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hcontract
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org type
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contract name
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org marketing name
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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 - Improving or Maintaining Physical Health
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C05 - Improving or Maintaining Mental Health
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C06 - Monitoring Physical Activity
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C07 - Special Needs Plan (SNP) Care Management
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C08 - Care for Older Adults - Medication Review
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C09 - Care for Older Adults - Pain Assessment
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C10 - Osteoporosis Management in Women who had a Fracture
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C11 - Diabetes Care - Eye Exam
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C12 - Diabetes Care - Blood Sugar Controlled
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C13 - Kidney Health Evaluation for Patients with Diabetes
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C14 - Controlling High Blood Pressure
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C15 - Reducing the Risk of Falling
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C16 - Improving Bladder Control
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C17 - Medication Reconciliation Post-Discharge
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C18 - Plan All-Cause Readmissions
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C19 - Statin Therapy for Patients with Cardiovascular Disease
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C20 - Transitions of Care
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C21 - Follow-up after ED Visit People with Multiple Chronic Conditions
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C22 - Getting Needed Care
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C23 - Getting Appointments and Care Quickly
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C24 - Customer Service
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C25 - Rating of Health Care Quality
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C26 - Rating of Health Plan
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C27 - Care Coordination
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C28 - Complaints about the Health Plan
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C29 - Members Choosing to Leave the Plan
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C30 - Health Plan Quality Improvement
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C31 - Plan Makes Timely Decisions about Appeals
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C32 - Reviewing Appeals Decisions
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C33 - Call Center - Foreign Language Interpreter and TTY Availability
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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
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D04 - Drug Plan Quality Improvement
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D05 - Rating of Drug Plan
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D06 - Getting Needed Prescription Drugs
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D07 - MPF Price Accuracy
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D08 - Medication Adherence for Diabetes Medications
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D09 - Medication Adherence for Hypertension (RAS antagonists)
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D10 - Medication Adherence for Cholesterol (Statins)
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D11 - MTM Program Completion Rate for CMR
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D12 - Statin Use in Persons with Diabetes (SUPD)
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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| S5660 | PDP | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | Express Scripts Medicare | Health Care Service 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 | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 5 | Not enough data available | 1 | 4 | 4 | Not enough data available | 3 | 2 | 2 | 2 | 3 |
| H8547 | Local CCP | ILLINOIS BLUE CROSS BLUE SHIELD INSURANCE COMPANY | Blue Cross and Blue Shield of Illinois | Health Care Service Corporation | 4 | 5 | 4 | Not enough data available | Not enough data available | 5 | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 4 | 4 | 5 | 4 | 4 | Not enough data available | 3 | No data available | 5 | 3 | 4 | 4 | 4 | 3 | 4 | 4 | 5 | 3 | 3 | 2 | Not enough data available | Not enough data available | 3 | 4 | 3 | 3 | 2 | 4 | 4 | 5 | 1 | 3 | 2 | 4 | 4 |
| H0107 | Local CCP | HEALTH CARE SERVICE CORPORATION | Blue Cross and Blue Shield of Montana | Health Care Service Corporation | 4 | 4 | 5 | 4 | 4 | 4 | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 1 | 2 | 3 | 3 | 2 | 2 | 2 | 3 | 4 | 2 | 2 | 3 | 4 | 4 | 3 | 4 | 4 | 4 | 5 | 5 | 4 | 4 | 3 | 3 | 4 | 5 | 5 | 3 | 3 | 3 | 5 | 3 | 3 | 3 | 4 | 3 |
| H3251 | Local CCP | HEALTH CARE SERVICE CORPORATION | Blue Cross and Blue Shield of New Mexico | Health Care Service Corporation | 3 | 4 | 4 | 5 | 5 | 3 | 2 | 5 | 2 | 1 | 2 | 3 | 3 | 2 | 3 | 3 | 3 | 4 | 1 | 3 | 4 | 1 | 1 | 3 | 1 | 3 | Not enough data available | 4 | 4 | 2 | 5 | 4 | 3 | 4 | 4 | 4 | 1 | 2 | 1 | 5 | 2 | 2 | 2 | 4 | 1 |
| H8133 | Local CCP | GHS INSURANCE COMPANY | Blue Cross and Blue Shield of Texas | Health Care Service Corporation | 3 | 3 | 3 | Not enough data available | Not enough data available | 3 | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 2 | 2 | 3 | 2 | 3 | Not enough data available | 2 | 4 | 5 | 1 | 3 | 3 | 4 | Not enough data available | 3 | 4 | 4 | 4 | 3 | 4 | 5 | 4 | 3 | 4 | 4 | 3 | 3 | 3 | Not enough data available | 5 | 2 | 2 | 2 | 5 | 4 |
| H2108 | Local CCP | BRAVO HEALTH MID-ATLANTIC, INC. | Cigna HealthCare | Health Care Service Corporation | 3 | 3 | 4 | Not enough data available | Not enough data available | 3 | 3 | 3 | 3 | 4 | 2 | 3 | 3 | 3 | 4 | 3 | 3 | 2 | 3 | 3 | 2 | 4 | 2 | 4 | 2 | 1 | 3 | 4 | 3 | 3 | 4 | 3 | 4 | 5 | 4 | 3 | 3 | 3 | 3 | 5 | 2 | 2 | 2 | 4 | 4 |
| H8634 | Local CCP | HEALTH CARE SERVICE CORPORATION | Blue Cross and Blue Shield of IL NM OK TX | Health Care Service Corporation | 4 | 4 | 3 | 2 | 3 | 4 | 2 | 5 | 3 | 1 | 2 | 3 | 3 | 3 | 2 | 2 | 3 | 3 | 2 | 2 | 3 | 4 | 3 | 3 | 3 | 2 | 4 | 3 | 4 | Not enough data available | 4 | 3 | 3 | 4 | 3 | 4 | Not enough data available | 2 | 1 | 5 | 2 | 2 | 2 | 4 | 3 |
| H9725 | Local CCP | BRAVO HEALTH PENNSYLVANIA, INC. | Cigna HealthCare | Health Care Service Corporation | 4 | 5 | 3 | Not enough data available | Not enough data available | 4 | 3 | 4 | 4 | 3 | 3 | 3 | 4 | 3 | 3 | 2 | 4 | 4 | 2 | 4 | 4 | 5 | 5 | 3 | 5 | 4 | 5 | 4 | 3 | 4 | 5 | 4 | 4 | 5 | 4 | 3 | 5 | 4 | 4 | 5 | 2 | 3 | 3 | 5 | 3 |
| S5715 | PDP | Health Care Service Corporation | Blue Cross and Blue Shield of IL NM OK TX | Health Care Service 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 | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 4 | 4 | 2 | 1 | 1 | 1 | 5 | 2 | 2 | 2 | 1 | 3 |
| H1099 | Local CCP | HEALTH FIRST HEALTH PLANS | Health First Health Plans Inc. | Health First Shared Services Inc | 4 | 5 | 2 | 3 | 2 | 4 | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 4 | 4 | 5 | 4 | 5 | 2 | 3 | 5 | 3 | 3 | 5 | 5 | 4 | 4 | 5 | 5 | 5 | 4 | 5 | 5 | 5 | 4 | 4 | 3 | 3 | 5 | 5 | 3 | 5 | 5 | 5 | 2 | 3 | 3 | 4 | 3 |