|
hcontract
|
org type
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contract name
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org marketing name
|
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
|
C21 - Customer Service
|
C22 - Rating of Health Care Quality
|
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
|
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
|
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)
|
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| H7163 | Local CCP | Primewell Health Services of Mississippi Inc. | Primewell Health Services | Louisiana Health Service & Indemnity Company | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | 70% | 92% | 92% | 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 | 50% | 53% | Not enough data available | Not enough data available | Medicare shows only a Star Rating for this topic | Plan too small to be measured | Plan too small to be measured | 100 | 90% | 90% | 93% | 95% | 86% |
| H7169 | Local CCP | BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC. | Wellcare | Centene Corporation | Plan not required to report measure | 50% | 64% | 38% | 76% | 96% | 91% | Not enough data available | 55% | 68% | 76% | 54% | 46% | 65% | 17% | 84% | 51% | 49% | 82 | Not enough data available | 90 | 86 | 82 | 88 | 0.71 | 41% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 98% | 98% | 0.71 | 41% | Medicare shows only a Star Rating for this topic | 85 | 90 | 98 | 85% | 86% | 89% | 95% | 82% |
| H7172 | Demo | AETNA BETTER HEALTH INC. (OH) | Aetna Better Health of Ohio, MyCare Ohio | CVS Health Corporation | 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 |
| H7175 | Local CCP | WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC. | Wellcare | Centene Corporation | 61% | 57% | 62% | 48% | 64% | 93% | 88% | Not enough data available | 61% | 78% | 69% | Not enough data available | Not enough data available | 68% | 8% | 78% | 54% | 48% | 84 | Not enough data available | 92 | Not enough data available | 86 | Not enough data available | 0.51 | 41% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | Not enough data available | Not enough data available | 0.51 | 41% | Medicare shows only a Star Rating for this topic | 90 | 92 | 98 | 82% | 88% | 86% | 92% | 83% |
| H7199 | Local CCP | DEVOTED HEALTH PLAN OF OREGON | Devoted Health | Devoted Health, Inc. | Not enough data available | Not enough data available | 65% | 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 | 80% | 91% | 90% | Plan too new to be measured | Plan too new to be measured | 79% | No data available | Not enough data available | 61% | Not enough data available | 73 | 78 | 91 | 85 | 87 | 85 | 0.41 | 20% | Not enough data available | Not enough data available | Not enough data available | 95% | 91% | 0.41 | 20% | Not enough data available | 85 | 85 | 99 | 89% | 92% | 92% | Not enough data available | 86% |
| H7220 | Local CCP | INDIANA UNIVERSITY HEALTH PLANS NFP, INC. | Indiana University Health Plans | Indiana University Health | 80% | 78% | 82% | 50% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 35% | 77% | 87% | 87% | 45% | 43% | 71% | 12% | 88% | 69% | 59% | 80 | 82 | 92 | 88 | 88 | 88 | 0.07 | 9% | Medicare shows only a Star Rating for this topic | 99% | 96% | 83% | 80% | 0.07 | 9% | Medicare shows only a Star Rating for this topic | 85 | 87 | 99 | 85% | 90% | 88% | 89% | 87% |
| H7239 | Local CCP | PROMINENCE HEALTHFIRST OF FLORIDA INC | Prominence Health Plan | Universal Health Services, 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 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 | 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 |
| H7284 | Local CCP | HUMANA HEALTH INSURANCE COMPANY OF FLORIDA, INC. | Humana | Humana Inc. | 76% | 80% | 63% | 57% | 81% | 97% | 98% | 38% | 78% | 87% | 75% | 58% | 54% | 76% | 11% | 83% | 59% | 59% | 81 | 85 | 90 | 87 | 87 | 85 | 0.28 | 33% | Medicare shows only a Star Rating for this topic | 98% | 97% | 98% | 97% | 0.28 | 33% | Medicare shows only a Star Rating for this topic | 89 | 89 | 84 | 85% | 89% | 88% | 83% | 84% |
| H7301 | Local CCP | COVENTRY HEALTH CARE OF ILLINOIS, INC. | Aetna Medicare | CVS Health Corporation | 72% | 75% | 65% | 44% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 56% | 73% | 94% | 83% | 49% | 44% | 96% | 12% | 85% | 60% | 57% | 82 | 85 | 90 | 85 | 88 | 87 | 0.09 | 7% | Medicare shows only a Star Rating for this topic | 91% | 91% | 100% | 97% | 0.09 | 7% | Medicare shows only a Star Rating for this topic | 87 | 90 | 99 | 88% | 91% | 91% | 86% | 83% |
| H7323 | Local CCP | WELLCARE NATIONAL HEALTH INSURANCE COMPANY | Wellcare | Centene Corporation | 61% | 59% | 65% | 50% | 66% | 91% | 84% | Not enough data available | 59% | 55% | 69% | 59% | Not enough data available | 58% | 11% | 78% | 47% | 50% | 84 | 87 | 92 | 86 | 85 | 87 | 1.24 | 44% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 98% | 98% | 1.24 | 44% | Medicare shows only a Star Rating for this topic | 88 | 90 | 98 | 84% | 85% | 85% | 93% | 86% |