Measure Stars : 2025-i

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  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)
H0982 Local CCP SOLIS HEALTH PLANS, INC. Solis Health Plans Athena Healthcare Holdings LLC 4 3 1 5 1 4 5 Not enough data available 4 3 5 4 Not enough data available 3 No data available 5 1 2 5 5 5 5 5 5 2 2 5 Not enough data available Not enough data available 3 2 2 2 3 5 Not enough data available 5 5 3 3 4 5
H1016 Local CCP AVMED, INC. AvMed Medicare Sentara Health Care SHC 5 4 4 5 Plan not required to report measure Plan not required to report measure Plan not required to report measure 4 4 5 4 4 5 3 3 4 2 4 3 4 5 4 4 5 4 4 5 4 2 5 4 4 4 4 4 3 4 3 5 4 2 3
H1019 Local CCP CAREPLUS HEALTH PLANS, INC. CarePlus Health Plans Inc. Humana Inc 5 4 1 5 4 4 5 4 4 4 5 4 4 4 3 4 3 4 3 4 4 5 5 3 4 2 4 5 5 4 5 4 2 3 5 2 1 4 4 4 5 4
H1032 Local CCP Sunshine State Health Plan, Inc. Wellcare Centene Corporation 4 3 2 3 3 4 4 2 5 3 3 3 Not enough data available 4 3 3 3 4 4 4 4 Not enough data available 2 Not enough data available 4 2 5 3 3 4 4 4 2 4 4 Not enough data available 3 4 4 4 5 4
H1035 Local CCP FLORIDA BLUE MEDICARE, INC. Florida Blue HMO Guidewell Mutual Holding Corporation 4 4 3 4 Plan not required to report measure Plan not required to report measure Plan not required to report measure 2 3 4 3 2 2 3 4 2 1 4 3 4 3 4 4 3 4 4 4 4 3 4 4 4 4 3 4 4 3 3 3 3 4 3
H1036 Local CCP HUMANA MEDICAL PLAN, INC. Humana Humana Inc 4 5 2 4 4 4 5 4 5 4 4 3 4 4 3 4 4 4 3 4 3 4 5 3 4 4 2 4 4 4 4 4 4 2 5 4 1 4 4 4 3 4
H1045 Local CCP PREFERRED CARE PARTNERS, INC. UnitedHealthcare UnitedHealth Group Inc 4 4 2 4 4 4 5 4 4 4 4 3 3 4 3 3 2 4 5 5 3 4 4 4 4 4 4 5 4 4 4 4 4 3 4 4 4 3 4 4 3 3
H1099 Local CCP HEALTH FIRST HEALTH PLANS Health First Health Plans Inc. Health First Shared Services Inc 4 4 2 3 Plan not required to report measure Plan not required to report measure Plan not required to report measure 4 4 4 4 3 5 4 3 3 5 5 4 4 5 5 4 4 5 5 5 4 4 3 5 5 5 5 4 4 4 2 3 3 4 2
H1109 Local CCP AETNA HEALTH INC.(GA) Aetna Medicare CVS Health Corporation 3 4 3 4 Plan not required to report measure Plan not required to report measure Plan not required to report measure Not enough data available 2 5 4 2 Not enough data available 5 3 5 3 4 4 4 4 3 4 3 4 4 4 5 5 5 4 4 4 4 4 4 3 2 4 3 4 3
H1112 Local CCP WELLCARE OF GEORGIA, INC. Wellcare Centene Corporation 3 3 2 4 3 3 3 2 2 3 1 3 3 3 4 3 3 2 3 4 3 3 2 3 4 2 3 3 2 4 4 4 2 4 4 3 3 2 2 2 5 3
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