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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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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| H7917 | Local CCP | BLUECROSS BLUESHIELD OF TENNESSEE, INC. | BlueCross BlueShield of Tennessee | BlueCross BlueShield of Tennessee | 79% | 78% | 67% | 67% | 83% | 48% | No data available | No data available | No data available | 46% | 84% | 90% | 64% | 81% | 55% | 46% | 74% | 10% | 85% | 61% | 65% | 85 | 88 | 94 | 88 | 90 | 88 | 0.05 | 8% | Medicare shows only a Star Rating for this topic | 99% | 97% | 98% | 97% | 0.05 | 8% | Medicare shows only a Star Rating for this topic | 89 | 92 | 98 | 85% | 91% | 90% | 91% | 84% |
| S5450 | PDP | SECURITYCARE OF TENNESSEE, INC. | BlueScripts | BlueCross BlueShield of Tennessee | 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 | No 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 required to report | Not enough data available |
| H3259 | Local CCP | VOLUNTEER STATE HEALTH PLAN | BlueCare Plus Tennessee | BlueCross BlueShield of Tennessee | 73% | 74% | 57% | 67% | 78% | 45% | 67% | 93% | 93% | 62% | 84% | 83% | 52% | 72% | 59% | 42% | 62% | 10% | 83% | 53% | 57% | 85 | 85 | 91 | 87 | 89 | 87 | 0.16 | 15% | Medicare shows only a Star Rating for this topic | 99% | 93% | 98% | 98% | 0.16 | 15% | Medicare shows only a Star Rating for this topic | 90 | 91 | 98 | 87% | 87% | 87% | 88% | 83% |
| H6851 | Local CCP | BOSTON MEDICAL CENTER HEALTH PLAN, INC. | WellSense Health Plan | BMC Health System Inc | 55% | 52% | 60% | Plan too new to be measured | Plan too new to be measured | 46% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 63% | 88% | 46% | 89% | Not enough data available | Not enough data available | 83% | No data available | 74% | 63% | 56% | 78 | 81 | 89 | 86 | 86 | Not enough data available | 0.53 | 15% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 95% | 92% | 0.53 | 15% | Medicare shows only a Star Rating for this topic | 86 | 87 | 99 | 90% | 90% | 88% | 90% | 79% |
| H7980 | Local CCP | BOSTON MEDICAL CENTER HEALTH PLAN, INC. | WellSense Health Plan | BMC Health System Inc | Plan too new to be measured | Plan too new to be measured | Plan too new 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 new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Not enough data available | Plan too new to be measured | Not enough data available | Not enough data available | 95% | 92% | Plan too new to be measured | Not enough data available | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured |
| H2400 | Local CCP | SIGNATURE ADVANTAGE, LLC | Signature Advantage (HMO SNP) | BrightSpring Health Services Inc | Not enough data available | 21% | Plan too small to be measured | Not enough data available | Not enough data available | No data available | 99% | 100% | 100% | Not enough data available | 69% | 80% | 0% | 94% | No data available | No data available | Not enough data available | 12% | Not enough data available | Not enough data available | 46% | 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 | 3% | Medicare shows only a Star Rating for this topic | 53% | 98% | 95% | 95% | 0.08 | 3% | Medicare shows only a Star Rating for this topic | Plan too small to be measured | Plan too small to be measured | 99 | 84% | 85% | 88% | 95% | 83% |
| H4937 | Local CCP | CALIFORNIA PHYSICIANS' SERVICE | Blue Shield of California | California Physicians Service | 79% | 72% | 69% | 63% | 87% | 52% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 24% | 66% | 83% | 56% | 76% | 53% | 42% | 68% | 12% | 86% | 58% | 57% | 79 | 83 | 90 | 86 | 84 | 86 | 0.14 | 1% | Medicare shows only a Star Rating for this topic | 94% | 98% | 98% | 100% | 0.14 | 1% | Medicare shows only a Star Rating for this topic | 86 | Not enough data available | 99 | 92% | 91% | 90% | 95% | 86% |
| H0504 | Local CCP | CALIFORNIA PHYSICIANS' SERVICE | Blue Shield of California | California Physicians Service | 80% | 77% | 72% | 74% | 75% | 54% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 59% | 80% | 87% | 73% | 76% | 56% | 54% | 85% | 12% | 88% | 59% | 65% | 80 | 80 | 90 | 87 | 88 | 85 | 0.1 | 14% | Medicare shows only a Star Rating for this topic | 99% | 100% | 98% | 100% | 0.1 | 14% | Medicare shows only a Star Rating for this topic | 89 | 88 | 99 | 89% | 92% | 91% | 97% | 90% |
| 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% |
| S2468 | PDP | CALIFORNIA PHYSICIANS' SERVICE | Blue Shield of California | California Physicians Service | 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 | 100% | 0.05 | 6% | Medicare shows only a Star Rating for this topic | 83 | 88 | 98 | 86% | 88% | 87% | 93% | 83% |