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Measure Data : 2025-i

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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
C11 - Controlling Blood Pressure
C12 - Reducing the Risk of Falling
C13 - Improving Bladder Control
C14 - Medication Reconciliation Post-Discharge
C15 - Plan All-Cause Readmission
C16 - Statin Therapy for Patients with Cardiovascular Disease
C17 - Transitions of Care
C18 - Follow-up after Emergency Department Visit for People with Multiple High-Risk 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)
H3146 Local CCP AETNA BETTER HEALTH INC. (GA) Aetna Medicare CVS Health Corporation 79% 80% 71% 53% 66% 100% 92% 51% 82% 92% 82% 54% 40% 95% 13% 89% 53% 57% 81 84 91 86 89 88 0.29 25% Medicare shows only a Star Rating for this topic 94% 98% 100% 97% 0.29 25% Medicare shows only a Star Rating for this topic 89 90 99 85% 89% 89% 94% 86%
H3239 Local CCP AETNA BETTER HEALTH, INC. (LA) Aetna Medicare CVS Health Corporation 74% 68% 58% 43% 72% 100% 95% Not enough data available 79% 93% 71% 63% 38% 95% 14% 85% 50% 49% 85 86 93 88 89 86 0.31 33% Medicare shows only a Star Rating for this topic 88% 97% 100% 97% 0.31 33% Medicare shows only a Star Rating for this topic 90 93 99 85% 86% 86% 96% 85%
H3597 Local CCP AETNA HEALTH INC. (ME) Aetna Medicare CVS Health Corporation 85% 85% 77% 48% 70% 100% 95% 54% 88% 94% 79% 52% 40% 96% 11% 88% 62% 54% 80 84 90 87 88 89 0.07 6% Medicare shows only a Star Rating for this topic 94% 92% 100% 97% 0.07 6% Medicare shows only a Star Rating for this topic 87 92 99 90% 92% 91% 86% 84%
H3931 Local CCP AETNA HEALTH INC. (PA) Aetna Medicare CVS Health Corporation 74% 71% 68% 49% No data available No data available No data available 50% 76% 94% 77% 60% 39% 94% 12% 85% 55% 57% 81 82 89 86 88 86 0.17 15% Medicare shows only a Star Rating for this topic 91% 97% 100% 97% 0.17 15% Medicare shows only a Star Rating for this topic 87 90 99 85% 90% 89% 85% 85%
H4711 Local CCP COVENTRY HEALTH CARE OF NEBRASKA, INC. Aetna Medicare CVS Health Corporation 65% 66% 61% 46% 74% 100% 91% 52% 75% 94% 77% 60% 32% 91% 12% 84% 49% 49% 76 Not enough data available 90 85 86 Not enough data available 0.26 28% Medicare shows only a Star Rating for this topic 88% 95% 100% 97% 0.26 28% Medicare shows only a Star Rating for this topic 88 89 98 85% 87% 86% 89% 86%
H5521 Local CCP AETNA LIFE INSURANCE COMPANY Aetna Medicare CVS Health Corporation 80% 80% 67% 54% No data available No data available No data available 50% 81% 96% 82% 55% 44% 87% 12% 86% 55% 61% 81 85 89 88 89 88 0.09 6% Medicare shows only a Star Rating for this topic 90% 93% 100% 97% 0.09 6% Medicare shows only a Star Rating for this topic 87 90 99 87% 90% 89% 90% 85%
H5593 Local CCP AETNA HEALTH OF IOWA INC. Aetna Medicare CVS Health Corporation 69% 71% 71% 40% 67% 100% 94% Not enough data available 78% 89% 87% 66% 41% 93% 12% 84% 53% 54% 83 84 90 88 89 87 0.17 31% Medicare shows only a Star Rating for this topic 97% 100% 100% 97% 0.17 31% Medicare shows only a Star Rating for this topic 89 91 99 87% 88% 89% 97% 85%
H6399 Local CCP AETNA BETTER HEALTH INC. (NJ) Aetna Better Health of New Jersey CVS Health Corporation 55% 48% 60% 48% 27% 98% 82% Not enough data available 60% 72% 71% Not enough data available Not enough data available 79% 16% 92% 46% 51% 82 84 88 85 85 85 1.28 32% Medicare shows only a Star Rating for this topic Not enough data available Not enough data available 100% 97% 1.28 32% Medicare shows only a Star Rating for this topic 87 89 99 86% 87% 85% 93% 87%
H7301 Local CCP COVENTRY HEALTH CARE OF ILLINOIS, INC. Aetna Medicare CVS Health Corporation 72% 75% 65% 44% Plan not required to report measure Plan not required to report measure Plan not required to report measure 56% 73% 94% 83% 49% 44% 96% 12% 85% 60% 57% 82 85 90 85 88 87 0.09 7% Medicare shows only a Star Rating for this topic 91% 91% 100% 97% 0.09 7% Medicare shows only a Star Rating for this topic 87 90 99 88% 91% 91% 86% 83%
H8332 Local CCP AETNA BETTER HEALTH OF KANSAS INC. Aetna Medicare CVS Health Corporation 76% 78% 71% 48% Plan not required to report measure Plan not required to report measure Plan not required to report measure 53% 82% 93% 83% 53% Not enough data available 95% 10% 86% 53% 53% 82 85 92 87 86 87 0.29 28% Medicare shows only a Star Rating for this topic 93% 98% 100% 97% 0.29 28% Medicare shows only a Star Rating for this topic 87 89 99 84% 89% 88% 93% 88%
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