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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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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| H8432 | Local CCP | ANTHEM HEALTHCHOICE HMO, INC. | Anthem Blue Cross and Blue Shield | Elevance Health, Inc. | 70% | 69% | 73% | 47% | 57% | 95% | 92% | 30% | 70% | 78% | 70% | 62% | 37% | 64% | 11% | 87% | 50% | 54% | 77 | 82 | 92 | 85 | 82 | 86 | 0.2 | 15% | Not enough data available | 98% | 98% | 100% | 100% | 0.2 | 15% | Not enough data available | 81 | 84 | 98 | 85% | 86% | 84% | 87% | 87% |
| S5596 | PDP | ANTHEM INSURANCE COMPANIES, INC. | Anthem / Anthem or Blue KC in Missouri | Elevance Health, Inc. | 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 | 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 | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 100% | 0.04 | 8% | Medicare shows only a Star Rating for this topic | 83 | 87 | 98 | 86% | 89% | 88% | 67% | 82% |
| H0907 | Local CCP | WELLPOINT IOWA, INC. | Wellpoint | Elevance Health, Inc. | 62% | 68% | 63% | 44% | 78% | 98% | 95% | Not enough data available | 71% | 79% | 79% | 67% | Not enough data available | 64% | 12% | 86% | 49% | 65% | 84 | 87 | 90 | 88 | 86 | 89 | 0.5 | 31% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 100% | 100% | 0.5 | 31% | Medicare shows only a Star Rating for this topic | 87 | 91 | 97 | 86% | 86% | 89% | 88% | 84% |
| H5422 | Local CCP | BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA | Anthem Blue Cross and Blue Shield | Elevance Health, Inc. | 69% | 66% | 57% | 49% | 65% | 95% | 91% | 26% | 72% | 80% | 67% | 59% | 44% | 65% | 12% | 83% | 48% | 46% | 81 | 87 | 90 | 87 | 89 | Not enough data available | 0.55 | 36% | Medicare shows only a Star Rating for this topic | 95% | 100% | 100% | 100% | 0.55 | 36% | Medicare shows only a Star Rating for this topic | 88 | Not enough data available | 98 | 80% | 84% | 82% | 90% | 82% |
| H5594 | Local CCP | OPTIMUM HEALTHCARE, INC. | Optimum HealthCare, Inc. | Elevance Health, Inc. | 83% | 84% | 67% | 53% | 94% | 99% | 99% | 92% | 82% | 90% | 91% | 63% | 51% | 84% | 11% | 86% | 53% | 69% | 84 | 81 | 89 | 87 | 90 | 87 | 0.12 | 14% | Medicare shows only a Star Rating for this topic | 99% | 99% | 100% | 98% | 0.12 | 14% | Medicare shows only a Star Rating for this topic | 90 | 92 | 99 | 88% | 90% | 88% | 92% | 92% |
| H5828 | Local CCP | WELLPOINT TENNESSEE, INC. | Wellpoint | Elevance Health, Inc. | 54% | 57% | 56% | 32% | 67% | 95% | 93% | 23% | 65% | 73% | 68% | 60% | Not enough data available | 74% | 12% | 85% | 47% | 51% | 82 | 85 | 90 | 85 | 85 | 87 | 0.51 | 26% | Medicare shows only a Star Rating for this topic | 96% | 100% | 100% | 100% | 0.51 | 26% | Medicare shows only a Star Rating for this topic | 88 | 89 | 98 | 81% | 84% | 84% | 88% | 84% |
| H6078 | Local CCP | Group Retiree Health Solutions, Inc. | Blue Medicare Advantage | Elevance Health, Inc. | 75% | 73% | 75% | 47% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 31% | 67% | 84% | 72% | 52% | 45% | 68% | 11% | 80% | 53% | 63% | 81 | 83 | 90 | 87 | 90 | 86 | 0.04 | Not enough data available | Medicare shows only a Star Rating for this topic | 89% | 100% | Not enough data available | Not enough data available | 0.04 | Not enough data available | Medicare shows only a Star Rating for this topic | 86 | 87 | Not enough data available | 87% | 91% | 88% | 91% | 83% |
| H8552 | Local CCP | ANTHEM BLUE CROSS LIFE AND HEALTH INS COMPANY | Anthem Blue Cross Life and Health Insurance Compan | Elevance Health, Inc. | 58% | 62% | 66% | 45% | CMS identified issues with this plan's data | 95% | 91% | 27% | 64% | 72% | 68% | 58% | 40% | 58% | 11% | 85% | 43% | 52% | 75 | Not enough data available | Not enough data available | Not enough data available | 79 | Not enough data available | 0.32 | 11% | Medicare shows only a Star Rating for this topic | 98% | 100% | 100% | 100% | 0.32 | 11% | Medicare shows only a Star Rating for this topic | 81 | Not enough data available | 97 | 82% | 84% | 83% | 89% | 81% |
| H9065 | Local CCP | AMH HEALTH, LLC | AMH Health | Elevance Health, Inc. | 75% | 78% | 73% | 47% | 60% | 97% | 94% | 26% | 74% | 81% | 74% | 60% | 47% | 86% | 11% | 86% | 61% | 56% | 81 | 81 | Not enough data available | 84 | 82 | 86 | 0.12 | 20% | Medicare shows only a Star Rating for this topic | 96% | 96% | 100% | 100% | 0.12 | 20% | Medicare shows only a Star Rating for this topic | 84 | 85 | 98 | 87% | 90% | 89% | 89% | 83% |
| H9219 | Local CCP | AMH HEALTH PLANS OF MAINE, INC. | AMH Health | Elevance Health, Inc. | 79% | 79% | 76% | 50% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 80% | 84% | 77% | Not enough data available | Not enough data available | 71% | No data available | No data available | 56% | 54% | 78 | 83 | Not enough data available | 86 | 79 | 89 | 0.19 | 25% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 100% | 100% | 0.19 | 25% | Medicare shows only a Star Rating for this topic | 80 | Not enough data available | 98 | 88% | 93% | 87% | Not enough data available | 80% |