|
hcontract
|
org type
|
contract name
|
org marketing name
|
parent org
|
C01 - Breast Cancer Screening
|
C02 - Colorectal Cancer Screening
|
C03 - Annual Flu Vaccine
|
C04 - Monitoring Physical Activity
|
C05 - Special Needs Plan (SNP) Care Management
|
C06 - Care for Older Adults - Medication Review
|
C07 - Care for Older Adults - Pain Assessment
|
C08 - Osteoporosis Management in Women who had a Fracture
|
C09 - Diabetes Care - Eye Exam
|
C10 - Diabetes Care - Blood Sugar Controlled
|
C11 - Controlling Blood Pressure
|
C12 - Reducing the Risk of Falling
|
C13 - Improving Bladder Control
|
C14 - Medication Reconciliation Post-Discharge
|
C15 - Plan All-Cause Readmission
|
C16 - Statin Therapy for Patients with Cardiovascular Disease
|
C17 - Transitions of Care
|
C18 - Follow-up after Emergency Department Visit for People with Multiple High-Risk Chronic Conditions
|
C19 - Getting Needed Care
|
C20 - Getting Appointments and Care Quickly
|
C21 - Customer Service
|
C22 - Rating of Health Care Quality
|
C23 - Rating of Health Plan
|
C24 - Care Coordination
|
C25 - Complaints about the Health Plan
|
C26 - Members Choosing to Leave the Plan
|
C27 - Health Plan Quality Improvement
|
C28 - Plan Makes Timely Decisions about Appeals
|
C29 - Reviewing Appeals Decisions
|
C30 - Call Center - Foreign Language Interpreter and TTY Availability
|
D01 - Call Center - Foreign Language Interpreter and TTY Availability
|
D02 - Complaints about the Drug Plan
|
D03 - Members Choosing to Leave the Plan
|
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)
|
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| H7844 | Demo | MOLINA HEALTHCARE OF MICHIGAN, INC. | Molina Healthcare of Michigan | Molina Healthcare, Inc. | 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 |
| H7849 | Local CCP | CIGNA HEALTH AND LIFE INSURANCE COMPANY | Cigna Healthcare | The Cigna Group | 72% | 73% | 70% | 51% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 39% | 72% | 78% | 75% | 52% | 46% | 79% | 11% | 84% | 61% | 53% | 79 | 85 | 88 | 86 | 85 | 85 | 0.4 | 23% | Medicare shows only a Star Rating for this topic | 98% | 96% | 95% | 97% | 0.4 | 23% | Medicare shows only a Star Rating for this topic | 86 | 90 | 100 | 82% | 88% | 87% | 91% | 83% |
| H7917 | Local CCP | BLUECROSS BLUESHIELD OF TENNESSEE, INC. | BlueCross BlueShield of Tennessee | BlueCross BlueShield of Tennessee | 78% | 78% | 64% | 48% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 47% | 83% | 87% | 76% | 50% | 49% | 77% | 11% | 85% | 64% | 63% | 85 | 87 | 94 | 88 | 91 | 89 | 0.05 | 4% | Medicare shows only a Star Rating for this topic | 99% | 98% | 98% | 97% | 0.05 | 4% | Medicare shows only a Star Rating for this topic | 89 | 91 | 99 | 84% | 91% | 90% | 90% | 82% |
| H7925 | Local CCP | CENTENE VENTURE COMPANY INDIANA, INC. | Wellcare by Allwell | Centene Corporation | 68% | 74% | Plan too small to be measured | 48% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 65% | 79% | 78% | 56% | 54% | 59% | No data available | 88% | 44% | 57% | 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 | 0.06 | 18% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 98% | 98% | 0.06 | 18% | Medicare shows only a Star Rating for this topic | Plan too small to be measured | Plan too small to be measured | 99 | 80% | 87% | 86% | 92% | 83% |
| H7980 | Local CCP | BOSTON MEDICAL CENTER HEALTH PLAN, INC. | WellSense Health Plan | BMC Health System, 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 |
| H7993 | Local CCP | DEVOTED HEALTH PLAN OF TEXAS, INC. | Devoted Health | Devoted Health, Inc. | 83% | 80% | 72% | 61% | 92% | 100% | 99% | 77% | 88% | 91% | 85% | 63% | 46% | 97% | 12% | 90% | 76% | 72% | 80 | 85 | 93 | 88 | 91 | 87 | 0.15 | 17% | Medicare shows only a Star Rating for this topic | 99% | 99% | 95% | 91% | 0.15 | 17% | Medicare shows only a Star Rating for this topic | 90 | 90 | 99 | 87% | 92% | 91% | 93% | 92% |
| H8003 | Local CCP | BLUECROSS AND BLUESHIELD OF SOUTH CAROLINA | Blue Cross Blue Shield of South Carolina | BlueCross BlueShield of South Carolina (BCBSSC) | 76% | 79% | 68% | 44% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 56% | 73% | 85% | 79% | 49% | 48% | 83% | 9% | 84% | 60% | 58% | 82 | 86 | 93 | 86 | 88 | 86 | 0.12 | 8% | Medicare shows only a Star Rating for this topic | 94% | 98% | 97% | 97% | 0.12 | 8% | Medicare shows only a Star Rating for this topic | 87 | 89 | 99 | 85% | 90% | 88% | 87% | 82% |
| H8010 | Local CCP | CLOVER HMO OF NEW JERSEY INC. | Clover Health | Clover Health Holdings, Inc. | 83% | 86% | 63% | 51% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 78% | 92% | 88% | 67% | Not enough data available | 89% | 7% | 97% | 84% | 75% | 78 | Not enough data available | 87 | 84 | 86 | Not enough data available | 0.08 | 20% | Medicare shows only a Star Rating for this topic | 97% | 93% | 95% | 97% | 0.08 | 20% | Medicare shows only a Star Rating for this topic | 85 | 87 | 98 | 80% | 83% | 77% | 86% | 88% |
| H8014 | Local CCP | CLEAR SPRING HEALTH INSURANCE COMPANY | 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 new 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 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 | 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 | 99 | Not enough data available | Not enough data available | Not enough data available | Not enough data available | Not enough data available |
| H8019 | Local CCP | MEDICA CENTRAL HEALTH PLAN | Medica | Medica Holding Company | 77% | 79% | Plan too small to be measured | 53% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 83% | 87% | 77% | Not enough data available | Not enough data available | 83% | No data available | No data available | 83% | 75% | 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 | 100% | 91% | 88% | 81% | 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 | 84% | 85% | 88% | 92% | 89% |