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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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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| H2034 | Local CCP | COMMUNITY CARE HEALTH PLAN, INC. | Community Care | Community Care Inc | No data available | 71% | Plan too small to be measured | Not enough data available | Not enough data available | Not enough data available | 100% | 99% | 100% | Not enough data available | 33% | 43% | 17% | No data available | Not enough data available | Not enough data available | 75% | No data available | Not enough data available | 59% | 90% | 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 | 92% | 86% | 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 | 89% | 85% | 92% | 51% | 89% |
| H6248 | Local CCP | COMMUNITY HEALTH GROUP | Community Health Group | Community Health Group | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | CMS identified issues with this plan's data | 80% | 78% | 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 new to be measured | Plan too new 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 | Not enough data available | Not enough data available | Not enough data available | Not enough data available | Not enough data available | 95% | 95% | Not enough data available | Not enough data available | Not enough data available | Plan too small to be measured | Plan too small to be measured | 98 | 76% | 77% | 84% | Not enough data available | Not enough data available |
| H4733 | Local CCP | COMMUNITY HEALTH GROUP | Community Health Group | Community Health Group | 76% | 66% | 78% | Plan too new to be measured | Plan too new to be measured | 62% | 63% | 88% | 83% | Not enough data available | 84% | 83% | 64% | 65% | 75% | 47% | 21% | 12% | 84% | 26% | 56% | 79 | 83 | 90 | 88 | 90 | 85 | 0.2 | 6% | Medicare shows only a Star Rating for this topic | 100% | 100% | 95% | 95% | 0.2 | 6% | Medicare shows only a Star Rating for this topic | 90 | 86 | 98 | 86% | 88% | 86% | 90% | 90% |
| H5826 | Local CCP | COMMUNITY HEALTH PLAN OF WASHINGTON | Community Health Plan of WA Medicare Advantage | Community Health Plan of Washington | 67% | 63% | 68% | Not enough data available | Not enough data available | 54% | 46% | 91% | 89% | 31% | 72% | 81% | 59% | 74% | 54% | 51% | 66% | 9% | 88% | 57% | 56% | 76 | 79 | 88 | 84 | 84 | 85 | 0.08 | 12% | Medicare shows only a Star Rating for this topic | 87% | 93% | 100% | 98% | 0.08 | 12% | Medicare shows only a Star Rating for this topic | 87 | 88 | 99 | 89% | 90% | 90% | 87% | 88% |
| H5119 | Local CCP | CONTRA COSTA COUNTY MEDICAL SERVICE DBA CONTRA COS | Contra Costa Health Care Plus (HMO D-SNP) | Contra Costa Health Services | 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 | 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 |
| H8379 | Local CCP | PRIORITY HEALTH CHOICE, INC. | Priority Health Medicare | Corewell Health | 73% | 70% | 60% | 73% | 84% | 51% | 75% | 88% | 84% | 33% | 76% | 86% | 68% | 81% | 64% | 52% | 67% | 10% | 86% | 70% | 60% | 82 | 84 | 90 | 87 | 88 | 86 | 0.12 | 28% | Medicare shows only a Star Rating for this topic | 100% | 93% | 100% | 100% | 0.12 | 28% | Medicare shows only a Star Rating for this topic | 89 | 89 | 99 | 87% | 89% | 87% | 95% | 86% |
| H2320 | Local CCP | PRIORITY HEALTH | Priority Health Medicare | Corewell Health | 83% | 80% | 69% | 72% | 86% | 51% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 43% | 81% | 91% | 74% | 80% | 50% | 48% | 83% | 9% | 86% | 83% | 61% | 84 | 85 | 91 | 88 | 88 | 89 | 0.02 | 9% | Medicare shows only a Star Rating for this topic | 100% | 95% | 100% | 100% | 0.02 | 9% | Medicare shows only a Star Rating for this topic | 87 | 91 | 99 | 87% | 91% | 90% | 95% | 85% |
| H4875 | Local CCP | PRIORITY HEALTH | Priority Health Medicare | Corewell Health | 81% | 75% | 69% | 72% | 85% | 55% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 37% | 80% | 88% | 68% | 81% | 54% | 52% | 74% | 10% | 84% | 78% | 62% | 84 | 85 | 91 | 88 | 88 | 88 | 0.04 | 7% | Medicare shows only a Star Rating for this topic | 100% | 94% | 100% | 100% | 0.04 | 7% | Medicare shows only a Star Rating for this topic | 87 | 90 | 99 | 86% | 91% | 89% | 94% | 85% |
| S5857 | PDP | PRIORITY HEALTH INSURANCE COMPANY | Priority Health Medicare | Corewell Health | 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 | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | Not enough 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 enough data available | Not enough data available |
| H2942 | Local CCP | COX HEALTH SYSTEMS HMO INC | Cox HealthPlans | CoxHealth | Not enough data available | 78% | 70% | Plan too new to be measured | Plan too new to be measured | 51% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 77% | 90% | 71% | 80% | 55% | 43% | 95% | 8% | 86% | 88% | 57% | 83 | 85 | 91 | 87 | 88 | 89 | 0.02 | 7% | Medicare shows only a Star Rating for this topic | 97% | 86% | 98% | 98% | 0.02 | 7% | Medicare shows only a Star Rating for this topic | 89 | 91 | 100 | 82% | 92% | 90% | 81% | 88% |