|
hcontract
|
org type
|
contract name
|
org marketing name
|
↑
parent org
|
C01 - Breast Cancer Screening
|
C02 - Colorectal Cancer Screening
|
C03 - Annual Flu Vaccine
|
C04 - Improving or Maintaining Physical Health
|
C05 - Improving or Maintaining Mental Health
|
C06 - Monitoring Physical Activity
|
C07 - Special Needs Plan (SNP) Care Management
|
C08 - Care for Older Adults - Medication Review
|
C09 - Care for Older Adults - Pain Assessment
|
C10 - Osteoporosis Management in Women who had a Fracture
|
C11 - Diabetes Care - Eye Exam
|
C12 - Diabetes Care - Blood Sugar Controlled
|
C13 - Kidney Health Evaluation for Patients with Diabetes
|
C14 - Controlling High Blood Pressure
|
C15 - Reducing the Risk of Falling
|
C16 - Improving Bladder Control
|
C17 - Medication Reconciliation Post-Discharge
|
C18 - Plan All-Cause Readmissions
|
C19 - Statin Therapy for Patients with Cardiovascular Disease
|
C20 - Transitions of Care
|
C21 - Follow-up after ED Visit People with Multiple Chronic Conditions
|
C22 - Getting Needed Care
|
C23 - Getting Appointments and Care Quickly
|
C24 - Customer Service
|
C25 - Rating of Health Care Quality
|
C26 - Rating of Health Plan
|
C27 - Care Coordination
|
C28 - Complaints about the Health Plan
|
C29 - Members Choosing to Leave the Plan
|
C30 - Health Plan Quality Improvement
|
C31 - Plan Makes Timely Decisions about Appeals
|
C32 - Reviewing Appeals Decisions
|
C33 - Call Center - Foreign Language Interpreter and TTY Availability
|
D01 - Call Center - Foreign Language Interpreter and TTY Availability
|
D02 - Complaints about the Drug Plan
|
D03 - Members Choosing to Leave the Plan
|
D04 - Drug Plan Quality Improvement
|
D05 - Rating of Drug Plan
|
D06 - Getting Needed Prescription Drugs
|
D07 - MPF Price Accuracy
|
D08 - Medication Adherence for Diabetes Medications
|
D09 - Medication Adherence for Hypertension (RAS antagonists)
|
D10 - Medication Adherence for Cholesterol (Statins)
|
D11 - MTM Program Completion Rate for CMR
|
D12 - Statin Use in Persons with Diabetes (SUPD)
|
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| H3979 | Local CCP | GHS HEALTH MAINTENANCE ORGANIZATION, INC. | Blue Cross and Blue Shield of Oklahoma | Health Care Service Corporation | 70% | 75% | 69% | 65% | 86% | 44% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 74% | 90% | 64% | 78% | 51% | 46% | 80% | 6% | 86% | 72% | 62% | 87 | 87 | 91 | 89 | 87 | 88 | 0.3 | 16% | Medicare shows only a Star Rating for this topic | 100% | 96% | 95% | 98% | 0.3 | 16% | Medicare shows only a Star Rating for this topic | 87 | 90 | 99 | 83% | 88% | 85% | 93% | 83% |
| H7849 | Local CCP | HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. | Cigna HealthCare | Health Care Service Corporation | 73% | 67% | 66% | Not enough data available | Not enough data available | 50% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 39% | 73% | 80% | 58% | 73% | 50% | 41% | 63% | 10% | 83% | 53% | 56% | 83 | 85 | 88 | 88 | 83 | 87 | 0.41 | 27% | Medicare shows only a Star Rating for this topic | 99% | 99% | 98% | 100% | 0.41 | 27% | Medicare shows only a Star Rating for this topic | 86 | 87 | 99 | 83% | 89% | 86% | 95% | 85% |
| H7389 | Local CCP | HealthSpring Life & Health Insurance Company, Inc. | Cigna Healthcare | Health Care Service Corporation | 59% | 54% | 52% | Plan too new to be measured | Plan too new to be measured | 39% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 62% | 79% | 56% | 70% | Not enough data available | Not enough data available | 59% | 10% | 71% | 47% | 40% | 77 | Not enough data available | Not enough data available | Not enough data available | 79 | Not enough data available | 0.92 | 40% | Medicare shows only a Star Rating for this topic | 100% | 100% | 98% | 100% | 0.92 | 40% | Medicare shows only a Star Rating for this topic | 83 | Not enough data available | 99 | 84% | 85% | 85% | 93% | 86% |
| H4513 | Local CCP | HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. | Cigna HealthCare | Health Care Service Corporation | 80% | 78% | 68% | 66% | 88% | 52% | 65% | 97% | 97% | 60% | 81% | 90% | 79% | 81% | 63% | 49% | 92% | 10% | 89% | 78% | 58% | 84 | 87 | 91 | 88 | 89 | 88 | 0.24 | 17% | Medicare shows only a Star Rating for this topic | 99% | 98% | 98% | 100% | 0.24 | 17% | Medicare shows only a Star Rating for this topic | 89 | 89 | 99 | 86% | 90% | 89% | 95% | 91% |
| H7020 | Local CCP | HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. | Cigna HealthCare | Health Care Service Corporation | 75% | 78% | 66% | 68% | 78% | 54% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 72% | 88% | 62% | 75% | 61% | 48% | 88% | 10% | 85% | 63% | 59% | 84 | 86 | 91 | 88 | 87 | 88 | 0.26 | 14% | Medicare shows only a Star Rating for this topic | 100% | 97% | 98% | 100% | 0.26 | 14% | Medicare shows only a Star Rating for this topic | 89 | 90 | 99 | 84% | 90% | 89% | 95% | 86% |
| H7787 | Local CCP | HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. | Cigna HealthCare | Health Care Service Corporation | 83% | 67% | 76% | Not enough data available | Not enough data available | 56% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 39% | 71% | 87% | 63% | 80% | 54% | 47% | 84% | 10% | 87% | 62% | 59% | 84 | 85 | 89 | 88 | 86 | 89 | 0.11 | 4% | Medicare shows only a Star Rating for this topic | 100% | 96% | 98% | 100% | 0.11 | 4% | Medicare shows only a Star Rating for this topic | 90 | 91 | 100 | 89% | 91% | 89% | 94% | 86% |
| H0439 | Local CCP | HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. | Cigna HealthCare | Health Care Service Corporation | 73% | 76% | 62% | 73% | 88% | 53% | 64% | 95% | 95% | 53% | 73% | 83% | 64% | 67% | 59% | 46% | 87% | 10% | 83% | 57% | 58% | 85 | 87 | 89 | 87 | 87 | 88 | 0.19 | 13% | Medicare shows only a Star Rating for this topic | 100% | 97% | 98% | 100% | 0.19 | 13% | Medicare shows only a Star Rating for this topic | 88 | 90 | 99 | 85% | 88% | 88% | 97% | 84% |
| H9706 | Local CCP | HCSC INSURANCE SERVICES COMPANY | Blue Cross and Blue Shield of Texas | Health Care Service Corporation | 73% | 71% | 64% | Not enough data available | Not enough data available | 48% | 20% | 100% | 80% | Not enough data available | 64% | 75% | 63% | 75% | 54% | Not enough data available | 55% | 9% | 90% | 45% | 59% | 80 | 83 | 89 | 84 | 85 | 86 | 0.61 | 34% | Medicare shows only a Star Rating for this topic | 100% | 100% | 95% | 98% | 0.61 | 34% | Medicare shows only a Star Rating for this topic | 85 | 88 | 99 | 83% | 85% | 84% | 93% | 86% |
| H0672 | Local CCP | CIGNA HEALTHCARE OF COLORADO, INC. | Cigna HealthCare | Health Care Service Corporation | 67% | 61% | 62% | Not enough data available | Not enough data available | 50% | 68% | 89% | 89% | 38% | 74% | 82% | 60% | 74% | 55% | 38% | 75% | 9% | 86% | 60% | 54% | 79 | 82 | Not enough data available | 82 | 81 | 87 | 0.38 | 31% | Medicare shows only a Star Rating for this topic | 97% | 99% | 98% | 100% | 0.38 | 31% | Medicare shows only a Star Rating for this topic | 84 | Not enough data available | 99 | 82% | 88% | 88% | 95% | 83% |
| H1666 | Local CCP | HCSC INSURANCE SERVICES COMPANY | Blue Cross and Blue Shield of NM TX | Health Care Service Corporation | 72% | 74% | 66% | 72% | 86% | 48% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 38% | 74% | 76% | 55% | 70% | 55% | 46% | 54% | 8% | 82% | 45% | 61% | 81 | 85 | 90 | 85 | 85 | 86 | 0.22 | 12% | Medicare shows only a Star Rating for this topic | 100% | 99% | 95% | 98% | 0.22 | 12% | Medicare shows only a Star Rating for this topic | 85 | 87 | 99 | 86% | 88% | 87% | 92% | 82% |