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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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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| H2235 | Local CCP | BAYCARE SELECT HEALTH PLANS, INC. | BayCare Health Plans | BayCare Health System Inc | 85% | 83% | 73% | 59% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 67% | 75% | 92% | 70% | 53% | 52% | 76% | 15% | 83% | 70% | 66% | 83 | 85 | 90 | 89 | 90 | 89 | 0.11 | 10% | Medicare shows only a Star Rating for this topic | 100% | 98% | 55% | 39% | 0.11 | 10% | Medicare shows only a Star Rating for this topic | 90 | 91 | 97 | 86% | 89% | 87% | 87% | 88% |
| H4943 | Local CCP | Scott & White Care Plans | Baylor Scott and White Health Plan | Baylor Scott and White Holdings | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | Plan too new to be measured | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 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 new to be measured | Plan too new 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 | 83% | 80% | 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 | 89% | 82% | Not enough data available | Not enough data available |
| H8142 | Local CCP | SCOTT AND WHITE HEALTH PLAN | Baylor Scott and White Health Plan | Baylor Scott and White Holdings | 81% | 77% | 76% | 55% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 39% | 77% | 83% | 63% | 56% | 44% | 62% | 13% | 89% | 58% | 61% | 83 | 85 | 92 | 91 | 91 | 89 | 0.11 | 6% | Medicare shows only a Star Rating for this topic | 96% | 96% | 83% | 80% | 0.11 | 6% | Medicare shows only a Star Rating for this topic | 90 | 92 | 99 | 87% | 91% | 90% | 86% | 86% |
| H2032 | Local CCP | Baylor Scott & White Insurance Company | Baylor Scott and White Health Plan | Baylor Scott and White Holdings | 79% | 77% | 78% | 58% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 78% | 84% | 71% | 48% | 49% | 42% | 13% | 84% | 51% | 62% | 84 | 87 | 92 | 89 | 89 | 90 | 0.22 | 11% | Medicare shows only a Star Rating for this topic | 100% | 44% | 83% | 80% | 0.22 | 11% | Medicare shows only a Star Rating for this topic | 88 | 91 | 99 | 87% | 89% | 88% | 86% | 81% |
| H8578 | Local CCP | HEALTH NEW ENGLAND, INC. | Health New England Medicare Advantage Plans | Baystate Health Inc | 82% | 76% | 81% | 49% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 19% | 73% | 90% | 85% | 53% | 41% | 80% | 13% | 87% | 66% | 55% | 77 | 81 | 92 | 85 | 87 | 85 | 0.05 | 5% | Medicare shows only a Star Rating for this topic | 94% | 85% | 94% | 84% | 0.05 | 5% | Medicare shows only a Star Rating for this topic | 85 | 89 | 97 | 90% | 91% | 90% | 94% | 91% |
| H2737 | Local CCP | HEALTH NEW ENGLAND, INC. | Health New England Medicare Advantage Plans | Baystate Health Inc | 84% | 79% | 80% | 51% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 63% | 88% | 80% | 40% | 52% | 82% | No data available | 86% | 74% | 76% | 77 | 78 | 92 | 85 | 87 | 86 | 0 | 5% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 94% | 84% | 0 | 5% | Medicare shows only a Star Rating for this topic | 85 | 89 | 97 | 89% | 89% | 87% | Not enough data available | 90% |
| S5743 | PDP | WELLMARK IA & SD, & BCBS MN, MT, NE, ND,& WY | MedicareBlue Rx | BCBS MN MT NE ND WY Wellmark IA and SD | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 94% | 0.04 | 11% | Medicare shows only a Star Rating for this topic | 82 | 90 | 99 | 88% | 90% | 89% | 30% | 83% |
| H5447 | Local CCP | COMMUNITY FIRST HEALTH PLANS, INC. | Community First | Bexar County Hospital District | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | CMS identified issues with this plan's data | 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 | 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 | 95% | 97% | 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 |
| H2261 | Local CCP | BCBS OF MASSACHUSETTS HMO BLUE, INC. | Blue Cross Blue Shield of Massachusetts | Blue Cross and Blue Shield of Massachusetts Inc | 82% | 78% | 80% | 51% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 38% | 80% | 87% | 77% | 53% | 41% | 73% | 5% | 90% | 72% | 63% | 80 | 83 | 92 | 85 | 86 | 86 | 0.03 | 7% | Medicare shows only a Star Rating for this topic | 100% | 100% | 100% | 98% | 0.03 | 7% | Medicare shows only a Star Rating for this topic | 84 | 87 | 98 | 89% | 91% | 90% | 74% | 85% |
| H2230 | Local CCP | BCBS OF MASSACHUSETTS HMO BLUE, INC. | Blue Cross Blue Shield of Massachusetts | Blue Cross and Blue Shield of Massachusetts Inc | 84% | 81% | 81% | 53% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 47% | 83% | 85% | 80% | 49% | 48% | 68% | 6% | 88% | 67% | 64% | 79 | 81 | 91 | 85 | 87 | 85 | 0.04 | 2% | Medicare shows only a Star Rating for this topic | 99% | 98% | 100% | 98% | 0.04 | 2% | Medicare shows only a Star Rating for this topic | 84 | 87 | 98 | 88% | 92% | 90% | 77% | 85% |