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hcontract
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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
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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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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| H5425 | Local CCP | SCAN HEALTH PLAN | SCAN Health Plan | SCAN Group | 80% | 82% | 70% | 59% | 81% | 98% | 99% | 59% | 87% | 88% | 85% | 61% | 48% | 90% | 12% | 84% | 68% | 56% | 77 | 80 | 90 | 86 | 90 | 84 | 0.1 | 12% | Medicare shows only a Star Rating for this topic | 99% | 96% | 94% | 100% | 0.1 | 12% | Medicare shows only a Star Rating for this topic | 91 | 90 | 100 | 90% | 92% | 90% | 93% | 90% |
| 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% |
| 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% |
| H5433 | Local CCP | ORANGE COUNTY HEALTH AUTHORITY | CalOptima Health OneCare | Orange County Health Authority | 67% | 69% | 68% | 56% | 52% | 88% | 91% | 35% | 75% | 85% | 74% | 65% | 47% | 72% | 11% | 85% | 49% | 51% | 75 | 76 | 86 | 83 | 84 | 83 | 0.06 | 10% | Medicare shows only a Star Rating for this topic | 98% | 98% | 91% | 91% | 0.06 | 10% | Medicare shows only a Star Rating for this topic | 85 | 86 | 97 | 87% | 86% | 83% | 69% | 87% |
| H5434 | Local CCP | BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC. | Florida Blue | Guidewell Mutual Holding Corporation | 79% | 76% | 71% | 53% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 43% | 72% | 82% | 66% | 50% | 47% | 49% | 10% | 80% | 36% | 62% | 83 | 86 | 90 | 87 | 87 | 87 | 0.17 | 11% | Medicare shows only a Star Rating for this topic | 98% | 96% | 94% | 92% | 0.17 | 11% | Medicare shows only a Star Rating for this topic | 85 | 89 | 98 | 84% | 88% | 86% | 86% | 83% |
| H5435 | PFFS | CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO. | UnitedHealthcare | UnitedHealth Group, Inc. | 56% | 56% | 59% | 33% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 57% | 71% | 64% | 46% | 39% | 42% | 13% | 73% | 38% | 51% | 81 | 84 | Not enough data available | 86 | 80 | 88 | 0.08 | 16% | Medicare shows only a Star Rating for this topic | 100% | 97% | 98% | 98% | 0.08 | 16% | Medicare shows only a Star Rating for this topic | 82 | Not enough data available | 99 | 84% | 86% | 87% | 86% | 81% |
| H5439 | Local CCP | HEALTH NET LIFE INSURANCE COMPANY | Wellcare by Health Net | Centene Corporation | 65% | 68% | 71% | 46% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 35% | 65% | 77% | 72% | 48% | 44% | 79% | 10% | 82% | 59% | 54% | 78 | 82 | Not enough data available | 85 | 81 | 85 | 0.19 | 16% | Medicare shows only a Star Rating for this topic | 100% | 100% | 98% | 98% | 0.19 | 16% | Medicare shows only a Star Rating for this topic | 81 | 85 | 99 | 86% | 89% | 89% | 76% | 81% |
| H5447 | Local CCP | COMMUNITY FIRST HEALTH PLANS, INC. | Community First | Bexar County Hospital District | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | CMS identified issues with this plan's data | No data available | No 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 | 95% | 97% | Not enough data available | Not enough data available | Not enough data available | Plan too small to be measured | Plan too small to be measured | 100 | Not enough data available | Not enough data available | Not enough data available | Not enough data available | Not enough data available |
| H5453 | Local CCP | DEVOTED HEALTH INSURANCE COMPANY OF GEORGIA INC | Devoted Health | Devoted Health, Inc. | 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 |
| H5454 | Local CCP | CLEAR SPRING HEALTH OF ILLINOIS, INC. | Clear Spring Health | Group 1001 | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | No data available | No data available | No 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 | 86% | 91% | Not enough data available | Not enough data available | Not enough data available | Plan too small to be measured | Plan too small to be measured | 100 | Not enough data available | 78% | 88% | Not enough data available | Not enough data available |