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contract name
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org marketing name
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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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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| H0907 | Local CCP | WELLPOINT IOWA, INC. | Wellpoint | Elevance Health Inc. | 62% | 68% | 63% | 44% | 78% | 98% | 95% | Not enough data available | 71% | 79% | 79% | 67% | Not enough data available | 64% | 12% | 86% | 49% | 65% | 84 | 87 | 90 | 88 | 86 | 89 | 0.5 | 31% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 100% | 100% | 0.5 | 31% | Medicare shows only a Star Rating for this topic | 87 | 91 | 97 | 86% | 86% | 89% | 88% | 84% |
| H9585 | Local CCP | BOSTON MEDICAL CENTER HEALTH PLAN, INC. | WellSense Health Plan | BMC Health System Inc. | 79% | 75% | 77% | 55% | 77% | 96% | 97% | Not enough data available | 79% | 85% | 83% | 80% | 49% | 84% | 12% | 84% | 72% | 61% | 78 | 80 | 89 | 86 | 87 | 85 | 0.31 | 7% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 92% | 90% | 0.31 | 7% | Medicare shows only a Star Rating for this topic | 87 | 87 | 99 | 89% | 89% | 88% | 79% | 93% |
| H6851 | Local CCP | BOSTON MEDICAL CENTER HEALTH PLAN, INC. | WellSense Health Plan | BMC Health System Inc. | 46% | 51% | 60% | 43% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 57% | 84% | 85% | Not enough data available | Not enough data available | 62% | No data available | Not enough data available | 45% | 48% | 74 | 78 | 88 | Not enough data available | 82 | Not enough data available | Not enough data available | 19% | Not enough data available | Not enough data available | Not enough data available | 90% | 95% | Not enough data available | 19% | Not enough data available | 83 | Not enough data available | 100 | 88% | 92% | 91% | 86% | 75% |
| H7980 | Local CCP | BOSTON MEDICAL CENTER HEALTH PLAN, INC. | WellSense Health Plan | BMC Health System Inc. | 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 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 | 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 |
| H9153 | Local CCP | WEST VIRGINIA SENIOR ADVANTAGE, INC. | West Virginia Senior Advantage | SNP Holdings LLC | Not enough data available | No data available | Plan too small to be measured | No data available | CMS identified issues with this plan's data | 7% | 2% | Not enough data available | No data available | 0% | Not enough data available | No data available | No data available | Not enough data available | No data available | Not enough data available | Not enough data available | Not enough 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 | 0.09 | 4% | Not enough data available | Not enough data available | Not enough data available | 89% | 83% | 0.09 | 4% | Medicare shows only a Star Rating for this topic | Plan too small to be measured | Plan too small to be measured | 100 | 86% | 88% | 94% | 98% | 87% |
| H9529 | Local CCP | WYOBLUE ADVANTAGE INC | WyoBlue Advantage | Blue Cross Blue Shield of Michigan Mutual Ins. Co. | 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 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 | 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 |
| H4624 | Local CCP | ZING HEALTH OF MICHIGAN, INC. | Zing Health | Zing Health Consolidator Inc | 69% | 63% | 66% | 53% | 83% | 98% | 97% | Not enough data available | 67% | 68% | 76% | 58% | Not enough data available | 89% | No data available | 78% | 67% | 57% | 79 | 81 | 91 | 84 | 87 | 86 | 1.34 | 33% | Medicare shows only a Star Rating for this topic | 100% | 67% | 94% | 100% | 1.34 | 33% | Medicare shows only a Star Rating for this topic | 88 | 87 | 99 | 83% | 90% | 86% | 89% | 88% |
| H6876 | Local CCP | ZING HEALTH OF MICHIGAN, INC. | Zing Health | Zing Health Consolidator Inc | 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 | Plan too new to be measured | Not enough data available | Not enough data available | 94% | 100% | Plan too new to be measured | 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 |
| H7330 | Local CCP | ZING HEALTH, INC. | Zing Health | Zing Health Consolidator Inc | 65% | 52% | 61% | 49% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 58% | 61% | 71% | Not enough data available | Not enough data available | 71% | No data available | Not enough data available | 58% | 42% | 72 | 78 | 90 | 82 | 83 | 81 | 1.17 | 33% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | Not enough data available | Not enough data available | 1.17 | 33% | Medicare shows only a Star Rating for this topic | 85 | 84 | 99 | 82% | 86% | 84% | 91% | 87% |