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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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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| H3777 | Local CCP | BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA | Experience Health | Blue Cross and Blue Shield of North Carolina | 82% | 72% | 81% | 65% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 73% | 88% | 73% | 52% | 48% | 83% | 10% | 85% | 77% | 60% | 81 | 85 | 91 | 88 | 89 | 89 | 0.14 | 10% | Medicare shows only a Star Rating for this topic | 97% | 95% | 97% | 95% | 0.14 | 10% | Medicare shows only a Star Rating for this topic | 89 | 91 | 99 | 85% | 88% | 87% | 92% | 86% |
| H9147 | Local CCP | BLUE CROSS AND BLUE SHIELD OF NC SENIOR HEALTH | Blue Cross and Blue Shield of North Carolina | Blue Cross and Blue Shield of North Carolina | 55% | 64% | 62% | 53% | 61% | 95% | 92% | Not enough data available | 59% | 81% | 75% | 77% | Not enough data available | 60% | 14% | 78% | 46% | 52% | 80 | 82 | 90 | 87 | 87 | 87 | 0.4 | 43% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 97% | 95% | 0.4 | 43% | Medicare shows only a Star Rating for this topic | 88 | 90 | 98 | 82% | 85% | 84% | 85% | 85% |
| S5540 | PDP | BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA | Blue Cross and Blue Shield of North Carolina | Blue Cross and Blue Shield of North Carolina | 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 | 95% | 0.02 | 5% | Medicare shows only a Star Rating for this topic | 85 | 89 | 99 | 84% | 88% | 87% | 30% | 82% |
| H3449 | Local CCP | BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA | Blue Cross and Blue Shield of North Carolina | Blue Cross and Blue Shield of North Carolina | 80% | 82% | 73% | 56% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 23% | 71% | 84% | 78% | 53% | 42% | 84% | 8% | 85% | 70% | 56% | 84 | 85 | 93 | 88 | 89 | 88 | 0.1 | 9% | Medicare shows only a Star Rating for this topic | 99% | 97% | 97% | 95% | 0.1 | 9% | Medicare shows only a Star Rating for this topic | 87 | 91 | 99 | 83% | 89% | 87% | 80% | 85% |
| H3404 | Local CCP | BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA | Blue Cross and Blue Shield of North Carolina | Blue Cross and Blue Shield of North Carolina | 81% | 83% | 78% | 54% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 17% | 77% | 88% | 79% | 52% | 48% | 86% | 9% | 85% | 74% | 62% | 83 | 86 | 92 | 89 | 89 | 88 | 0.09 | 4% | Medicare shows only a Star Rating for this topic | 98% | 92% | 97% | 95% | 0.09 | 4% | Medicare shows only a Star Rating for this topic | 88 | 90 | 99 | 87% | 91% | 90% | 82% | 83% |
| H3557 | Local CCP | BLUE CROSS & BLUE SHIELD OF RHODE ISLAND | Blue Cross and Blue Shield of Rhode Island | Blue Cross and Blue Shield of Rhode Island | 90% | 89% | 85% | 56% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 36% | 89% | 90% | 79% | 57% | 54% | 80% | 16% | 89% | 66% | 65% | 82 | 84 | 93 | 88 | 90 | 87 | 0.04 | 5% | Medicare shows only a Star Rating for this topic | 98% | 91% | 98% | 98% | 0.04 | 5% | Medicare shows only a Star Rating for this topic | 89 | 90 | 99 | 89% | 92% | 91% | 89% | 87% |
| H4152 | Local CCP | BLUE CROSS & BLUE SHIELD OF RHODE ISLAND | Blue Cross and Blue Shield of Rhode Island | Blue Cross and Blue Shield of Rhode Island | 84% | 81% | 77% | 51% | 80% | 93% | 93% | 42% | 85% | 91% | 81% | 53% | 56% | 84% | 15% | 89% | 68% | 55% | 81 | 85 | 92 | 87 | 90 | 85 | 0.04 | 3% | Medicare shows only a Star Rating for this topic | 98% | 94% | 98% | 98% | 0.04 | 3% | Medicare shows only a Star Rating for this topic | 88 | 90 | 99 | 88% | 92% | 90% | 88% | 90% |
| H0302 | Local CCP | MEDISUN, INC. | Blue Cross Blue Shield of Arizona (AZ Blue) | Blue Cross Blue Shield of Arizona | 73% | 82% | 71% | 53% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 56% | 76% | 88% | 81% | 57% | 53% | 84% | 10% | 87% | 80% | 77% | 78 | 81 | 91 | 85 | 87 | 84 | 0.05 | 9% | Medicare shows only a Star Rating for this topic | 97% | 98% | 36% | 63% | 0.05 | 9% | Medicare shows only a Star Rating for this topic | 86 | 87 | 98 | 89% | 92% | 92% | 94% | 89% |
| H5587 | Local CCP | HEALTH CHOICE ARIZONA, INC. | BCBSAZ Health Choice | Blue Cross Blue Shield of Arizona | 58% | 59% | 46% | 39% | 84% | 91% | 96% | 53% | 75% | 83% | 82% | 49% | 34% | 98% | 11% | 89% | 89% | 55% | 77 | 77 | 90 | 84 | 87 | 82 | 0.14 | 16% | Medicare shows only a Star Rating for this topic | 91% | 87% | 36% | 63% | 0.14 | 16% | Medicare shows only a Star Rating for this topic | 87 | 87 | 99 | 93% | 94% | 95% | 95% | 89% |
| H7063 | Local CCP | BLUECROSS BLUESHIELD KANSAS SOLUTIONS, INC. | Blue Cross and Blue Shield of Kansas | Blue Cross Blue Shield of Kansas | 76% | 75% | 75% | 45% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 78% | 86% | 78% | 44% | 43% | 50% | 9% | 87% | 38% | 61% | 84 | 87 | 91 | 87 | 86 | 86 | 0.2 | 9% | Medicare shows only a Star Rating for this topic | 88% | 87% | 97% | 92% | 0.2 | 9% | Medicare shows only a Star Rating for this topic | 86 | 91 | 99 | 83% | 89% | 90% | 87% | 81% |