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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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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| H0504 | Local CCP | CALIFORNIA PHYSICIANS' SERVICE | Blue Shield of California | California Physicians Service | 80% | 77% | 72% | 74% | 75% | 54% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 59% | 80% | 87% | 73% | 76% | 56% | 54% | 85% | 12% | 88% | 59% | 65% | 80 | 80 | 90 | 87 | 88 | 85 | 0.1 | 14% | Medicare shows only a Star Rating for this topic | 99% | 100% | 98% | 100% | 0.1 | 14% | Medicare shows only a Star Rating for this topic | 89 | 88 | 99 | 89% | 92% | 91% | 97% | 90% |
| H1304 | Local CCP | REGENCE BLUESHIELD OF IDAHO, INC. | Regence BlueShield of Idaho | Cambia Health Solutions Inc | 80% | 78% | 60% | 74% | 86% | 49% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 83% | 85% | 53% | 74% | 44% | 41% | 67% | 9% | 84% | 63% | 62% | 82 | 82 | 92 | 85 | 85 | 87 | 0.08 | 8% | Medicare shows only a Star Rating for this topic | 100% | 100% | 100% | 100% | 0.08 | 8% | Medicare shows only a Star Rating for this topic | 85 | 90 | 99 | 87% | 89% | 89% | 76% | 79% |
| H5009 | Local CCP | REGENCE BLUESHIELD | Regence BlueShield | Cambia Health Solutions Inc | 73% | 71% | 74% | 72% | 85% | 53% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 29% | 76% | 80% | 54% | 70% | 46% | 43% | 65% | 9% | 85% | 66% | 60% | 79 | 81 | 91 | 86 | 85 | 84 | 0.08 | 5% | Medicare shows only a Star Rating for this topic | 96% | 96% | 100% | 100% | 0.08 | 5% | Medicare shows only a Star Rating for this topic | 84 | 88 | 99 | 88% | 90% | 90% | 72% | 82% |
| H3817 | Local CCP | REGENCE BLUECROSS BLUESHIELD OF OREGON | Regence BlueCross BlueShield of Oregon | Cambia Health Solutions Inc | 80% | 77% | 65% | 74% | 84% | 51% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 45% | 84% | 90% | 56% | 76% | 47% | 55% | 74% | 8% | 87% | 71% | 60% | 78 | 79 | 92 | 84 | 85 | 84 | 0.05 | 15% | Medicare shows only a Star Rating for this topic | 97% | 95% | 100% | 100% | 0.05 | 15% | Medicare shows only a Star Rating for this topic | 85 | 88 | 99 | 88% | 91% | 91% | 76% | 86% |
| S5916 | PDP | REGENCE BLUESHIELD OF IDAHO AND REGENCE BC BS UTAH | Regence BlueShield of Idaho and Regence BC BS Utah | Cambia Health Solutions Inc | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 0 | Not enough data available | Medicare shows only a Star Rating for this topic | 86 | 92 | 99 | 85% | 87% | 89% | 56% | 81% |
| H6237 | Local CCP | REGENCE BLUECROSS BLUESHIELD OF OREGON | Regence BlueCross BlueShield of Oregon | Cambia Health Solutions Inc | 83% | 80% | 64% | 71% | 80% | 58% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 37% | 86% | 89% | 65% | 76% | 52% | 53% | 81% | 6% | 89% | 79% | 64% | 73 | 79 | 89 | 82 | 83 | Not enough data available | 0.03 | 10% | Medicare shows only a Star Rating for this topic | 100% | 96% | 100% | 100% | 0.03 | 10% | Medicare shows only a Star Rating for this topic | 86 | 89 | 99 | 88% | 92% | 90% | 73% | 88% |
| H4605 | Local CCP | REGENCE BLUECROSS BLUESHIELD OF UTAH | Regence BlueCross BlueShield of Utah | Cambia Health Solutions Inc | 76% | 76% | 75% | 64% | 82% | 56% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 33% | 82% | 84% | 58% | 73% | 56% | 53% | 69% | 9% | 84% | 61% | 62% | 84 | 86 | 91 | 89 | 88 | 87 | 0.07 | 7% | Medicare shows only a Star Rating for this topic | 98% | 98% | 100% | 100% | 0.07 | 7% | Medicare shows only a Star Rating for this topic | 87 | 90 | 99 | 84% | 90% | 90% | 75% | 81% |
| H1997 | Local CCP | REGENCE BLUESHIELD | Regence BlueShield | Cambia Health Solutions Inc | 72% | 76% | Plan too small to be measured | 71% | 84% | 55% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 78% | 84% | 59% | 78% | 47% | 41% | 77% | 6% | 87% | 79% | 60% | 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 | 100% | 100% | 100% | 100% | 0.1 | 6% | Medicare shows only a Star Rating for this topic | Plan too small to be measured | Plan too small to be measured | 99 | 87% | 90% | 90% | 73% | 85% |
| H1969 | Local CCP | REGENCE BLUESHIELD OF IDAHO, INC. | Regence BlueShield of Idaho | Cambia Health Solutions Inc | 74% | 75% | Plan too small to be measured | 71% | 88% | 57% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 82% | 87% | 62% | 69% | 47% | 52% | 80% | No data available | 92% | 78% | 54% | 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 | 0.09 | 11% | Medicare shows only a Star Rating for this topic | 90% | 100% | 100% | 100% | 0.09 | 11% | Medicare shows only a Star Rating for this topic | Plan too small to be measured | Plan too small to be measured | 99 | 90% | 92% | 89% | 75% | 91% |
| S5609 | PDP | ASURIS NORTHWEST HEALTH | Asuris Northwest Health | Cambia Health Solutions Inc | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 0.06 | 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 | 85% | 90% | 88% | 55% | 83% |