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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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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| H8889 | Local CCP | MEDICA HEALTH PLANS | Medica | Medica Holding Company | 81% | 79% | 73% | 72% | 86% | 47% | No data available | No data available | No data available | 22% | 80% | 90% | 53% | 80% | 50% | 49% | 82% | 10% | 87% | 74% | 61% | 83 | 84 | 90 | 87 | 86 | 89 | 0.11 | 8% | Medicare shows only a Star Rating for this topic | 92% | 95% | 98% | 99% | 0.11 | 8% | Medicare shows only a Star Rating for this topic | 85 | 89 | 99 | 89% | 92% | 91% | 84% | 85% |
| S9701 | PDP | DEAN HEALTH INSURANCE, INC. | Navitus MedicareRx | Medica Holding Company | 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 | 0.01 | Not enough data available | Medicare shows only a Star Rating for this topic | 89 | 91 | Not enough data available | 89% | 90% | 90% | 72% | 85% |
| H5264 | 1876 Cost | DEAN HEALTH PLAN, INC. | Dean Health Plan Inc. | Medica Holding Company | 79% | 84% | 79% | 68% | 81% | 49% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Benefit not offered by plan | 84% | 92% | 68% | 82% | 58% | 44% | Plan not required to report measure | No data available | Plan not required to report measure | Plan not required to report measure | 59% | 82 | 83 | 92 | 89 | 93 | 90 | 0.01 | 1% | Medicare shows only a Star Rating for this topic | 99% | 98% | 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 |
| H9096 | Local CCP | DEAN HEALTH PLAN, INC. | Dean Advantage | Medica Holding Company | 82% | 81% | 75% | 75% | 85% | 48% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 27% | 80% | 90% | 69% | 82% | 49% | 47% | 93% | 11% | 91% | 91% | 58% | 80 | 83 | 92 | 86 | 85 | 88 | 0.13 | 4% | Medicare shows only a Star Rating for this topic | 100% | 98% | 98% | 97% | 0.13 | 4% | Medicare shows only a Star Rating for this topic | 86 | 90 | 100 | 92% | 93% | 92% | 83% | 91% |
| H5256 | 1876 Cost | MEDICAL ASSOCIATES CLINIC HEALTH PLAN | Medical Associates Clinic Health Plan of Wisconsin | Medical Associates Clinic PC | 82% | 83% | 76% | 70% | 80% | 42% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Benefit not offered by plan | 85% | 91% | 38% | 86% | 54% | 42% | Plan not required to report measure | No data available | Plan not required to report measure | Plan not required to report measure | 59% | 87 | 89 | 93 | 92 | 92 | 93 | 0.02 | 2% | Medicare shows only a Star Rating for this topic | 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 | Plan not required to report measure |
| H1651 | 1876 Cost | MEDICAL ASSOCIATES HEALTH PLAN, INC. | Medical Associates Health Plan Inc. | Medical Associates Clinic PC | 86% | 81% | 80% | 71% | 84% | 44% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Benefit not offered by plan | 85% | 91% | 58% | 86% | 52% | 43% | Plan not required to report measure | No data available | Plan not required to report measure | Plan not required to report measure | 53% | 87 | 89 | 95 | 92 | 94 | 91 | 0.01 | 1% | Medicare shows only a Star Rating for this topic | 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 | Plan not required to report measure |
| H4497 | Local CCP | MEDICAL MUTUAL OF OHIO | Medical Mutual of Ohio | MEDICAL MUTUAL OF OHIO | 76% | 79% | 71% | 74% | 86% | 52% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 40% | 80% | 87% | 61% | 80% | 56% | 52% | 75% | 11% | 87% | 64% | 61% | 85 | 86 | 93 | 89 | 90 | 89 | 0.07 | 6% | Medicare shows only a Star Rating for this topic | 100% | 100% | 95% | 98% | 0.07 | 6% | Medicare shows only a Star Rating for this topic | 88 | 91 | 99 | 88% | 91% | 90% | 89% | 85% |
| H5232 | Local CCP | PARAMOUNT INSURANCE COMPANY | Paramount Elite Medicare Plans | MEDICAL MUTUAL OF OHIO | 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 | 97% | 97% | Not enough data available | Not enough data available | Not enough data available | Plan too small to be measured | Plan too small to be measured | 98 | 83% | 91% | 91% | Not enough data available | Not enough data available |
| H6723 | Local CCP | MEDICAL MUTUAL OF OHIO | Medical Mutual of Ohio | MEDICAL MUTUAL OF OHIO | 76% | 78% | 69% | 73% | 85% | 51% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 32% | 75% | 88% | 60% | 83% | 56% | 41% | 81% | 13% | 87% | 65% | 61% | 84 | 86 | 94 | 89 | 90 | 88 | 0.05 | 6% | Medicare shows only a Star Rating for this topic | 99% | 96% | 95% | 98% | 0.05 | 6% | Medicare shows only a Star Rating for this topic | 90 | 91 | 99 | 88% | 91% | 90% | 89% | 86% |
| H3653 | Local CCP | PARAMOUNT CARE, INC. | Paramount Elite Medicare Plans | MEDICAL MUTUAL OF OHIO | 79% | 77% | 74% | 69% | 87% | 52% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 41% | 80% | 90% | 52% | 77% | 49% | 37% | 74% | 10% | 86% | 61% | 65% | 85 | 86 | 93 | 89 | 91 | 88 | 0.08 | 3% | Medicare shows only a Star Rating for this topic | 89% | 95% | 97% | 97% | 0.08 | 3% | Medicare shows only a Star Rating for this topic | 90 | 90 | 98 | 85% | 88% | 87% | 85% | 85% |