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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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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| H4073 | Local CCP | WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC. | Wellcare | Centene Corporation | 67% | 66% | 67% | 50% | 70% | 96% | 89% | Not enough data available | 59% | 76% | 73% | Not enough data available | Not enough data available | 69% | 9% | 86% | 57% | 50% | 81 | Not enough data available | Not enough data available | 87 | 87 | Not enough data available | 0.45 | 49% | Medicare shows only a Star Rating for this topic | 100% | 100% | 98% | 100% | 0.45 | 49% | Medicare shows only a Star Rating for this topic | 86 | Not enough data available | 98 | 85% | 86% | 84% | 92% | 84% |
| H4868 | Local CCP | NEW YORK QUALITY HEALTHCARE CORPORATION | Wellcare | Centene Corporation | 69% | 66% | 70% | 57% | 54% | 91% | 86% | 31% | 73% | 82% | 72% | 74% | Not enough data available | 59% | 10% | 86% | 56% | 51% | 77 | Not enough data available | Not enough data available | Not enough data available | 83 | Not enough data available | 0.24 | 30% | Medicare shows only a Star Rating for this topic | 92% | 97% | 98% | 100% | 0.24 | 30% | Medicare shows only a Star Rating for this topic | 84 | Not enough data available | 98 | 87% | 88% | 85% | 95% | 90% |
| H5087 | Local CCP | WELLCARE OF CALIFORNIA, INC. | Wellcare | Centene Corporation | 69% | 72% | 68% | 53% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 50% | 77% | 83% | 72% | 48% | Not enough data available | 73% | 11% | 83% | 41% | 46% | 74 | Not enough data available | Not enough data available | Not enough data available | 85 | Not enough data available | 0.47 | 24% | Medicare shows only a Star Rating for this topic | 95% | 98% | 98% | 100% | 0.47 | 24% | Medicare shows only a Star Rating for this topic | 87 | Not enough data available | 98 | 86% | 87% | 85% | 97% | 89% |
| H2174 | Local CCP | TRILLIUM COMMUNITY HEALTH PLAN, INC. | Wellcare by Trillium | Centene Corporation | 55% | 61% | 57% | 41% | 49% | 94% | 77% | Not enough data available | 78% | 84% | 81% | Not enough data available | Not enough data available | 66% | No data available | Not enough data available | 47% | 48% | 73 | Not enough data available | 86 | Not enough data available | 80 | Not enough data available | 0.41 | 14% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 98% | 100% | 0.41 | 14% | Medicare shows only a Star Rating for this topic | 81 | Not enough data available | 96 | 88% | 85% | 87% | 85% | 85% |
| S4802 | PDP | WELLCARE PRESCRIPTION INSURANCE, INC. | Wellcare | Centene Corporation | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 100% | 0.06 | 10% | Medicare shows only a Star Rating for this topic | 83 | 87 | 98 | 87% | 89% | 88% | 48% | 83% |
| H2915 | Local CCP | PENNSYLVANIA HEALTH & WELLNESS, INC. | Wellcare by Allwell | Centene Corporation | 61% | 55% | 61% | 41% | 68% | 94% | 87% | Not enough data available | 61% | 78% | 70% | 59% | Not enough data available | 64% | 14% | 88% | 45% | 51% | 81 | 85 | 90 | 86 | 86 | 88 | 0.41 | 33% | Medicare shows only a Star Rating for this topic | 100% | 100% | 98% | 100% | 0.41 | 33% | Medicare shows only a Star Rating for this topic | 87 | 91 | 97 | 89% | 91% | 91% | 87% | 89% |
| H3975 | Local CCP | WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC | Wellcare | Centene Corporation | 63% | 60% | 62% | 33% | 69% | 98% | 94% | Not enough data available | 68% | 84% | 68% | Not enough data available | Not enough data available | 64% | 11% | 82% | 55% | 58% | 84 | 89 | 88 | 87 | 84 | 90 | 0.38 | 42% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 98% | 100% | 0.38 | 42% | Medicare shows only a Star Rating for this topic | 84 | 91 | 99 | 83% | 88% | 88% | 89% | 82% |
| H7175 | Local CCP | WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC. | Wellcare | Centene Corporation | 61% | 57% | 62% | 48% | 64% | 93% | 88% | Not enough data available | 61% | 78% | 69% | Not enough data available | Not enough data available | 68% | 8% | 78% | 54% | 48% | 84 | Not enough data available | 92 | Not enough data available | 86 | Not enough data available | 0.51 | 41% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | Not enough data available | Not enough data available | 0.51 | 41% | Medicare shows only a Star Rating for this topic | 90 | 92 | 98 | 82% | 88% | 86% | 92% | 83% |
| H0111 | Local CCP | WELLCARE OF GEORGIA, INC. | Wellcare | Centene Corporation | 68% | 66% | 63% | 52% | 65% | 95% | 88% | 37% | 64% | 76% | 67% | 57% | 46% | 62% | 11% | 84% | 56% | 53% | 81 | 84 | 89 | 86 | 85 | 85 | 0.33 | 39% | Medicare shows only a Star Rating for this topic | 71% | 88% | 98% | 100% | 0.33 | 39% | Medicare shows only a Star Rating for this topic | 86 | 88 | 98 | 85% | 88% | 86% | 96% | 82% |
| H1862 | Local CCP | WELLCARE HEALTH PLANS OF VERMONT, INC. | Wellcare | Centene Corporation | 68% | 68% | 69% | 35% | No data available | No data available | No data available | Not enough data available | 43% | 75% | 69% | 49% | Not enough data available | 75% | No data available | Not enough data available | 64% | 58% | 78 | 81 | Not enough data available | 86 | 82 | 86 | 0.09 | 25% | Not enough data available | Not enough data available | Not enough data available | 98% | 100% | 0.09 | 25% | Medicare shows only a Star Rating for this topic | 83 | 87 | 99 | 80% | 88% | 85% | 93% | 84% |