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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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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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% |
| H7063 | Local CCP | BLUECROSS BLUESHIELD KANSAS SOLUTIONS, INC. | Blue Cross and Blue Shield of Kansas | Blue Cross Blue Shield of Kansas | 77% | 74% | 73% | 73% | 88% | 45% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 82% | 84% | 55% | 78% | 44% | 40% | 59% | 12% | 87% | 50% | 59% | 85 | 87 | 90 | 88 | 86 | 89 | 0.36 | 8% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 94% | 98% | 0.36 | 8% | Medicare shows only a Star Rating for this topic | 88 | 92 | 99 | 84% | 91% | 90% | 88% | 85% |
| S5726 | PDP | BLUE CROSS AND BLUE SHIELD OF KANSAS | Blue Cross and Blue Shield of Kansas | Blue Cross Blue Shield of Kansas | 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 | 97% | 0.08 | 5% | Medicare shows only a Star Rating for this topic | 84 | 92 | 99 | 88% | 90% | 90% | 86% | 80% |
| H6202 | Local CCP | NEXTBLUE OF NORTH DAKOTA INSURANCE COMPANY | NextBlue of North Dakota | Blue Cross Blue Shield of Michigan Mutual Ins Co | 81% | 80% | 68% | 73% | 88% | 44% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 32% | 84% | 84% | 63% | 78% | 47% | 49% | 64% | 10% | 85% | 57% | 58% | 83 | 83 | 91 | 88 | 88 | 89 | 0.06 | 3% | Medicare shows only a Star Rating for this topic | 100% | 88% | 98% | 100% | 0.06 | 3% | Medicare shows only a Star Rating for this topic | 87 | 92 | 99 | 88% | 92% | 90% | 93% | 79% |
| H9572 | Local CCP | BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY | Blue Cross Blue Shield of Michigan | Blue Cross Blue Shield of Michigan Mutual Ins Co | 83% | 84% | 74% | 72% | 84% | 50% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 49% | 86% | 90% | 68% | 82% | 52% | 47% | 79% | 9% | 86% | 62% | 64% | 83 | 86 | 89 | 88 | 89 | 87 | 0.04 | 1% | Medicare shows only a Star Rating for this topic | 99% | 99% | 100% | 98% | 0.04 | 1% | Medicare shows only a Star Rating for this topic | 89 | 89 | 99 | 89% | 92% | 90% | 93% | 87% |
| S5584 | PDP | BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY | Blue Cross Blue Shield of Michigan | Blue Cross Blue Shield of Michigan Mutual Ins Co | 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% | 0.09 | 7% | Medicare shows only a Star Rating for this topic | 82 | 85 | 99 | 87% | 89% | 88% | 83% | 84% |
| H5883 | Local CCP | BLUE CARE NETWORK OF MICHIGAN | Blue Care Network | Blue Cross Blue Shield of Michigan Mutual Ins Co | 82% | 81% | 71% | 70% | 86% | 49% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 57% | 82% | 92% | 71% | 82% | 52% | 46% | 81% | 9% | 87% | 65% | 66% | 84 | 85 | 90 | 88 | 89 | 88 | 0.06 | 4% | Medicare shows only a Star Rating for this topic | 100% | 100% | 100% | 98% | 0.06 | 4% | Medicare shows only a Star Rating for this topic | 86 | 89 | 99 | 86% | 91% | 90% | 94% | 89% |
| H6898 | Local CCP | VERMONT BLUE ADVANTAGE, INC. | Vermont Blue Advantage | Blue Cross Blue Shield of Michigan Mutual Ins Co | 85% | 82% | 80% | 76% | 88% | 52% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 49% | 77% | 79% | 52% | 73% | 50% | 51% | 58% | 11% | 88% | 53% | 58% | 79 | 85 | 91 | 87 | 87 | 88 | 0.08 | 1% | Medicare shows only a Star Rating for this topic | 98% | 100% | 100% | 100% | 0.08 | 1% | Medicare shows only a Star Rating for this topic | 87 | 92 | 96 | 89% | 93% | 91% | 94% | 83% |
| H9326 | Local CCP | WYOBLUE ADVANTAGE INC | WyoBlue Advantage | Blue Cross Blue Shield of Michigan Mutual Ins Co | 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 not required to report measure | Plan not required to report measure | Plan not required to report measure | 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 |
| H8095 | Local CCP | WELLMARK ADVANTAGE HEALTH PLAN, INC. | Wellmark Advantage Health Plan | Blue Cross Blue Shield of Michigan Mutual Ins Co | 77% | 74% | Plan too small to be measured | Plan too new to be measured | Plan too new to be measured | 44% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 80% | 85% | 65% | 81% | 57% | Not enough data available | 58% | No data available | Not enough data available | 43% | 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 | Not enough data available | Not enough data available | Not enough data available | Not enough data available | Not enough data available | 100% | 100% | 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 | 98 | 92% | 91% | 91% | 84% | 79% |