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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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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| H2875 | Local CCP | HUMANA WI HEALTH ORGANIZATION INSURANCE CORP | Humana | Humana Inc | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Not enough data available | Not enough data available | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured |
| H0292 | Local CCP | HUMANA HEALTH PLAN OF OHIO, INC. | Humana | Humana Inc | 80% | 81% | 72% | 50% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 61% | 86% | 92% | 76% | 54% | 46% | 92% | 14% | 93% | 82% | 73% | 84 | 87 | 91 | 89 | 89 | 89 | 0.07 | 15% | Medicare shows only a Star Rating for this topic | 99% | 99% | 98% | 97% | 0.07 | 15% | Medicare shows only a Star Rating for this topic | 89 | 90 | 86 | 88% | 90% | 90% | 80% | 91% |
| H1036 | Local CCP | HUMANA MEDICAL PLAN, INC. | Humana | Humana Inc | 81% | 83% | 61% | 56% | 76% | 97% | 98% | 57% | 86% | 87% | 84% | 61% | 51% | 85% | 11% | 88% | 68% | 67% | 81 | 84 | 90 | 87 | 89 | 86 | 0.17 | 15% | Medicare shows only a Star Rating for this topic | 97% | 98% | 98% | 97% | 0.17 | 15% | Medicare shows only a Star Rating for this topic | 89 | 90 | 83 | 87% | 90% | 89% | 87% | 91% |
| H1468 | Local CCP | HUMANA BENEFIT PLAN OF ILLINOIS, INC. | Humana | Humana Inc | 80% | 83% | 74% | 57% | 86% | 98% | 99% | 48% | 83% | 87% | 78% | 61% | 46% | 86% | 11% | 90% | 68% | 60% | 81 | 85 | 91 | 87 | 88 | 89 | 0.15 | 13% | Medicare shows only a Star Rating for this topic | 96% | 98% | 98% | 97% | 0.15 | 13% | Medicare shows only a Star Rating for this topic | 90 | 89 | 83 | 87% | 89% | 88% | 87% | 90% |
| R4182 | Regional CCP | HUMANA INSURANCE COMPANY | Humana | Humana Inc | 59% | 68% | 62% | 48% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 20% | 65% | 79% | 70% | 56% | 44% | 77% | 11% | 81% | 58% | 50% | 85 | 87 | 90 | 88 | 87 | 87 | 0.11 | 18% | Medicare shows only a Star Rating for this topic | 99% | 99% | 98% | 97% | 0.11 | 18% | Medicare shows only a Star Rating for this topic | 87 | 89 | 84 | 84% | 88% | 87% | 78% | 82% |
| H5496 | Local CCP | IMPERIAL HEALTH PLAN OF CALIFORNIA, INC. | Imperial Health Plan of California Inc. | Imperial Health Plan of California | 85% | 84% | 65% | 47% | 99% | 100% | 100% | Not enough data available | 88% | 95% | 97% | 53% | 40% | 100% | 5% | 96% | 71% | 95% | 70 | Not enough data available | 88 | Not enough data available | 82 | Not enough data available | 0.99 | 26% | Medicare shows only a Star Rating for this topic | 96% | 100% | 97% | 94% | 0.99 | 26% | Medicare shows only a Star Rating for this topic | 87 | Not enough data available | 99 | 89% | 91% | 91% | 94% | 93% |
| H3909 | Local CCP | QCC INSURANCE COMPANY | Independence Blue Cross | Independence Health Group Inc | 79% | 74% | 81% | 57% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 47% | 75% | 86% | 75% | 56% | 51% | 75% | 10% | 89% | 64% | 72% | 81 | 84 | 92 | 87 | 89 | 86 | 0.11 | 4% | Medicare shows only a Star Rating for this topic | 97% | 100% | 97% | 95% | 0.11 | 4% | Medicare shows only a Star Rating for this topic | 87 | 89 | 97 | 85% | 91% | 88% | 89% | 86% |
| H3952 | Local CCP | KEYSTONE HEALTH PLAN EAST, INC. | Independence Blue Cross | Independence Health Group Inc | 77% | 76% | 81% | 50% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 51% | 76% | 89% | 77% | 58% | 46% | 73% | 10% | 88% | 62% | 71% | 82 | 86 | 93 | 88 | 90 | 87 | 0.08 | 6% | Medicare shows only a Star Rating for this topic | 98% | 98% | 97% | 95% | 0.08 | 6% | Medicare shows only a Star Rating for this topic | 88 | 91 | 97 | 86% | 90% | 88% | 89% | 88% |
| H4227 | Local CCP | VISTA HEALTH PLAN, INC. | VISTA Health Plan Inc. | Independence Health Group Inc | 77% | 69% | 75% | 56% | CMS identified issues with this plan's data | 100% | 94% | 33% | 74% | 76% | 71% | 68% | 46% | 64% | 14% | 90% | 57% | 54% | 84 | 85 | 91 | 87 | 88 | 89 | 0.33 | 19% | Medicare shows only a Star Rating for this topic | 100% | 95% | 97% | 97% | 0.33 | 19% | Medicare shows only a Star Rating for this topic | 89 | 91 | 98 | 84% | 85% | 82% | 91% | 89% |
| S6875 | PDP | QCC INSURANCE COMPANY | Independence Blue Cross | Independence Health Group Inc | 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 | 88 | 90 | Not enough data available | 86% | 88% | 87% | 83% | 88% |