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org type
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org marketing name
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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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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| H5580 | Local CCP | MERCY CARE | Mercy Care Advantage | Mercy Care | 63% | 66% | 68% | Not enough data available | Not enough data available | 49% | 58% | 90% | 94% | 21% | 75% | 80% | 56% | 76% | 69% | 49% | 65% | 13% | 83% | 48% | 69% | 79 | 85 | 89 | 87 | 86 | 86 | 0.08 | 10% | Medicare shows only a Star Rating for this topic | 100% | 97% | 94% | 87% | 0.08 | 10% | Medicare shows only a Star Rating for this topic | 88 | Not enough data available | 99 | 84% | 83% | 83% | 78% | 86% |
| H5587 | Local CCP | HEALTH CHOICE ARIZONA, INC. | Blue Cross Blue Shield of Arizona Health Choice | Blue Cross Blue Shield of Arizona | 63% | 55% | 41% | Not enough data available | Not enough data available | 43% | 85% | 93% | 97% | 79% | 84% | 84% | 49% | 86% | 59% | 44% | 96% | 10% | 92% | 88% | 50% | 77 | 79 | 90 | 82 | 85 | 82 | 0.16 | 14% | Medicare shows only a Star Rating for this topic | 99% | 89% | 97% | 98% | 0.16 | 14% | Medicare shows only a Star Rating for this topic | 87 | 89 | 98 | 94% | 94% | 95% | 95% | 89% |
| H5590 | Local CCP | Bridgeway Health Solutions of Arizona, Inc. | Wellcare By Allwell | Centene Corporation | 70% | 63% | 57% | Not enough data available | Not enough data available | 48% | 83% | 96% | 95% | 55% | 81% | 86% | 60% | 76% | 52% | Not enough data available | 70% | 13% | 81% | 48% | 62% | 75 | Not enough data available | 86 | 84 | 86 | Not enough data available | 0.33 | 15% | Medicare shows only a Star Rating for this topic | 100% | 98% | 100% | 100% | 0.33 | 15% | Medicare shows only a Star Rating for this topic | 87 | 87 | 99 | 90% | 90% | 90% | 92% | 88% |
| H5591 | Local CCP | MARTIN'S POINT GENERATIONS ADVANTAGE, INC. | Martins Point Generations Advantage | Martins Point Health Care Inc | 84% | 78% | 73% | 72% | 87% | 51% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 30% | 82% | 91% | 51% | 81% | 41% | 46% | 89% | 10% | 88% | 88% | 61% | 79 | 84 | 93 | 86 | 89 | 87 | 0.04 | 4% | Medicare shows only a Star Rating for this topic | 98% | 95% | 100% | 100% | 0.04 | 4% | Medicare shows only a Star Rating for this topic | 88 | 91 | 99 | 87% | 91% | 90% | 89% | 84% |
| H5593 | Local CCP | AETNA HEALTH OF IOWA INC. | Aetna Medicare | CVS Health Corporation | 72% | 66% | 69% | Not enough data available | Not enough data available | 46% | 60% | 100% | 93% | Not enough data available | 81% | 82% | 51% | 83% | 68% | 47% | 91% | 9% | 90% | 57% | 59% | 84 | 85 | 90 | 86 | 88 | 88 | 0.21 | 40% | Medicare shows only a Star Rating for this topic | 100% | 100% | 98% | 100% | 0.21 | 40% | Medicare shows only a Star Rating for this topic | 90 | 91 | 99 | 89% | 86% | 89% | 94% | 87% |
| H5594 | Local CCP | OPTIMUM HEALTHCARE, INC. | Optimum HealthCare Inc. | Elevance Health Inc | 83% | 83% | 67% | 70% | 87% | 55% | 93% | 98% | 99% | 76% | 80% | 88% | 89% | 92% | 63% | 54% | 82% | 10% | 85% | 56% | 69% | 85 | 88 | 89 | 87 | 89 | 88 | 0.12 | 10% | Medicare shows only a Star Rating for this topic | 99% | 100% | 100% | 100% | 0.12 | 10% | Medicare shows only a Star Rating for this topic | 91 | 90 | 99 | 88% | 90% | 88% | 94% | 92% |
| H5599 | Local CCP | NEW YORK QUALITY HEALTHCARE CORPORATION | Wellcare By Fidelis Care | Centene Corporation | 70% | 61% | 59% | Not enough data available | Not enough data available | 58% | 62% | 87% | 93% | 37% | 70% | 83% | 49% | 73% | 74% | Not enough data available | 46% | 11% | 86% | 40% | 57% | 79 | Not enough data available | 87 | 83 | 83 | 85 | 0.33 | 17% | Medicare shows only a Star Rating for this topic | 93% | 99% | 100% | 100% | 0.33 | 17% | Medicare shows only a Star Rating for this topic | 86 | Not enough data available | 99 | 87% | 87% | 86% | 95% | 86% |
| H5608 | Local CCP | DENVER HEALTH MEDICAL PLAN, INC. | Elevate Medicare Advantage | Denver Health and Hospital Authority | 79% | 70% | 77% | Not enough data available | Not enough data available | 53% | 73% | 98% | 93% | Not enough data available | 75% | 86% | 82% | 74% | 68% | 43% | 69% | 12% | 95% | 76% | 47% | 76 | 80 | 90 | 88 | 87 | 87 | 0.03 | 11% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 97% | 97% | 0.03 | 11% | Medicare shows only a Star Rating for this topic | 90 | 88 | 97 | 89% | 91% | 92% | 88% | 94% |
| H5619 | Local CCP | ARCADIAN HEALTH PLAN, INC. | Humana | Humana Inc | 73% | 73% | 65% | 67% | 84% | 51% | 81% | 96% | 99% | 42% | 78% | 90% | 61% | 80% | 58% | 37% | 90% | 11% | 86% | 75% | 57% | 81 | 83 | 89 | 86 | 86 | 87 | 0.17 | 23% | Medicare shows only a Star Rating for this topic | 98% | 98% | 100% | 100% | 0.17 | 23% | Medicare shows only a Star Rating for this topic | 87 | 89 | 84 | 85% | 89% | 88% | 88% | 87% |
| H5628 | Local CCP | MOLINA HEALTHCARE OF UTAH, INC. | Molina Healthcare of Utah and Idaho | Molina Healthcare Inc | 58% | 66% | 57% | Not enough data available | Not enough data available | 52% | 58% | 91% | 92% | 21% | 76% | 76% | 54% | 68% | 64% | Not enough data available | 61% | 9% | 84% | 49% | 56% | 78 | 82 | 85 | 83 | 82 | 86 | 0.27 | 12% | Medicare shows only a Star Rating for this topic | 99% | 96% | 100% | 100% | 0.27 | 12% | Medicare shows only a Star Rating for this topic | 86 | 89 | 99 | 88% | 88% | 89% | 89% | 82% |