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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 - Improving or Maintaining Physical Health
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C05 - Improving or Maintaining Mental Health
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C06 - Monitoring Physical Activity
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C07 - Special Needs Plan (SNP) Care Management
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C08 - Care for Older Adults - Medication Review
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C09 - Care for Older Adults - Pain Assessment
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C10 - Osteoporosis Management in Women who had a Fracture
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C11 - Diabetes Care - Eye Exam
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C12 - Diabetes Care - Blood Sugar Controlled
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C13 - Kidney Health Evaluation for Patients with Diabetes
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C14 - Controlling High Blood Pressure
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C15 - Reducing the Risk of Falling
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C16 - Improving Bladder Control
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C17 - Medication Reconciliation Post-Discharge
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C18 - Plan All-Cause Readmissions
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C19 - Statin Therapy for Patients with Cardiovascular Disease
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C20 - Transitions of Care
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C21 - Follow-up after ED Visit People with Multiple Chronic Conditions
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C22 - Getting Needed Care
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C23 - Getting Appointments and Care Quickly
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C24 - Customer Service
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C25 - Rating of Health Care Quality
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C26 - Rating of Health Plan
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C27 - Care Coordination
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C28 - Complaints about the Health Plan
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C29 - Members Choosing to Leave the Plan
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C30 - Health Plan Quality Improvement
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C31 - Plan Makes Timely Decisions about Appeals
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C32 - Reviewing Appeals Decisions
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C33 - 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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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| H5439 | Local CCP | HEALTH NET LIFE INSURANCE COMPANY | Wellcare By Health Net | Centene Corporation | 66% | 68% | 60% | 67% | 87% | 46% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 36% | 69% | 83% | 56% | 76% | 48% | 38% | 86% | 9% | 79% | 69% | 52% | 76 | 76 | Not enough data available | 83 | 80 | 84 | 0.26 | 15% | Medicare shows only a Star Rating for this topic | 100% | 100% | 100% | 100% | 0.26 | 15% | Medicare shows only a Star Rating for this topic | 83 | 87 | 100 | 87% | 89% | 90% | 87% | 82% |
| H0111 | Local CCP | WELLCARE OF GEORGIA, INC. | Wellcare | Centene Corporation | 71% | 61% | 63% | Not enough data available | Not enough data available | 54% | 74% | 95% | 92% | 32% | 70% | 79% | 57% | 71% | 55% | Not enough data available | 74% | 10% | 86% | 62% | 53% | 82 | Not enough data available | 91 | 86 | 85 | Not enough data available | 0.33 | 34% | Medicare shows only a Star Rating for this topic | 90% | 97% | 100% | 100% | 0.33 | 34% | Medicare shows only a Star Rating for this topic | 85 | 88 | 99 | 86% | 88% | 88% | 98% | 84% |
| H1914 | Local CCP | WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC. | Wellcare | Centene Corporation | 67% | 68% | 65% | Not enough data available | Not enough data available | 50% | 80% | No data available | No data available | Not enough data available | 67% | 85% | 53% | 83% | 53% | Not enough data available | 66% | 10% | 84% | 58% | 59% | 80 | Not enough data available | 89 | 83 | 82 | Not enough data available | 0.41 | 22% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 100% | 100% | 0.41 | 22% | Medicare shows only a Star Rating for this topic | 83 | Not enough data available | 100 | 88% | 91% | 89% | 85% | 86% |
| H2117 | Local CCP | MERIDIAN HEALTH PLAN OF MICHIGAN, INC. | Wellcare | Centene Corporation | 63% | 59% | 50% | Plan too new to be measured | Plan too new to be measured | 44% | 84% | 92% | 91% | Not enough data available | 75% | 79% | 53% | 73% | Not enough data available | Not enough data available | 68% | 9% | 84% | 58% | 51% | 81 | 82 | 89 | 87 | 84 | Not enough data available | 0.8 | 37% | Medicare shows only a Star Rating for this topic | 96% | 100% | 100% | 100% | 0.8 | 37% | Medicare shows only a Star Rating for this topic | 82 | Not enough data available | 99 | 85% | 86% | 85% | 92% | 86% |
| H4847 | Local CCP | WELLCARE OF SOUTH CAROLINA, INC. | Wellcare | Centene Corporation | 72% | 63% | 62% | Not enough data available | Not enough data available | 49% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 66% | 82% | 60% | 75% | 63% | Not enough data available | 74% | 9% | 87% | 63% | 54% | 84 | 86 | 91 | 87 | 87 | 89 | 0.1 | 31% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 100% | 100% | 0.1 | 31% | Medicare shows only a Star Rating for this topic | 88 | 90 | 99 | 87% | 89% | 88% | 93% | 85% |
| H5087 | Local CCP | WELLCARE OF CALIFORNIA, INC. | Wellcare | Centene Corporation | 68% | 67% | 65% | Not enough data available | Not enough data available | 48% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 55% | 82% | 87% | 70% | 78% | Not enough data available | Not enough data available | 71% | 9% | 83% | 41% | 48% | 79 | 77 | 87 | 83 | 85 | Not enough data available | 0.38 | 28% | Medicare shows only a Star Rating for this topic | 88% | 100% | 100% | 100% | 0.38 | 28% | Medicare shows only a Star Rating for this topic | 86 | Not enough data available | 100 | 86% | 88% | 87% | 99% | 90% |
| H6815 | Local CCP | HEALTH NET HEALTH PLAN OF OREGON, INC. | Wellcare By Health Net | Centene Corporation | 70% | 69% | 66% | 65% | 86% | 47% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 37% | 74% | 84% | 58% | 71% | 54% | 46% | 80% | 10% | 85% | 67% | 49% | 78 | 80 | 88 | 84 | 82 | 84 | 0.22 | 19% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 100% | 100% | 0.22 | 19% | Medicare shows only a Star Rating for this topic | 84 | 89 | 100 | 88% | 90% | 90% | 87% | 84% |
| H7323 | Local CCP | WELLCARE NATIONAL HEALTH INSURANCE COMPANY | Wellcare | Centene Corporation | 61% | 61% | 65% | Not enough data available | Not enough data available | 51% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 63% | 84% | 61% | 76% | 60% | 40% | 73% | 11% | 83% | 53% | 52% | 84 | Not enough data available | 92 | 85 | 85 | 89 | 1.24 | 39% | Medicare shows only a Star Rating for this topic | 92% | 92% | 100% | 100% | 1.24 | 39% | Medicare shows only a Star Rating for this topic | 88 | Not enough data available | 99 | 84% | 87% | 85% | 93% | 88% |
| H8189 | Local CCP | MANAGED HEALTH SERVICES INSURANCE CORP. | Wellcare by Allwell | Centene Corporation | 67% | 62% | 58% | Not enough data available | Not enough data available | 43% | 79% | 99% | 96% | Not enough data available | 69% | 88% | 63% | 79% | 72% | 47% | 73% | 8% | 92% | 59% | 55% | 79 | 81 | 88 | 85 | 86 | 89 | 0.75 | 25% | Medicare shows only a Star Rating for this topic | 100% | 100% | 100% | 100% | 0.75 | 25% | Medicare shows only a Star Rating for this topic | 87 | Not enough data available | 99 | 87% | 88% | 88% | 90% | 88% |
| H5190 | Local CCP | SUNSHINE STATE HEALTH PLAN, INC. | Wellcare By Allwell | Centene Corporation | 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 | Plan too small 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 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 | No data available | Not enough data available | Not enough data available | Not enough data available | Not enough data available | Not enough data available | Not enough data available | No data available | Not enough data available | Not enough data available | 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 required to report | Not enough data available |