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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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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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% |
| H0107 | Local CCP | HEALTH CARE SERVICE CORPORATION | Blue Cross and Blue Shield of Montana | Health Care Service Corporation | 80% | 73% | 78% | 73% | 85% | 53% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 26% | 70% | 84% | 60% | 74% | 52% | 44% | 62% | 9% | 84% | 52% | 64% | 83 | 84 | 90 | 88 | 89 | 88 | 0.07 | 1% | Medicare shows only a Star Rating for this topic | 99% | 97% | 95% | 98% | 0.07 | 1% | Medicare shows only a Star Rating for this topic | 87 | 88 | 99 | 87% | 89% | 88% | 94% | 85% |
| H2108 | Local CCP | BRAVO HEALTH MID-ATLANTIC, INC. | Cigna HealthCare | Health Care Service Corporation | 73% | 67% | 74% | Not enough data available | Not enough data available | 48% | 60% | 89% | 90% | 56% | 69% | 78% | 61% | 78% | 66% | 48% | 72% | 11% | 87% | 57% | 57% | 82 | 81 | 91 | 84 | 83 | 87 | 0.29 | 22% | Medicare shows only a Star Rating for this topic | 99% | 97% | 98% | 100% | 0.29 | 22% | Medicare shows only a Star Rating for this topic | 86 | 88 | 99 | 83% | 86% | 85% | 93% | 90% |
| H3822 | Local CCP | HEALTH CARE SERVICE CORPORATION | Blue Cross and Blue Shield of IL NM | Health Care Service Corporation | 76% | 78% | 75% | 75% | 86% | 52% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 22% | 73% | 87% | 68% | 80% | 54% | 50% | 70% | 8% | 89% | 58% | 63% | 80 | 80 | 89 | 86 | 86 | 87 | 0.11 | 11% | Medicare shows only a Star Rating for this topic | 98% | 97% | 95% | 98% | 0.11 | 11% | Medicare shows only a Star Rating for this topic | 88 | 88 | 99 | 85% | 88% | 86% | 92% | 89% |
| H0354 | Local CCP | BRAVO HEALTH PENNSYLVANIA, INC. | Cigna HealthCare | Health Care Service Corporation | 78% | 72% | 68% | 75% | 84% | 51% | 59% | 99% | 98% | 54% | 84% | 87% | 78% | 81% | 59% | 40% | 91% | 10% | 86% | 80% | 67% | 80 | 84 | 90 | 84 | 86 | 84 | 0.29 | 10% | Medicare shows only a Star Rating for this topic | 100% | 99% | 98% | 100% | 0.29 | 10% | Medicare shows only a Star Rating for this topic | 88 | 89 | 99 | 86% | 90% | 89% | 96% | 91% |
| 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% |
| 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% |
| 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% |
| H8634 | Local CCP | HEALTH CARE SERVICE CORPORATION | Blue Cross and Blue Shield of IL NM OK TX | Health Care Service Corporation | 76% | 74% | 67% | 68% | 84% | 54% | 44% | 100% | 86% | 28% | 69% | 82% | 60% | 75% | 53% | 43% | 63% | 10% | 84% | 54% | 65% | 82 | 83 | 90 | 86 | 86 | 88 | 0.33 | 10% | Not enough data available | 99% | 96% | 95% | 98% | 0.33 | 10% | Not enough data available | 85 | 86 | 99 | 85% | 87% | 85% | 92% | 85% |
| 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% |