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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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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| H2032 | Local CCP | Baylor Scott & White Insurance Company | Baylor Scott and White Health Plan | Baylor Scott and White Health | 80% | 78% | 71% | 69% | 87% | 58% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 78% | 85% | 80% | 80% | 53% | 52% | 77% | 10% | 86% | 67% | 52% | 82 | 82 | 90 | 90 | 90 | 90 | 0.25 | 7% | Medicare shows only a Star Rating for this topic | 100% | 100% | 81% | 75% | 0.25 | 7% | Medicare shows only a Star Rating for this topic | 90 | 90 | 99 | 90% | 95% | 94% | 86% | 85% |
| H8578 | Local CCP | HEALTH NEW ENGLAND, INC. | Health New England Medicare Advantage Plans | Baystate Health Inc | 83% | 76% | 79% | 74% | 81% | 52% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 26% | 74% | 89% | 63% | 86% | 53% | 47% | 86% | 11% | 88% | 76% | 57% | 77 | 79 | 91 | 85 | 86 | 85 | 0.07 | 4% | Medicare shows only a Star Rating for this topic | 100% | 78% | 83% | 86% | 0.07 | 4% | Medicare shows only a Star Rating for this topic | 84 | 88 | 99 | 89% | 92% | 90% | 95% | 91% |
| H2737 | Local CCP | HEALTH NEW ENGLAND, INC. | Health New England Medicare Advantage Plans | Baystate Health Inc | 83% | 73% | 71% | Plan too new to be measured | Plan too new to be measured | 53% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 74% | 83% | 60% | 82% | 52% | 38% | 74% | 12% | 84% | 66% | 62% | 77 | 77 | 90 | 85 | 82 | 85 | 0.07 | 17% | Medicare shows only a Star Rating for this topic | 100% | 80% | 83% | 86% | 0.07 | 17% | Medicare shows only a Star Rating for this topic | 83 | 87 | 100 | 88% | 92% | 91% | Not enough data available | 87% |
| S5743 | PDP | WELLMARK IA & SD, & BCBS MN, MT, NE, ND,& WY | MedicareBlue Rx | BCBS MN MT NE ND WY Wellmark IA and SD | 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 | 95% | 0.04 | 7% | Medicare shows only a Star Rating for this topic | 84 | 90 | 99 | 89% | 90% | 90% | 25% | 84% |
| H5447 | Local CCP | COMMUNITY FIRST HEALTH PLANS, INC. | Community First | Bexar County Hospital District | 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 | No data available | No data available | 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 | 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 | Not enough data available | Not enough data available | Not enough data available | Not enough data available | Not enough data available | 87% | 95% | Not enough data available | Not enough data available | Not enough data available | Plan too small to be measured | Plan too small to be measured | 100 | Not enough data available | Not enough data available | Not enough data available | Not enough data available | Not enough data available |
| H2261 | Local CCP | BCBS OF MASSACHUSETTS HMO BLUE, INC. | Blue Cross Blue Shield of Massachusetts | Blue Cross and Blue Shield of Massachusetts Inc | 83% | 77% | 79% | 72% | 85% | 54% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 37% | 80% | 89% | 81% | 83% | 49% | 51% | 78% | 6% | 87% | 71% | 63% | 80 | 84 | 91 | 87 | 87 | 86 | 0.09 | 7% | Medicare shows only a Star Rating for this topic | 100% | 98% | 100% | 97% | 0.09 | 7% | Medicare shows only a Star Rating for this topic | 86 | 90 | 99 | 90% | 92% | 91% | 79% | 87% |
| H2230 | Local CCP | BCBS OF MASSACHUSETTS HMO BLUE, INC. | Blue Cross Blue Shield of Massachusetts | Blue Cross and Blue Shield of Massachusetts Inc | 85% | 76% | 81% | 75% | 89% | 51% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 43% | 87% | 91% | 76% | 81% | 51% | 48% | 80% | 5% | 87% | 71% | 62% | 79 | 81 | 91 | 87 | 87 | 86 | 0.08 | 3% | Medicare shows only a Star Rating for this topic | 99% | 98% | 100% | 97% | 0.08 | 3% | Medicare shows only a Star Rating for this topic | 86 | 89 | 99 | 90% | 93% | 91% | 83% | 86% |
| H3557 | Local CCP | BLUE CROSS & BLUE SHIELD OF RHODE ISLAND | Blue Cross and Blue Shield of Rhode Island | Blue Cross and Blue Shield of Rhode Island | 91% | 85% | 86% | 74% | 89% | 57% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 41% | 90% | 91% | 66% | 82% | 50% | 56% | 83% | 12% | 89% | 72% | 61% | 82 | 82 | 90 | 87 | 90 | 88 | 0.1 | Not enough data available | Medicare shows only a Star Rating for this topic | 100% | 98% | Not enough data available | Not enough data available | 0.1 | Not enough data available | Medicare shows only a Star Rating for this topic | 87 | 88 | 99 | 89% | 93% | 92% | 92% | 89% |
| H4152 | Local CCP | BLUE CROSS & BLUE SHIELD OF RHODE ISLAND | Blue Cross and Blue Shield of Rhode Island | Blue Cross and Blue Shield of Rhode Island | 85% | 81% | 78% | 71% | 87% | 52% | 64% | 98% | 95% | 36% | 85% | 89% | 66% | 84% | 64% | 41% | 83% | 13% | 90% | 73% | 54% | 84 | 81 | 92 | 88 | 89 | 85 | 0.08 | 3% | Medicare shows only a Star Rating for this topic | 97% | 98% | 97% | 98% | 0.08 | 3% | Medicare shows only a Star Rating for this topic | 88 | 92 | 99 | 87% | 92% | 91% | 91% | 89% |
| 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% |