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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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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| H3312 | Local CCP | AETNA HEALTH INC. (NY) | Aetna Medicare | CVS Health Corporation | 74% | 66% | 62% | 71% | 84% | 47% | 65% | 100% | 95% | 44% | 77% | 83% | 50% | 83% | 65% | 47% | 90% | 9% | 86% | 55% | 61% | 79 | 79 | 88 | 83 | 85 | 87 | 0.31 | 23% | Medicare shows only a Star Rating for this topic | 98% | 100% | 98% | 100% | 0.31 | 23% | Medicare shows only a Star Rating for this topic | 85 | 88 | 99 | 87% | 89% | 87% | 98% | 87% |
| H5521 | Local CCP | AETNA LIFE INSURANCE COMPANY | Aetna Medicare | CVS Health Corporation | 77% | 73% | 67% | 76% | 88% | 49% | 70% | 100% | 98% | 51% | 81% | 91% | 57% | 85% | 49% | 48% | 91% | 8% | 86% | 58% | 61% | 82 | 85 | 89 | 88 | 89 | 88 | 0.09 | 6% | Medicare shows only a Star Rating for this topic | 97% | 98% | 98% | 100% | 0.09 | 6% | Medicare shows only a Star Rating for this topic | 87 | 90 | 99 | 87% | 91% | 89% | 94% | 86% |
| H3192 | Local CCP | AETNA HEALTH OF MICHIGAN INC. | Aetna Medicare | CVS Health Corporation | 72% | 66% | 56% | 75% | 80% | 49% | 62% | 100% | 97% | 48% | 75% | 86% | 58% | 80% | 60% | 46% | 89% | 9% | 90% | 56% | 61% | 82 | 84 | 89 | 85 | 86 | 87 | 0.34 | 31% | Medicare shows only a Star Rating for this topic | 98% | 98% | 98% | 100% | 0.34 | 31% | Medicare shows only a Star Rating for this topic | 86 | 89 | 99 | 85% | 88% | 87% | 96% | 88% |
| H4711 | Local CCP | COVENTRY HEALTH CARE OF NEBRASKA, INC. | Aetna Medicare | CVS Health Corporation | 66% | 63% | 56% | 67% | 85% | 46% | 63% | 100% | 91% | 44% | 74% | 85% | 60% | 81% | 59% | 46% | 90% | 7% | 84% | 53% | 55% | 81 | Not enough data available | 91 | 86 | 86 | 89 | 0.43 | 42% | Medicare shows only a Star Rating for this topic | 97% | 100% | 98% | 100% | 0.43 | 42% | Medicare shows only a Star Rating for this topic | 85 | Not enough data available | 99 | 86% | 87% | 86% | 94% | 87% |
| H8597 | Local CCP | AETNA BETTER HEALTH OF TEXAS INC. | Aetna Medicare | CVS Health Corporation | 72% | 67% | 64% | 72% | 84% | 57% | 70% | 100% | 95% | 32% | 80% | 84% | 60% | 78% | 74% | 46% | 89% | 9% | 86% | 50% | 55% | 84 | 82 | 92 | 88 | 88 | 89 | 0.65 | 47% | Medicare shows only a Star Rating for this topic | 99% | 99% | 98% | 100% | 0.65 | 47% | Medicare shows only a Star Rating for this topic | 87 | 89 | 99 | 88% | 87% | 86% | 98% | 89% |
| H3288 | Local CCP | AETNA HEALTH AND LIFE INSURANCE COMPANY | Aetna Medicare | CVS Health Corporation | 68% | 65% | 61% | 70% | 82% | 46% | No data available | No data available | No data available | 47% | 72% | 92% | 52% | 79% | 52% | 47% | 91% | 8% | 84% | 53% | 53% | 83 | 86 | 92 | 88 | 87 | Not enough data available | 0.17 | 22% | Medicare shows only a Star Rating for this topic | 99% | 99% | 98% | 100% | 0.17 | 22% | Medicare shows only a Star Rating for this topic | 85 | 89 | 98 | 86% | 89% | 88% | 94% | 83% |
| H3931 | Local CCP | AETNA HEALTH INC. (PA) | Aetna Medicare | CVS Health Corporation | 75% | 69% | 62% | 73% | 85% | 47% | 71% | 100% | 94% | 52% | 79% | 85% | 61% | 81% | 55% | 37% | 92% | 9% | 85% | 56% | 58% | 81 | 81 | 88 | 84 | 85 | 85 | 0.34 | 18% | Medicare shows only a Star Rating for this topic | 98% | 98% | 98% | 100% | 0.34 | 18% | Medicare shows only a Star Rating for this topic | 87 | 89 | 99 | 86% | 89% | 88% | 90% | 86% |
| H9431 | Local CCP | FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY | Aetna Medicare | CVS Health Corporation | 68% | 61% | 62% | 69% | 85% | 49% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 44% | 77% | 83% | 58% | 75% | 55% | 44% | 88% | 7% | 88% | 57% | 57% | 78 | 83 | 90 | 86 | 83 | 85 | 0.23 | 4% | Medicare shows only a Star Rating for this topic | 96% | 100% | 98% | 100% | 0.23 | 4% | Medicare shows only a Star Rating for this topic | 83 | Not enough data available | 99 | 86% | 88% | 88% | 91% | 82% |
| S5601 | PDP | SILVERSCRIPT INSURANCE COMPANY | Aetna Medicare | CVS Health Corporation | 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 not required to report measure | Plan not required to report measure | Plan not required to report measure | 100% | 0.09 | 10% | Medicare shows only a Star Rating for this topic | 79 | 88 | 98 | 87% | 88% | 87% | 8% | 82% |
| H0523 | Local CCP | AETNA HEALTH OF CALIFORNIA INC. | Aetna Medicare | CVS Health Corporation | 76% | 71% | 66% | 72% | 84% | 52% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 61% | 80% | 88% | 64% | 80% | 67% | 34% | 78% | 9% | 89% | 45% | 51% | 76 | Not enough data available | 86 | 85 | 83 | 85 | 0.52 | 27% | Medicare shows only a Star Rating for this topic | 99% | 97% | 98% | 100% | 0.52 | 27% | Medicare shows only a Star Rating for this topic | 86 | Not enough data available | 99 | 87% | 91% | 89% | 96% | 91% |