|
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)
|
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| H8145 | PFFS | HUMANA INSURANCE COMPANY | Humana | Humana Inc | 68% | 71% | 69% | 70% | 88% | 41% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 40% | 72% | 84% | 54% | 78% | 56% | 41% | 90% | 10% | 85% | 76% | 56% | 84 | 86 | 90 | 88 | 87 | 89 | 0.14 | 13% | Medicare shows only a Star Rating for this topic | 100% | 98% | 100% | 100% | 0.14 | 13% | Medicare shows only a Star Rating for this topic | 87 | 90 | 84 | 86% | 90% | 90% | 84% | 84% |
| H8908 | Local CCP | HUMANA MEDICAL PLAN OF MICHIGAN, INC. | Humana | Humana Inc | 69% | 68% | 61% | Not enough data available | Not enough data available | 49% | 77% | 95% | 98% | 31% | 78% | 86% | 59% | 78% | 72% | Not enough data available | 79% | 12% | 88% | 67% | 56% | 81 | Not enough data available | 88 | 86 | 84 | Not enough data available | 0.18 | 30% | Medicare shows only a Star Rating for this topic | 100% | 98% | 100% | 100% | 0.18 | 30% | Medicare shows only a Star Rating for this topic | 86 | 89 | 85 | 83% | 86% | 85% | 84% | 89% |
| R0110 | Regional CCP | HUMANA INSURANCE COMPANY | Humana | Humana Inc | 68% | 69% | 69% | 71% | 86% | 45% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 32% | 73% | 89% | 52% | 76% | 61% | 41% | 82% | 10% | 85% | 71% | 57% | 86 | 87 | 91 | 87 | 87 | 92 | 0.1 | 9% | Medicare shows only a Star Rating for this topic | 98% | 98% | 100% | 100% | 0.1 | 9% | Medicare shows only a Star Rating for this topic | 86 | 90 | 84 | 86% | 89% | 89% | 92% | 84% |
| R1532 | Regional CCP | HUMANA INSURANCE COMPANY | Humana | Humana Inc | 60% | 58% | 57% | 68% | 74% | 36% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 68% | 81% | 46% | 75% | 57% | 42% | 80% | 9% | 87% | 67% | 51% | 83 | 84 | 92 | 84 | 83 | 87 | 0.24 | 41% | Medicare shows only a Star Rating for this topic | 100% | 97% | 100% | 100% | 0.24 | 41% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 83 | 88% | 86% | 87% | 92% | 86% |
| R4182 | Regional CCP | HUMANA INSURANCE COMPANY | Humana | Humana Inc | 58% | 62% | 67% | Not enough data available | Not enough data available | 48% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 39% | 62% | 84% | 47% | 78% | 61% | 44% | 77% | 10% | 84% | 61% | 52% | 86 | 86 | 93 | 90 | 86 | 89 | 0.1 | 21% | Medicare shows only a Star Rating for this topic | 99% | 98% | 100% | 100% | 0.1 | 21% | Medicare shows only a Star Rating for this topic | 88 | 90 | 84 | 85% | 88% | 89% | 85% | 82% |
| R5361 | Regional CCP | HUMANA INSURANCE COMPANY | Humana | Humana Inc | 63% | 65% | 70% | 69% | 87% | 38% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 63% | 80% | 56% | 76% | 62% | 41% | 81% | 10% | 82% | 72% | 53% | 83 | 84 | Not enough data available | 89 | 86 | 89 | 0.02 | 17% | Medicare shows only a Star Rating for this topic | 98% | 91% | 100% | 100% | 0.02 | 17% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 84 | 88% | 89% | 91% | 85% | 83% |
| R5826 | Regional CCP | HUMANA INSURANCE COMPANY | Humana | Humana Inc | 61% | 65% | 58% | Not enough data available | Not enough data available | 46% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 63% | 86% | 59% | 76% | 61% | Not enough data available | 78% | 11% | 81% | 62% | 60% | 84 | 85 | 89 | 87 | 84 | 87 | 0.09 | 18% | Medicare shows only a Star Rating for this topic | 99% | 99% | 100% | 100% | 0.09 | 18% | Medicare shows only a Star Rating for this topic | 85 | 88 | 85 | 86% | 88% | 88% | 86% | 87% |
| R7220 | Regional CCP | HUMANA INSURANCE COMPANY | Humana | Humana Inc | 58% | 64% | 54% | Not enough data available | Not enough data available | 42% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 68% | 86% | 56% | 73% | 47% | 38% | 79% | 9% | 88% | 61% | 55% | 78 | Not enough data available | Not enough data available | 84 | 84 | Not enough data available | 0.23 | 15% | Medicare shows only a Star Rating for this topic | 100% | 93% | 100% | 100% | 0.23 | 15% | Medicare shows only a Star Rating for this topic | 84 | Not enough data available | 83 | 86% | 85% | 86% | 91% | 90% |
| S5884 | PDP | Humana Insurance Co. & Humana Insurance Co. of NY | Humana | Humana Inc | 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 | 100% | 0.05 | 11% | Not enough data available | 83 | 89 | 83 | 87% | 89% | 89% | 63% | 82% |