|
hcontract
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org type
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contract name
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org marketing name
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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
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C12 - Reducing the Risk of Falling
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C13 - Improving Bladder Control
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C14 - Medication Reconciliation Post-Discharge
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C15 - Plan All-Cause Readmission
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C16 - Statin Therapy for Patients with Cardiovascular Disease
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C17 - Transitions of Care
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C18 - Follow-up after Emergency Department Visit for People with Multiple High-Risk Chronic Conditions
|
C19 - Getting Needed Care
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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
|
C29 - Reviewing Appeals Decisions
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C30 - Call Center - Foreign Language Interpreter and TTY Availability
|
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
|
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)
|
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| H8145 | PFFS | HUMANA INSURANCE COMPANY | Humana | Humana Inc | 2 | 3 | 3 | 2 | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 2 | 2 | 4 | 4 | 3 | 2 | 5 | 3 | 2 | 4 | 3 | 5 | 5 | 4 | 5 | 4 | 5 | 5 | 4 | 4 | 4 | 3 | 4 | 4 | 5 | 4 | 2 | 4 | 4 | 1 | 4 | 4 | 4 | 2 | 2 |
| H8166 | Local CCP | HIGHMARK BCBSD INC. | Highmark Blue Cross Blue Shield | Highmark Health | 5 | 4 | 4 | 4 | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 3 | 4 | 4 | 2 | 3 | 4 | 4 | 5 | 5 | 4 | 2 | 3 | 5 | 2 | 4 | 2 | 4 | 5 | 4 | 4 | 5 | 5 | 4 | 4 | 5 | 4 | 4 | 2 | 4 | 3 | 4 | 3 | 3 | 4 |
| H8173 | Local CCP | DEVOTED HEALTH PLAN OF ARIZONA, INC. | Devoted Health | Devoted Health Inc | 4 | 4 | 2 | 4 | 5 | 5 | 5 | Not enough data available | 5 | 4 | 5 | 4 | Not enough data available | 5 | 4 | 4 | 4 | 5 | 3 | 3 | 5 | 3 | 4 | 2 | 4 | 3 | 4 | 5 | 5 | 4 | 4 | 4 | 3 | 3 | 4 | 3 | 4 | 4 | 5 | 4 | 5 | 4 |
| H8176 | Local CCP | MOLINA HEALTHCARE OF SOUTH CAROLINA,INC | Molina Healthcare of South Carolina | Molina Healthcare Inc | 3 | 2 | 1 | 2 | 2 | 3 | 3 | Not enough data available | 1 | 3 | 1 | Not enough data available | Not enough data available | 1 | 4 | 3 | 1 | 2 | 3 | 4 | 3 | 3 | 2 | 4 | 3 | 2 | 2 | 5 | 5 | 5 | 5 | 3 | 2 | 2 | 3 | 3 | 4 | 2 | 2 | 2 | 3 | 2 |
| H8181 | Local CCP | SAPPHIRE EDGE, INC. | Blue Cross and Blue Shield of Nebraska | Blue Cross Blue Shield of Nebraska | 4 | 4 | 4 | 2 | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 3 | 3 | 3 | 1 | 3 | 2 | 3 | 3 | 2 | 4 | 5 | 5 | 4 | 5 | 2 | 4 | 5 | 4 | 3 | 3 | 5 | 4 | 4 | 5 | 4 | 3 | 2 | 4 | 3 | 4 | 4 | 4 | 4 | 2 |
| H8189 | Local CCP | MANAGED HEALTH SERVICES INSURANCE CORP. | Wellcare by Allwell | Centene Corporation | 3 | 3 | 2 | 4 | 2 | 4 | 3 | Not enough data available | 2 | 4 | 4 | Not enough data available | Not enough data available | 3 | 2 | 3 | 3 | 3 | 4 | 4 | 3 | 3 | 3 | 5 | 3 | 2 | 4 | 5 | 5 | 4 | 4 | 3 | 2 | 4 | 4 | 3 | 2 | 4 | 3 | 4 | 3 | 3 |
| H8197 | Demo | MOLINA HEALTHCARE OF TEXAS, INC. | Molina Healthcare of Texas | Molina Healthcare Inc | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available |
| H8211 | Local CCP | CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO. | UnitedHealthcare | UnitedHealth Group Inc | 3 | 3 | 3 | 2 | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 3 | 2 | 3 | 2 | 2 | 2 | 3 | 3 | 2 | 2 | 3 | 4 | 4 | 3 | 3 | 2 | 5 | 5 | 3 | 3 | 5 | 3 | 4 | 4 | 5 | 3 | 4 | 2 | 4 | 4 | 2 | 3 | 3 | 3 | 2 |
| H8213 | Demo | SELECT HEALTH OF SOUTH CAROLINA, INC. | FIRST CHOICE VIP CARE PLUS | Independence Health Group Inc | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available |
| H8298 | Local CCP | HORIZON HEALTHCARE OF NEW JERSEY, INC. | Horizon Blue Cross Blue Shield of New Jersey | Horizon Mutual Holdings Inc | 3 | 3 | 2 | 4 | 4 | 3 | 5 | 3 | 3 | 3 | 3 | 4 | Not enough data available | 4 | 1 | 5 | 3 | 4 | 2 | 3 | 3 | 3 | 4 | 3 | 4 | 4 | 4 | 4 | 4 | 4 | 4 | 4 | 4 | 1 | 4 | 3 | 3 | 4 | 3 | 3 | 5 | 5 |