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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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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| H5433 | Local CCP | ORANGE COUNTY HEALTH AUTHORITY | CalOptima Health OneCare | Orange County Health Authority | 69% | 68% | 71% | 72% | 86% | 56% | 65% | 83% | 83% | 44% | 78% | 84% | 59% | 77% | 62% | 38% | 57% | 11% | 86% | 45% | 56% | 75 | 77 | 85 | 84 | 86 | 82 | 0.1 | 10% | Medicare shows only a Star Rating for this topic | 95% | 93% | 95% | 92% | 0.1 | 10% | Medicare shows only a Star Rating for this topic | 87 | 86 | 99 | 87% | 87% | 85% | 74% | 89% |
| H3864 | Local CCP | PACIFICSOURCE COMMUNITY HEALTH PLANS | PacificSource Medicare | PacificSource | 74% | 79% | 65% | 71% | 85% | 51% | 60% | 93% | 93% | 32% | 81% | 90% | 61% | 78% | 54% | 47% | 66% | 10% | 84% | 58% | 59% | 81 | 83 | 92 | 86 | 87 | 88 | 0.06 | 10% | Medicare shows only a Star Rating for this topic | 96% | 98% | 89% | 90% | 0.06 | 10% | Medicare shows only a Star Rating for this topic | 87 | 89 | 99 | 86% | 89% | 89% | 88% | 85% |
| H4754 | Local CCP | PACIFICSOURCE COMMUNITY HEALTH PLANS | PacificSource Medicare | PacificSource | 74% | 74% | 50% | 75% | 82% | 48% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 24% | 78% | 86% | 55% | 76% | 44% | 41% | 63% | 10% | 84% | 59% | 54% | 82 | 83 | 91 | 86 | 88 | 86 | 0.09 | 2% | Medicare shows only a Star Rating for this topic | 100% | 100% | 89% | 90% | 0.09 | 2% | Medicare shows only a Star Rating for this topic | 84 | 89 | 98 | 89% | 89% | 89% | 78% | 80% |
| H3419 | Local CCP | PERENNIAL ADVANTAGE OF COLORADO, INC. | Perennial Advantage | Perennial Consortium LLC | 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 | 84% | 100% | 100% | 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 | 98% | 98% | Not enough data available | Not enough data available | Not enough data available | Plan too small to be measured | Plan too small to be measured | 100 | Not enough data available | Not enough data available | 76% | Not enough data available | Not enough data available |
| H8797 | Local CCP | PERENNIAL ADVANTAGE OF OHIO, INC. | Perennial Advantage | Perennial Consortium LLC | Not enough data available | Not enough data available | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | No data available | 95% | 97% | 100% | Not enough data available | Not enough data available | Not enough data available | Not enough data available | Not enough data available | No data available | No data available | Not enough data available | No data available | Not enough data available | Not enough data available | 76% | 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 | 98% | 98% | 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 | 91% | 89% | 93% | 97% | 96% |
| H2256 | Local CCP | TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION | Tufts Health Plan | Point32Health Inc | 84% | 79% | 79% | 74% | 83% | 55% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 31% | 81% | 89% | 69% | 81% | 54% | 43% | 83% | 11% | 89% | 72% | 61% | 83 | 84 | 89 | 88 | 88 | 89 | 0.07 | 6% | Medicare shows only a Star Rating for this topic | 99% | 99% | 97% | 98% | 0.07 | 6% | Medicare shows only a Star Rating for this topic | 86 | 89 | 99 | 88% | 92% | 91% | 91% | 88% |
| H8330 | Local CCP | TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION | Tufts Health Plan | Point32Health Inc | 75% | 72% | 79% | Plan too new to be measured | Plan too new to be measured | 64% | 92% | 95% | 99% | 22% | 85% | 89% | 55% | 78% | 76% | 55% | 66% | 13% | 89% | 58% | 71% | 76 | 77 | 89 | 84 | 89 | 84 | 0.12 | 2% | Medicare shows only a Star Rating for this topic | 99% | 98% | 97% | 98% | 0.12 | 2% | Medicare shows only a Star Rating for this topic | 87 | 86 | 99 | 91% | 90% | 89% | 94% | 90% |
| H5273 | Local CCP | CAREPARTNERS OF CONNECTICUT, INC. | CarePartners of Connecticut | Point32Health Inc | 81% | 78% | 77% | 69% | 85% | 59% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 75% | 93% | 56% | 85% | 46% | 39% | 82% | 11% | 90% | 78% | 72% | 79 | 81 | 90 | 85 | 86 | 85 | 0.12 | 12% | Medicare shows only a Star Rating for this topic | 100% | 99% | 97% | 98% | 0.12 | 12% | Medicare shows only a Star Rating for this topic | 84 | 90 | 99 | 86% | 93% | 91% | 91% | 87% |
| H9907 | Local CCP | TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION | Tufts Health Plan | Point32Health Inc | 86% | 80% | 77% | Plan too new to be measured | Plan too new to be measured | 54% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 79% | 90% | 66% | 84% | Not enough data available | Not enough data available | 72% | 8% | 89% | 66% | 68% | 79 | 82 | 90 | 87 | 87 | 85 | 0.28 | 8% | Medicare shows only a Star Rating for this topic | 100% | 100% | 97% | 98% | 0.28 | 8% | Medicare shows only a Star Rating for this topic | 84 | 87 | 99 | 89% | 92% | 91% | 92% | 87% |
| H5314 | Local CCP | TUFTS HEALTH PUBLIC PLANS, INC. | Tufts Health Plan | Point32Health 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 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 | 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 | 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 | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured |