Measure Data : 2026

{"page":"42","controller":"webapps/rptcmsdatasheet","action":"list","rpt":"measuredata","yrtype":"2026"}

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)
H3384	Local CCP	Highmark Western and Northeastern New York Inc.	Highmark Blue Cross Blue Shield or Highmark Blue S	Highmark Health	83%	79%	72%	73%	88%	53%	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	55%	85%	94%	67%	77%	56%	44%	84%	11%	92%	67%	64%	85	88	90	88	86	88	0.04	11%	Medicare shows only a Star Rating for this topic	97%	99%	91%	95%	0.04	11%	Medicare shows only a Star Rating for this topic	86	91	99	90%	93%	92%	89%	94%
H6224	Local CCP	HIGHMARK HEALTH OPTIONS WEST VIRGINIA INC.	Highmark Blue Cross Blue Shield	Highmark Health	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
H3957	Local CCP	HIGHMARK CHOICE COMPANY	Highmark Blue Cross Blue Shield or Highmark Blue S	Highmark Health	76%	72%	75%	72%	85%	42%	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	47%	78%	91%	70%	83%	57%	48%	88%	10%	91%	73%	65%	85	86	92	89	90	89	0.09	8%	Medicare shows only a Star Rating for this topic	98%	100%	91%	95%	0.09	8%	Medicare shows only a Star Rating for this topic	89	92	99	89%	93%	92%	88%	90%
S1140	PDP	Highmark Western and Northeastern New York Inc.	Highmark Blue Cross Blue Shield or Highmark Blue S	Highmark Health	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	91	91	Not enough data available	87%	90%	89%	53%	84%
S5593	PDP	HM HEALTH INSURANCE COMPANY	Highmark Blue Shield	Highmark Health	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	95%	0.05	6%	Medicare shows only a Star Rating for this topic	84	89	99	88%	90%	90%	43%	83%
H5526	Local CCP	Highmark Western and Northeastern New York Inc.	Highmark Blue Cross Blue Shield or Highmark Blue S	Highmark Health	88%	83%	79%	72%	87%	49%	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	45%	85%	92%	65%	82%	48%	55%	77%	10%	93%	59%	65%	85	86	88	88	87	87	0.06	4%	Medicare shows only a Star Rating for this topic	98%	99%	91%	95%	0.06	4%	Medicare shows only a Star Rating for this topic	88	90	99	90%	93%	92%	90%	93%
S5993	PDP	HORIZON INSURANCE COMPANY	Horizon Blue Cross Blue Shield of New Jersey	Horizon Mutual Holdings 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	98%	0.09	4%	Medicare shows only a Star Rating for this topic	84	88	99	87%	90%	89%	58%	84%
H8298	Local CCP	HORIZON HEALTHCARE OF NEW JERSEY, INC.	Horizon Blue Cross Blue Shield of New Jersey	Horizon Mutual Holdings Inc	75%	71%	64%	Not enough data available	Not enough data available	57%	88%	96%	97%	38%	84%	83%	62%	75%	74%	Not enough data available	78%	14%	92%	58%	61%	81	83	90	85	90	87	0.23	6%	Medicare shows only a Star Rating for this topic	98%	100%	97%	98%	0.23	6%	Medicare shows only a Star Rating for this topic	90	90	99	90%	90%	89%	94%	94%
H0885	Local CCP	HEALTHIER NEW JERSEY INSURANCE COMPANY	Braven Health	Horizon Mutual Holdings Inc	74%	71%	71%	64%	79%	51%	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	59%	75%	86%	61%	75%	53%	40%	85%	13%	90%	61%	66%	83	87	90	88	88	88	0.15	6%	Medicare shows only a Star Rating for this topic	99%	100%	97%	98%	0.15	6%	Medicare shows only a Star Rating for this topic	86	91	99	89%	92%	90%	94%	92%
H7617	Local CCP	EMPHESYS INSURANCE COMPANY	Humana	Humana Inc	84%	82%	72%	74%	86%	50%	No data available	No data available	No data available	35%	74%	93%	61%	82%	57%	48%	89%	10%	87%	76%	66%	85	86	91	89	91	89	0.04	Not enough data available	Medicare shows only a Star Rating for this topic	100%	97%	Not enough data available	Not enough data available	0.04	Not enough data available	Medicare shows only a Star Rating for this topic	91	92	Not enough data available	90%	91%	91%	85%	88%

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