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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 - Blood Sugar Controlled
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C11 - Controlling Blood Pressure
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C12 - Reducing the Risk of Falling
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C13 - Improving Bladder Control
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C14 - Medication Reconciliation Post-Discharge
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C15 - Plan All-Cause Readmission
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C16 - Statin Therapy for Patients with Cardiovascular Disease
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C17 - Transitions of Care
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C18 - Follow-up after Emergency Department Visit for People with Multiple High-Risk Chronic Conditions
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C19 - Getting Needed Care
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C20 - Getting Appointments and Care Quickly
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C21 - Customer Service
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C22 - Rating of Health Care Quality
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C23 - Rating of Health Plan
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C24 - Care Coordination
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C25 - Complaints about the Health Plan
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C26 - Members Choosing to Leave the Plan
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C27 - Health Plan Quality Improvement
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C28 - Plan Makes Timely Decisions about Appeals
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C29 - Reviewing Appeals Decisions
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C30 - 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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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| H0712 | Local CCP | WELLCARE OF CONNECTICUT, INC. | Wellcare | Centene Corporation | 67% | 74% | 75% | 52% | 63% | 93% | 91% | Not enough data available | 71% | 82% | 79% | 64% | Not enough data available | 64% | 9% | 85% | 53% | 50% | 81 | 84 | 90 | 86 | 84 | 86 | 0.24 | 27% | Medicare shows only a Star Rating for this topic | 85% | 97% | 98% | 98% | 0.24 | 27% | Medicare shows only a Star Rating for this topic | 88 | 89 | 98 | 89% | 89% | 88% | 88% | 85% |
| H1416 | Local CCP | HARMONY HEALTH PLAN, INC. | Wellcare | Centene Corporation | 67% | 62% | 63% | 41% | 59% | 88% | 86% | 17% | 70% | 75% | 66% | 54% | 36% | 62% | 10% | 84% | 50% | 51% | 84 | 87 | 91 | 87 | 86 | 87 | 0.3 | 32% | Medicare shows only a Star Rating for this topic | 90% | 92% | 98% | 98% | 0.3 | 32% | Medicare shows only a Star Rating for this topic | 87 | 89 | 98 | 82% | 85% | 83% | 92% | 84% |
| H2162 | Local CCP | WELLCARE OF NEW HAMPSHIRE, INC. | Wellcare | Centene Corporation | 54% | 49% | 67% | 47% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 45% | 24% | 36% | Not enough data available | Not enough data available | 66% | No data available | Not enough data available | 59% | 53% | 78 | Not enough data available | 91 | 85 | 81 | Not enough data available | 0.57 | 33% | Not enough data available | Not enough data available | Not enough data available | 98% | 98% | 0.57 | 33% | Medicare shows only a Star Rating for this topic | 81 | Not enough data available | 98 | 85% | 89% | 91% | 87% | 79% |
| H2491 | Local CCP | WELLCARE HEALTH INSURANCE OF ARIZONA, INC. | Wellcare | Centene Corporation | 67% | 60% | 62% | 43% | 53% | 87% | 86% | 23% | 67% | 77% | 70% | 57% | Not enough data available | 62% | 10% | 85% | 52% | 51% | 76 | 82 | 90 | 84 | 85 | Not enough data available | 0.26 | 29% | Medicare shows only a Star Rating for this topic | 92% | 93% | 98% | 98% | 0.26 | 29% | Medicare shows only a Star Rating for this topic | 84 | 86 | 98 | 85% | 86% | 86% | 95% | 86% |
| H2775 | Local CCP | AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY | Wellcare | Centene Corporation | 70% | 69% | 69% | 42% | 72% | 90% | 81% | 31% | 66% | 82% | 71% | 52% | 42% | 56% | 11% | 86% | 51% | 53% | 79 | 82 | 88 | 83 | 81 | Not enough data available | 0.35 | 32% | Medicare shows only a Star Rating for this topic | 93% | 93% | 98% | 98% | 0.35 | 32% | Medicare shows only a Star Rating for this topic | 80 | 86 | 98 | 84% | 88% | 86% | 91% | 84% |
| H3047 | Local CCP | WELLCARE HEALTH INSURANCE COMPANY OF LOUISIANA | Wellcare | Centene Corporation | 60% | 50% | 53% | 31% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 52% | 74% | 67% | Not enough data available | Not enough data available | 59% | 12% | 82% | 46% | 45% | 82 | 85 | 90 | 86 | 85 | 88 | 0.62 | 48% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 98% | 98% | 0.62 | 48% | Medicare shows only a Star Rating for this topic | 86 | 87 | 99 | 85% | 87% | 84% | 97% | 84% |
| H6550 | Local CCP | SUNFLOWER STATE HEALTH PLAN, INC. | Wellcare by Allwell | Centene Corporation | 59% | 62% | 61% | 40% | 60% | 95% | 84% | Not enough data available | 71% | 74% | 75% | 59% | Not enough data available | 59% | 10% | 76% | 46% | 51% | 82 | 83 | 88 | 85 | 85 | 86 | 0.61 | 39% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 98% | 98% | 0.61 | 39% | Medicare shows only a Star Rating for this topic | 87 | 90 | 97 | 85% | 86% | 86% | 87% | 81% |
| H6870 | Demo | SUPERIOR HEALTHPLAN, INC. | Superior HealthPlan | Centene Corporation | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available | No data available |
| H7169 | Local CCP | BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC. | Wellcare | Centene Corporation | Plan not required to report measure | 50% | 64% | 38% | 76% | 96% | 91% | Not enough data available | 55% | 68% | 76% | 54% | 46% | 65% | 17% | 84% | 51% | 49% | 82 | Not enough data available | 90 | 86 | 82 | 88 | 0.71 | 41% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 98% | 98% | 0.71 | 41% | Medicare shows only a Star Rating for this topic | 85 | 90 | 98 | 85% | 86% | 89% | 95% | 82% |
| H7323 | Local CCP | WELLCARE NATIONAL HEALTH INSURANCE COMPANY | Wellcare | Centene Corporation | 61% | 59% | 65% | 50% | 66% | 91% | 84% | Not enough data available | 59% | 55% | 69% | 59% | Not enough data available | 58% | 11% | 78% | 47% | 50% | 84 | 87 | 92 | 86 | 85 | 87 | 1.24 | 44% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 98% | 98% | 1.24 | 44% | Medicare shows only a Star Rating for this topic | 88 | 90 | 98 | 84% | 85% | 85% | 93% | 86% |