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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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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| H5427 | Local CCP | FREEDOM HEALTH, INC. | Freedom Health, Inc. | Elevance Health, Inc. | 84% | 84% | 60% | 52% | CMS identified issues with this plan's data | 97% | 97% | 84% | 89% | 88% | 90% | 59% | 45% | 89% | 10% | 86% | 64% | 68% | 78 | 86 | 88 | 84 | 87 | 85 | 0.11 | 15% | Medicare shows only a Star Rating for this topic | 99% | 100% | 100% | 98% | 0.11 | 15% | Medicare shows only a Star Rating for this topic | 89 | 89 | 99 | 89% | 90% | 89% | 91% | 92% |
| 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% |
| H4909 | Local CCP | ANTHEM INSURANCE COMPANIES, INC. | Anthem Blue Cross and Blue Shield | Elevance Health, Inc. | 71% | 69% | 60% | 47% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 29% | 77% | 86% | 66% | 56% | 42% | 80% | 12% | 80% | 53% | 58% | 80 | 82 | 88 | 85 | 87 | Not enough data available | 0.29 | 21% | Medicare shows only a Star Rating for this topic | 93% | 100% | 100% | 100% | 0.29 | 21% | Medicare shows only a Star Rating for this topic | 84 | 86 | 98 | 82% | 87% | 86% | 86% | 82% |
| H5431 | Local CCP | HEALTHSUN HEALTH PLANS, INC. | HealthSun Health Plans, Inc. | Elevance Health, Inc. | 85% | 81% | 55% | 66% | 90% | 97% | 97% | 61% | 87% | 89% | 86% | Not enough data available | Not enough data available | 85% | 11% | 91% | 50% | 71% | 87 | 89 | 92 | 93 | 92 | 90 | 0.16 | 21% | Medicare shows only a Star Rating for this topic | 99% | 99% | 100% | 100% | 0.16 | 21% | Medicare shows only a Star Rating for this topic | 93 | 89 | 99 | 92% | 93% | 90% | 90% | 94% |
| H5471 | Local CCP | SIMPLY HEALTHCARE PLANS, INC. | Simply Healthcare Plans, Inc. | Elevance Health, Inc. | 77% | 75% | 54% | 63% | 93% | 94% | 96% | 53% | 79% | 88% | 86% | 76% | Not enough data available | 61% | 13% | 89% | 37% | 63% | 83 | 85 | 91 | 89 | 90 | 87 | 0.29 | 33% | Medicare shows only a Star Rating for this topic | 98% | 100% | 100% | 100% | 0.29 | 33% | Medicare shows only a Star Rating for this topic | 89 | 90 | 99 | 89% | 90% | 87% | 90% | 93% |
| H5854 | Local CCP | ANTHEM HEALTH PLANS, INC. | Anthem Blue Cross and Blue Shield | Elevance Health, Inc. | 70% | 72% | 72% | 54% | 59% | 99% | 95% | 31% | 74% | 85% | 79% | 65% | 45% | 82% | 12% | 87% | 60% | 58% | 81 | 81 | 89 | 88 | 87 | 86 | 0.15 | 18% | Medicare shows only a Star Rating for this topic | 97% | 99% | 100% | 100% | 0.15 | 18% | Medicare shows only a Star Rating for this topic | 87 | 87 | 98 | 87% | 89% | 88% | 88% | 86% |
| H6316 | Local CCP | MISSOURI CARE, INCORPORATED | Healthy Blue | Elevance Health, Inc. | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | 79% | Not enough data available | Not enough data available | 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 | 100% | 100% | Not enough data available | Not enough data available | Not enough data available | Plan too small to be measured | Plan too small to be measured | 97 | Not enough data available | Not enough data available | Not enough data available | Not enough data available | Not enough data available |
| 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% |
| S2893 | PDP | ANTHEM INSURANCE CO. & BCBSMA & BCBSRI & BCBSVT | Blue MedicareRx | Elevance Health, Inc. & BCBSMA & BCBSRI & BCBSVT | 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 | 90% | 0.02 | 2% | Medicare shows only a Star Rating for this topic | 83 | 87 | 96 | 88% | 90% | 89% | 66% | 83% |