Measure Data : 2025-i

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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)
S5960	PDP	WELLPOINT LIFE AND HEALTH INSURANCE COMPANY	Wellpoint	Elevance Health Inc	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Not enough data available	0.09	Not enough data available	Medicare shows only a Star Rating for this topic	83	87	Not enough data available	87%	87%	87%	64%	82%
S5966	PDP	EMBLEMHEALTH PLAN, INC	EmblemHealth	EmblemHealth Inc	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Not enough data available	0.03	Not enough data available	Medicare shows only a Star Rating for this topic	86	89	Not enough data available	85%	89%	87%	65%	84%
S5975	PDP	MODA HEALTH PLAN, INC.	Moda Health Plan Inc.	Moda Partners Inc	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Not enough data available	0.01	Not enough data available	Medicare shows only a Star Rating for this topic	81	88	Not enough data available	86%	90%	89%	70%	84%
S5993	PDP	HORIZON INSURANCE COMPANY	Horizon Blue Cross Blue Shield of New Jersey	Horizon Mutual Holdings Inc	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	98%	0.08	7%	Medicare shows only a Star Rating for this topic	80	87	98	85%	88%	86%	6%	84%
S6875	PDP	QCC INSURANCE COMPANY	Independence Blue Cross	Independence Health Group Inc	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Not enough data available	0	Not enough data available	Medicare shows only a Star Rating for this topic	88	90	Not enough data available	86%	88%	87%	83%	88%
S6946	PDP	CLEAR SPRING HEALTH INSURANCE COMPANY	Clear Spring Health	Group 1001	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Not enough data available	0.07	17%	Medicare shows only a Star Rating for this topic	75	83	99	83%	84%	83%	46%	82%
S8067	PDP	Avalon Insurance Company	Avalon Insurance Company	CAPITAL BLUE CROSS	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Not enough data available	0.11	Not enough data available	Medicare shows only a Star Rating for this topic	87	90	98	90%	90%	89%	70%	85%
S8841	PDP	OPTUM INSURANCE OF OHIO, INC.	Optum Insurance of Ohio Inc.	UnitedHealth Group Inc	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Not enough data available	0.01	Not enough data available	Medicare shows only a Star Rating for this topic	89	91	Not enough data available	87%	88%	86%	66%	83%
S9701	PDP	DEAN HEALTH INSURANCE, INC.	Navitus MedicareRx	Medica Holding Company	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Plan not required to report measure	Not enough data available	0.02	Not enough data available	Medicare shows only a Star Rating for this topic	88	89	Not enough data available	88%	90%	90%	63%	84%

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