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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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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| H5970 | Local CCP | HUMANA INSURANCE COMPANY OF NEW YORK | Humana | Humana Inc | 72% | 66% | 63% | 72% | 82% | 49% | 82% | 95% | 99% | 35% | 74% | 83% | 52% | 80% | 58% | 42% | 78% | 12% | 86% | 65% | 56% | 79 | Not enough data available | Not enough data available | 82 | 81 | Not enough data available | 0.21 | 16% | Medicare shows only a Star Rating for this topic | 99% | 97% | 100% | 100% | 0.21 | 16% | Medicare shows only a Star Rating for this topic | 83 | 89 | 85 | 86% | 89% | 88% | 92% | 86% |
| H5989 | Local CCP | HEALTHFIRST HEALTH PLAN, INC. | Healthfirst Medicare Plan | Healthfirst Inc | 78% | 69% | 65% | Not enough data available | Not enough data available | 53% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 33% | 83% | 86% | 59% | 76% | 54% | Not enough data available | 85% | 10% | 86% | 66% | 63% | 77 | Not enough data available | 88 | 85 | 87 | 86 | 0.14 | 21% | Medicare shows only a Star Rating for this topic | 100% | 100% | 100% | 98% | 0.14 | 21% | Medicare shows only a Star Rating for this topic | 86 | Not enough data available | 99 | 86% | 88% | 85% | 90% | 89% |
| H5991 | Local CCP | HEALTH INSURANCE PLAN OF GREATER NEW YORK | EmblemHealth | EmblemHealth Inc | 73% | 70% | 63% | Not enough data available | Not enough data available | 52% | CMS identified issues with this plan's data | 89% | 90% | Not enough data available | 78% | 76% | 56% | 80% | 74% | Not enough data available | 60% | 11% | 84% | 59% | 61% | 79 | 79 | 89 | 84 | 85 | Not enough data available | 0.33 | 24% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 97% | 100% | 0.33 | 24% | Medicare shows only a Star Rating for this topic | 84 | 87 | 98 | 88% | 89% | 89% | 93% | 85% |
| H5992 | Local CCP | SENIOR WHOLE HEALTH OF NEW YORK, INC. | Senior Whole Health of New York | Molina Healthcare Inc | 56% | 63% | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | 70% | 88% | 99% | Not enough data available | 75% | 54% | 43% | 67% | Plan too small to be measured | Plan too small to be measured | 26% | No data available | Not enough data available | 29% | No data available | 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 | 100% | 100% | Not enough data available | Not enough data available | Medicare shows only a Star Rating for this topic | Plan too small to be measured | Plan too small to be measured | 99 | 89% | 86% | 88% | 98% | 94% |
| H5995 | Local CCP | ATRIO HEALTH PLANS | ATRIO Health Plans | ATRIO Health Plans | 62% | 58% | Plan too small to be measured | Not enough data available | Not enough data available | 43% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 75% | 33% | 53% | 52% | Not enough data available | Not enough data available | 14% | 10% | 71% | 23% | 54% | 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 | Not enough data available | Medicare shows only a Star Rating for this topic | 100% | 85% | 92% | 95% | 0.08 | Not enough data available | Medicare shows only a Star Rating for this topic | Plan too small to be measured | Plan too small to be measured | 98 | 87% | 87% | 91% | 89% | 84% |
| H6018 | Local CCP | DEVOTED HEALTH INSURANCE COMPANY OF PENNSYLVANIA I | Devoted Health | Devoted Health Inc | Not enough data available | 73% | 55% | Plan too new to be measured | Plan too new to be measured | 40% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 72% | 83% | 68% | 87% | Not enough data available | Not enough data available | 93% | No data available | Not enough data available | 66% | Not enough data available | 80 | 83 | 92 | 84 | 84 | 86 | 1.04 | 45% | Not enough data available | Not enough data available | Not enough data available | 98% | 100% | 1.04 | 45% | Not enough data available | 84 | 87 | 99 | 89% | 91% | 92% | 94% | 86% |
| H6019 | Local CCP | SAN MATEO HEALTH COMMISSION | HEALTH PLAN OF SAN MATEO | Health Plan of San Mateo | 71% | 73% | 80% | Plan too new to be measured | Plan too new to be measured | 60% | 46% | 88% | 92% | 22% | 77% | 78% | 57% | 69% | 78% | Not enough data available | 67% | 12% | 86% | 53% | 59% | 77 | 77 | 86 | 84 | 86 | 84 | 0.03 | 1% | Medicare shows only a Star Rating for this topic | 94% | 100% | 87% | 89% | 0.03 | 1% | Medicare shows only a Star Rating for this topic | 86 | 85 | 96 | 86% | 86% | 85% | 86% | 89% |
| H6078 | Local CCP | Group Retiree Health Solutions, Inc. | Blue Medicare Advantage | Elevance Health Inc | 77% | 64% | 75% | 65% | 84% | 51% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 74% | 80% | 63% | 75% | 61% | 49% | 81% | 11% | 84% | 71% | 66% | 84 | 85 | 90 | 90 | 91 | 87 | 0.04 | Not enough data available | Medicare shows only a Star Rating for this topic | 100% | 100% | Not enough data available | Not enough data available | 0.04 | Not enough data available | Medicare shows only a Star Rating for this topic | 88 | 92 | Not enough data available | 85% | 91% | 89% | Not enough data available | 85% |
| H6130 | MSA | FENYX HEALTH INSURANCE COMPANY | Fenyx Health | Fenyx Health Holdings Inc | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | 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 | 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 new to be measured | Plan too new 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 | 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 |
| H6154 | Local CCP | MEDICA HEALTH PLANS | Medica | Medica Holding Company | 68% | 65% | 63% | 76% | 88% | 46% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 70% | 84% | 53% | 76% | Not enough data available | Not enough data available | 87% | No data available | No data available | 80% | 56% | 83 | 83 | 92 | 87 | 86 | 90 | 0 | 21% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 98% | 100% | 0 | 21% | Medicare shows only a Star Rating for this topic | 87 | 88 | 99 | 87% | 91% | 90% | 81% | 86% |