14% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 98% | 98% | 0.41 | 14% | Medicare shows only a Star Rating for this topic | 81 | Not enough data available | 96 | 88% | 85% | 87% | 85% | 85% |