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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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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| H0074 | Local CCP | WELLCARE OF MISSISSIPPI, INC. | Wellcare | Centene Corporation | 71% | 62% | 61% | 42% | 64% | 92% | 85% | Not enough data available | 71% | 71% | 61% | 43% | Not enough data available | 55% | No data available | 82% | 47% | 55% | 84 | 86 | 91 | Not enough data available | 84 | Not enough data available | 0.41 | 41% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 98% | 100% | 0.41 | 41% | Medicare shows only a Star Rating for this topic | 86 | Not enough data available | 98 | 85% | 85% | 83% | 94% | 81% |
| H0562 | Local CCP | HEALTH NET OF CALIFORNIA, INC. | Wellcare by Health Net | Centene Corporation | 78% | 78% | 75% | 55% | 47% | 99% | 95% | 50% | 79% | 88% | 76% | 64% | 44% | 73% | 10% | 85% | 47% | 55% | 77 | 79 | 87 | 84 | 85 | 84 | 0.42 | 16% | Medicare shows only a Star Rating for this topic | 97% | 94% | 98% | 100% | 0.42 | 16% | Medicare shows only a Star Rating for this topic | 86 | 87 | 98 | 87% | 88% | 87% | 95% | 89% |
| H4661 | Local CCP | CELTIC INSURANCE COMPANY | Wellcare | Centene Corporation | 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 | Plan too new to be measured | Not enough data available | Not enough data available | 98% | 100% | Plan too new to be measured | 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 |
| H6815 | Local CCP | HEALTH NET HEALTH PLAN OF OREGON, INC. | Wellcare by Health Net | Centene Corporation | 74% | 72% | 60% | 49% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 34% | 73% | 76% | 72% | 47% | 44% | 78% | 11% | 84% | 58% | 53% | 81 | 80 | 86 | 84 | 85 | 88 | 0.18 | 26% | Medicare shows only a Star Rating for this topic | 100% | 92% | 98% | 100% | 0.18 | 26% | Medicare shows only a Star Rating for this topic | 83 | 83 | 98 | 86% | 90% | 89% | 83% | 84% |
| H0174 | Local CCP | WELLCARE OF TEXAS, INC. | Wellcare | Centene Corporation | 69% | 61% | 77% | 55% | 65% | 93% | 91% | 29% | 72% | 77% | 72% | 59% | 41% | 66% | 10% | 86% | 53% | 49% | 82 | 84 | 91 | 90 | 87 | 87 | 0.4 | 33% | Medicare shows only a Star Rating for this topic | 91% | 93% | 98% | 100% | 0.4 | 33% | Medicare shows only a Star Rating for this topic | 87 | Not enough data available | 98 | 84% | 86% | 84% | 94% | 90% |
| H1395 | Local CCP | NEBRASKA TOTAL CARE, INC. | Wellcare | Centene Corporation | Not enough data available | 59% | 65% | 38% | 67% | 95% | 90% | Not enough data available | 58% | 81% | 70% | 41% | 38% | 66% | 12% | 83% | 49% | 60% | 82 | 85 | 89 | 86 | 83 | 88 | 0.72 | 36% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 98% | 100% | 0.72 | 36% | Medicare shows only a Star Rating for this topic | 86 | 89 | 98 | 84% | 88% | 88% | 94% | 82% |
| H1664 | Local CCP | HOME STATE HEALTH PLAN, INC. | Wellcare by Allwell | Centene Corporation | 57% | 58% | 60% | 41% | 61% | 88% | 80% | Not enough data available | 56% | 78% | 66% | 40% | Not enough data available | 57% | 9% | 81% | 45% | 44% | 82 | 85 | 91 | 88 | 87 | Not enough data available | 0.44 | 41% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 98% | 100% | 0.44 | 41% | Medicare shows only a Star Rating for this topic | 86 | 89 | 98 | 87% | 89% | 89% | 95% | 86% |
| H9730 | Local CCP | WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC | Wellcare | Centene Corporation | 64% | 63% | 59% | 39% | 65% | 94% | 92% | 26% | 68% | 83% | 71% | 58% | 31% | 68% | 10% | 85% | 59% | 58% | 85 | 87 | 91 | 88 | 86 | 89 | 0.28 | 35% | Medicare shows only a Star Rating for this topic | 93% | 93% | 98% | 100% | 0.28 | 35% | Medicare shows only a Star Rating for this topic | 87 | 90 | 98 | 84% | 86% | 86% | 90% | 84% |
| H2117 | Local CCP | MERIDIAN HEALTH PLAN OF MICHIGAN, INC. | Wellcare | Centene Corporation | 69% | 73% | 56% | 43% | 75% | 96% | 83% | Not enough data available | 71% | 76% | 71% | 52% | Not enough data available | 59% | 10% | 85% | 53% | 53% | 78 | 83 | 89 | 85 | 83 | Not enough data available | 0.81 | 47% | Medicare shows only a Star Rating for this topic | 100% | 91% | 98% | 100% | 0.81 | 47% | Medicare shows only a Star Rating for this topic | 85 | 88 | 98 | 80% | 86% | 84% | 91% | 83% |
| H2816 | PFFS | AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY | Wellcare | Centene Corporation | 62% | 66% | 76% | 37% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 68% | 84% | 75% | 59% | 36% | 46% | 9% | Not enough data available | 40% | 49% | 82 | 84 | 91 | 87 | 85 | 86 | 0.1 | 18% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 98% | 100% | 0.1 | 18% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 99 | 88% | 93% | 90% | 81% | 87% |