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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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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| H3957 | Local CCP | HIGHMARK CHOICE COMPANY | Highmark Blue Cross Blue Shield or Highmark Blue S | Highmark Health | 4 | 4 | 5 | 4 | 4 | 2 | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 3 | 3 | 5 | 4 | 4 | 3 | 3 | 5 | 3 | 5 | 4 | 3 | 5 | 5 | 5 | 5 | 5 | 5 | 5 | 5 | 3 | 3 | 5 | 3 | 4 | 5 | 5 | 5 | 5 | 5 | 5 | 4 | 5 | 4 | 3 | 4 |
| S1140 | PDP | Highmark Western and Northeastern New York Inc. | Highmark Blue Cross Blue Shield or Highmark Blue S | Highmark Health | 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 | 2 | 5 | 5 | Not enough data available | 3 | 3 | 3 | 3 | 4 |
| S5593 | PDP | HM HEALTH INSURANCE COMPANY | Highmark Blue Shield | Highmark Health | 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 | 3 | 4 | 3 | 3 | 3 | 3 | 5 | 3 | 3 | 4 | 2 | 3 |
| H5526 | Local CCP | Highmark Western and Northeastern New York Inc. | Highmark Blue Cross Blue Shield or Highmark Blue S | Highmark Health | 5 | 5 | 5 | 4 | 4 | 3 | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 3 | 4 | 5 | 4 | 4 | 1 | 5 | 4 | 3 | 5 | 3 | 3 | 5 | 5 | 2 | 4 | 4 | 3 | 5 | 5 | 4 | 3 | 4 | 3 | 4 | 5 | 5 | 4 | 4 | 4 | 5 | 4 | 5 | 4 | 3 | 5 |
| H5932 | Local CCP | GATEWAY HEALTH PLAN, INC. | Highmark Wholecare Medicare Assured | Highmark Health | 2 | 3 | 3 | Not enough data available | Not enough data available | 2 | 1 | 3 | 3 | 3 | 3 | 3 | 3 | 4 | 4 | Not enough data available | 4 | 2 | 3 | 3 | 2 | 4 | 4 | 4 | 5 | 5 | 5 | 5 | 4 | 3 | 4 | 4 | 3 | 4 | 5 | 4 | 3 | 5 | 4 | 4 | 4 | 3 | 4 | 3 | 3 |
| H3916 | Local CCP | HIGHMARK SENIOR HEALTH COMPANY | Highmark Blue Cross Blue Shield or Highmark Blue S | Highmark Health | 4 | 4 | 4 | 2 | 3 | 2 | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 3 | 4 | 4 | 4 | 4 | 2 | 2 | 4 | 3 | 4 | 4 | 3 | 4 | 4 | 5 | 5 | 5 | 5 | 5 | 5 | 3 | 3 | 4 | 3 | 4 | 5 | 5 | 4 | 4 | 5 | 5 | 4 | 5 | 4 | 3 | 3 |
| S5993 | PDP | HORIZON INSURANCE COMPANY | Horizon Blue Cross Blue Shield of New Jersey | Horizon Mutual Holdings Inc | 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 | 4 | 5 | 3 | 2 | 5 | 3 | 3 | 3 | 3 | 4 |
| H8298 | Local CCP | HORIZON HEALTHCARE OF NEW JERSEY, INC. | Horizon Blue Cross Blue Shield of New Jersey | Horizon Mutual Holdings Inc | 3 | 4 | 2 | Not enough data available | Not enough data available | 4 | 5 | 4 | 4 | 2 | 4 | 3 | 4 | 3 | 5 | Not enough data available | 4 | 1 | 5 | 3 | 3 | 3 | 3 | 3 | 2 | 5 | 3 | 4 | 5 | 4 | 3 | 5 | 4 | 4 | 4 | 5 | 5 | 5 | 4 | 5 | 4 | 3 | 3 | 4 | 5 |
| H0885 | Local CCP | HEALTHIER NEW JERSEY INSURANCE COMPANY | Braven Health | Horizon Mutual Holdings Inc | 3 | 4 | 4 | 1 | 1 | 3 | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 4 | 3 | 3 | 3 | 3 | 2 | 1 | 4 | 1 | 4 | 3 | 3 | 4 | 5 | 3 | 4 | 4 | 4 | 4 | 5 | 5 | 4 | 5 | 4 | 4 | 4 | 5 | 5 | 2 | 4 | 5 | 4 | 4 | 4 | 4 | 4 |
| H1019 | Local CCP | CAREPLUS HEALTH PLANS, INC. | CarePlus Health Plans Inc. | Humana Inc | 5 | 4 | 1 | Not enough data available | Not enough data available | 4 | 4 | 4 | 5 | 4 | 5 | 4 | 5 | 5 | 4 | 3 | 5 | 3 | 4 | 3 | 4 | 4 | 4 | 4 | 5 | 5 | 3 | 4 | 3 | 5 | 5 | 5 | 5 | 5 | 4 | 3 | 2 | 5 | 2 | 1 | 4 | 4 | 4 | 5 | 5 |