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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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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| H9834 | Local CCP | QUARTZ HEALTH PLAN MN CORPORATION | Quartz Medicare Advantage (HMO) | University of Wisconsin Hospitals and Clincs Autho | 85% | 79% | 71% | 70% | 85% | 49% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 84% | 92% | 12% | 77% | 48% | 43% | 80% | 10% | 87% | 85% | 66% | 83 | 87 | 93 | 88 | 87 | 90 | 0 | 8% | Medicare shows only a Star Rating for this topic | 100% | 87% | 98% | 98% | 0 | 8% | Medicare shows only a Star Rating for this topic | 85 | 91 | 99 | 87% | 91% | 91% | Not enough data available | 91% |
| S3389 | PDP | UPMC HEALTH BENEFITS, INC. | UPMC Health Plan | UPMC Health System | 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 | Not enough data available | 0 | Not enough data available | Medicare shows only a Star Rating for this topic | 88 | 92 | Not enough data available | 88% | 93% | 91% | 74% | 88% |
| H5533 | Local CCP | UPMC HEALTH NETWORK, INC. | UPMC for Life | UPMC Health System | 80% | 78% | 70% | 71% | 84% | 44% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 29% | 83% | 92% | 68% | 80% | 54% | 51% | 90% | 8% | 87% | 83% | 70% | 83 | 87 | 94 | 89 | 90 | 88 | 0.11 | 8% | Medicare shows only a Star Rating for this topic | 99% | 98% | 98% | 97% | 0.11 | 8% | Medicare shows only a Star Rating for this topic | 89 | 92 | 99 | 89% | 93% | 92% | 78% | 86% |
| H7123 | Local CCP | UPMC HEALTH COVERAGE, INC. | UPMC for Life Complete Care | UPMC Health System | 74% | 63% | 67% | Not enough data available | Not enough data available | 53% | 82% | 87% | 86% | Not enough data available | 69% | 78% | 56% | 78% | Not enough data available | Not enough data available | 64% | 17% | 86% | 59% | 57% | 81 | 86 | 92 | 86 | 89 | 89 | 0.66 | 19% | Medicare shows only a Star Rating for this topic | 100% | 100% | 98% | 97% | 0.66 | 19% | Medicare shows only a Star Rating for this topic | 90 | 91 | 99 | 93% | 89% | 87% | 63% | 88% |
| H3907 | Local CCP | UPMC HEALTH PLAN, INC. | UPMC for Life | UPMC Health System | 78% | 78% | 71% | 70% | 81% | 46% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 34% | 79% | 93% | 70% | 78% | 52% | 48% | 90% | 8% | 87% | 81% | 70% | 84 | 89 | 94 | 90 | 91 | 88 | 0.03 | 6% | Medicare shows only a Star Rating for this topic | 99% | 98% | 98% | 97% | 0.03 | 6% | Medicare shows only a Star Rating for this topic | 90 | 93 | 99 | 89% | 93% | 93% | 83% | 88% |
| H4279 | Local CCP | UPMC FOR YOU, INC | UPMC for Life Complete Care | UPMC Health System | 68% | 69% | 58% | Not enough data available | Not enough data available | 42% | 66% | 95% | 94% | 33% | 76% | 84% | 60% | 78% | 73% | 51% | 84% | 8% | 87% | 78% | 69% | 83 | 85 | 92 | 88 | 91 | 87 | 0.1 | 13% | Medicare shows only a Star Rating for this topic | 100% | 97% | 98% | 97% | 0.1 | 13% | Medicare shows only a Star Rating for this topic | 91 | 92 | 99 | 89% | 91% | 91% | 81% | 87% |
| H9699 | Local CCP | USABLE HMO, INC. | Arkansas Blue Medicare | USAble Mutual Insurance Company | 62% | 73% | 69% | 65% | 84% | 43% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 64% | 87% | 63% | 68% | 49% | 46% | 63% | 10% | 79% | 39% | 51% | 84 | 88 | 90 | 87 | 86 | 89 | 0.11 | 11% | Medicare shows only a Star Rating for this topic | 100% | 96% | 92% | 98% | 0.11 | 11% | Medicare shows only a Star Rating for this topic | 86 | 91 | 98 | 90% | 88% | 88% | 63% | 79% |
| H4213 | PFFS | USABLE MUTUAL INSURANCE COMPANY | Arkansas Blue Medicare | USAble Mutual Insurance Company | 62% | 70% | 68% | 66% | 85% | 37% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 62% | 80% | 52% | 70% | 52% | 39% | 67% | 9% | 80% | 40% | 46% | 86 | 89 | 94 | 90 | 88 | 89 | 0.12 | 11% | Medicare shows only a Star Rating for this topic | 100% | 93% | 92% | 98% | 0.12 | 11% | Medicare shows only a Star Rating for this topic | 84 | 92 | 98 | 89% | 88% | 89% | 57% | 79% |
| S5795 | PDP | USABLE MUTUAL INSURANCE COMPANY | Arkansas Blue Medicare | USAble Mutual Insurance Company | 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 | 98% | 0.03 | 9% | Medicare shows only a Star Rating for this topic | 84 | 92 | 98 | 85% | 86% | 86% | 66% | 79% |
| H6158 | Local CCP | USABLE HMO, INC. | Arkansas Blue Medicare | USAble Mutual Insurance Company | 75% | 74% | 62% | 65% | 82% | 45% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 28% | 73% | 82% | 55% | 66% | 48% | 44% | 60% | 12% | 82% | CMS identified issues with this plan's data | 56% | 85 | 87 | 90 | 88 | 86 | 87 | 0.06 | 12% | Medicare shows only a Star Rating for this topic | 100% | 92% | 92% | 98% | 0.06 | 12% | Medicare shows only a Star Rating for this topic | 87 | 91 | 98 | 85% | 89% | 88% | 73% | 83% |