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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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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| H7020 | Local CCP | CIGNA HEALTHCARE OF SOUTH CAROLINA, INC. | Cigna Healthcare | The Cigna Group | 74% | 82% | 69% | 49% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 72% | 88% | 75% | 63% | 42% | 88% | 10% | 82% | 63% | 59% | 83 | 86 | 91 | 87 | 88 | 88 | 0.26 | 16% | Medicare shows only a Star Rating for this topic | 100% | 94% | 95% | 97% | 0.26 | 16% | Medicare shows only a Star Rating for this topic | 89 | 90 | 100 | 84% | 89% | 89% | 90% | 83% |
| H7028 | Local CCP | DEVOTED HEALTH INSURANCE COMPANY OF SOUTH CAROLINA | Devoted Health | Devoted Health, Inc. | Not enough data available | Not enough data available | 55% | Plan too new to be measured | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 78% | 88% | 86% | Plan too new to be measured | Plan too new to be measured | 91% | No data available | Not enough data available | 75% | Not enough data available | 84 | 86 | 95 | 88 | 90 | 90 | 0.18 | 19% | Not enough data available | Not enough data available | Not enough data available | 95% | 90% | 0.18 | 19% | Not enough data available | 88 | 91 | 99 | 89% | 96% | 93% | 97% | 86% |
| H7063 | Local CCP | BLUECROSS BLUESHIELD KANSAS SOLUTIONS, INC. | Blue Cross and Blue Shield of Kansas | Blue Cross Blue Shield of Kansas | 76% | 75% | 75% | 45% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 78% | 86% | 78% | 44% | 43% | 50% | 9% | 87% | 38% | 61% | 84 | 87 | 91 | 87 | 86 | 86 | 0.2 | 9% | Medicare shows only a Star Rating for this topic | 88% | 87% | 97% | 92% | 0.2 | 9% | Medicare shows only a Star Rating for this topic | 86 | 91 | 99 | 83% | 89% | 90% | 87% | 81% |
| H7074 | Local CCP | ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, 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 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 | 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 | 97 | Not enough data available | 100% | 93% | Not required to report | Not enough data available |
| H7093 | Local CCP | COMMUNITY INSURANCE COMPANY | Anthem Blue Cross and Blue Shield | Elevance Health, Inc. | 74% | 70% | 64% | 46% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 43% | 71% | 78% | 77% | 50% | 38% | 70% | 11% | 76% | 53% | 61% | 81 | 86 | 92 | 86 | 87 | 86 | 0.21 | 27% | Medicare shows only a Star Rating for this topic | 100% | 100% | 100% | 100% | 0.21 | 27% | Medicare shows only a Star Rating for this topic | 86 | Not enough data available | 98 | 81% | 88% | 88% | 88% | 82% |
| H7115 | Local CCP | MEMORIAL HERMANN HEALTH PLAN | Memorial Hermann Health Plan | Memorial Hermann Health System | 71% | 78% | 74% | 54% | 77% | Not enough data available | Not enough data available | 8% | 68% | 90% | 76% | 48% | 48% | 57% | 13% | 79% | 54% | 45% | 83 | 84 | 89 | 89 | 89 | 87 | 0.42 | 10% | Medicare shows only a Star Rating for this topic | 83% | 86% | 97% | 98% | 0.42 | 10% | Medicare shows only a Star Rating for this topic | 91 | 91 | 99 | 83% | 87% | 86% | 95% | 85% |
| H7123 | Local CCP | UPMC HEALTH COVERAGE, INC. | UPMC for Life Complete Care | UPMC Health System | 74% | 61% | 71% | 52% | 78% | 83% | 81% | Not enough data available | 66% | 70% | 72% | Not enough data available | Not enough data available | 50% | No data available | No data available | 45% | 49% | 82 | 86 | 93 | 87 | 90 | Not enough data available | Not enough data available | Not enough data available | Medicare shows only a Star Rating for this topic | 94% | 94% | 84% | 86% | Not enough data available | Not enough data available | Medicare shows only a Star Rating for this topic | 89 | 91 | 99 | 87% | 86% | 90% | 77% | 89% |
| H7147 | Local CCP | DEVOTED HEALTH PLAN OF COLORADO INC | Devoted Health | Devoted Health, Inc. | Not enough data available | Not enough data available | 61% | Plan too new to be measured | 90% | 100% | 92% | Not enough data available | 75% | 87% | 89% | Plan too new to be measured | Plan too new to be measured | 88% | No data available | Not enough data available | 66% | Not enough data available | 78 | 81 | 92 | 86 | 88 | 85 | 0.27 | 23% | Not enough data available | Not enough data available | Not enough data available | 95% | 91% | 0.27 | 23% | Not enough data available | 88 | 88 | 99 | 89% | 96% | 95% | 96% | 88% |
| H7149 | Local CCP | AETNA HEALTH INC. (PA) | Aetna Medicare | CVS Health Corporation | 71% | 73% | 75% | 42% | 72% | 100% | 94% | 63% | 77% | 93% | 78% | 53% | 46% | 92% | 12% | 87% | 56% | 62% | 86 | 86 | 91 | 88 | 88 | 90 | 0.2 | 13% | Medicare shows only a Star Rating for this topic | 83% | 100% | 100% | 97% | 0.2 | 13% | Medicare shows only a Star Rating for this topic | 88 | 91 | 99 | 88% | 89% | 89% | 96% | 86% |
| H7151 | Local CCP | DEVOTED HEALTH PLAN OF ILLINOIS, INC. | Devoted Health | Devoted Health, Inc. | Not enough data available | 76% | 74% | 56% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 85% | 88% | 84% | 59% | Not enough data available | 88% | 13% | 91% | 71% | 68% | 78 | 80 | 91 | 85 | 88 | 85 | 0.22 | 23% | Medicare shows only a Star Rating for this topic | 100% | 100% | 95% | 91% | 0.22 | 23% | Medicare shows only a Star Rating for this topic | 88 | 88 | 99 | 88% | 90% | 90% | 93% | 93% |