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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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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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% |
| H5883 | Local CCP | BLUE CARE NETWORK OF MICHIGAN | Blue Care Network | Blue Cross Blue Shield of Michigan Mutual Ins Co | 82% | 86% | 73% | 49% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 46% | 83% | 91% | 78% | 54% | 49% | 76% | 9% | 86% | 60% | 61% | 82 | 84 | 90 | 87 | 88 | 87 | 0.07 | 5% | Medicare shows only a Star Rating for this topic | 100% | 96% | 100% | 100% | 0.07 | 5% | Medicare shows only a Star Rating for this topic | 87 | 91 | 99 | 86% | 91% | 90% | 90% | 87% |
| H9529 | Local CCP | WYOBLUE ADVANTAGE INC | WyoBlue Advantage | Blue Cross Blue Shield of Michigan Mutual Ins Co | 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 not required to report measure | Plan not required to report measure | Plan not required to report measure | 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 |
| H6898 | Local CCP | VERMONT BLUE ADVANTAGE, INC. | Vermont Blue Advantage | Blue Cross Blue Shield of Michigan Mutual Ins Co | 79% | 80% | 85% | 48% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 34% | 81% | 79% | 61% | 50% | 51% | 47% | 10% | 88% | 50% | 56% | 80 | 82 | 91 | 86 | 86 | 86 | 0.07 | 1% | Medicare shows only a Star Rating for this topic | 90% | 91% | 98% | 98% | 0.07 | 1% | Medicare shows only a Star Rating for this topic | 87 | 92 | 99 | 90% | 92% | 91% | 89% | 83% |
| H8095 | Local CCP | WELLMARK ADVANTAGE HEALTH PLAN, INC. | Wellmark Advantage Health Plan | Blue Cross Blue Shield of Michigan Mutual Ins Co | Not enough data available | 68% | Plan too small to be measured | 42% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 72% | 77% | 78% | Not enough data available | Not enough data available | 52% | No data available | Not enough data available | 46% | 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 | Not enough data available | Not enough data available | Not enough data available | Not enough data available | Not enough data available | 100% | 100% | Not enough data available | Not enough data available | Medicare shows only a Star Rating for this topic | Plan too small to be measured | Plan too small to be measured | 99 | 83% | 91% | 90% | 95% | 82% |
| H5900 | Local CCP | WELLMARK ADVANTAGE HEALTH PLAN, INC. | Wellmark Advantage Health Plan | Blue Cross Blue Shield of Michigan Mutual Ins Co | Not enough data available | 72% | 77% | 46% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 77% | 84% | 74% | 45% | 55% | 56% | 12% | 89% | 49% | 62% | 85 | 88 | 91 | 89 | 88 | 90 | 0.09 | 8% | Medicare shows only a Star Rating for this topic | 92% | 85% | 100% | 100% | 0.09 | 8% | Medicare shows only a Star Rating for this topic | 85 | 91 | 99 | 88% | 91% | 90% | 90% | 82% |
| H9572 | Local CCP | BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY | Blue Cross Blue Shield of Michigan | Blue Cross Blue Shield of Michigan Mutual Ins Co | 83% | 83% | 76% | 53% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 47% | 84% | 91% | 82% | 57% | 48% | 78% | 10% | 84% | 58% | 63% | 82 | 86 | 89 | 86 | 88 | 86 | 0.05 | 1% | Medicare shows only a Star Rating for this topic | 97% | 98% | 100% | 100% | 0.05 | 1% | Medicare shows only a Star Rating for this topic | 90 | 89 | 99 | 88% | 91% | 90% | 90% | 85% |
| H9489 | Local CCP | VERMONT BLUE ADVANTAGE, INC. | Vermont Blue Advantage | Blue Cross Blue Shield of Michigan Mutual Ins Co | 60% | 71% | Plan too small to be measured | 50% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 75% | 86% | 64% | Not enough data available | Not enough data available | 47% | No data available | Not enough data available | 49% | 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 | Not enough data available | Not enough data available | Not enough data available | Not enough data available | Not enough data available | 98% | 98% | Not enough data available | Not enough data available | Medicare shows only a Star Rating for this topic | Plan too small to be measured | Plan too small to be measured | 100 | 90% | 91% | 90% | Not enough data available | 73% |
| S5584 | PDP | BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY | Blue Cross Blue Shield of Michigan | Blue Cross Blue Shield of Michigan Mutual Ins Co | 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 | 100% | 0.08 | 5% | Medicare shows only a Star Rating for this topic | 85 | 89 | 99 | 86% | 90% | 89% | 67% | 82% |
| H6202 | Local CCP | NEXTBLUE OF NORTH DAKOTA INSURANCE COMPANY | NextBlue of North Dakota | Blue Cross Blue Shield of Michigan Mutual Ins Co | 81% | 74% | 68% | 44% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 84% | 90% | 81% | 38% | 43% | 58% | 8% | 86% | 57% | 56% | 85 | 86 | 92 | 87 | 89 | 89 | 0.14 | 4% | Medicare shows only a Star Rating for this topic | 87% | 71% | 98% | 98% | 0.14 | 4% | Medicare shows only a Star Rating for this topic | 89 | 93 | 99 | 88% | 90% | 90% | 90% | 79% |