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contract name
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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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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| H3800 | Local CCP | PROVIDER PARTNERS HEALTH PLAN OF ILLINOIS | Provider Partners Health Plans | Rifkin Managed Care Holding LLC | 38% | 49% | Plan too small to be measured | Not enough data available | Not enough data available | No data available | 99% | 100% | 100% | Not enough data available | 90% | 94% | 76% | Not enough data available | No data available | No data available | Not enough data available | 10% | Not enough data available | Not enough data available | 95% | 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 | 0.13 | 3% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 91% | 95% | 0.13 | 3% | Medicare shows only a Star Rating for this topic | Plan too small to be measured | Plan too small to be measured | 99 | 89% | 76% | 84% | 99% | 94% |
| H4093 | Local CCP | PROVIDER PARTNERS HEALTH PLAN OF PENNSYLVANIA, INC | Provider Partners Health Plans | Rifkin Managed Care Holding LLC | Not enough data available | 85% | Plan too small to be measured | Not enough data available | Not enough data available | No data available | 100% | 100% | 100% | Not enough data available | 97% | 88% | 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 | 90% | 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 | 91% | 95% | 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 | 100 | 88% | 89% | 92% | 98% | 98% |
| H7275 | Local CCP | PROVIDER PARTNERS HEALTH PLAN OF KENTUCKY | Provider Partners Health Plans | Rifkin Managed Care Holding LLC | 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 |
| H8067 | Local CCP | PROVIDER PARTNERS HEALTH PLAN, INC. | Provider Partners Health Plans | Rifkin Managed Care Holding LLC | 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 | Plan too small to be measured | 100% | 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 | 91% | 95% | 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 | 89% | 94% | 100% | Not enough data available |
| H4054 | Local CCP | PROVIDER PARTNERS HEALTH PLAN OF TEXAS, INC. | Provider Partners Health Plans | Rifkin Managed Care Holding LLC | Not enough data available | 66% | Plan too small to be measured | Plan too new to be measured | Plan too new to be measured | No data available | 99% | 100% | 100% | Not enough data available | 84% | 94% | 74% | 89% | No data available | No data available | Not enough data available | 8% | Not enough data available | Not enough data available | 94% | 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 | 0.1 | 6% | Medicare shows only a Star Rating for this topic | 76% | 76% | 91% | 95% | 0.1 | 6% | Medicare shows only a Star Rating for this topic | Plan too small to be measured | Plan too small to be measured | 100 | 86% | 75% | 84% | 98% | 90% |
| H4444 | Local CCP | PROVIDER PARTNERS HEALTH PLAN OF INDIANA | Provider Partners Health Plans | Rifkin Managed Care Holding LLC | 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 | Plan too new to be measured | Not enough data available | Not enough data available | 91% | 95% | 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 |
| H2624 | Local CCP | CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA | HealthTeam Advantage | Risant Health Inc | 84% | 82% | 76% | 70% | 78% | 67% | 66% | 100% | 100% | Not enough data available | 86% | 88% | 74% | 86% | 62% | 46% | 91% | 11% | 93% | 85% | 76% | 84 | 84 | 94 | 89 | 92 | 88 | 0.09 | 9% | Medicare shows only a Star Rating for this topic | 100% | 95% | 94% | 97% | 0.09 | 9% | Medicare shows only a Star Rating for this topic | 91 | 91 | 93 | 82% | 88% | 87% | 76% | 89% |
| H9808 | Local CCP | CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA | HealthTeam Advantage | Risant Health Inc | 81% | 80% | 72% | 73% | 86% | 57% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 46% | 84% | 91% | 65% | 81% | 47% | 45% | 91% | 10% | 87% | 87% | 69% | 84 | 85 | 95 | 89 | 91 | 89 | 0.05 | 10% | Medicare shows only a Star Rating for this topic | 100% | 96% | 94% | 97% | 0.05 | 10% | Medicare shows only a Star Rating for this topic | 88 | 91 | 93 | 81% | 89% | 88% | 75% | 86% |
| H3924 | Local CCP | GEISINGER INDEMNITY INSURANCE COMPANY | Geisinger Gold | Risant Health Inc | 80% | 75% | 71% | 71% | 89% | 47% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 43% | 86% | 92% | 76% | 84% | 50% | 39% | 95% | 8% | 87% | 90% | 59% | 82 | 85 | 93 | 87 | 87 | 88 | 0.1 | 20% | Medicare shows only a Star Rating for this topic | 100% | 96% | 100% | 100% | 0.1 | 20% | Medicare shows only a Star Rating for this topic | 88 | 92 | 99 | 89% | 93% | 92% | 94% | 86% |
| H3954 | Local CCP | GEISINGER HEALTH PLAN | Geisinger Gold | Risant Health Inc | 76% | 75% | 72% | 71% | 86% | 44% | 74% | 97% | 97% | 39% | 79% | 91% | 76% | 87% | 60% | 46% | 96% | 7% | 86% | 91% | 57% | 80 | 84 | 92 | 87 | 89 | 86 | 0.06 | 5% | Medicare shows only a Star Rating for this topic | 99% | 96% | 100% | 100% | 0.06 | 5% | Medicare shows only a Star Rating for this topic | 90 | 92 | 99 | 89% | 92% | 92% | 94% | 87% |