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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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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| H6200 | Local CCP | ESSENCE HEALTHCARE PPO, INC. | Essence Healthcare | Lumeris Group Holdings Corporation | 87% | 86% | 72% | Plan too new to be measured | Plan too new to be measured | 51% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 87% | 90% | 78% | 85% | 50% | 51% | 74% | 10% | 88% | 67% | 73% | 82 | 83 | 90 | 86 | 84 | 87 | 0.25 | 27% | Medicare shows only a Star Rating for this topic | 100% | 99% | 95% | 98% | 0.25 | 27% | Medicare shows only a Star Rating for this topic | 83 | 86 | 99 | 83% | 91% | 90% | 91% | 86% |
| H2610 | Local CCP | ESSENCE HEALTHCARE, INC. | Essence Healthcare | Lumeris Group Holdings Corporation | 84% | 84% | 78% | 73% | 82% | 56% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 65% | 88% | 91% | 86% | 93% | 56% | 55% | 86% | 11% | 88% | 68% | 76% | 85 | 86 | 92 | 89 | 87 | 89 | 0.07 | 15% | Medicare shows only a Star Rating for this topic | 100% | 98% | 95% | 98% | 0.07 | 15% | Medicare shows only a Star Rating for this topic | 86 | 89 | 99 | 84% | 92% | 91% | 90% | 90% |
| H1372 | Local CCP | MARQUIS ADVANTAGE, INC. | AgeRight Advantage | Marquis Companies I Inc | Not enough data available | Not enough data available | Plan too small to be measured | Not enough data available | Not enough data available | No data available | 98% | 100% | 100% | Not enough data available | Not enough data available | Not enough data available | Not enough data available | Not enough data available | No data available | No data available | Not enough data available | No data available | Not enough data available | Not enough data available | 73% | 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 | 100% | 96% | 97% | 97% | Not enough data available | Not enough data available | Medicare shows only a Star Rating for this topic | Plan too small to be measured | Plan too small to be measured | 100 | 93% | 86% | 93% | 98% | 98% |
| H5211 | Local CCP | SECURITY HEALTH PLAN OF WISCONSIN, INC. | Security Health Plan of Wisconsin Inc. | Marshfield Clinic Health System Inc | 83% | 81% | 68% | 73% | 83% | 40% | 66% | 98% | 99% | 41% | 82% | 89% | 66% | 81% | 45% | 41% | 84% | 9% | 88% | 79% | 60% | 82 | 83 | 93 | 87 | 89 | 88 | 0.02 | 3% | Medicare shows only a Star Rating for this topic | 99% | 94% | 92% | 95% | 0.02 | 3% | Medicare shows only a Star Rating for this topic | 88 | 92 | 99 | 90% | 92% | 91% | 85% | 86% |
| H1365 | Local CCP | MARTIN'S POINT GENERATIONS ADVANTAGE, INC. | Martins Point Generations Advantage | Martins Point Health Care Inc | 75% | 65% | 72% | 69% | 92% | 50% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 78% | 84% | 43% | 80% | 51% | 48% | 84% | 13% | 85% | 83% | 61% | 80 | 80 | 90 | 86 | 88 | 89 | 0.22 | 8% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 100% | 100% | 0.22 | 8% | Medicare shows only a Star Rating for this topic | 85 | 89 | 99 | 91% | 91% | 90% | 86% | 84% |
| H5591 | Local CCP | MARTIN'S POINT GENERATIONS ADVANTAGE, INC. | Martins Point Generations Advantage | Martins Point Health Care Inc | 84% | 78% | 73% | 72% | 87% | 51% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 30% | 82% | 91% | 51% | 81% | 41% | 46% | 89% | 10% | 88% | 88% | 61% | 79 | 84 | 93 | 86 | 89 | 87 | 0.04 | 4% | Medicare shows only a Star Rating for this topic | 98% | 95% | 100% | 100% | 0.04 | 4% | Medicare shows only a Star Rating for this topic | 88 | 91 | 99 | 87% | 91% | 90% | 89% | 84% |
| H6847 | Local CCP | Mass General Brigham Health Plan, Inc. | Mass General Brigham Health Plan | Mass General Brigham Incorporated | Not enough data available | 80% | 89% | Plan too new to be measured | Plan too new to be measured | 59% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 76% | 92% | 53% | 83% | Not enough data available | Not enough data available | 96% | No data available | Not enough data available | 91% | Not enough data available | 78 | 80 | 90 | 88 | 89 | 88 | Not enough data available | Not enough data available | Not enough data available | 83% | 92% | 98% | 98% | Not enough data available | Not enough data available | Not enough data available | 87 | Not enough data available | 96 | 83% | 93% | 90% | 93% | 95% |
| H1611 | Local CCP | MASS GENERAL BRIGHAM HEALTH PLAN, INC | Mass General Brigham Health Plan | Mass General Brigham Incorporated | 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 | 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 |
| H0777 | Local CCP | MASS GENERAL BRIGHAM HEALTH PLAN, INC | Mass General Brigham Health Plan | Mass General Brigham Incorporated | 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 | 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 |
| H9485 | Local CCP | Mass General Brigham Health Plan, Inc. | Mass General Brigham Health Plan | Mass General Brigham Incorporated | 90% | 82% | 80% | Plan too new to be measured | Plan too new to be measured | 62% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 78% | 88% | 53% | 76% | 55% | Not enough data available | 89% | No data available | 89% | 87% | 56% | 78 | 84 | 89 | 87 | 88 | 88 | 0.21 | 6% | Medicare shows only a Star Rating for this topic | 95% | 97% | 98% | 98% | 0.21 | 6% | Medicare shows only a Star Rating for this topic | 86 | 89 | 97 | 86% | 91% | 91% | 89% | 88% |