|
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)
|
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| H0169 | Local CCP | UNITEDHEALTHCARE OF WISCONSIN, INC. | UnitedHealthcare | UnitedHealth Group Inc | 70% | 74% | 64% | 73% | 82% | 46% | 79% | 98% | 99% | 46% | 86% | 89% | 56% | 83% | 64% | 47% | 66% | 12% | 87% | 63% | 59% | 82 | 85 | 90 | 86 | 89 | 87 | 0.15 | 20% | Medicare shows only a Star Rating for this topic | 100% | 99% | 100% | 100% | 0.15 | 20% | Medicare shows only a Star Rating for this topic | 89 | 91 | 100 | 89% | 89% | 90% | 91% | 86% |
| H0174 | Local CCP | WELLCARE OF TEXAS, INC. | Wellcare | Centene Corporation | 69% | 65% | 69% | Not enough data available | Not enough data available | 50% | 74% | 97% | 95% | 29% | 75% | 84% | 67% | 78% | 64% | Not enough data available | 77% | 10% | 86% | 58% | 50% | 80 | 85 | 91 | 90 | 87 | 87 | 0.47 | 31% | Medicare shows only a Star Rating for this topic | 97% | 98% | 100% | 100% | 0.47 | 31% | Medicare shows only a Star Rating for this topic | 89 | 88 | 99 | 86% | 87% | 85% | 96% | 91% |
| H0251 | Local CCP | UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC. | UnitedHealthcare | UnitedHealth Group Inc | 65% | 68% | 54% | Not enough data available | Not enough data available | 42% | 77% | 96% | 98% | 32% | 83% | 84% | 52% | 77% | 61% | 43% | 69% | 12% | 82% | 44% | 59% | 86 | 87 | 91 | 89 | 91 | 88 | 0.2 | 12% | Medicare shows only a Star Rating for this topic | 99% | 99% | 100% | 100% | 0.2 | 12% | Medicare shows only a Star Rating for this topic | 88 | 91 | 100 | 86% | 87% | 87% | 95% | 86% |
| H0270 | Local CCP | WELLCARE HEALTH INSURANCE COMPANY OF AMERICA | Wellcare | Centene Corporation | 56% | 68% | Plan too small to be measured | Not enough data available | Not enough data available | 43% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 69% | 77% | 43% | 68% | Not enough data available | Not enough data available | 66% | No data available | No data available | 56% | 56% | 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 | 23% | Not enough data available | Not enough data available | Not enough data available | 100% | 100% | Not enough data available | 23% | Medicare shows only a Star Rating for this topic | Plan too small to be measured | Plan too small to be measured | 100 | 86% | 85% | 82% | 85% | 91% |
| H0292 | Local CCP | HUMANA HEALTH PLAN OF OHIO, INC. | Humana | Humana Inc | 79% | 81% | 71% | 75% | 89% | 51% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 54% | 87% | 90% | 69% | 81% | 48% | 44% | 93% | 11% | 92% | 85% | 68% | 86 | 87 | 91 | 89 | 86 | 89 | 0.08 | 22% | Medicare shows only a Star Rating for this topic | 98% | 100% | 100% | 100% | 0.08 | 22% | Medicare shows only a Star Rating for this topic | 87 | 90 | 84 | 86% | 90% | 90% | 83% | 93% |
| H0294 | Local CCP | UNITEDHEALTHCARE INSURANCE COMPANY | UnitedHealthcare | UnitedHealth Group Inc | 80% | 74% | 70% | 69% | 85% | 50% | 80% | 98% | 99% | 39% | 84% | 89% | 66% | 80% | 50% | 45% | 66% | 10% | 87% | 53% | 60% | 81 | 83 | Not enough data available | 85 | 84 | 86 | 0.22 | 15% | Medicare shows only a Star Rating for this topic | 100% | 99% | 100% | 100% | 0.22 | 15% | Medicare shows only a Star Rating for this topic | 85 | 88 | 100 | 87% | 91% | 90% | 90% | 87% |
| H0302 | Local CCP | MEDISUN, INC. | Blue Cross Blue Shield of Arizona (AZ Blue) | Blue Cross Blue Shield of Arizona | 75% | 81% | 68% | 69% | 85% | 48% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 58% | 73% | 89% | 75% | 87% | 56% | 45% | 93% | 9% | 88% | 91% | 73% | 82 | 81 | 92 | 87 | 89 | 86 | 0.04 | 5% | Medicare shows only a Star Rating for this topic | 98% | 98% | 100% | 98% | 0.04 | 5% | Medicare shows only a Star Rating for this topic | 89 | 92 | 99 | 89% | 92% | 91% | 96% | 93% |
| H0321 | Local CCP | ARIZONA PHYSICIANS IPA, INC. | UnitedHealthcare | UnitedHealth Group Inc | 70% | 70% | 64% | 71% | 82% | 55% | 74% | 94% | 99% | 45% | 84% | 87% | 62% | 78% | 63% | 45% | 63% | 12% | 84% | 43% | 65% | 81 | Not enough data available | Not enough data available | 87 | 90 | Not enough data available | 0.14 | 10% | Medicare shows only a Star Rating for this topic | 98% | 99% | 100% | 100% | 0.14 | 10% | Medicare shows only a Star Rating for this topic | 88 | Not enough data available | 100 | 85% | 85% | 83% | 91% | 87% |
| H0332 | Local CCP | KS PLAN ADMINISTRATORS, LLC | KelseyCare Advantage | UnitedHealth Group Inc | 78% | 72% | 74% | 73% | 81% | 55% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 77% | 86% | 93% | 83% | 91% | 54% | 45% | 90% | 11% | 88% | 80% | 59% | 77 | 76 | 93 | 89 | 91 | 87 | 0.1 | 5% | Medicare shows only a Star Rating for this topic | 100% | 100% | 97% | 97% | 0.1 | 5% | Medicare shows only a Star Rating for this topic | 90 | 91 | 99 | 87% | 90% | 88% | 93% | 89% |
| H0342 | Local CCP | CAREPARTNERS OF CONNECTICUT, INC. | CarePartners of Connecticut | Point32Health Inc | 83% | 78% | 77% | Plan too small to be measured | Plan too small to be measured | 55% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 75% | 94% | 55% | 86% | 50% | Not enough data available | 81% | No data available | 81% | 71% | 79% | 81 | 82 | 92 | 87 | 87 | 86 | 0.21 | 13% | Not enough data available | 100% | 100% | 97% | 98% | 0.21 | 13% | Medicare shows only a Star Rating for this topic | 86 | 90 | 99 | 86% | 92% | 90% | 91% | 86% |