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org marketing 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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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| H9153 | Local CCP | WEST VIRGINIA SENIOR ADVANTAGE, INC. | West Virginia Senior Advantage | SNP Holdings LLC | Not enough data available | 33% | Plan too small to be measured | Not enough data available | Not enough data available | No data available | 100% | 2% | 1% | Not enough data available | 48% | 2% | 4% | Not enough data available | No data available | No data available | Not enough data available | 11% | 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 | 0.13 | 4% | Not enough data available | Not enough data available | Not enough data available | 94% | 89% | 0.13 | 4% | Medicare shows only a Star Rating for this topic | Plan too small to be measured | Plan too small to be measured | 100 | 87% | 91% | 91% | 95% | 86% |
| H5703 | Local CCP | SOUTH COUNTRY HEALTH ALLIANCE | South Country Health Alliance | South Country Health Alliance | 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 | 52% | 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 | 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 | 97% | 97% | 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 | 93% | 88% | 90% | 95% | 91% |
| H2419 | Local CCP | SOUTH COUNTRY HEALTH ALLIANCE | South Country Health Alliance | South Country Health Alliance | 65% | 65% | 72% | 70% | 88% | 47% | 69% | 88% | 89% | Not enough data available | 74% | 82% | 48% | 75% | 78% | 45% | 75% | 8% | 85% | 61% | 55% | 80 | Not enough data available | 91 | 87 | 87 | 87 | 0 | 5% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 97% | 97% | 0 | 5% | Medicare shows only a Star Rating for this topic | 86 | 89 | 100 | 86% | 92% | 90% | 94% | 91% |
| H3755 | Local CCP | COMMUNITYCARE GOVERNMENT PROGRAMS, INC. | CommunityCare Senior Health Plan (HMO) | St Francis Health System and St John Health System | 80% | 73% | 69% | 76% | 77% | 48% | No data available | No data available | No data available | 58% | 81% | 93% | 71% | 79% | 51% | 45% | 84% | 11% | 88% | 73% | 64% | 83 | 86 | 93 | 88 | 91 | 86 | 0.06 | 4% | Medicare shows only a Star Rating for this topic | 98% | 95% | 92% | 97% | 0.06 | 4% | Medicare shows only a Star Rating for this topic | 89 | 90 | 99 | 83% | 89% | 88% | 89% | 87% |
| H3660 | Local CCP | SUMMACARE INC. | SummaCare Medicare Advantage Plans | Summa Health | 80% | 77% | 72% | 70% | 88% | 52% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 30% | 79% | 88% | 59% | 85% | 48% | 45% | 80% | 11% | 87% | 75% | 70% | 86 | 87 | 94 | 89 | 90 | 88 | 0.04 | 5% | Medicare shows only a Star Rating for this topic | 100% | 98% | 88% | 97% | 0.04 | 5% | Medicare shows only a Star Rating for this topic | 90 | 92 | 98 | 88% | 92% | 90% | 91% | 86% |
| H3672 | Local CCP | THE HEALTH PLAN OF WEST VIRGINIA, INC. | The Health Plan | The Health Plan of West Virginia Inc | 70% | 67% | 64% | 70% | 79% | 40% | 71% | 99% | 96% | 45% | 68% | 81% | 49% | 70% | 55% | 40% | 91% | 11% | 93% | 52% | 55% | 85 | 88 | 94 | 89 | 92 | 88 | 0.08 | 9% | Medicare shows only a Star Rating for this topic | 94% | 88% | 95% | 94% | 0.08 | 9% | Medicare shows only a Star Rating for this topic | 91 | 92 | 99 | 88% | 90% | 88% | 92% | 93% |
| H8604 | Local CCP | THP INSURANCE COMPANY | The Health Plan | The Health Plan of West Virginia Inc | 76% | 79% | 71% | 74% | 78% | 44% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 65% | 87% | 46% | 74% | 49% | 37% | 70% | No data available | No data available | 48% | 59% | 85 | 85 | 95 | 88 | 90 | 88 | 0.08 | 6% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 95% | 94% | 0.08 | 6% | Medicare shows only a Star Rating for this topic | 89 | 92 | 99 | 84% | 90% | 90% | 92% | 86% |
| H4647 | Local CCP | NEW CENTURY HEALTH PLAN, INC. | UCLA Health Medicare Advantage Plan | The Regents of the University of California | 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 | 89% | 73% | 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 |
| H1119 | Local CCP | TSG GUARD, INC. | Valor Health Plan | The Schroer Group Inc | Not enough data available | 74% | Plan too small to be measured | Not enough data available | Not enough data available | No data available | 100% | 100% | 100% | Not enough data available | 81% | 57% | 82% | Not enough data available | No data available | No data available | Not enough data available | 11% | Not enough data available | Not enough data available | 69% | 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 | 4% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 95% | 91% | 0 | 4% | Medicare shows only a Star Rating for this topic | Plan too small to be measured | Plan too small to be measured | 100 | 90% | 89% | 93% | 100% | 86% |
| H1619 | Local CCP | PARTNERS INSURANCE COMPANY INC | Jefferson Health Plans | Thomas Jefferson University | 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 | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 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 | 92% | 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 | 99 | 90% | 90% | 89% | Not enough data available | 91% |