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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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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| H7917 | Local CCP | BLUECROSS BLUESHIELD OF TENNESSEE, INC. | BlueCross BlueShield of Tennessee | BlueCross BlueShield of Tennessee | 78% | 78% | 64% | 48% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 47% | 83% | 87% | 76% | 50% | 49% | 77% | 11% | 85% | 64% | 63% | 85 | 87 | 94 | 88 | 91 | 89 | 0.05 | 4% | Medicare shows only a Star Rating for this topic | 99% | 98% | 98% | 97% | 0.05 | 4% | Medicare shows only a Star Rating for this topic | 89 | 91 | 99 | 84% | 91% | 90% | 90% | 82% |
| H3259 | Local CCP | VOLUNTEER STATE HEALTH PLAN | BlueCare Plus Tennessee | BlueCross BlueShield of Tennessee | 73% | 74% | 57% | 39% | 69% | 94% | 94% | 62% | 83% | 80% | 74% | 62% | 44% | 59% | 12% | 83% | 49% | 57% | 83 | 86 | 92 | 88 | 90 | 87 | 0.27 | 8% | Medicare shows only a Star Rating for this topic | 98% | 99% | 98% | 97% | 0.27 | 8% | Medicare shows only a Star Rating for this topic | 90 | 92 | 98 | 85% | 87% | 87% | 88% | 82% |
| 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% |
| 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% |
| 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 |
| S2468 | PDP | CALIFORNIA PHYSICIANS' SERVICE | Blue Shield of California | California Physicians Service | 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 | 97% | 0.04 | 8% | Medicare shows only a Star Rating for this topic | 83 | 89 | 98 | 83% | 88% | 87% | 95% | 81% |
| H0504 | Local CCP | CALIFORNIA PHYSICIANS' SERVICE | Blue Shield of California | California Physicians Service | 79% | 79% | 73% | 53% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 55% | 82% | 86% | 75% | 57% | 51% | 72% | 12% | 86% | 48% | 62% | 77 | 78 | 89 | 86 | 88 | 83 | 0.1 | 13% | Medicare shows only a Star Rating for this topic | 98% | 98% | 98% | 97% | 0.1 | 13% | Medicare shows only a Star Rating for this topic | 88 | 89 | 98 | 87% | 91% | 90% | 92% | 89% |
| H4937 | Local CCP | CALIFORNIA PHYSICIANS' SERVICE | Blue Shield of California | California Physicians Service | 76% | 78% | 69% | 51% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 64% | 83% | 71% | 48% | 37% | 57% | 12% | 82% | 51% | 56% | 75 | 75 | 86 | 83 | 82 | 84 | 0.16 | 1% | Medicare shows only a Star Rating for this topic | 98% | 98% | 98% | 97% | 0.16 | 1% | Medicare shows only a Star Rating for this topic | 86 | 87 | 98 | 92% | 91% | 91% | 90% | 84% |
| H5928 | Local CCP | California Physicians' Service | Blue Shield of California | California Physicians Service | 75% | 70% | 76% | 57% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 48% | 84% | 85% | 74% | 61% | 46% | 71% | 11% | 86% | 51% | 58% | 75 | Not enough data available | 88 | Not enough data available | 85 | Not enough data available | 0.12 | 16% | Medicare shows only a Star Rating for this topic | 96% | 99% | 98% | 97% | 0.12 | 16% | Medicare shows only a Star Rating for this topic | 86 | Not enough data available | 98 | 88% | 88% | 86% | 92% | 90% |
| H2819 | Local CCP | CALIFORNIA PHYSICIANS' SERVICE | Blue Shield of California | California Physicians Service | 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 | 98% | 97% | 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 |