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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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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| H5926 | Local CCP | MOLINA HEALTHCARE OF MICHIGAN, INC. | Molina Healthcare of Michigan | Molina Healthcare, Inc. | 69% | 76% | 60% | 48% | 51% | 92% | 92% | 13% | 74% | 77% | 71% | 67% | Not enough data available | 43% | 11% | 83% | 36% | 55% | 79 | 81 | 90 | 83 | 82 | 85 | 0.16 | 22% | Medicare shows only a Star Rating for this topic | 96% | 97% | 100% | 100% | 0.16 | 22% | Medicare shows only a Star Rating for this topic | 86 | 89 | 99 | 84% | 86% | 86% | 81% | 86% |
| H5928 | Local CCP | California Physicians' Service | Blue Shield of California | California Physicians' Service | 75% | 70% | 76% | 57% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 48% | 84% | 85% | 74% | 61% | 46% | 71% | 11% | 86% | 51% | 58% | 75 | Not enough data available | 88 | Not enough data available | 85 | Not enough data available | 0.12 | 16% | Medicare shows only a Star Rating for this topic | 96% | 99% | 98% | 97% | 0.12 | 16% | Medicare shows only a Star Rating for this topic | 86 | Not enough data available | 98 | 88% | 88% | 86% | 92% | 90% |
| H5932 | Local CCP | GATEWAY HEALTH PLAN, INC. | Highmark Wholecare Medicare Assured | Highmark Health | 66% | 73% | 69% | 44% | 36% | 90% | 88% | 41% | 74% | 81% | 80% | 64% | 46% | 73% | 11% | 86% | 64% | 54% | 83 | 85 | 91 | 89 | 90 | 87 | 0.12 | 11% | Medicare shows only a Star Rating for this topic | 97% | 98% | 100% | 98% | 0.12 | 11% | Medicare shows only a Star Rating for this topic | 90 | 91 | 98 | 89% | 89% | 89% | 78% | 87% |
| H5937 | Local CCP | UCARE MINNESOTA | UCare | UCare Minnesota | 73% | 69% | 65% | No data available | 39% | Not enough data available | Not enough data available | Not enough data available | 75% | 84% | 71% | No data available | No data available | 52% | 17% | 86% | 49% | 69% | 78 | 82 | 89 | 86 | 87 | 86 | 0.06 | 5% | Medicare shows only a Star Rating for this topic | 94% | 94% | 98% | 97% | 0.06 | 5% | Medicare shows only a Star Rating for this topic | 86 | 87 | 99 | 85% | 86% | 86% | 75% | 85% |
| H5938 | Local CCP | CAPITAL HEALTH PLAN | Capital Health Plan | Guidewell Mutual Holding Corporation | 85% | 82% | 79% | 53% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 81% | 86% | 90% | 82% | 56% | 51% | 76% | 9% | 87% | 65% | 54% | 83 | 87 | 92 | 89 | 93 | 85 | 0.03 | 1% | Medicare shows only a Star Rating for this topic | 100% | 98% | 98% | 100% | 0.03 | 1% | Medicare shows only a Star Rating for this topic | 89 | 90 | 99 | 85% | 90% | 89% | 87% | 86% |
| H5943 | Local CCP | SCAN HEALTH PLAN | VillageHealth | SCAN Group | 47% | 57% | 82% | Not enough data available | 76% | 61% | 87% | Not enough data available | 66% | 47% | Not enough data available | Not enough data available | Not enough data available | 21% | No data available | Not enough data available | 40% | 44% | 79 | Not enough data available | Not enough data available | Not enough data available | 86 | Not enough data available | 0.65 | 10% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 94% | 100% | 0.65 | 10% | Medicare shows only a Star Rating for this topic | 87 | Not enough data available | 100 | Not enough data available | Not enough data available | Not enough data available | 92% | Not enough data available |
| H5945 | Local CCP | PROMINENCE HEALTHFIRST | Prominence Health Plan | Universal Health Services, Inc. | 78% | 83% | 69% | 49% | 74% | 95% | 96% | 38% | 82% | 88% | 87% | 54% | 46% | 84% | 11% | 84% | 76% | 75% | 80 | 82 | 90 | 87 | 89 | 85 | 0.13 | 9% | Medicare shows only a Star Rating for this topic | 99% | 86% | 95% | 92% | 0.13 | 9% | Medicare shows only a Star Rating for this topic | 90 | 89 | 95 | 88% | 90% | 89% | 75% | 83% |
| H5959 | Local CCP | BCBSM, Inc. | Blue Cross and Blue Shield of Minnesota | Aware Integrated, Inc. | 84% | 82% | 78% | 48% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 26% | 83% | 92% | 79% | 47% | 43% | 73% | 10% | 89% | 66% | 57% | 81 | 83 | 92 | 87 | 87 | 88 | 0.04 | 5% | Medicare shows only a Star Rating for this topic | 97% | 93% | 94% | 95% | 0.04 | 5% | Medicare shows only a Star Rating for this topic | 87 | 91 | 99 | 89% | 92% | 91% | 79% | 88% |
| H5965 | Local CCP | WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON | Wellcare | Centene Corporation | 61% | 42% | 55% | 41% | 66% | 93% | 69% | Not enough data available | 48% | 64% | 66% | 52% | Not enough data available | 51% | No data available | Not enough data available | 42% | 41% | Not enough data available | Not enough data available | Not enough data available | Not enough data available | 78 | Not enough data available | 0.98 | 41% | Not enough data available | Not enough data available | Not enough data available | 98% | 98% | 0.98 | 41% | Medicare shows only a Star Rating for this topic | 82 | Not enough data available | 97 | 87% | 85% | 85% | 87% | 85% |
| H5969 | Local CCP | ALOHACARE | AlohaCare | AlohaCare | 55% | 39% | 60% | 50% | 50% | 61% | 71% | Not enough data available | 67% | 62% | 55% | 55% | Not enough data available | 50% | 12% | 81% | 50% | 56% | 77 | 81 | 88 | 87 | 86 | Not enough data available | 0.21 | 13% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 92% | 91% | 0.21 | 13% | Medicare shows only a Star Rating for this topic | 87 | 87 | 99 | 87% | 85% | 86% | 67% | 91% |