hcontract
|
org type
|
contract name
|
org marketing name
|
parent org
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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
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C11 - Controlling Blood Pressure
|
C12 - Reducing the Risk of Falling
|
C13 - Improving Bladder Control
|
C14 - Medication Reconciliation Post-Discharge
|
C15 - Plan All-Cause Readmissions
|
C16 - Statin Therapy for Patients with Cardiovascular Disease
|
C17 - Transitions of Care
|
C18 - Follow-up after ED Visit People with Multiple 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)
|
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H5928 | Local CCP | California Physicians' Service | Blue Shield of California | California Physicians' Service | 74% | 72% | 77% | 58% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 57% | 80% | 79% | 71% | 56% | Not enough data available | 65% | 11% | 85% | 42% | 57% | 78 | 75 | 87 | 86 | 86 | 81 | 0.09 | 14% | Medicare shows only a Star Rating for this topic | 98% | 97% | 100% | 100% | 0.09 | 14% | Medicare shows only a Star Rating for this topic | 86 | 88 | 98 | 85% | 86% | 83% | 86% | 90% |
H0321 | Local CCP | ARIZONA PHYSICIANS IPA INC. | UnitedHealthcare | UnitedHealth Group Inc. | 67% | 69% | 68% | 53% | 78% | 94% | 94% | 41% | 82% | 81% | 76% | 65% | 47% | 60% | 14% | 82% | 42% | 62% | 76 | 77 | 90 | 86 | 91 | 81 | 0.16 | 6% | Medicare shows only a Star Rating for this topic | 95% | 99% | 98% | 98% | 0.16 | 6% | Medicare shows only a Star Rating for this topic | 91 | 88 | 98 | 85% | 85% | 84% | 81% | 86% |
H1360 | Local CCP | UnitedHealthcare Benefits of Texas Inc. | UnitedHealthcare | UnitedHealth Group Inc. | Not enough data available | 68% | 63% | 48% | 78% | 89% | 90% | Not enough data available | 84% | 79% | 67% | Not enough data available | Not enough data available | 73% | 18% | 94% | 41% | 50% | 76 | 76 | 89 | 84 | 89 | 81 | 0.57 | 20% | Medicare shows only a Star Rating for this topic | 86% | 100% | 98% | 98% | 0.57 | 20% | Medicare shows only a Star Rating for this topic | 89 | 90 | 99 | 88% | 88% | 89% | 86% | 91% |
H8849 | Local CCP | AMERIGROUP INSURANCE COMPANY | Amerigroup | Elevance Health Inc. | 71% | 73% | 74% | 55% | 61% | 98% | 96% | 53% | 75% | 82% | 72% | 66% | Not enough data available | 51% | 11% | 85% | 34% | 51% | 76 | 76 | 88 | 84 | 86 | 81 | 0.45 | 34% | Medicare shows only a Star Rating for this topic | 93% | 98% | 98% | 98% | 0.45 | 34% | Medicare shows only a Star Rating for this topic | 86 | 86 | 97 | 84% | 85% | 83% | 89% | 91% |
H5425 | Local CCP | SCAN HEALTH PLAN | SCAN Health Plan | SCAN Group | 79% | 76% | 74% | 58% | 79% | 93% | 97% | 53% | 84% | 87% | 81% | 63% | 53% | 87% | 12% | 83% | 64% | 57% | 76 | 74 | 91 | 84 | 89 | 81 | 0.13 | 8% | Medicare shows only a Star Rating for this topic | 99% | 97% | 95% | 92% | 0.13 | 8% | Medicare shows only a Star Rating for this topic | 89 | 90 | 100 | 89% | 90% | 89% | 85% | 90% |
H3813 | Local CCP | MODA HEALTH PLAN INC. | Moda Health Plan Inc. | Moda Partners Inc. | 77% | 79% | 78% | 50% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 43% | 79% | 76% | 64% | 52% | 47% | 59% | 11% | 87% | 61% | 55% | 77 | 76 | 91 | 82 | 84 | 81 | 0.07 | 7% | Medicare shows only a Star Rating for this topic | 99% | 97% | 95% | 97% | 0.07 | 7% | Medicare shows only a Star Rating for this topic | 82 | 86 | 98 | 86% | 87% | 87% | 60% | 84% |
H0523 | Local CCP | AETNA HEALTH OF CALIFORNIA INC. | Aetna Medicare | CVS Health Corporation | 70% | 75% | 71% | 50% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 76% | 97% | 78% | 59% | 41% | 73% | No data available | 82% | 41% | 48% | 77 | 75 | 87 | 83 | 83 | 80 | 0.28 | 24% | Medicare shows only a Star Rating for this topic | 91% | Not enough data available | 98% | 98% | 0.28 | 24% | Medicare shows only a Star Rating for this topic | 86 | 89 | 98 | 89% | 88% | 88% | 81% | 88% |
H1423 | Local CCP | AMERIGROUP OHIO INC. | Amerigroup | Elevance Health Inc. | 76% | 72% | 77% | 50% | 77% | 100% | 97% | 61% | 80% | 74% | 73% | 55% | 43% | 74% | 10% | 80% | 39% | 49% | 75 | 72 | 89 | 82 | 84 | 80 | 0.26 | 29% | Medicare shows only a Star Rating for this topic | 94% | 100% | 98% | 98% | 0.26 | 29% | Medicare shows only a Star Rating for this topic | 83 | 85 | 97 | 86% | 89% | 89% | 93% | 88% |
H0838 | Local CCP | UNIVERSAL CARE INC. | Brand New Day | Bright Health Group Inc. | 69% | 70% | 73% | 58% | 62% | 89% | 92% | 78% | 71% | 80% | 75% | 60% | Not enough data available | 63% | 10% | 83% | 41% | 51% | 74 | 70 | 86 | 84 | 86 | 80 | 0.25 | 15% | Medicare shows only a Star Rating for this topic | 96% | 94% | 97% | 97% | 0.25 | 15% | Medicare shows only a Star Rating for this topic | 85 | 87 | 97 | 82% | 84% | 80% | 60% | 88% |
H5433 | Local CCP | ORANGE COUNTY HEALTH AUTHORITY | CalOptima Health OneCare | Orange County Health Authority | 66% | 65% | 68% | 53% | 35% | 84% | 85% | Not enough data available | 73% | 78% | 68% | Not enough data available | Not enough data available | 62% | 9% | 82% | 41% | 47% | 75 | 73 | 87 | 86 | 86 | 80 | 0.09 | 15% | Medicare shows only a Star Rating for this topic | 100% | 100% | 91% | 92% | 0.09 | 15% | Medicare shows only a Star Rating for this topic | 88 | 88 | 97 | 88% | 86% | 84% | 79% | 88% |