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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 - Improving or Maintaining Physical Health
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C05 - Improving or Maintaining Mental Health
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C06 - Monitoring Physical Activity
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C07 - Special Needs Plan (SNP) Care Management
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C08 - Care for Older Adults - Medication Review
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C09 - Care for Older Adults - Pain Assessment
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C10 - Osteoporosis Management in Women who had a Fracture
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C11 - Diabetes Care - Eye Exam
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C12 - Diabetes Care - Blood Sugar Controlled
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C13 - Kidney Health Evaluation for Patients with Diabetes
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C14 - Controlling High Blood Pressure
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C15 - Reducing the Risk of Falling
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C16 - Improving Bladder Control
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C17 - Medication Reconciliation Post-Discharge
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C18 - Plan All-Cause Readmissions
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C19 - Statin Therapy for Patients with Cardiovascular Disease
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C20 - Transitions of Care
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C21 - Follow-up after ED Visit People with Multiple Chronic Conditions
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C22 - Getting Needed Care
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C23 - Getting Appointments and Care Quickly
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C24 - Customer Service
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C25 - Rating of Health Care Quality
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C26 - Rating of Health Plan
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C27 - Care Coordination
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C28 - Complaints about the Health Plan
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C29 - Members Choosing to Leave the Plan
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C30 - Health Plan Quality Improvement
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C31 - Plan Makes Timely Decisions about Appeals
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C32 - Reviewing Appeals Decisions
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C33 - 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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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| H5852 | Local CCP | AIDS HEALTHCARE FOUNDATION | AHF | AIDS Healthcare Foundation | Not enough data available | 74% | 88% | Not enough data available | Not enough data available | Not enough data available | 70% | 97% | 96% | Not enough data available | 66% | 88% | 74% | 79% | Not enough data available | Not enough data available | 85% | No data available | No data available | 74% | 49% | 84 | Not enough data available | 90 | 89 | 90 | 86 | Not enough data available | Not enough data available | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 89% | 90% | Not enough data available | Not enough data available | Medicare shows only a Star Rating for this topic | 93 | Not enough data available | 98 | 91% | 91% | 90% | 93% | 90% |
| H8832 | Local CCP | ALIGNMENT HEALTH ADVANTAGE PLAN INC | Alignment Health Plan | Alignment Healthcare USA LLC | 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 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 | Not enough data available | Plan too new to be measured | Not enough data available | Not enough data available | 100% | 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 |
| H4961 | Local CCP | ALIGNMENT HEALTH PLAN | Alignment Health Plan | Alignment Healthcare USA LLC | 86% | 86% | 75% | 72% | 84% | 56% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 83% | 86% | 63% | 87% | 50% | 52% | 86% | 9% | 90% | 64% | 68% | 81 | 80 | 91 | 87 | 87 | 87 | 0.23 | 5% | Medicare shows only a Star Rating for this topic | 100% | 95% | 100% | 100% | 0.23 | 5% | Medicare shows only a Star Rating for this topic | 88 | 89 | 99 | 91% | 94% | 94% | 95% | 91% |
| H7074 | Local CCP | ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC. | Alignment Health Plan | Alignment Healthcare USA LLC | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | Plan too new to be measured | Plan too new to be measured | Plan too small to be measured | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 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 | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | CMS identified issues with this plan's data | 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 | 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 | 100% | 100% | Not enough data available | Not enough data available | Not enough data available | Plan too small to be measured | Plan too small to be measured | 99 | Not enough data available | 93% | 93% | Not enough data available | Not enough data available |
| H5472 | Local CCP | ALIGNMENT HEALTH INSURANCE COMPANY OF ARIZONA INC | Alignment Health Plan | Alignment Healthcare USA LLC | Not enough data available | Not enough data available | 73% | Plan too new to be measured | Plan too new to be measured | 55% | 95% | 100% | 99% | Not enough data available | 81% | 85% | 73% | 90% | Not enough data available | Not enough data available | 94% | No data available | Not enough data available | 77% | 80% | 79 | 83 | 91 | 91 | 92 | 82 | 0.21 | 21% | Not enough data available | Not enough data available | Not enough data available | 100% | 100% | 0.21 | 21% | Not enough data available | 90 | Not enough data available | 100 | 92% | 94% | 92% | 89% | 95% |
| H9686 | Local CCP | ALIGNMENT HEALTH PLAN OF NEVADA, INC. | Alignment Health Plan | Alignment Healthcare USA LLC | 81% | 83% | Plan too small to be measured | Not enough data available | Not enough data available | 52% | 91% | 100% | 95% | Not enough data available | 85% | 89% | 68% | 85% | 62% | 49% | 91% | 6% | 94% | 64% | 67% | 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 | 0.13 | 6% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 100% | 100% | 0.13 | 6% | Medicare shows only a Star Rating for this topic | Plan too small to be measured | Plan too small to be measured | 99 | 92% | 96% | 95% | 97% | 95% |
| H3815 | Local CCP | ALIGNMENT HEALTH PLAN | Alignment Health Plan | Alignment Healthcare USA LLC | 82% | 81% | 68% | 79% | 82% | 53% | 92% | 100% | 98% | 71% | 87% | 90% | 73% | 87% | 58% | 54% | 91% | 9% | 89% | 65% | 64% | 76 | 83 | 88 | 86 | 88 | Not enough data available | 0.17 | 10% | Medicare shows only a Star Rating for this topic | 95% | 95% | 100% | 100% | 0.17 | 10% | Medicare shows only a Star Rating for this topic | 88 | Not enough data available | 99 | 91% | 93% | 92% | 96% | 93% |
| H3443 | Local CCP | ALIGNMENT HEALTH PLAN OF ARIZONA, INC. | Alignment Health Plan | Alignment Healthcare USA LLC | 86% | 84% | 68% | Plan too new to be measured | Plan too new to be measured | 58% | 92% | 100% | 99% | Not enough data available | 89% | 90% | 77% | 86% | 64% | 44% | 91% | 8% | 94% | 62% | 72% | 79 | 81 | 90 | 88 | 90 | 83 | 0.46 | 23% | Medicare shows only a Star Rating for this topic | 92% | 92% | 100% | 100% | 0.46 | 23% | Medicare shows only a Star Rating for this topic | 90 | 87 | 99 | 91% | 92% | 93% | 96% | 96% |
| H5296 | Local CCP | ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC. | Alignment Health Plan | Alignment Healthcare USA LLC | 87% | 87% | 72% | 69% | 80% | 57% | 95% | 100% | 99% | Not enough data available | 77% | 93% | 69% | 91% | 51% | 53% | 91% | 9% | 93% | 69% | 71% | 82 | 86 | 93 | 89 | 91 | 89 | 0.46 | 12% | Medicare shows only a Star Rating for this topic | 80% | 100% | 100% | 100% | 0.46 | 12% | Medicare shows only a Star Rating for this topic | 90 | 92 | 99 | 90% | 94% | 93% | 96% | 95% |
| H3219 | Local CCP | ALLINA HEALTH AND AETNA INSURANCE COMPANY | Allina Health Aetna Medicare | Allina Health and Aetna Insurance Holding Company | 79% | 75% | 71% | 72% | 83% | 49% | No data available | No data available | No data available | 60% | 83% | 91% | 55% | 89% | 48% | 46% | 92% | 7% | 90% | 72% | 61% | 80 | 81 | 89 | 86 | 86 | 88 | 0.18 | 12% | Medicare shows only a Star Rating for this topic | 100% | 100% | 95% | 98% | 0.18 | 12% | Medicare shows only a Star Rating for this topic | 86 | 91 | 99 | 88% | 91% | 91% | 84% | 88% |