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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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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| H0628 | Local CCP | AETNA HEALTH OF OHIO INC. | Aetna Medicare | CVS Health Corporation | 73% | 69% | 60% | 68% | 85% | 46% | 63% | 100% | 95% | 44% | 74% | 85% | 55% | 87% | 59% | 45% | 92% | 9% | 88% | 59% | 63% | 84 | 86 | 91 | 87 | 86 | 90 | 0.26 | 28% | Medicare shows only a Star Rating for this topic | 98% | 98% | 98% | 100% | 0.26 | 28% | Medicare shows only a Star Rating for this topic | 87 | 91 | 99 | 86% | 90% | 89% | 94% | 86% |
| H0624 | Local CCP | UnitedHealthcare Benefits of Texas, Inc. | UnitedHealthcare | UnitedHealth Group Inc | 67% | 74% | 69% | 65% | 84% | 47% | 76% | 96% | 98% | 49% | 88% | 87% | 63% | 80% | 63% | 48% | 66% | 10% | 90% | 64% | 62% | 79 | Not enough data available | 88 | 85 | 87 | Not enough data available | 0.15 | 22% | Medicare shows only a Star Rating for this topic | 99% | 99% | 100% | 100% | 0.15 | 22% | Medicare shows only a Star Rating for this topic | 89 | Not enough data available | 100 | 89% | 89% | 89% | 92% | 87% |
| H0609 | Local CCP | UnitedHealthcare Benefits of Texas, Inc. | UnitedHealthcare | UnitedHealth Group Inc | 81% | 76% | 71% | 68% | 83% | 55% | 77% | 99% | 99% | 47% | 91% | 96% | 80% | 90% | 58% | 46% | 82% | 11% | 88% | 58% | 61% | 83 | 87 | Not enough data available | 88 | 87 | 90 | 0.12 | 11% | Medicare shows only a Star Rating for this topic | 100% | 99% | 100% | 100% | 0.12 | 11% | Medicare shows only a Star Rating for this topic | 87 | 89 | 100 | 87% | 91% | 91% | 92% | 90% |
| H0571 | Local CCP | CHINESE COMMUNITY HEALTH PLAN | CCHP (Chinese Community Health Plan) | Chinese Hospital Association | 76% | 78% | 80% | 74% | 83% | 54% | 91% | 89% | 91% | 55% | 79% | 83% | 79% | 70% | 74% | 35% | 40% | 10% | 87% | 32% | 45% | 76 | 79 | 86 | 85 | 85 | 82 | 0 | 6% | Medicare shows only a Star Rating for this topic | 89% | 87% | 91% | 91% | 0 | 6% | Medicare shows only a Star Rating for this topic | 84 | 83 | 98 | 91% | 89% | 87% | 99% | 92% |
| H0562 | Local CCP | HEALTH NET OF CALIFORNIA, INC. | Wellcare By Health Net | Centene Corporation | 77% | 78% | 70% | Not enough data available | Not enough data available | 53% | 62% | 93% | 93% | 66% | 83% | 88% | 71% | 80% | 61% | 41% | 77% | 10% | 85% | 47% | 53% | 77 | 80 | Not enough data available | 86 | 86 | 84 | 0.3 | 16% | Medicare shows only a Star Rating for this topic | 96% | 100% | 100% | 100% | 0.3 | 16% | Medicare shows only a Star Rating for this topic | 87 | 87 | 100 | 88% | 90% | 89% | 93% | 90% |
| H0544 | Local CCP | BLUE CROSS OF CALIFORNIA | Anthem Blue Cross | Elevance Health Inc | 69% | 68% | 68% | 71% | 80% | 51% | CMS identified issues with this plan's data | 100% | 98% | 51% | 76% | 84% | 72% | 79% | 65% | 50% | 80% | 10% | 87% | 63% | 53% | 74 | 79 | 87 | Plan too small to be measured | 84 | Plan too small to be measured | 0.31 | 21% | Medicare shows only a Star Rating for this topic | 96% | 97% | 100% | 100% | 0.31 | 21% | Medicare shows only a Star Rating for this topic | 85 | Plan too small to be measured | 99 | 86% | 89% | 87% | 96% | 91% |
| H0543 | Local CCP | UHC OF CALIFORNIA | UnitedHealthcare | UnitedHealth Group Inc | 78% | 74% | 67% | 69% | 85% | 56% | 81% | 98% | 99% | 57% | 90% | 90% | 74% | 82% | 60% | 45% | 77% | 11% | 86% | 54% | 54% | 83 | 84 | 90 | 88 | 88 | 84 | 0.18 | 9% | Medicare shows only a Star Rating for this topic | 100% | 99% | 100% | 100% | 0.18 | 9% | Medicare shows only a Star Rating for this topic | 89 | 91 | 100 | 88% | 91% | 90% | 92% | 90% |
| H0524 | Local CCP | KAISER FOUNDATION HP, INC. | Kaiser Permanente | Kaiser Foundation Health Plan Inc | 88% | 88% | 80% | 66% | 80% | 61% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 79% | 89% | 90% | 87% | 88% | 53% | 42% | 96% | 10% | 91% | 87% | 73% | 80 | 80 | 90 | 87 | 89 | 85 | 0.05 | 1% | Medicare shows only a Star Rating for this topic | 99% | 99% | 98% | 98% | 0.05 | 1% | Medicare shows only a Star Rating for this topic | 94 | 94 | 100 | 91% | 92% | 92% | 94% | 92% |
| H0523 | Local CCP | AETNA HEALTH OF CALIFORNIA INC. | Aetna Medicare | CVS Health Corporation | 76% | 71% | 66% | 72% | 84% | 52% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 61% | 80% | 88% | 64% | 80% | 67% | 34% | 78% | 9% | 89% | 45% | 51% | 76 | Not enough data available | 86 | 85 | 83 | 85 | 0.52 | 27% | Medicare shows only a Star Rating for this topic | 99% | 97% | 98% | 100% | 0.52 | 27% | Medicare shows only a Star Rating for this topic | 86 | Not enough data available | 99 | 87% | 91% | 89% | 96% | 91% |
| 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% |