|
hcontract
|
org type
|
contract name
|
org marketing name
|
parent org
|
C01 - Breast Cancer Screening
|
C02 - Colorectal Cancer Screening
|
C03 - Annual Flu Vaccine
|
C04 - Improving or Maintaining Physical Health
|
C05 - Improving or Maintaining Mental Health
|
C06 - Monitoring Physical Activity
|
C07 - Special Needs Plan (SNP) Care Management
|
C08 - Care for Older Adults - Medication Review
|
C09 - Care for Older Adults - Pain Assessment
|
C10 - Osteoporosis Management in Women who had a Fracture
|
C11 - Diabetes Care - Eye Exam
|
C12 - Diabetes Care - Blood Sugar Controlled
|
C13 - Kidney Health Evaluation for Patients with Diabetes
|
C14 - Controlling High Blood Pressure
|
C15 - Reducing the Risk of Falling
|
C16 - Improving Bladder Control
|
C17 - Medication Reconciliation Post-Discharge
|
C18 - Plan All-Cause Readmissions
|
C19 - Statin Therapy for Patients with Cardiovascular Disease
|
C20 - Transitions of Care
|
C21 - Follow-up after ED Visit People with Multiple Chronic Conditions
|
C22 - Getting Needed Care
|
C23 - Getting Appointments and Care Quickly
|
C24 - Customer Service
|
C25 - Rating of Health Care Quality
|
C26 - Rating of Health Plan
|
C27 - Care Coordination
|
C28 - Complaints about the Health Plan
|
C29 - Members Choosing to Leave the Plan
|
C30 - Health Plan Quality Improvement
|
C31 - Plan Makes Timely Decisions about Appeals
|
C32 - Reviewing Appeals Decisions
|
C33 - Call Center - Foreign Language Interpreter and TTY Availability
|
D01 - Call Center - Foreign Language Interpreter and TTY Availability
|
D02 - Complaints about the Drug Plan
|
D03 - Members Choosing to Leave the Plan
|
D04 - Drug Plan Quality Improvement
|
D05 - Rating of Drug Plan
|
D06 - Getting Needed Prescription Drugs
|
D07 - MPF Price Accuracy
|
D08 - Medication Adherence for Diabetes Medications
|
D09 - Medication Adherence for Hypertension (RAS antagonists)
|
D10 - Medication Adherence for Cholesterol (Statins)
|
D11 - MTM Program Completion Rate for CMR
|
D12 - Statin Use in Persons with Diabetes (SUPD)
|
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| H3251 | Local CCP | HEALTH CARE SERVICE CORPORATION | Blue Cross and Blue Shield of New Mexico | Health Care Service Corporation | 71% | 72% | 71% | 76% | 89% | 48% | 45% | 100% | 85% | 27% | 69% | 79% | 57% | 73% | 60% | 47% | 70% | 8% | 78% | 59% | 70% | 73 | 75 | 90 | 83 | 86 | Not enough data available | 0.3 | 13% | Medicare shows only a Star Rating for this topic | 100% | 98% | 95% | 98% | 0.3 | 13% | Medicare shows only a Star Rating for this topic | 85 | 86 | 99 | 84% | 87% | 87% | 95% | 79% |
| H3256 | Local CCP | CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO. | UnitedHealthcare | UnitedHealth Group Inc | 76% | 79% | 62% | 73% | 84% | 52% | 82% | 99% | 99% | 52% | 88% | 91% | 62% | 80% | 65% | 50% | 68% | 11% | 87% | 62% | 58% | 84 | 88 | 92 | 87 | 89 | Not enough data available | 0.13 | 29% | Medicare shows only a Star Rating for this topic | 99% | 98% | 100% | 100% | 0.13 | 29% | Medicare shows only a Star Rating for this topic | 91 | 92 | 100 | 89% | 90% | 90% | 94% | 86% |
| H3259 | Local CCP | VOLUNTEER STATE HEALTH PLAN | BlueCare Plus Tennessee | BlueCross BlueShield of Tennessee | 73% | 74% | 57% | 67% | 78% | 45% | 67% | 93% | 93% | 62% | 84% | 83% | 52% | 72% | 59% | 42% | 62% | 10% | 83% | 53% | 57% | 85 | 85 | 91 | 87 | 89 | 87 | 0.16 | 15% | Medicare shows only a Star Rating for this topic | 99% | 93% | 98% | 98% | 0.16 | 15% | Medicare shows only a Star Rating for this topic | 90 | 91 | 98 | 87% | 87% | 87% | 88% | 83% |
| H3274 | Local CCP | ALIGN SENIOR CARE CALIFORNIA INC. | Align Senior Care | Curana Health Holdings LLC | 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 | 80% | Not enough data available | Not enough 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 | 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 | Not enough data available | Not enough data available | Not enough data available | Not enough data available | Not enough data available | 94% | 100% | Not enough data available | Not enough data available | Not enough data available | Plan too small to be measured | Plan too small to be measured | 100 | Not enough data available | 88% | 95% | 93% | Not enough data available |
| H3276 | Local CCP | CONNECTICARE INSURANCE COMPANY, INC. | ConnectiCare | Molina Healthcare Inc | 76% | 74% | Plan too small to be measured | Not enough data available | Not enough data available | Not enough data available | 34% | 91% | 90% | Not enough data available | 73% | 71% | 57% | 82% | Not enough data available | Not enough data available | 64% | No data available | Not enough data available | 71% | 53% | 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% | 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 | 99 | 89% | 87% | 90% | 91% | 94% |
| H3288 | Local CCP | AETNA HEALTH AND LIFE INSURANCE COMPANY | Aetna Medicare | CVS Health Corporation | 68% | 65% | 61% | 70% | 82% | 46% | No data available | No data available | No data available | 47% | 72% | 92% | 52% | 79% | 52% | 47% | 91% | 8% | 84% | 53% | 53% | 83 | 86 | 92 | 88 | 87 | Not enough data available | 0.17 | 22% | Medicare shows only a Star Rating for this topic | 99% | 99% | 98% | 100% | 0.17 | 22% | Medicare shows only a Star Rating for this topic | 85 | 89 | 98 | 86% | 89% | 88% | 94% | 83% |
| H3291 | Local CCP | PRUITTHEALTH PREMIER, INC. | PruittHealth Premier | UNICO Services Inc | 32% | 79% | Plan too small to be measured | Not enough data available | Not enough data available | No data available | 98% | 97% | 99% | Not enough data available | 85% | 78% | 59% | Not enough data available | No data available | No data available | Not enough data available | 12% | Not enough data available | Not enough data available | 43% | 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 | 0.1 | 4% | Not enough data available | Not enough data available | Not enough data available | 97% | 98% | 0.1 | 4% | Medicare shows only a Star Rating for this topic | Plan too small to be measured | Plan too small to be measured | 100 | 89% | 91% | 94% | 96% | 98% |
| H3305 | Local CCP | MVP HEALTH PLAN, INC. | MVP HEALTH CARE | MVP Health Care Inc | 82% | 79% | 81% | 67% | 83% | 55% | 54% | 84% | 85% | 45% | 74% | 84% | 64% | 75% | 60% | 50% | 64% | 10% | 88% | 55% | 60% | 84 | 87 | 92 | 89 | 91 | 88 | 0.05 | 4% | Medicare shows only a Star Rating for this topic | 100% | 97% | 92% | 88% | 0.05 | 4% | Medicare shows only a Star Rating for this topic | 89 | 92 | 99 | 86% | 91% | 89% | 66% | 85% |
| H3312 | Local CCP | AETNA HEALTH INC. (NY) | Aetna Medicare | CVS Health Corporation | 74% | 66% | 62% | 71% | 84% | 47% | 65% | 100% | 95% | 44% | 77% | 83% | 50% | 83% | 65% | 47% | 90% | 9% | 86% | 55% | 61% | 79 | 79 | 88 | 83 | 85 | 87 | 0.31 | 23% | Medicare shows only a Star Rating for this topic | 98% | 100% | 98% | 100% | 0.31 | 23% | Medicare shows only a Star Rating for this topic | 85 | 88 | 99 | 87% | 89% | 87% | 98% | 87% |
| H3330 | Local CCP | HEALTH INSURANCE PLAN OF GREATER NEW YORK | EmblemHealth | EmblemHealth Inc | 86% | 83% | 67% | Not enough data available | Not enough data available | 54% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 33% | 82% | 89% | 69% | 77% | 67% | Not enough data available | 73% | 11% | 85% | 65% | 55% | 81 | Not enough data available | 90 | 87 | 85 | Not enough data available | 0.15 | 2% | Medicare shows only a Star Rating for this topic | 99% | 96% | 97% | 100% | 0.15 | 2% | Medicare shows only a Star Rating for this topic | 87 | 90 | 99 | 89% | 91% | 89% | 93% | 88% |