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hcontract
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org type
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contract name
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org marketing name
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parent org
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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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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| H5361 | Local CCP | AMERIHEALTH INSURANCE COMPANY OF NEW JERSEY | AmeriHealth | Independence Health Group Inc | 68% | 56% | 63% | 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 | Not enough data available | 62% | 78% | 64% | 75% | Plan too new to be measured | Plan too new to be measured | 53% | No data available | Not enough data available | 40% | Not enough data available | 80 | 83 | 87 | 85 | 84 | 85 | 0.3 | 16% | Not enough data available | 85% | 100% | 97% | 92% | 0.3 | 16% | Not enough data available | 83 | 86 | 99 | 82% | 88% | 84% | 93% | 86% |
| H5374 | Local CCP | LONGEVITY HEALTH PLAN OF NORTH CAROLINA, INC. | Longevity Health Plan | Longevity Health Founders LLC | Not enough data available | 93% | Plan too small to be measured | Not enough data available | Not enough data available | No data available | CMS identified issues with this plan's data | 100% | 100% | Not enough data available | 86% | 92% | 62% | Not enough data available | No data available | No data available | Not enough data available | 9% | Not enough data available | Not enough data available | 92% | 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 | 0.08 | 6% | Not enough data available | Not enough data available | Not enough data available | 98% | 97% | 0.08 | 6% | Medicare shows only a Star Rating for this topic | Plan too small to be measured | Plan too small to be measured | 94 | 95% | 94% | 96% | 97% | 97% |
| H5377 | Local CCP | HUMANA MEDICAL PLAN OF PENNSYLVANIA, INC. | Humana | Humana Inc | 73% | 71% | 70% | Plan too small to be measured | Plan too small to be measured | 50% | No data available | No data available | No data available | Not enough data available | 75% | 89% | 64% | 71% | 54% | 43% | 90% | 9% | 90% | 80% | 52% | 81 | 87 | Not enough data available | 88 | 85 | 87 | 0.05 | 41% | Medicare shows only a Star Rating for this topic | 93% | 100% | 100% | 100% | 0.05 | 41% | Medicare shows only a Star Rating for this topic | 88 | 89 | 83 | 85% | 92% | 90% | 83% | 81% |
| H5386 | Local CCP | SHARP HEALTH PLAN | Sharp Health Plan | Sharp Healthcare | 83% | 72% | 72% | 71% | 85% | 56% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 50% | 84% | 89% | 78% | 81% | 42% | 50% | 77% | 11% | 82% | 75% | 52% | 81 | 81 | 92 | 88 | 91 | 86 | 0.15 | 3% | Medicare shows only a Star Rating for this topic | 99% | 96% | 98% | 94% | 0.15 | 3% | Medicare shows only a Star Rating for this topic | 89 | 90 | 97 | 86% | 89% | 88% | 93% | 90% |
| H5397 | Local CCP | DEVOTED HEALTH PLAN OF HAWAII, INC. | Devoted Health | Devoted Health Inc | 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 | 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 |
| H5410 | Local CCP | HEALTHSPRING OF FLORIDA, INC. | Cigna HealthCare | Health Care Service Corporation | 75% | 73% | 60% | Not enough data available | Not enough data available | 47% | 79% | 93% | 95% | 53% | 70% | 85% | 63% | 76% | 57% | Not enough data available | 75% | 10% | 81% | 55% | 54% | 79 | Not enough data available | 89 | 85 | 85 | 85 | 0.47 | 25% | Medicare shows only a Star Rating for this topic | 99% | 97% | 98% | 100% | 0.47 | 25% | Medicare shows only a Star Rating for this topic | 87 | 88 | 99 | 85% | 89% | 88% | 97% | 86% |
| H5420 | Local CCP | Preferred Care Network, Inc. | UnitedHealthcare | UnitedHealth Group Inc | 83% | 78% | 47% | 74% | 86% | 68% | 78% | 100% | 100% | 68% | 85% | 96% | 75% | 87% | 67% | 50% | 90% | 10% | 87% | 52% | 65% | 84 | 86 | 90 | 92 | 90 | 90 | 0.2 | 14% | Medicare shows only a Star Rating for this topic | 100% | 99% | 100% | 100% | 0.2 | 14% | Medicare shows only a Star Rating for this topic | 91 | 91 | 100 | 87% | 92% | 87% | 96% | 91% |
| H5422 | Local CCP | BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA | Anthem Blue Cross and Blue Shield | Elevance Health Inc | 71% | 65% | 53% | 68% | 86% | 54% | 64% | 95% | 93% | 21% | 72% | 81% | 58% | 68% | 68% | 36% | 82% | 12% | 84% | 64% | 46% | 85 | 89 | 88 | 87 | 89 | 89 | 0.33 | 39% | Medicare shows only a Star Rating for this topic | 95% | 100% | 100% | 100% | 0.33 | 39% | Medicare shows only a Star Rating for this topic | 87 | Not enough data available | 99 | 80% | 86% | 84% | 95% | 83% |
| H5425 | Local CCP | SCAN HEALTH PLAN | SCAN Health Plan | SCAN Group | 80% | 75% | 68% | 72% | 78% | 59% | 81% | 98% | 99% | 61% | 90% | 90% | 78% | 88% | 52% | 43% | 85% | 9% | 86% | 67% | 58% | 77 | 80 | 90 | 86 | 89 | 85 | 0.11 | 7% | Medicare shows only a Star Rating for this topic | 100% | 98% | 97% | 100% | 0.11 | 7% | Medicare shows only a Star Rating for this topic | 90 | 90 | 99 | 89% | 92% | 90% | 95% | 90% |
| H5427 | Local CCP | FREEDOM HEALTH, INC. | Freedom Health Inc. | Elevance Health Inc | 84% | 83% | 60% | 63% | 81% | 57% | 93% | 98% | 97% | 80% | 89% | 90% | 88% | 91% | 67% | 47% | 89% | 10% | 86% | 64% | 67% | 84 | 89 | 89 | 88 | 89 | 88 | 0.11 | 13% | Medicare shows only a Star Rating for this topic | 99% | 100% | 100% | 100% | 0.11 | 13% | Medicare shows only a Star Rating for this topic | 90 | 91 | 99 | 89% | 90% | 89% | 94% | 92% |