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Measure Stars : 2025-i

{"page":"61","controller":"webapps/rptcmsdatasheet","action":"list","rpt":"measurestars","yrtype":"2025-i"}
hcontract
org type
contract name
org marketing name
parent org
C01 - Breast Cancer Screening
C02 - Colorectal Cancer Screening
C03 - Annual Flu Vaccine
C04 - Monitoring Physical Activity
C05 - Special Needs Plan (SNP) Care Management
C06 - Care for Older Adults - Medication Review
C07 - Care for Older Adults - Pain Assessment
C08 - Osteoporosis Management in Women who had a Fracture
C09 - Diabetes Care - Eye Exam
C10 - Diabetes Care - Blood Sugar Controlled
C11 - Controlling Blood Pressure
C12 - Reducing the Risk of Falling
C13 - Improving Bladder Control
C14 - Medication Reconciliation Post-Discharge
C15 - Plan All-Cause Readmission
C16 - Statin Therapy for Patients with Cardiovascular Disease
C17 - Transitions of Care
C18 - Follow-up after Emergency Department Visit for People with Multiple High-Risk Chronic Conditions
C19 - Getting Needed Care
C20 - Getting Appointments and Care Quickly
C21 - Customer Service
C22 - Rating of Health Care Quality
C23 - Rating of Health Plan
C24 - Care Coordination
C25 - Complaints about the Health Plan
C26 - Members Choosing to Leave the Plan
C27 - Health Plan Quality Improvement
C28 - Plan Makes Timely Decisions about Appeals
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)
H3204 Local CCP PRESBYTERIAN HEALTH PLAN Presbyterian Health Plan Presbyterian Healthcare Services 3 3 4 4 3 3 3 3 3 3 1 2 2 4 3 2 3 2 1 2 4 3 3 3 5 5 3 5 3 3 4 5 5 3 2 1 4 2 3 3 5 2
S3875 PDP GRANITE ALLIANCE INSURANCE COMPANY Granite Alliance Prime Therapeutics, LLC. 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 No data available Not enough data available Not enough data available 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 required to report Not enough data available
H2416 Local CCP PRIMEWEST RURAL MN HEALTH CARE ACCESS INITIATIVE PrimeWest Health PrimeWest Rural MN Health Care Access Initiative 3 3 4 2 3 4 5 Not enough data available 4 4 3 4 4 3 3 3 4 5 4 4 4 3 4 4 5 5 2 Not enough data available Not enough data available 4 4 5 5 3 4 4 2 5 5 4 1 3
H2926 Local CCP PRIMEWEST RURAL MN HEALTH CARE ACCESS INITIATIVE PrimeWest Health PrimeWest Rural MN Health Care Access Initiative Plan too small to be measured Plan too small to be measured Plan too small to be measured Plan too small to be measured 1 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 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 3 5 1 5 1 1
H9047 Local CCP PROVIDENCE HEALTH ASSURANCE Providence Medicare Advantage Plans Providence St Joseph Health 4 5 5 3 4 5 4 4 5 5 3 2 4 5 4 4 5 4 2 2 4 3 4 4 5 5 4 5 4 4 4 5 5 4 2 2 1 4 4 4 3 2
H5015 Local CCP TEXAS INDEPENDENCE HEALTH PLAN, INC. Texas Independence Health Plan Regency ISNP Holdings LLC Not enough data available 4 Plan too small to be measured No data available 5 4 5 Not enough data available 5 4 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 5 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 3 3 5 5 4 Plan too small to be measured Plan too small to be measured 4 4 4 5 5 3
H2960 Local CCP HOMETOWN HEALTH PLAN, INC. Senior Care Plus Renown Health 4 4 4 4 4 5 5 4 5 5 5 1 4 5 4 5 5 5 4 4 4 4 3 5 5 5 5 5 4 4 4 5 5 4 2 1 1 2 3 3 3 2
H8067 Local CCP PROVIDER PARTNERS HEALTH PLAN, INC. Provider Partners Health Plans Rifkin Managed Care Holding, LLC 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 5 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 3 3 Not enough data available Not enough data available Not enough data available Plan too small to be measured Plan too small to be measured Not enough data available Not enough data available 2 3 5 Not enough data available
H3800 Local CCP PROVIDER PARTNERS HEALTH PLAN OF ILLINOIS Provider Partners Health Plans Rifkin Managed Care Holding, LLC 1 2 Plan too small to be measured No data available 5 5 5 Not enough data available 5 3 Not enough data available No data available No data available Not enough data available 3 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 5 5 4 2 1 3 3 5 5 4 Plan too small to be measured Plan too small to be measured 4 3 1 2 5 3
H4093 Local CCP PROVIDER PARTNERS HEALTH PLAN OF PENNSYLVANIA, INC Provider Partners Health Plans Rifkin Managed Care Holding, LLC Not enough data available 3 Plan too small to be measured No data available 5 5 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 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 1 Plan too small to be measured Plan too small to be measured 4 1 1 2 5 4
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