|
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)
|
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| H3335 | Local CCP | EXCELLUS HEALTH PLAN, INC. | Excellus Health Plan Inc | Lifetime Healthcare Inc | 85% | 77% | 74% | 74% | 85% | 49% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 29% | 85% | 92% | 55% | 79% | 58% | 47% | 75% | 11% | 87% | 76% | 58% | 82 | 85 | 90 | 86 | 86 | 88 | 0.04 | 4% | Medicare shows only a Star Rating for this topic | 99% | 95% | 84% | 94% | 0.04 | 4% | Medicare shows only a Star Rating for this topic | 85 | 91 | 99 | 89% | 92% | 91% | 89% | 85% |
| H3344 | Local CCP | INDEPENDENT HEALTH BENEFITS CORPORATION | Independent Health | Independent Health Association Inc | 90% | 83% | 79% | 72% | 84% | 52% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 90% | 93% | 65% | 87% | 51% | 48% | 75% | 10% | 86% | 67% | 64% | 86 | 89 | 94 | 89 | 92 | 87 | 0.05 | 2% | Medicare shows only a Star Rating for this topic | 99% | 97% | 98% | 100% | 0.05 | 2% | Medicare shows only a Star Rating for this topic | 92 | 93 | 95 | 92% | 94% | 92% | 92% | 86% |
| H3347 | Local CCP | ELDERPLAN, INC. | Elderplan | Elderplan Inc | 75% | 60% | 67% | Not enough data available | Not enough data available | 62% | 92% | 82% | 95% | Not enough data available | 85% | 75% | 56% | 64% | 80% | 44% | 84% | 12% | 88% | 73% | 58% | 78 | 82 | 89 | 86 | 87 | 86 | 0.28 | 15% | Medicare shows only a Star Rating for this topic | 100% | 95% | 98% | 98% | 0.28 | 15% | Medicare shows only a Star Rating for this topic | 88 | Not enough data available | 98 | 88% | 88% | 86% | 97% | 91% |
| H3351 | Local CCP | EXCELLUS HEALTH PLAN, INC. | Excellus Health Plan Inc | Lifetime Healthcare Inc | 82% | 77% | 81% | 69% | 86% | 52% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 30% | 83% | 93% | 66% | 75% | 58% | 45% | 81% | 11% | 88% | 82% | 59% | 83 | 86 | 93 | 88 | 87 | 88 | 0.04 | 3% | Medicare shows only a Star Rating for this topic | 99% | 96% | 84% | 94% | 0.04 | 3% | Medicare shows only a Star Rating for this topic | 85 | 91 | 99 | 89% | 92% | 91% | 90% | 86% |
| H3359 | Local CCP | HEALTHFIRST HEALTH PLAN, INC. | Healthfirst Medicare Plan | Healthfirst Inc | 81% | 78% | 75% | Not enough data available | Not enough data available | 62% | 62% | 93% | 92% | 48% | 86% | 88% | 59% | 85% | 75% | 53% | 88% | 10% | 89% | 73% | 70% | 82 | 84 | 88 | 88 | 90 | 84 | 0.1 | 8% | Medicare shows only a Star Rating for this topic | 100% | 100% | 100% | 98% | 0.1 | 8% | Medicare shows only a Star Rating for this topic | 89 | 89 | 98 | 89% | 89% | 87% | 89% | 92% |
| H3362 | Local CCP | INDEPENDENT HEALTH ASSOCIATION, INC. | Independent Health | Independent Health Association Inc | 85% | 79% | 76% | 75% | 84% | 49% | 97% | 100% | 99% | 49% | 90% | 96% | 66% | 88% | 59% | 42% | 84% | 9% | 88% | 71% | 66% | 86 | 88 | 93 | 89 | 91 | 88 | 0.04 | 1% | Medicare shows only a Star Rating for this topic | 99% | 98% | 98% | 100% | 0.04 | 1% | Medicare shows only a Star Rating for this topic | 88 | 92 | 96 | 91% | 93% | 93% | 94% | 89% |
| H3379 | Local CCP | UNITEDHEALTHCARE OF NEW YORK, INC. | UnitedHealthcare | UnitedHealth Group Inc | 77% | 73% | 75% | 70% | 83% | 45% | 95% | 96% | 98% | 32% | 85% | 89% | 54% | 80% | 50% | 45% | 75% | 11% | 89% | 53% | 60% | 81 | 83 | 90 | 86 | 83 | 88 | 0.15 | 14% | Medicare shows only a Star Rating for this topic | 100% | 100% | 100% | 100% | 0.15 | 14% | Medicare shows only a Star Rating for this topic | 84 | 89 | 100 | 87% | 91% | 90% | 90% | 87% |
| H3384 | Local CCP | Highmark Western and Northeastern New York Inc. | Highmark Blue Cross Blue Shield or Highmark Blue S | Highmark Health | 83% | 79% | 72% | 73% | 88% | 53% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 55% | 85% | 94% | 67% | 77% | 56% | 44% | 84% | 11% | 92% | 67% | 64% | 85 | 88 | 90 | 88 | 86 | 88 | 0.04 | 11% | Medicare shows only a Star Rating for this topic | 97% | 99% | 91% | 95% | 0.04 | 11% | Medicare shows only a Star Rating for this topic | 86 | 91 | 99 | 90% | 93% | 92% | 89% | 94% |
| H3387 | Local CCP | UNITEDHEALTHCARE OF NEW YORK, INC. | UnitedHealthcare | UnitedHealth Group Inc | 74% | 76% | 74% | 68% | 82% | 57% | 78% | 96% | 98% | 40% | 91% | 90% | 63% | 82% | 74% | 53% | 64% | 12% | 88% | 65% | 61% | 80 | 85 | 86 | 86 | 87 | 86 | 0.12 | 18% | Medicare shows only a Star Rating for this topic | 100% | 99% | 100% | 100% | 0.12 | 18% | Medicare shows only a Star Rating for this topic | 88 | Not enough data available | 100 | 91% | 91% | 90% | 91% | 90% |
| H3388 | Local CCP | CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC. | CDPHP Medicare Advantage | Lifetime Healthcare Inc | 84% | 81% | 76% | 73% | 87% | 53% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 47% | 86% | 93% | 63% | 79% | 51% | 42% | 81% | 10% | 87% | 83% | 63% | 84 | 86 | 94 | 89 | 91 | 88 | 0.04 | 4% | Medicare shows only a Star Rating for this topic | 97% | 98% | 98% | 97% | 0.04 | 4% | Medicare shows only a Star Rating for this topic | 89 | 90 | 98 | 85% | 91% | 90% | 91% | 85% |