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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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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| H8145 | PFFS | HUMANA INSURANCE COMPANY | Humana | Humana Inc. | 65% | 70% | 70% | 45% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 31% | 68% | 88% | 80% | 57% | 42% | 89% | 12% | 84% | 70% | 57% | 83 | 87 | 91 | 88 | 88 | 88 | 0.08 | 12% | Medicare shows only a Star Rating for this topic | 98% | 95% | 98% | 97% | 0.08 | 12% | Medicare shows only a Star Rating for this topic | 88 | 90 | 84 | 87% | 90% | 90% | 71% | 84% |
| H8166 | Local CCP | HIGHMARK BCBSD INC. | Highmark Blue Cross Blue Shield | Highmark Health | 84% | 76% | 73% | 54% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 76% | 85% | 80% | 51% | 47% | 85% | 10% | 92% | 78% | 60% | 78 | 83 | 92 | 85 | 88 | 84 | 0.14 | 5% | Medicare shows only a Star Rating for this topic | 98% | 100% | 100% | 98% | 0.14 | 5% | Medicare shows only a Star Rating for this topic | 87 | 88 | 99 | 86% | 90% | 88% | 87% | 92% |
| H8173 | Local CCP | DEVOTED HEALTH PLAN OF ARIZONA, INC. | Devoted Health | Devoted Health, Inc. | 76% | 82% | 63% | 53% | 93% | 100% | 97% | Not enough data available | 85% | 89% | 86% | 65% | Not enough data available | 90% | 10% | 90% | 68% | 72% | 79 | 83 | 93 | 85 | 89 | 84 | 0.23 | 18% | Medicare shows only a Star Rating for this topic | 100% | 100% | 95% | 91% | 0.23 | 18% | Medicare shows only a Star Rating for this topic | 88 | 89 | 99 | 88% | 93% | 91% | 94% | 92% |
| H8176 | Local CCP | MOLINA HEALTHCARE OF SOUTH CAROLINA,INC | Molina Healthcare of South Carolina | Molina Healthcare, Inc. | 73% | 62% | 60% | 43% | 50% | 83% | 83% | Not enough data available | 56% | 74% | 68% | Not enough data available | Not enough data available | 34% | 10% | 85% | 30% | 51% | 81 | 85 | 90 | 86 | 86 | 87 | 0.59 | 35% | Medicare shows only a Star Rating for this topic | 100% | 100% | 100% | 100% | 0.59 | 35% | Medicare shows only a Star Rating for this topic | 86 | 88 | 99 | 82% | 85% | 83% | 87% | 82% |
| H8181 | Local CCP | SAPPHIRE EDGE, INC. | Blue Cross and Blue Shield of Nebraska | Blue Cross Blue Shield of Nebraska | 77% | 75% | 74% | 42% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 75% | 82% | 74% | 45% | 47% | 51% | 11% | 85% | 44% | 61% | 85 | 87 | 91 | 88 | 85 | 87 | 0.11 | 9% | Medicare shows only a Star Rating for this topic | 92% | 100% | 97% | 97% | 0.11 | 9% | Medicare shows only a Star Rating for this topic | 86 | 91 | 98 | 87% | 91% | 90% | 91% | 84% |
| H8189 | Local CCP | MANAGED HEALTH SERVICES INSURANCE CORP. | Wellcare by Allwell | Centene Corporation | 68% | 70% | 64% | 52% | 60% | 95% | 88% | Not enough data available | 67% | 84% | 81% | Not enough data available | Not enough data available | 72% | 14% | 87% | 58% | 54% | 82 | 84 | 90 | 86 | 87 | 88 | 0.55 | 31% | Medicare shows only a Star Rating for this topic | 100% | 100% | 98% | 98% | 0.55 | 31% | Medicare shows only a Star Rating for this topic | 87 | 89 | 97 | 88% | 89% | 91% | 88% | 86% |
| H8197 | Demo | MOLINA HEALTHCARE OF TEXAS, INC. | Molina Healthcare of Texas | 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 |
| H8211 | Local CCP | CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO. | UnitedHealthcare | UnitedHealth Group, Inc. | 68% | 65% | 68% | 42% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 41% | 65% | 81% | 72% | 52% | 40% | 62% | 11% | 83% | 51% | 55% | 83 | 84 | 90 | 85 | 84 | 89 | 0.11 | 20% | Medicare shows only a Star Rating for this topic | 100% | 93% | 98% | 98% | 0.11 | 20% | Medicare shows only a Star Rating for this topic | 85 | 90 | 99 | 83% | 89% | 87% | 84% | 82% |
| H8213 | Demo | SELECT HEALTH OF SOUTH CAROLINA, INC. | FIRST CHOICE VIP CARE PLUS | Independence Health Group, 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 |
| H8298 | Local CCP | HORIZON HEALTHCARE OF NEW JERSEY, INC. | Horizon Blue Cross Blue Shield of New Jersey | Horizon Mutual Holdings, Inc | 72% | 69% | 62% | 57% | 85% | 88% | 97% | 46% | 75% | 75% | 75% | 67% | Not enough data available | 77% | 15% | 93% | 52% | 60% | 78 | 83 | 90 | 85 | 89 | 85 | 0.29 | 12% | Medicare shows only a Star Rating for this topic | 95% | 96% | 98% | 98% | 0.29 | 12% | Medicare shows only a Star Rating for this topic | 88 | 88 | 98 | 88% | 89% | 87% | 95% | 93% |