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Measure Data : 2025

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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)
H0571 Local CCP CHINESE COMMUNITY HEALTH PLAN CCHP (Chinese Community Health Plan) Chinese Hospital Association 73% 82% 83% 52% 95% 87% 89% Not enough data available 70% 83% 68% 77% 32% 32% 9% 82% 32% 48% 71 75 86 82 84 82 0.04 7% Medicare shows only a Star Rating for this topic Not enough data available Not enough data available 86% 84% 0.04 7% Medicare shows only a Star Rating for this topic 85 83 98 90% 89% 86% 74% 90%
H1189 Local CCP CHRISTUS HEALTH PLAN CHRISTUS Health Advantage CHRISTUS Health 72% 75% 66% 54% Plan not required to report measure Plan not required to report measure Plan not required to report measure Not enough data available 67% 81% 76% 54% 49% 54% 11% 75% 40% 54% 85 86 91 90 88 90 0.2 11% Medicare shows only a Star Rating for this topic 100% 79% 78% 78% 0.2 11% Medicare shows only a Star Rating for this topic 87 90 99 84% 86% 85% 75% 80%
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%
H5141 Local CCP CLOVER INSURANCE COMPANY Clover Health Clover Health Holdings Inc 83% 86% 71% 53% Plan not required to report measure Plan not required to report measure Plan not required to report measure 78% 78% 93% 89% 59% 40% 93% 8% 94% 85% 73% 81 80 90 87 86 87 0.2 17% Medicare shows only a Star Rating for this topic 99% 95% 95% 97% 0.2 17% Medicare shows only a Star Rating for this topic 87 90 98 82% 85% 81% 86% 87%
E3014 Employer/Union Only Direct Contract PDP PSERS HOP PROGRAM Pennsylvania Public School Employees Retirement Sy Commonwealth of PA Pub Schools Retirement System 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 93 Not enough data available 89% 91% 89% 68% 86%
H5826 Local CCP COMMUNITY HEALTH PLAN OF WASHINGTON Community Health Plan of WA Medicare Advantage Community Health Plan of Washington 68% 66% 74% 56% 47% 91% 89% 22% 75% 84% 74% 65% 49% 68% 11% 86% 57% 58% 75 77 89 84 84 84 0.1 13% Medicare shows only a Star Rating for this topic 84% 85% 91% 95% 0.1 13% Medicare shows only a Star Rating for this topic 87 88 99 87% 88% 87% 85% 86%
H6832 Local CCP ALIGN SENIOR CARE MI, LLC Align Senior Care Curana Health Holdings LLC Not enough data available Not enough data available Plan too small to be measured Plan too small to be measured 97% 99% 100% Not enough data available Not enough data available Not enough data available Not enough data available Plan too small to be measured Plan too small to be measured Not enough data available No data available Not enough data available Not enough data available No data available 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 90% 90% Not enough data available Not enough data available Not enough data available Plan too small to be measured Plan too small to be measured 100 87% 81% 82% 96% 80%
H3274 Local CCP ALIGN SENIOR CARE CALIFORNIA INC. Align Senior Care Curana Health Holdings 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 72% Not enough data available Not enough data available 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 90% 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
H2185 Local CCP LIFEWORKS ADVANTAGE, LLC Align Senior Care Curana Health Holdings LLC Plan too small to be measured Plan too small to be measured Plan too small to be measured No data available 98% 100% 100% Plan too small to be measured Plan too small to be measured Plan too small to be measured Plan too small to be measured No data available No data available 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 90% 90% 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 82% 78% 78% 99% 91%
H1277 Local CCP ALIGN SENIOR CARE, INC. Align Senior Care Curana Health Holdings 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 87% Not enough data available Not enough data available 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 90% 90% Not enough data available Not enough data available Not enough data available Plan too small to be measured Plan too small to be measured 100 Not enough data available Not enough data available Not enough data available Not enough data available Not enough data available
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