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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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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- Kidney Disease Monitoring
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C11 - Diabetes Care- Blood Sugar Controlled
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C12 - Controlling Blood Pressure
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C13 - Reducing the Risk of Falling
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C14 - Improving Bladder Control
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C15 - Medication Reconciliation Post-Discharge
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C16 - Statin Therapy for Patients with Cardiovascular Disease
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C17 - Getting Needed Care
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C18 - Getting Appointments and Care Quickly
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C19 - Customer Service
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C20 - Rating of Health Care Quality
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C21 - Rating of Health Plan
|
C22 - Care Coordination
|
C23 - Complaints about the Health Plan
|
↓
C24 - Members Choosing to Leave the Plan
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C25 - Health Plan Quality Improvement
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C26 - Plan Makes Timely Decisions about Appeals
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C27 - Reviewing Appeals Decisions
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C28 - Call Center- Foreign Language Interpreter and TTY Availability
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C29
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C30
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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
|
D06 - Getting Needed Prescription Drugs
|
D07 - MPF Price Accuracy
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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)
|
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| H7301 | Local CCP | COVENTRY HEALTH CARE OF ILLINOIS, INC. | Aetna Medicare | CVS Health Corporation | 69% | 73% | 74% | 44% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 63% | 76% | 94% | 84% | 80% | 49% | 39% | 93% | 84% | 81 | 80 | 90 | 86 | 87 | 87 | 0.22 | 10% | Medicare shows only a Star Rating for this topic | 99% | 98% | 95% | 100% | 0.22 | 10% | Medicare shows only a Star Rating for this topic | 86 | 89 | 97 | 88% | 90% | 88% | 79% | 83% | ||
| H1352 | Local CCP | BLUE-ADVANTAGE PLUS OF KANSAS CITY, INC. | Blue Medicare Advantage | Blue Cross and Blue Shield of Kansas City | 73% | 76% | 80% | 54% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 39% | 56% | 95% | 82% | 72% | 57% | 47% | 51% | 85% | 82 | 79 | 91 | 88 | 89 | 88 | 0.12 | 10% | Medicare shows only a Star Rating for this topic | 90% | 80% | 100% | 95% | 0.12 | 10% | Medicare shows only a Star Rating for this topic | 90 | 92 | 99 | 87% | 89% | 87% | 92% | 82% | ||
| H3890 | Local CCP | HOPKINS HEALTH ADVANTAGE, INC. | Johns Hopkins Advantage MD | Johns Hopkins Healthcare LLC | 74% | 73% | 75% | 54% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 68% | 95% | 70% | 67% | 54% | 45% | 60% | 86% | 79 | 77 | 87 | 86 | 83 | 85 | 0.32 | 10% | Medicare shows only a Star Rating for this topic | 84% | 81% | 98% | 100% | 0.32 | 10% | Medicare shows only a Star Rating for this topic | 83 | 87 | 96 | 85% | 87% | 86% | 86% | 84% | ||
| H3672 | Local CCP | THE HEALTH PLAN OF WEST VIRGINIA, INC. | The Health Plan | The Health Plan of West Virginia, Inc. | 64% | 62% | 71% | 37% | 57% | 99% | 94% | 51% | 66% | 91% | 76% | 65% | 53% | 40% | 74% | 79% | 84 | 81 | 94 | 87 | 92 | 86 | 0.12 | 10% | Medicare shows only a Star Rating for this topic | 100% | 92% | 94% | 94% | 0.12 | 10% | Medicare shows only a Star Rating for this topic | 89 | 92 | 99 | 88% | 88% | 87% | 80% | 83% | ||
| H3206 | Local CCP | PRESBYTERIAN INSURANCE COMPANY, INC. | Presbyterian Insurance Company, Inc. | Presbyterian Healthcare Services | 61% | 74% | 76% | 46% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 62% | 91% | 73% | 59% | 49% | 49% | 56% | 77% | 74 | 72 | 88 | 83 | 85 | 84 | 0.08 | 10% | Medicare shows only a Star Rating for this topic | 100% | 91% | 98% | 97% | 0.08 | 10% | Medicare shows only a Star Rating for this topic | 83 | 91 | 99 | 78% | 85% | 87% | Not enough data available | 74% | ||
| H5434 | Local CCP | BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC. | Florida Blue | Guidewell Mutual Holding Corporation | 79% | 77% | 69% | 53% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 48% | 65% | 95% | 82% | 68% | 55% | 48% | 55% | 81% | 83 | 78 | 90 | 87 | 87 | 85 | 0.19 | 10% | Medicare shows only a Star Rating for this topic | 94% | 92% | 100% | 94% | 0.19 | 10% | Medicare shows only a Star Rating for this topic | 82 | 88 | 97 | 85% | 88% | 85% | 77% | 83% | ||
| H5576 | Local CCP | VANTAGE HEALTH PLAN, INC. | Vantage Health Plan | Louisiana Health Service & Indemnity Company | 74% | 69% | 62% | 42% | 93% | 95% | 88% | 61% | 80% | 95% | 81% | 71% | 52% | 42% | 82% | 82% | 85 | 78 | 93 | 88 | 90 | 87 | 0.1 | 10% | Medicare shows only a Star Rating for this topic | 99% | 100% | 92% | 88% | 0.1 | 10% | Medicare shows only a Star Rating for this topic | 89 | 92 | 93 | 90% | 91% | 90% | 93% | 82% | ||
| H0524 | Local CCP | KAISER FOUNDATION HP, INC. | Kaiser Permanente | Kaiser Foundation Health Plan, Inc. | 81% | 88% | 84% | 63% | 89% | 97% | 96% | 80% | 81% | 97% | 88% | 80% | 55% | 46% | 97% | 89% | 81 | 78 | 89 | 87 | 89 | 82 | 0.06 | 1% | Medicare shows only a Star Rating for this topic | 98% | 98% | 98% | 98% | 0.06 | 1% | Medicare shows only a Star Rating for this topic | 93 | 94 | 100 | 90% | 91% | 91% | 93% | 91% | ||
| H4036 | Local CCP | ANTHEM INSURANCE COMPANIES, INC. | Anthem Blue Cross and Blue Shield | Elevance Health, Inc. | 80% | 81% | 80% | 56% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 37% | 76% | 94% | 80% | 66% | 57% | 48% | 72% | 83% | 83 | 78 | 91 | 88 | 90 | 86 | 0.07 | 1% | Medicare shows only a Star Rating for this topic | 88% | 97% | 98% | 98% | 0.07 | 1% | Medicare shows only a Star Rating for this topic | 89 | 91 | 89 | 89% | 90% | 88% | 60% | 82% | ||
| H5264 | 1876 Cost | DEAN HEALTH PLAN, INC. | Dean Health Plan, Inc. | Medica Holding Company | 75% | 83% | 87% | 47% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Benefit not offered by plan | 82% | 93% | 91% | 81% | 58% | 43% | Plan not required to report measure | Plan not required to report measure | 86 | 83 | 94 | 91 | 94 | 89 | 0.05 | 1% | Medicare shows only a Star Rating for this topic | 95% | 97% | 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 |