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hcontract
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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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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| H6874 | Local CCP | ASPIRUS HEALTH PLAN, INC. | Aspirus Health Plan | Aspirus, Inc. | 69% | 82% | 68% | 47% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 70% | 92% | 78% | 44% | 47% | 78% | No data available | Not enough data available | 79% | Not enough data available | 84 | 85 | 91 | 86 | 87 | 90 | 0.07 | 9% | Not enough data available | Not enough data available | Not enough data available | 98% | 98% | 0.07 | 9% | Medicare shows only a Star Rating for this topic | 84 | 88 | 99 | 92% | 93% | 89% | 75% | 86% |
| H4091 | Local CCP | SIMPRA ADVANTAGE, INC. | Simpra Advantage | Associated Care Ventures, Inc. | 34% | 71% | Plan too small to be measured | No data available | 100% | 94% | 100% | Not enough data available | 86% | 86% | Not enough data available | No data available | No data available | Not enough data available | 10% | Not enough data available | Not enough data available | 35% | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | 0.06 | 6% | Not enough data available | Not enough data available | Not enough data available | 78% | 79% | 0.06 | 6% | Medicare shows only a Star Rating for this topic | Plan too small to be measured | Plan too small to be measured | 97 | 90% | 88% | 91% | 96% | 91% |
| H1993 | Local CCP | ASTIVA HEALTH, INC. | Astiva Health | Astiva Health Holdings Incorporated | 72% | 68% | 94% | 59% | 30% | 91% | 90% | Not enough data available | 89% | 79% | 76% | Not enough data available | Not enough data available | 68% | No data available | 84% | 52% | 54% | 84 | Not enough data available | 94 | 86 | 88 | 91 | 0.2 | 15% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 91% | 90% | 0.2 | 15% | Medicare shows only a Star Rating for this topic | 90 | 91 | 98 | 89% | 88% | 85% | 68% | 93% |
| H0982 | Local CCP | SOLIS HEALTH PLANS, INC. | Solis Health Plans | Athena Healthcare Holdings, LLC | 80% | 66% | 52% | 66% | CMS identified issues with this plan's data | 96% | 98% | Not enough data available | 77% | 83% | 90% | 72% | Not enough data available | 64% | No data available | 97% | 38% | 49% | 88 | 92 | 93 | 94 | 92 | 93 | 0.83 | 27% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 70% | 71% | 0.83 | 27% | Medicare shows only a Star Rating for this topic | 93 | Not enough data available | 100 | 91% | 89% | 86% | 91% | 94% |
| H3814 | Local CCP | ATRIO HEALTH PLANS | ATRIO Health Plans | ATRIO Health Plans | 55% | 55% | 51% | 41% | 17% | 78% | 71% | Not enough data available | 72% | 70% | 61% | 61% | 48% | 27% | 10% | 79% | 27% | 48% | 77 | 77 | 89 | 83 | 86 | 85 | 0.21 | 4% | Medicare shows only a Star Rating for this topic | 100% | 100% | 88% | 92% | 0.21 | 4% | Medicare shows only a Star Rating for this topic | 85 | 88 | 98 | 83% | 81% | 84% | 85% | 77% |
| H7006 | Local CCP | ATRIO HEALTH PLANS | ATRIO Health Plans | ATRIO Health Plans | 84% | 66% | 69% | 49% | No data available | No data available | No data available | Not enough data available | 75% | 66% | 63% | 58% | 40% | 37% | 10% | 88% | 30% | 57% | 79 | 82 | 92 | 85 | 89 | 84 | 0.14 | 6% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 88% | 92% | 0.14 | 6% | Medicare shows only a Star Rating for this topic | 89 | 90 | 97 | 84% | 89% | 87% | Not enough data available | 83% |
| H5995 | Local CCP | ATRIO HEALTH PLANS | ATRIO Health Plans | ATRIO Health Plans | 64% | 61% | 62% | 46% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 79% | 57% | 58% | 61% | Not enough data available | 38% | 10% | 81% | 30% | 54% | 76 | 80 | 88 | 84 | 87 | 83 | 0.03 | 7% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 88% | 92% | 0.03 | 7% | Medicare shows only a Star Rating for this topic | 86 | 88 | 97 | 86% | 87% | 89% | 80% | 84% |
| H6743 | Local CCP | ATRIO HEALTH PLANS | ATRIO Health Plans | ATRIO Health Plans | 69% | 66% | 61% | 43% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 20% | 71% | 72% | 58% | 43% | 40% | 25% | 9% | 75% | 28% | 53% | 77 | 82 | 92 | 85 | 88 | 85 | 0.11 | 2% | Medicare shows only a Star Rating for this topic | 89% | 93% | 88% | 92% | 0.11 | 2% | Medicare shows only a Star Rating for this topic | 87 | 90 | 98 | 82% | 87% | 87% | 72% | 75% |
| H1748 | Local CCP | SONDER HEALTH PLANS, INC. | Sonder Health Plans, Inc. | Avian Health Holdings, LLC | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | 63% | 40% | 47% | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | Not enough data available | Not enough data available | Not enough data available | Not enough data available | Not enough data available | 89% | 86% | Not enough data available | Not enough data available | Not enough data available | Plan too small to be measured | Plan too small to be measured | 99 | 68% | 78% | 78% | Not enough data available | 83% |
| H4618 | Local CCP | SONDER HEALTH PLANS, INC. | Sonder Health Plans, Inc. | Avian Health Holdings, LLC | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Not enough data available | Not enough data available | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured |