|
hcontract
|
org type
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contract name
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org marketing name
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parent org
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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
|
C19 - Getting Needed Care
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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
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C27 - Health Plan Quality Improvement
|
C28 - Plan Makes Timely Decisions about Appeals
|
C29 - Reviewing Appeals Decisions
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C30 - Call Center - Foreign Language Interpreter and TTY Availability
|
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
|
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)
|
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| H5256 | 1876 Cost | MEDICAL ASSOCIATES CLINIC HEALTH PLAN | Medical Associates Clinic Health Plan of Wisconsin | Medical Associates Clinic, P.C. | 81% | 82% | 71% | 43% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Benefit not offered by plan | 86% | 91% | 83% | 52% | 43% | Plan not required to report measure | No data available | Plan not required to report measure | Plan not required to report measure | 57% | 88 | 91 | 93 | 90 | 93 | 90 | 0.04 | 1% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 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 |
| H5262 | Local CCP | QUARTZ HEALTH PLAN CORPORATION | Quartz Medicare Advantage | University of Wisconsin Hospitals and Clincs Autho | 82% | 77% | 76% | 54% | CMS identified issues with this plan's data | No data available | No data available | 21% | 83% | 86% | 64% | 51% | 45% | 79% | 9% | 86% | 80% | 60% | 80 | 84 | 94 | 89 | 88 | 90 | 0.05 | 4% | Medicare shows only a Star Rating for this topic | 98% | 95% | 89% | 94% | 0.05 | 4% | Medicare shows only a Star Rating for this topic | 86 | 91 | 93 | 89% | 92% | 91% | 69% | 89% |
| H5264 | 1876 Cost | DEAN HEALTH PLAN, INC. | Dean Health Plan, Inc. | Medica Holding Company | 79% | 84% | 81% | 48% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Benefit not offered by plan | 89% | 88% | 81% | 62% | 44% | Plan not required to report measure | No data available | Plan not required to report measure | Plan not required to report measure | 56% | 82 | 86 | 93 | 89 | 93 | 91 | 0.01 | 1% | Medicare shows only a Star Rating for this topic | 97% | 98% | 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 |
| H5273 | Local CCP | CAREPARTNERS OF CONNECTICUT, INC. | CarePartners of Connecticut | Point32Health, Inc. | 83% | 79% | 81% | 60% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 67% | 89% | 79% | 51% | 48% | 73% | 11% | 86% | 73% | 66% | 80 | 82 | 90 | 89 | 88 | 86 | 0.18 | 9% | Medicare shows only a Star Rating for this topic | 95% | 98% | 97% | 98% | 0.18 | 9% | Medicare shows only a Star Rating for this topic | 87 | 89 | 98 | 83% | 91% | 90% | 88% | 87% |
| H5280 | Demo | MOLINA HEALTHCARE OF OHIO, INC. | Molina Healthcare of Ohio | Molina Healthcare, Inc. | 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 |
| H5294 | Local CCP | SUPERIOR HEALTHPLAN, INC. | Wellcare by Allwell | Centene Corporation | 67% | 60% | 72% | 54% | 66% | 97% | 90% | 22% | 69% | 73% | 66% | 60% | 45% | 67% | 13% | 85% | 48% | 52% | 81 | 83 | 88 | 89 | 89 | Not enough data available | 0.45 | 34% | Medicare shows only a Star Rating for this topic | 98% | 96% | 98% | 98% | 0.45 | 34% | Medicare shows only a Star Rating for this topic | 90 | Not enough data available | 98 | 85% | 86% | 85% | 92% | 87% |
| H5296 | Local CCP | ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC. | Alignment Health Plan | Alignment Healthcare USA, LLC | 87% | 92% | 74% | 64% | 99% | 100% | 100% | Not enough data available | 84% | 92% | 88% | 54% | 56% | 93% | 9% | 96% | 67% | 77% | 80 | 84 | 93 | 88 | 92 | 89 | 0.45 | 15% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 100% | 100% | 0.45 | 15% | Medicare shows only a Star Rating for this topic | 91 | 93 | 99 | 92% | 97% | 97% | Not enough data available | 94% |
| H5299 | Local CCP | DEVOTED HEALTH PLAN OF NORTH CAROLINA INC | Devoted Health | Devoted Health, Inc. | Not enough data available | Not enough data available | 69% | Plan too new to be measured | No data available | No data available | No data available | Not enough data available | 82% | 88% | 81% | Plan too new to be measured | Plan too new to be measured | 85% | No data available | Not enough data available | 71% | Not enough data available | 83 | 86 | 93 | 89 | 91 | 89 | 0.51 | 28% | Not enough data available | Not enough data available | Not enough data available | 95% | 90% | 0.51 | 28% | Not enough data available | 89 | 90 | 99 | 89% | 94% | 95% | 91% | 91% |
| H5302 | Local CCP | AETNA HEALTH INC. (GA) | Aetna Medicare | CVS Health Corporation | 72% | 72% | 61% | 52% | 73% | 100% | 96% | Not enough data available | 73% | 91% | 79% | 69% | 43% | 91% | 10% | 88% | 53% | 56% | 82 | 86 | 91 | 88 | 89 | 88 | 0.32 | 33% | Medicare shows only a Star Rating for this topic | 97% | 99% | 100% | 97% | 0.32 | 33% | Medicare shows only a Star Rating for this topic | 90 | 92 | 99 | 88% | 88% | 88% | 97% | 84% |
| H5309 | Local CCP | AETNA HEALTH OF CALIFORNIA INC. | Aetna Medicare | CVS Health Corporation | 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 | Not enough data available | Plan too new to be measured | Not enough data available | Not enough data available | 100% | 97% | Plan too new to be measured | 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 |