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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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| H5244 | Local CCP | SCAN HEALTH PLAN (NM) | SCAN Health Plan | SCAN Group | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | No data available | No data available | No data available | 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 new to be measured | Plan too new 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% | 100% | Not enough data available | Not enough data available | Not enough data available | Plan too small to be measured | Plan too small to be measured | 99 | Not enough data available | Not enough data available | 94% | Not enough data available | Not enough data available |
| H1822 | Local CCP | SCAN DESERT HEALTH PLAN, INC. | SCAN Health Plan | SCAN Group | 69% | 65% | 62% | Plan too new to be measured | Plan too new to be measured | 55% | 93% | 99% | 100% | Not enough data available | 83% | 81% | 72% | 87% | 60% | 48% | 84% | 10% | 85% | 64% | 68% | 78 | 82 | 91 | 84 | 86 | Not enough data available | 0.31 | 17% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 97% | 100% | 0.31 | 17% | Medicare shows only a Star Rating for this topic | 88 | 91 | 99 | 89% | 94% | 94% | 94% | 94% |
| H1587 | Local CCP | ARKANSAS SUPERIOR SELECT, INC. | Tribute Health Plans | Select Founders LLC | 41% | 54% | Plan too small to be measured | Not enough data available | Not enough data available | Not enough data available | 100% | 100% | 100% | Not enough data available | 88% | 81% | 63% | Not enough data available | Not enough data available | Not enough data available | Not enough data available | 9% | Not enough data available | Not enough data available | 91% | 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 | 3% | Not enough data available | Not enough data available | Not enough data available | 95% | 84% | 0 | 3% | Medicare shows only a Star Rating for this topic | Plan too small to be measured | Plan too small to be measured | 99 | 89% | 88% | 93% | 92% | 86% |
| H4499 | Local CCP | SENTARA HEALTH PLANS | Sentara Medicare | Sentara Health Care SHC | 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 | 97% | 98% | 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 |
| H2563 | Local CCP | SENTARA HEALTH PLANS | Sentara Medicare | Sentara Health Care SHC | 79% | 73% | 69% | 69% | 79% | 54% | CMS identified issues with this plan's data | 83% | 82% | 17% | 68% | 82% | 60% | 73% | 58% | 43% | 57% | 11% | 85% | 47% | 53% | 80 | 81 | 90 | 87 | 88 | 88 | 0.2 | 10% | Medicare shows only a Star Rating for this topic | 96% | 90% | 98% | 99% | 0.2 | 10% | Medicare shows only a Star Rating for this topic | 88 | 89 | 99 | 86% | 90% | 88% | 84% | 85% |
| H5386 | Local CCP | SHARP HEALTH PLAN | Sharp Health Plan | Sharp Healthcare | 83% | 72% | 72% | 71% | 85% | 56% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 50% | 84% | 89% | 78% | 81% | 42% | 50% | 77% | 11% | 82% | 75% | 52% | 81 | 81 | 92 | 88 | 91 | 86 | 0.15 | 3% | Medicare shows only a Star Rating for this topic | 99% | 96% | 98% | 94% | 0.15 | 3% | Medicare shows only a Star Rating for this topic | 89 | 90 | 97 | 86% | 89% | 88% | 93% | 90% |
| H6529 | Local CCP | SOUTHEASTERN INDIANA HEALTH ORGANIZATION, INC. | MyTruAdvantage | SIHO Holding Inc | 78% | 70% | 76% | 70% | 87% | 51% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 57% | 78% | 26% | 80% | 57% | 34% | 76% | No data available | No data available | 70% | No data available | 84 | 87 | 93 | 90 | 90 | 90 | 0.47 | Not enough data available | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 89% | 89% | 0.47 | Not enough data available | Medicare shows only a Star Rating for this topic | 90 | 91 | 98 | 84% | 90% | 88% | 79% | 81% |
| H9042 | Local CCP | SOUTHEASTERN INDIANA HEALTH ORGANIZATION, INC. | MyTruAdvantage | SIHO Holding Inc | 78% | 80% | 73% | Plan too small to be measured | Plan too small 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 | 70% | 77% | 29% | 78% | 53% | 50% | 58% | No data available | 85% | 59% | 72% | 86 | 87 | 93 | 89 | 88 | 89 | 0.11 | 9% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 89% | 89% | 0.11 | 9% | Medicare shows only a Star Rating for this topic | 87 | 90 | 98 | 81% | 90% | 89% | 83% | 80% |
| H8879 | Local CCP | Healthy Mississippi, Inc. | Healthy Mississippi Inc. | Singh Holdings 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 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% | 94% | 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 |
| H3727 | Local CCP | OH CHS SNP INC. | Communicare Advantage | SNP Holdings LLC | 13% | 10% | Plan too small to be measured | Not enough data available | Not enough data available | No data available | CMS identified issues with this plan's data | 5% | 2% | Not enough data available | 60% | 1% | 2% | Not enough data available | No data available | No data available | Not enough data available | 14% | Not enough data available | 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 | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | 0.04 | 5% | Not enough data available | Not enough data available | Not enough data available | 94% | 89% | 0.04 | 5% | Medicare shows only a Star Rating for this topic | Plan too small to be measured | Plan too small to be measured | 99 | 81% | 82% | 87% | 94% | 90% |