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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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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| H1692 | Local CCP | COVENTRY HEALTH CARE OF WEST VIRGINIA, INC. | Aetna Medicare | CVS Health Corporation | 65% | 65% | 61% | 34% | 71% | 100% | 93% | 58% | 66% | 91% | 78% | 60% | 37% | 91% | 12% | 87% | 54% | 55% | 85 | 88 | 93 | 87 | 90 | 90 | 0.16 | 19% | Medicare shows only a Star Rating for this topic | 89% | 97% | 100% | 97% | 0.16 | 19% | Medicare shows only a Star Rating for this topic | 89 | 93 | 99 | 85% | 88% | 88% | 90% | 84% |
| H3192 | Local CCP | AETNA HEALTH OF MICHIGAN INC. | Aetna Medicare | CVS Health Corporation | 73% | 67% | 59% | 46% | 72% | 100% | 97% | 43% | 73% | 94% | 83% | 57% | 49% | 94% | 14% | 87% | 52% | 57% | 82 | 85 | 91 | 86 | 88 | 87 | 0.33 | 30% | Medicare shows only a Star Rating for this topic | 89% | 96% | 100% | 97% | 0.33 | 30% | Medicare shows only a Star Rating for this topic | 87 | 89 | 99 | 83% | 88% | 86% | 97% | 86% |
| H5593 | Local CCP | AETNA HEALTH OF IOWA INC. | Aetna Medicare | CVS Health Corporation | 69% | 71% | 71% | 40% | 67% | 100% | 94% | Not enough data available | 78% | 89% | 87% | 66% | 41% | 93% | 12% | 84% | 53% | 54% | 83 | 84 | 90 | 88 | 89 | 87 | 0.17 | 31% | Medicare shows only a Star Rating for this topic | 97% | 100% | 100% | 97% | 0.17 | 31% | Medicare shows only a Star Rating for this topic | 89 | 91 | 99 | 87% | 88% | 89% | 97% | 85% |
| H8649 | Local CCP | AETNA HEALTH OF UTAH INC. | Aetna Medicare | CVS Health Corporation | 59% | 67% | 66% | 46% | 60% | 100% | 84% | 60% | 71% | 92% | 76% | 47% | 41% | 93% | 10% | 89% | 56% | 53% | 84 | 83 | 90 | 86 | 87 | 86 | 0.13 | 21% | Medicare shows only a Star Rating for this topic | 95% | 100% | 100% | 97% | 0.13 | 21% | Medicare shows only a Star Rating for this topic | 86 | 91 | 99 | 85% | 87% | 89% | 95% | 81% |
| H3288 | Local CCP | AETNA HEALTH AND LIFE INSURANCE COMPANY | Aetna Medicare | CVS Health Corporation | 68% | 74% | 62% | 48% | No data available | No data available | No data available | 44% | 75% | 92% | 75% | 51% | 46% | 93% | 12% | 83% | 50% | 53% | 83 | 86 | 92 | 88 | 87 | 87 | 0.17 | 22% | Medicare shows only a Star Rating for this topic | 89% | 93% | 100% | 97% | 0.17 | 22% | Medicare shows only a Star Rating for this topic | 85 | 89 | 98 | 84% | 88% | 87% | 91% | 83% |
| H4523 | Local CCP | AETNA HEALTH INC. (TX) | Aetna Medicare | CVS Health Corporation | 69% | 74% | 72% | 50% | No data available | No data available | No data available | 46% | 81% | 96% | 77% | 59% | 34% | 95% | 12% | 89% | 54% | 54% | 83 | 86 | 87 | 89 | 88 | 86 | 0.21 | 19% | Medicare shows only a Star Rating for this topic | 92% | 97% | 100% | 97% | 0.21 | 19% | Medicare shows only a Star Rating for this topic | 89 | 90 | 99 | 86% | 89% | 88% | 92% | 89% |
| H5608 | Local CCP | DENVER HEALTH MEDICAL PLAN, INC. | Elevate Medicare Advantage | Denver Health and Hospital Authority | 80% | 74% | 80% | 50% | 73% | 96% | 92% | Not enough data available | 73% | 82% | 74% | 67% | 54% | 60% | 11% | 94% | 72% | 41% | 79 | 77 | 90 | 87 | 85 | 88 | 0.06 | 16% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 86% | 88% | 0.06 | 16% | Medicare shows only a Star Rating for this topic | 89 | 91 | 97 | 91% | 91% | 89% | 89% | 93% |
| H1977 | Demo | UPPER PENINSULA HEALTH PLAN, LLC | Upper Peninsula Health Plan (UPHP) MI Health Link | DLP Marquette General Hospital LLC | 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 |
| H4140 | Local CCP | DOCTORS HEALTHCARE PLANS, INC. | Doctors HealthCare Plans Inc. | DOCTORS HEALTHCARE PLANS INC | 82% | 77% | 55% | 68% | 91% | 98% | 97% | 31% | 63% | 88% | 84% | 64% | 53% | 70% | 12% | 88% | 57% | 64% | 83 | 87 | 92 | 92 | 91 | 91 | 0.11 | 26% | Medicare shows only a Star Rating for this topic | 100% | 95% | 100% | 94% | 0.11 | 26% | Medicare shows only a Star Rating for this topic | 91 | 89 | 93 | 83% | 88% | 78% | 86% | 88% |
| S5877 | PDP | EDUCATORS MUTUAL INSURANCE ASSOCIATION | EMI Health | Educators Mutual Insurance Association | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 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 | 87 | 91 | Not enough data available | 88% | 86% | 87% | 63% | 83% |