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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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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| H5475 | Local CCP | MERIDIAN HEALTH PLAN OF MICHIGAN, INC. | Wellcare | Centene Corporation | 64% | 63% | 59% | Not enough data available | Not enough data available | 45% | 70% | 94% | 89% | 39% | 75% | 82% | 58% | 74% | 55% | Not enough data available | 68% | 10% | 85% | 57% | 56% | 78 | 84 | 88 | 82 | 82 | Not enough data available | 0.39 | 27% | Medicare shows only a Star Rating for this topic | 95% | 100% | 100% | 100% | 0.39 | 27% | Medicare shows only a Star Rating for this topic | 82 | Not enough data available | 99 | 82% | 87% | 85% | 92% | 87% |
| H5496 | Local CCP | IMPERIAL HEALTH PLAN OF CALIFORNIA, INC. | Imperial Health Plan of California Inc. | Imperial Health Plan of California | 87% | 85% | 62% | 70% | 79% | 51% | 100% | 100% | 100% | Not enough data available | 93% | 95% | 95% | 98% | 55% | 37% | 100% | 3% | 98% | 81% | 99% | 76 | Not enough data available | 87 | 84 | 85 | Not enough data available | 0.75 | 18% | Medicare shows only a Star Rating for this topic | 100% | 100% | 86% | 92% | 0.75 | 18% | Medicare shows only a Star Rating for this topic | 89 | 89 | 97 | 90% | 92% | 91% | 91% | 99% |
| H5521 | Local CCP | AETNA LIFE INSURANCE COMPANY | Aetna Medicare | CVS Health Corporation | 77% | 73% | 67% | 76% | 88% | 49% | 70% | 100% | 98% | 51% | 81% | 91% | 57% | 85% | 49% | 48% | 91% | 8% | 86% | 58% | 61% | 82 | 85 | 89 | 88 | 89 | 88 | 0.09 | 6% | Medicare shows only a Star Rating for this topic | 97% | 98% | 98% | 100% | 0.09 | 6% | Medicare shows only a Star Rating for this topic | 87 | 90 | 99 | 87% | 91% | 89% | 94% | 86% |
| H5522 | Local CCP | AETNA LIFE INSURANCE COMPANY | Aetna Medicare | CVS Health Corporation | 82% | 76% | 78% | 70% | 86% | 52% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 54% | 81% | 91% | 59% | 87% | 54% | 49% | 86% | 8% | 86% | 60% | 64% | 82 | 84 | 89 | 88 | 89 | 88 | 0.05 | 1% | Medicare shows only a Star Rating for this topic | 98% | 99% | 98% | 100% | 0.05 | 1% | Medicare shows only a Star Rating for this topic | 90 | 91 | 99 | 90% | 91% | 91% | 90% | 86% |
| H5525 | Local CCP | HUMANA BENEFIT PLAN OF ILLINOIS, INC. | Humana | Humana Inc | 73% | 70% | 64% | Not enough data available | Not enough data available | 45% | 78% | 98% | 99% | 39% | 74% | 85% | 54% | 78% | 59% | 43% | 82% | 11% | 85% | 70% | 57% | 82 | 86 | 91 | 88 | 86 | 88 | 0.21 | 25% | Medicare shows only a Star Rating for this topic | 99% | 97% | 100% | 100% | 0.21 | 25% | Medicare shows only a Star Rating for this topic | 88 | 92 | 85 | 86% | 89% | 88% | 87% | 85% |
| 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% |
| H5528 | Local CCP | EMBLEMHEALTH PLAN, INC. | EmblemHealth | EmblemHealth Inc | 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 | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 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 | 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 | 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 | Not enough data available | Not enough data available | Not enough data available | Not enough data available | Not enough data available | 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 | Not enough data available |
| H5533 | Local CCP | UPMC HEALTH NETWORK, INC. | UPMC for Life | UPMC Health System | 80% | 78% | 70% | 71% | 84% | 44% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 29% | 83% | 92% | 68% | 80% | 54% | 51% | 90% | 8% | 87% | 83% | 70% | 83 | 87 | 94 | 89 | 90 | 88 | 0.11 | 8% | Medicare shows only a Star Rating for this topic | 99% | 98% | 98% | 97% | 0.11 | 8% | Medicare shows only a Star Rating for this topic | 89 | 92 | 99 | 89% | 93% | 92% | 78% | 86% |
| H5549 | Local CCP | VNS CHOICE | VNS Health Medicare | Visiting Nurse Service of New York | 81% | 79% | 72% | Not enough data available | Not enough data available | 58% | 87% | 96% | 98% | Not enough data available | 77% | 79% | 57% | 82% | 84% | 48% | 91% | 12% | 90% | 62% | 76% | 80 | 83 | 88 | 86 | 86 | 87 | 0.58 | 19% | Medicare shows only a Star Rating for this topic | 99% | 96% | 98% | 100% | 0.58 | 19% | Medicare shows only a Star Rating for this topic | 84 | 87 | 99 | 91% | 92% | 91% | 96% | 92% |
| H5577 | Local CCP | MCS ADVANTAGE, INC. | MCS Classicare | MHH Healthcare LP | 88% | 88% | 47% | 77% | 87% | 61% | 89% | 100% | 100% | 92% | 92% | 93% | 91% | 96% | 67% | 56% | 91% | 9% | 92% | 82% | 68% | 80 | 84 | 92 | 93 | 95 | 86 | 0.12 | 6% | Medicare shows only a Star Rating for this topic | 100% | 99% | 100% | 100% | 0.12 | 6% | Medicare shows only a Star Rating for this topic | 94 | 91 | 100 | 88% | 91% | 87% | 97% | 94% |