|
hcontract
|
org type
|
contract name
|
org marketing name
|
↑
parent org
|
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)
|
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| H5828 | Local CCP | WELLPOINT TENNESSEE, INC. | Wellpoint | Elevance Health Inc | 54% | 57% | 56% | 32% | 67% | 95% | 93% | 23% | 65% | 73% | 68% | 60% | Not enough data available | 74% | 12% | 85% | 47% | 51% | 82 | 85 | 90 | 85 | 85 | 87 | 0.51 | 26% | Medicare shows only a Star Rating for this topic | 96% | 100% | 100% | 100% | 0.51 | 26% | Medicare shows only a Star Rating for this topic | 88 | 89 | 98 | 81% | 84% | 84% | 88% | 84% |
| H9219 | Local CCP | AMH HEALTH PLANS OF MAINE, INC. | AMH Health | Elevance Health Inc | 79% | 79% | 76% | 50% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 80% | 84% | 77% | Not enough data available | Not enough data available | 71% | No data available | No data available | 56% | 54% | 78 | 83 | Not enough data available | 86 | 79 | 89 | 0.19 | 25% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 100% | 100% | 0.19 | 25% | Medicare shows only a Star Rating for this topic | 80 | Not enough data available | 98 | 88% | 93% | 87% | Not enough data available | 80% |
| H1423 | Local CCP | WELLPOINT OHIO, INC. | Wellpoint | Elevance Health Inc | 75% | 68% | 74% | 47% | CMS identified issues with this plan's data | 100% | 98% | Not enough data available | 76% | 79% | 78% | 54% | 48% | 75% | 11% | 81% | 43% | 57% | 79 | 80 | 88 | 81 | 82 | 80 | 0.33 | 28% | Medicare shows only a Star Rating for this topic | 91% | 100% | 100% | 100% | 0.33 | 28% | Medicare shows only a Star Rating for this topic | 84 | 86 | 98 | 87% | 90% | 90% | 91% | 89% |
| H2836 | Local CCP | ANTHEM HEALTH PLANS, INC. | Anthem Blue Cross and Blue Shield | Elevance Health Inc | 79% | 77% | 70% | 53% | 58% | 98% | 95% | 33% | 77% | 84% | 77% | 61% | 45% | 85% | 13% | 84% | 66% | 62% | 82 | 82 | Not enough data available | 84 | 82 | Not enough data available | 0.33 | 36% | Medicare shows only a Star Rating for this topic | 87% | 100% | 100% | 100% | 0.33 | 36% | Medicare shows only a Star Rating for this topic | 84 | 86 | 98 | 85% | 90% | 88% | 87% | 86% |
| H4036 | Local CCP | ANTHEM INSURANCE COMPANIES, INC. | Anthem Blue Cross and Blue Shield | Elevance Health Inc | 81% | 78% | 74% | 52% | No data available | 98% | 96% | 33% | 74% | 85% | 76% | 58% | 51% | 81% | 11% | 78% | 59% | 61% | 82 | 83 | 89 | 86 | 89 | 86 | 0.09 | 4% | Medicare shows only a Star Rating for this topic | 96% | 99% | 100% | 100% | 0.09 | 4% | Medicare shows only a Star Rating for this topic | 87 | 88 | 98 | 88% | 90% | 89% | 87% | 84% |
| H4346 | Local CCP | HMO COLORADO, INC. | Anthem Blue Cross and Blue Shield | Elevance Health Inc | 61% | 65% | 70% | 52% | 45% | 96% | 91% | 31% | 69% | 76% | 72% | 55% | 42% | 65% | 13% | 87% | 39% | 48% | 78 | Not enough data available | 88 | Not enough data available | 82 | Not enough data available | 0.35 | 28% | Medicare shows only a Star Rating for this topic | 96% | 100% | 100% | 100% | 0.35 | 28% | Medicare shows only a Star Rating for this topic | 86 | Not enough data available | 98 | 84% | 87% | 87% | 87% | 87% |
| H5431 | Local CCP | HEALTHSUN HEALTH PLANS, INC. | HealthSun Health Plans Inc. | Elevance Health Inc | 85% | 81% | 55% | 66% | 90% | 97% | 97% | 61% | 87% | 89% | 86% | Not enough data available | Not enough data available | 85% | 11% | 91% | 50% | 71% | 87 | 89 | 92 | 93 | 92 | 90 | 0.16 | 21% | Medicare shows only a Star Rating for this topic | 99% | 99% | 100% | 100% | 0.16 | 21% | Medicare shows only a Star Rating for this topic | 93 | 89 | 99 | 92% | 93% | 90% | 90% | 94% |
| H0907 | Local CCP | WELLPOINT IOWA, INC. | Wellpoint | Elevance Health Inc | 62% | 68% | 63% | 44% | 78% | 98% | 95% | Not enough data available | 71% | 79% | 79% | 67% | Not enough data available | 64% | 12% | 86% | 49% | 65% | 84 | 87 | 90 | 88 | 86 | 89 | 0.5 | 31% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 100% | 100% | 0.5 | 31% | Medicare shows only a Star Rating for this topic | 87 | 91 | 97 | 86% | 86% | 89% | 88% | 84% |
| H4909 | Local CCP | ANTHEM INSURANCE COMPANIES, INC. | Anthem Blue Cross and Blue Shield | Elevance Health Inc | 71% | 69% | 60% | 47% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 29% | 77% | 86% | 66% | 56% | 42% | 80% | 12% | 80% | 53% | 58% | 80 | 82 | 88 | 85 | 87 | Not enough data available | 0.29 | 21% | Medicare shows only a Star Rating for this topic | 93% | 100% | 100% | 100% | 0.29 | 21% | Medicare shows only a Star Rating for this topic | 84 | 86 | 98 | 82% | 87% | 86% | 86% | 82% |
| S2893 | PDP | ANTHEM INSURANCE CO. & BCBSMA & BCBSRI & BCBSVT | Blue MedicareRx | Elevance Health Inc and BCBSMA and BCBSRI and BCBSVT | 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 | 90% | 0.02 | 2% | Medicare shows only a Star Rating for this topic | 83 | 87 | 96 | 88% | 90% | 89% | 66% | 83% |