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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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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| H8133 | Local CCP | GHS INSURANCE COMPANY | Blue Cross and Blue Shield of Texas | Health Care Service Corporation | 73% | 68% | 65% | Not enough data available | Not enough data available | 50% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 69% | 72% | 60% | 70% | 57% | Not enough data available | 52% | 10% | 91% | 43% | 55% | 82 | 84 | Not enough data available | 87 | 87 | 88 | 0.24 | 18% | Medicare shows only a Star Rating for this topic | 100% | 98% | 95% | 98% | 0.24 | 18% | Medicare shows only a Star Rating for this topic | 86 | Not enough data available | 99 | 83% | 85% | 82% | 93% | 90% |
| H8142 | Local CCP | SCOTT AND WHITE HEALTH PLAN | Baylor Scott and White Health Plan | Baylor Scott and White Health | 83% | 77% | 70% | 69% | 85% | 56% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 59% | 82% | 87% | 76% | 75% | 57% | 46% | 84% | 11% | 83% | 72% | 62% | 81 | 82 | 92 | 90 | 91 | 91 | 0.13 | 5% | Medicare shows only a Star Rating for this topic | 97% | 96% | 81% | 75% | 0.13 | 5% | Medicare shows only a Star Rating for this topic | 90 | 92 | 99 | 90% | 94% | 94% | 89% | 86% |
| H8145 | PFFS | HUMANA INSURANCE COMPANY | Humana | Humana Inc | 68% | 71% | 69% | 70% | 88% | 41% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 40% | 72% | 84% | 54% | 78% | 56% | 41% | 90% | 10% | 85% | 76% | 56% | 84 | 86 | 90 | 88 | 87 | 89 | 0.14 | 13% | Medicare shows only a Star Rating for this topic | 100% | 98% | 100% | 100% | 0.14 | 13% | Medicare shows only a Star Rating for this topic | 87 | 90 | 84 | 86% | 90% | 90% | 84% | 84% |
| H8166 | Local CCP | HIGHMARK BCBSD INC. | Highmark Blue Cross Blue Shield | Highmark Health | 83% | 75% | 73% | Plan too new to be measured | Plan too new to be measured | 51% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 80% | 91% | 55% | 82% | 51% | 41% | 82% | 9% | 93% | 71% | 67% | 80 | 81 | 91 | 86 | 88 | 85 | 0.14 | 5% | Medicare shows only a Star Rating for this topic | 99% | 98% | 91% | 95% | 0.14 | 5% | Medicare shows only a Star Rating for this topic | 87 | 89 | 99 | 85% | 91% | 90% | 91% | 93% |
| H8173 | Local CCP | DEVOTED HEALTH PLAN OF ARIZONA, INC. | Devoted Health | Devoted Health Inc | 76% | 79% | 56% | 66% | 83% | 53% | 92% | 100% | 98% | 73% | 87% | 91% | 78% | 82% | 50% | 46% | 96% | 7% | 90% | 75% | 81% | 81 | 81 | 92 | 82 | 83 | 82 | 0.31 | 58% | Medicare shows only a Star Rating for this topic | 100% | 97% | 98% | 100% | 0.31 | 58% | Medicare shows only a Star Rating for this topic | 84 | 87 | 99 | 89% | 93% | 93% | 94% | 91% |
| H8176 | Local CCP | MOLINA HEALTHCARE OF SOUTH CAROLINA,INC | Molina Healthcare of South Carolina | Molina Healthcare Inc | 73% | 65% | 60% | Not enough data available | Not enough data available | 52% | 63% | 86% | 89% | Not enough data available | 66% | 74% | 47% | 70% | Not enough data available | Not enough data available | 55% | 6% | 85% | 39% | 51% | 85 | 87 | 92 | 87 | 88 | 89 | 0.43 | 18% | Medicare shows only a Star Rating for this topic | 100% | 100% | 100% | 100% | 0.43 | 18% | Medicare shows only a Star Rating for this topic | 89 | 92 | 99 | 87% | 87% | 85% | 95% | 84% |
| H8181 | Local CCP | SAPPHIRE EDGE, INC. | Blue Cross and Blue Shield of Nebraska | Blue Cross Blue Shield of Nebraska | 76% | 72% | 70% | 78% | 86% | 43% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 79% | 82% | 59% | 78% | 50% | 45% | 54% | 11% | 83% | 46% | 56% | 85 | 85 | 88 | 88 | 86 | 89 | 0.19 | 10% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 98% | 98% | 0.19 | 10% | Medicare shows only a Star Rating for this topic | 87 | 90 | 99 | 87% | 91% | 90% | 89% | 85% |
| H8189 | Local CCP | MANAGED HEALTH SERVICES INSURANCE CORP. | Wellcare by Allwell | Centene Corporation | 67% | 62% | 58% | Not enough data available | Not enough data available | 43% | 79% | 99% | 96% | Not enough data available | 69% | 88% | 63% | 79% | 72% | 47% | 73% | 8% | 92% | 59% | 55% | 79 | 81 | 88 | 85 | 86 | 89 | 0.75 | 25% | Medicare shows only a Star Rating for this topic | 100% | 100% | 100% | 100% | 0.75 | 25% | Medicare shows only a Star Rating for this topic | 87 | Not enough data available | 99 | 87% | 88% | 88% | 90% | 88% |
| H8211 | Local CCP | CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO. | UnitedHealthcare | UnitedHealth Group Inc | 69% | 60% | 61% | 64% | 84% | 36% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 30% | 73% | 85% | 48% | 74% | 42% | 43% | 62% | 11% | 84% | 53% | 54% | 84 | 86 | 88 | 86 | 83 | 88 | 0.18 | 17% | Medicare shows only a Star Rating for this topic | 100% | 99% | 100% | 100% | 0.18 | 17% | Medicare shows only a Star Rating for this topic | 83 | 91 | 100 | 84% | 90% | 89% | 91% | 84% |
| H8212 | Local CCP | AMERIHEALTH CARITAS NORTH CAROLINA, INC. | AmeriHealth Caritas VIP Care | Independence Health Group 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 |