Measure Stars : 2025

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  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)
H2775 Local CCP AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY Wellcare Centene Corporation 3 3 3 2 3 3 3 2 2 3 2 2 2 2 3 3 2 3 3 3 3 2 1 Not enough data available 4 2 3 3 3 4 4 4 2 2 1 1 3 2 3 3 4 2
H3047 Local CCP WELLCARE HEALTH INSURANCE COMPANY OF LOUISIANA Wellcare Centene Corporation 2 1 1 1 Plan not required to report measure Plan not required to report measure Plan not required to report measure Not enough data available 1 3 1 Not enough data available Not enough data available 3 3 2 2 2 4 4 3 3 2 4 3 1 4 Not enough data available Not enough data available 4 4 3 1 4 3 2 4 3 3 2 5 2
H2174 Local CCP TRILLIUM COMMUNITY HEALTH PLAN, INC. Wellcare by Trillium Centene Corporation 2 2 1 2 2 4 2 Not enough data available 4 4 4 Not enough data available Not enough data available 3 No data available Not enough data available 2 2 1 Not enough data available 1 Not enough data available 1 Not enough data available 3 4 3 Not enough data available Not enough data available 4 4 3 4 3 1 Not enough data available 1 4 2 3 3 2
S4802 PDP WELLCARE PRESCRIPTION INSURANCE, INC. Wellcare Centene Corporation 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 4 4 3 4 3 3 3 3 3 3 2 3
H2915 Local CCP PENNSYLVANIA HEALTH & WELLNESS, INC. Wellcare by Allwell Centene Corporation 2 2 2 2 3 4 3 Not enough data available 2 3 2 3 Not enough data available 3 2 4 2 2 3 4 3 3 2 5 3 2 4 5 5 4 4 3 2 4 4 4 2 4 4 4 3 4
H4073 Local CCP WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC. Wellcare Centene Corporation 3 3 3 3 3 4 3 Not enough data available 2 3 2 Not enough data available Not enough data available 3 4 3 3 2 3 Not enough data available Not enough data available 3 3 Not enough data available 3 1 5 5 5 4 4 3 1 5 3 Not enough data available 3 3 2 2 4 2
H4868 Local CCP NEW YORK QUALITY HEALTHCARE CORPORATION Wellcare Centene Corporation 3 3 3 4 2 3 3 2 3 3 2 5 Not enough data available 3 4 3 3 2 2 Not enough data available Not enough data available Not enough data available 1 Not enough data available 4 2 5 3 4 4 4 4 2 5 2 Not enough data available 3 4 3 3 5 4
H5087 Local CCP WELLCARE OF CALIFORNIA, INC. Wellcare Centene Corporation 3 3 3 4 Plan not required to report measure Plan not required to report measure Plan not required to report measure 3 4 3 2 1 Not enough data available 4 3 2 1 2 1 Not enough data available Not enough data available Not enough data available 2 Not enough data available 3 3 4 4 4 4 4 3 3 3 3 Not enough data available 3 3 3 3 5 4
H7175 Local CCP WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC. Wellcare Centene Corporation 2 2 2 3 3 4 3 Not enough data available 2 3 2 Not enough data available Not enough data available 3 5 1 3 2 4 Not enough data available 4 Not enough data available 3 Not enough data available 3 1 5 Not enough data available Not enough data available Not enough data available Not enough data available 3 1 5 4 4 3 2 3 3 4 2
H0111 Local CCP WELLCARE OF GEORGIA, INC. Wellcare Centene Corporation 3 3 2 4 3 4 3 2 2 3 1 3 3 3 3 2 3 3 3 4 3 3 2 3 4 1 4 2 2 4 4 4 1 5 2 2 3 3 3 3 5 2
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