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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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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| H5926 | Local CCP | MOLINA HEALTHCARE OF MICHIGAN, INC. | Molina Healthcare of Michigan | Molina Healthcare Inc | 70% | 73% | 60% | Not enough data available | Not enough data available | 49% | 64% | 90% | 92% | 10% | 81% | 78% | 57% | 72% | Not enough data available | Not enough data available | 54% | 11% | 85% | 45% | 57% | 83 | 86 | 88 | 85 | 85 | 83 | 0.23 | 17% | Medicare shows only a Star Rating for this topic | 98% | 98% | 100% | 100% | 0.23 | 17% | Medicare shows only a Star Rating for this topic | 86 | 88 | 99 | 87% | 89% | 88% | 93% | 87% |
| H5928 | Local CCP | California Physicians' Service | Blue Shield of California | California Physicians Service | 75% | 74% | 76% | Not enough data available | Not enough data available | 62% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 47% | 86% | 86% | 75% | 74% | 62% | Not enough data available | 79% | 11% | 88% | 63% | 60% | 78 | 83 | 92 | 85 | 86 | Not enough data available | 0.15 | 14% | Medicare shows only a Star Rating for this topic | 76% | 98% | 98% | 100% | 0.15 | 14% | Medicare shows only a Star Rating for this topic | 88 | Not enough data available | 99 | 88% | 90% | 87% | 95% | 91% |
| H5932 | Local CCP | GATEWAY HEALTH PLAN, INC. | Highmark Wholecare Medicare Assured | Highmark Health | 67% | 66% | 66% | Not enough data available | Not enough data available | 44% | 41% | 91% | 92% | 41% | 77% | 85% | 57% | 81% | 64% | Not enough data available | 80% | 12% | 87% | 68% | 56% | 82 | 85 | 91 | 88 | 90 | 89 | 0.09 | 13% | Medicare shows only a Star Rating for this topic | 99% | 99% | 91% | 95% | 0.09 | 13% | Medicare shows only a Star Rating for this topic | 90 | 91 | 98 | 89% | 89% | 90% | 83% | 87% |
| H5937 | Local CCP | UCARE MINNESOTA | UCare | UCare Minnesota | 72% | 67% | 67% | Not enough data available | Not enough data available | No data available | 49% | Not enough data available | Not enough data available | Not enough data available | 81% | 85% | 53% | 77% | No data available | No data available | 65% | 14% | 88% | 59% | 65% | 77 | 80 | 88 | 86 | 87 | 86 | 0.12 | 5% | Medicare shows only a Star Rating for this topic | 100% | 98% | 95% | 97% | 0.12 | 5% | Medicare shows only a Star Rating for this topic | 87 | 89 | 100 | 86% | 86% | 87% | 80% | 86% |
| H5938 | Local CCP | CAPITAL HEALTH PLAN | Capital Health Plan | Guidewell Mutual Holding Corporation | 86% | 83% | 79% | 68% | 86% | 55% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 81% | 86% | 90% | 78% | 84% | 54% | 54% | 77% | 9% | 86% | 65% | 54% | 84 | 87 | 93 | 90 | 93 | 86 | 0.03 | 1% | Medicare shows only a Star Rating for this topic | 100% | 100% | 98% | 98% | 0.03 | 1% | Medicare shows only a Star Rating for this topic | 90 | 90 | 99 | 86% | 90% | 89% | 89% | 86% |
| H5943 | Local CCP | SCAN HEALTH PLAN | VillageHealth | SCAN Group | 58% | 56% | 82% | Not enough data available | Not enough data available | Not enough data available | 52% | 82% | 90% | Not enough data available | 73% | 51% | Not enough data available | Not enough data available | Not enough data available | Not enough data available | 19% | No data available | Not enough data available | 45% | 44% | 79 | Not enough data available | 89 | Not enough data available | 87 | Not enough data available | Not enough data available | Not enough data available | Not enough data available | Not enough data available | Not enough data available | 97% | 100% | Not enough data available | Not enough data available | Not enough data available | 88 | Not enough data available | 99 | Not enough data available | Not enough data available | Not enough data available | 95% | Not enough data available |
| H5945 | Local CCP | PROMINENCE HEALTHFIRST | Prominence Health Plan | Universal Health Services Inc | 79% | 83% | 65% | 67% | 86% | 51% | CMS identified issues with this plan's data | 98% | 98% | 55% | 86% | 87% | 67% | 87% | 52% | 49% | 90% | 9% | 86% | 82% | 80% | 81 | 82 | 91 | 87 | 89 | 87 | 0.17 | 3% | Medicare shows only a Star Rating for this topic | 100% | 100% | 95% | 97% | 0.17 | 3% | Medicare shows only a Star Rating for this topic | 89 | 90 | 98 | 88% | 92% | 91% | 92% | 83% |
| H5959 | Local CCP | BCBSM, Inc. | Blue Cross and Blue Shield of Minnesota | Aware Integrated Inc | 85% | 83% | 74% | 71% | 88% | 46% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 30% | 87% | 94% | 63% | 82% | 54% | 51% | 75% | 9% | 88% | 69% | 57% | 81 | 81 | 90 | 87 | 87 | 87 | 0.05 | 4% | Medicare shows only a Star Rating for this topic | 100% | 98% | 100% | 95% | 0.05 | 4% | Medicare shows only a Star Rating for this topic | 88 | 91 | 99 | 90% | 92% | 91% | 77% | 88% |
| H5965 | Local CCP | WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON | Wellcare | Centene Corporation | 58% | 55% | 52% | Not enough data available | Not enough data available | 42% | 76% | 89% | 89% | Not enough data available | 62% | 77% | 54% | 77% | 59% | 40% | 63% | 11% | 85% | 54% | 39% | 75 | Not enough data available | 87 | 82 | 80 | 86 | 1.01 | 37% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 100% | 100% | 1.01 | 37% | Medicare shows only a Star Rating for this topic | 82 | Not enough data available | 99 | 86% | 88% | 87% | 89% | 81% |
| H5969 | Local CCP | ALOHACARE | AlohaCare | AlohaCare | 57% | 49% | 58% | Not enough data available | Not enough data available | 55% | 46% | 100% | 72% | Not enough data available | 65% | 71% | 58% | 60% | 59% | Not enough data available | 69% | 8% | 81% | 52% | 49% | 75 | Not enough data available | 87 | 85 | 87 | Not enough data available | 0.11 | 11% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 97% | 92% | 0.11 | 11% | Medicare shows only a Star Rating for this topic | 87 | Not enough data available | 98 | 89% | 91% | 93% | 95% | 94% |