|
hcontract
|
org type
|
contract name
|
org marketing name
|
parent org
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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 - Monitoring Physical Activity
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C05 - Special Needs Plan (SNP) Care Management
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C06 - Care for Older Adults-Medication Review
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C07 - Care for Older Adults-Pain Assessment
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C08 - Osteoporosis Management in Women who had a Fracture
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C09 - Diabetes Care-Eye Exam
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C10 - Diabetes Care-Blood Sugar Controlled
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C11 - Controlling Blood Pressure
|
C12 - Reducing the Risk of Falling
|
C13 - Improving Bladder Control
|
C14 - Medication Reconciliation Post-Discharge
|
C15 - Plan All-Cause Readmissions
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C16 - Statin Therapy for Patients with Cardiovascular Disease
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C17 - Transitions of Care
|
C18 - Follow-up after ED Visit People with Multiple Chronic Conditions
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C19 - Getting Needed Care
|
C20 - Getting Appointments and Care Quickly
|
C21 - Customer Service
|
C22 - Rating of Health Care Quality
|
C23 - Rating of Health Plan
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C24 - Care Coordination
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C25 - Complaints about the Health Plan
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C26 - Members Choosing to Leave the Plan
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C27 - Health Plan Quality Improvement
|
C28 - Plan Makes Timely Decisions about Appeals
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C29 - Reviewing Appeals Decisions
|
C30 - Call Center-Foreign Language Interpreter and TTY Availability
|
D01 - Call Center-Foreign Language Interpreter and TTY Availability
|
D02 - Complaints about the Drug Plan
|
D03 - Members Choosing to Leave the Plan
|
D04 - Drug Plan Quality Improvement
|
D05 - Rating of Drug Plan
|
D06 - Getting Needed Prescription Drugs
|
D07 - MPF Price Accuracy
|
D08 - Medication Adherence for Diabetes Medications
|
D09 - Medication Adherence for Hypertension (RAS antagonists)
|
D10 - Medication Adherence for Cholesterol (Statins)
|
D11 - MTM Program Completion Rate for CMR
|
D12 - Statin Use in Persons with Diabetes (SUPD)
|
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| H4073 | Local CCP | WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC. | Wellcare | Centene Corporation | 2 | 1 | 2 | Plan too new to be measured | 3 | 3 | 3 | Not enough data available | 2 | 2 | 2 | Plan too new to be measured | Plan too new to be measured | 2 | No data available | 3 | 1 | 1 | 4 | 3 | 4 | Not enough data available | 2 | Not enough data available | 1 | 1 | Not enough data available | 3 | 4 | 5 | 5 | 1 | 1 | Not enough data available | 2 | Not enough data available | 4 | 2 | 2 | 2 | 4 | 2 |
| H4091 | Local CCP | SIMPRA ADVANTAGE, INC. | Simpra Advantage | Associated Care Ventures Inc | 1 | 3 | Plan too small to be measured | No data available | 5 | 4 | 3 | Not enough data available | 4 | 4 | 5 | No data available | No data available | Not enough data available | 3 | 5 | Not enough data available | 1 | 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 | 5 | 5 | Not enough data available | Not enough data available | Not enough data available | 1 | 1 | 5 | 5 | 3 | Plan too small to be measured | Plan too small to be measured | 2 | 5 | 4 | 5 | 5 | 4 |
| H4093 | Local CCP | PROVIDER PARTNERS HEALTH PLAN OF PENNSYLVANIA, INC | Provider Partners Health Plans | Rifkin Managed Care Holding LLC | Not enough data available | 5 | Plan too small to be measured | No data available | 5 | 5 | 5 | Not enough data available | Not enough data available | 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 | 1 | 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 | 3 | 3 | Not enough data available | Not enough data available | 4 | Plan too small to be measured | Plan too small to be measured | 5 | 5 | 2 | 4 | 5 | 5 |
| H4094 | Local CCP | UNITEDHEALTHCARE OF WISCONSIN, INC. | UnitedHealthcare | UnitedHealth Group Inc | 3 | 4 | Plan too small to be measured | 4 | 4 | 3 | 3 | Not enough data available | 4 | 4 | 3 | Not enough data available | Not enough data available | 3 | No data available | Not enough data available | No data available | 4 | 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 | 4 | 1 | Not enough data available | 5 | 5 | 5 | 5 | 4 | 1 | 1 | Plan too small to be measured | Plan too small to be measured | 4 | 1 | 2 | 1 | 3 | 1 |
| H4140 | Local CCP | DOCTORS HEALTHCARE PLANS, INC. | Doctors HealthCare Plans Inc. | DOCTORS HEALTHCARE PLANS INC | 5 | 3 | 1 | 5 | 5 | 4 | 4 | 2 | 4 | 5 | 5 | Not enough data available | Not enough data available | 4 | 2 | 1 | 2 | 4 | 3 | 1 | 5 | 5 | 5 | 5 | 4 | 4 | 3 | 2 | 2 | 4 | 4 | 4 | 4 | 4 | 5 | 4 | 4 | 2 | 3 | 1 | 2 | 3 |
| H4141 | Local CCP | HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC. | Humana | Humana Inc | 4 | 4 | 2 | 5 | 4 | 4 | 5 | 3 | 4 | 4 | 3 | 3 | Not enough data available | 4 | 4 | 3 | 3 | 4 | 4 | 2 | 4 | 4 | 5 | 4 | 5 | 3 | 3 | 5 | 4 | 5 | 5 | 5 | 3 | 4 | 5 | 5 | 1 | 2 | 3 | 2 | 4 | 3 |
| H4152 | Local CCP | BLUE CROSS & BLUE SHIELD OF RHODE ISLAND | Blue Cross and Blue Shield of Rhode Island | Blue Cross and Blue Shield of Rhode Island | 5 | 5 | 5 | 3 | 5 | 4 | 4 | 3 | 5 | 5 | 5 | 3 | 4 | 4 | 1 | 4 | 3 | 3 | 4 | 4 | 5 | 3 | 5 | 3 | 5 | 5 | 3 | 5 | 4 | 5 | 5 | 5 | 5 | 4 | 4 | 4 | 4 | 4 | 5 | 4 | 4 | 4 |
| H4161 | Local CCP | BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN | Anthem Blue Cross Partnership Plan | Elevance Health Inc | 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 | Not enough data available | Plan too new to be measured | Not enough data available | Not enough data available | 5 | 5 | 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 |
| H4172 | Local CCP | NHC ADVANTAGE, LLC | NHC Advantage | Missouri Healthcare Advisors LLC | Not enough data available | 3 | Plan too small to be measured | No data available | 5 | 4 | 5 | Not enough data available | 5 | 3 | 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 | 3 | 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 | 5 | 5 | 4 | Not enough data available | Not enough data available | 5 | 5 | 5 | 5 | 4 | Plan too small to be measured | Plan too small to be measured | 4 | 5 | 4 | 5 | 5 | 2 |
| H4198 | Local CCP | COMMUNITYCARE GOVERNMENT PROGRAMS, INC. | Integris Health Partners+ (HMO) | St Francis Health System and St John Health System | 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 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 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 | 4 | 4 | Not enough data available | Not enough data available | Not enough data available | Plan too small to be measured | Plan too small to be measured | 4 | Not enough data available | 5 | 2 | Not enough data available | Not enough data available |