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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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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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% |
| H5472 | Local CCP | ALIGNMENT HEALTH INSURANCE COMPANY OF ARIZONA INC | Alignment Health Plan | Alignment Healthcare USA, LLC | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | Plan too new to be measured | 100% | 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 new to be measured | Plan too new 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 | 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 | 99 | Not enough data available | Not enough data available | 87% | Not required to report | Not enough data available |
| H5475 | Local CCP | MERIDIAN HEALTH PLAN OF MICHIGAN, INC. | Wellcare | Centene Corporation | 64% | 62% | 61% | 42% | 62% | 87% | 84% | 27% | 73% | 74% | 71% | Not enough data available | Not enough data available | 61% | 10% | 85% | 52% | 54% | 81 | 84 | 88 | Not enough data available | 81 | Not enough data available | 0.33 | 37% | Medicare shows only a Star Rating for this topic | 93% | 95% | 98% | 98% | 0.33 | 37% | Medicare shows only a Star Rating for this topic | 84 | Not enough data available | 98 | 81% | 85% | 84% | 93% | 86% |
| H5496 | Local CCP | IMPERIAL HEALTH PLAN OF CALIFORNIA, INC. | Imperial Health Plan of California, Inc. | Imperial Health Plan of California | 85% | 84% | 65% | 47% | 99% | 100% | 100% | Not enough data available | 88% | 95% | 97% | 53% | 40% | 100% | 5% | 96% | 71% | 95% | 70 | Not enough data available | 88 | Not enough data available | 82 | Not enough data available | 0.99 | 26% | Medicare shows only a Star Rating for this topic | 96% | 100% | 97% | 94% | 0.99 | 26% | Medicare shows only a Star Rating for this topic | 87 | Not enough data available | 99 | 89% | 91% | 91% | 94% | 93% |
| 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% |
| H5522 | Local CCP | AETNA LIFE INSURANCE COMPANY | Aetna Medicare | CVS Health Corporation | 75% | 74% | 73% | 44% | No data available | No data available | No data available | 54% | 77% | 92% | 83% | 52% | 40% | 92% | 12% | 87% | 57% | 61% | 82 | 86 | 91 | 88 | 89 | 89 | 0.14 | 10% | Medicare shows only a Star Rating for this topic | 93% | 96% | 100% | 97% | 0.14 | 10% | Medicare shows only a Star Rating for this topic | 89 | 92 | 99 | 89% | 92% | 91% | 90% | 86% |
| H5525 | Local CCP | HUMANA BENEFIT PLAN OF ILLINOIS, INC. | Humana | Humana Inc. | 72% | 74% | 66% | 46% | 77% | 95% | 98% | 38% | 73% | 87% | 76% | 64% | 43% | 85% | 11% | 85% | 68% | 58% | 82 | 85 | 90 | 87 | 87 | 88 | 0.2 | 24% | Medicare shows only a Star Rating for this topic | 98% | 98% | 98% | 97% | 0.2 | 24% | Medicare shows only a Star Rating for this topic | 88 | 90 | 85 | 86% | 89% | 88% | 79% | 84% |
| H5526 | Local CCP | Highmark Western and Northeastern New York Inc. | Highmark Blue Cross Blue Shield or Highmark Blue S | Highmark Health | 86% | 80% | 81% | 52% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 60% | 84% | 88% | 77% | 51% | 61% | 70% | 12% | 90% | 48% | 64% | 83 | 85 | 89 | 87 | 86 | 86 | 0.1 | 4% | Medicare shows only a Star Rating for this topic | 100% | 100% | 100% | 98% | 0.1 | 4% | Medicare shows only a Star Rating for this topic | 86 | 89 | 99 | 90% | 93% | 92% | 87% | 91% |
| H5528 | Local CCP | EMBLEMHEALTH PLAN, INC. | EmblemHealth | EmblemHealth, 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 | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 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 | Not enough data available | Not enough data available | Not enough data available | Not enough data available | Not enough data available | 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 required to report | Not enough data available |
| H5533 | Local CCP | UPMC HEALTH NETWORK, INC. | UPMC for Life | UPMC Health System | 80% | 80% | 70% | 49% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 46% | 82% | 89% | 81% | 52% | 51% | 86% | 10% | 87% | 76% | 61% | 82 | 88 | 93 | 88 | 89 | 88 | 0.09 | 5% | Medicare shows only a Star Rating for this topic | 99% | 96% | 84% | 86% | 0.09 | 5% | Medicare shows only a Star Rating for this topic | 88 | 91 | 99 | 88% | 92% | 92% | 86% | 84% |