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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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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| H3805 | Local CCP | UnitedHealthcare Benefits of Texas, Inc. | UnitedHealthcare | UnitedHealth Group Inc | 77% | 77% | 74% | 68% | 82% | 51% | No data available | No data available | No data available | 43% | 89% | 92% | 68% | 83% | 51% | 45% | 81% | 10% | 87% | 68% | 56% | 75 | Not enough data available | Not enough data available | 82 | 82 | Not enough data available | 0.1 | 9% | Medicare shows only a Star Rating for this topic | 100% | 99% | 100% | 100% | 0.1 | 9% | Medicare shows only a Star Rating for this topic | 85 | 87 | 100 | 88% | 91% | 91% | 90% | 87% |
| H3810 | Local CCP | ALLCARE HEALTH PLAN, INC. | AllCare Advantage | AllCare Health Inc | 54% | 41% | 42% | 70% | 82% | 45% | 35% | 75% | 72% | Not enough data available | 74% | 81% | 41% | 71% | 57% | 45% | 60% | 12% | 77% | 63% | 46% | 80 | 82 | 89 | 85 | 86 | 85 | 0.05 | 8% | Medicare shows only a Star Rating for this topic | 79% | 89% | 80% | 77% | 0.05 | 8% | Medicare shows only a Star Rating for this topic | 87 | 90 | 98 | 82% | 86% | 86% | 95% | 77% |
| H3811 | Local CCP | SAMARITAN HEALTH PLANS, INC. | Samaritan Advantage Health Plans | Samaritan Health Services Inc | 75% | 75% | 75% | 73% | 79% | 51% | 21% | 96% | 94% | Not enough data available | 71% | 89% | 52% | 62% | 51% | 45% | 85% | 9% | 85% | 75% | 48% | 77 | 78 | 90 | 84 | 85 | 86 | 0.14 | 4% | Medicare shows only a Star Rating for this topic | 75% | 89% | 80% | 83% | 0.14 | 4% | Medicare shows only a Star Rating for this topic | 85 | 90 | 99 | 86% | 90% | 89% | 86% | 84% |
| H3814 | Local CCP | ATRIO HEALTH PLANS | ATRIO Health Plans | ATRIO Health Plans | 59% | 53% | 49% | Not enough data available | Not enough data available | 35% | CMS identified issues with this plan's data | 63% | 50% | Not enough data available | 67% | 51% | 29% | 52% | 58% | 43% | 23% | 8% | 75% | 25% | 49% | 77 | 78 | 88 | 83 | 84 | 85 | 0.09 | 5% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 92% | 95% | 0.09 | 5% | Medicare shows only a Star Rating for this topic | 84 | 87 | 99 | 82% | 83% | 83% | 88% | 79% |
| H3815 | Local CCP | ALIGNMENT HEALTH PLAN | Alignment Health Plan | Alignment Healthcare USA LLC | 82% | 81% | 68% | 79% | 82% | 53% | 92% | 100% | 98% | 71% | 87% | 90% | 73% | 87% | 58% | 54% | 91% | 9% | 89% | 65% | 64% | 76 | 83 | 88 | 86 | 88 | Not enough data available | 0.17 | 10% | Medicare shows only a Star Rating for this topic | 95% | 95% | 100% | 100% | 0.17 | 10% | Medicare shows only a Star Rating for this topic | 88 | Not enough data available | 99 | 91% | 93% | 92% | 96% | 93% |
| H3817 | Local CCP | REGENCE BLUECROSS BLUESHIELD OF OREGON | Regence BlueCross BlueShield of Oregon | Cambia Health Solutions Inc | 80% | 77% | 65% | 74% | 84% | 51% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 45% | 84% | 90% | 56% | 76% | 47% | 55% | 74% | 8% | 87% | 71% | 60% | 78 | 79 | 92 | 84 | 85 | 84 | 0.05 | 15% | Medicare shows only a Star Rating for this topic | 97% | 95% | 100% | 100% | 0.05 | 15% | Medicare shows only a Star Rating for this topic | 85 | 88 | 99 | 88% | 91% | 91% | 76% | 86% |
| H3822 | Local CCP | HEALTH CARE SERVICE CORPORATION | Blue Cross and Blue Shield of IL NM | Health Care Service Corporation | 76% | 78% | 75% | 75% | 86% | 52% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 22% | 73% | 87% | 68% | 80% | 54% | 50% | 70% | 8% | 89% | 58% | 63% | 80 | 80 | 89 | 86 | 86 | 87 | 0.11 | 11% | Medicare shows only a Star Rating for this topic | 98% | 97% | 95% | 98% | 0.11 | 11% | Medicare shows only a Star Rating for this topic | 88 | 88 | 99 | 85% | 88% | 86% | 92% | 89% |
| H3828 | Local CCP | MOUNT CARMEL HEALTH PLAN OF IDAHO, INC. | Saint Alphonsus Health Plan | Trinity Health Corporation | 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 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 | Not enough data available | Not enough data available | Not enough data available | Not enough data available | Not enough data available | 97% | 94% | 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 | Not enough data available | Not enough data available | Not enough data available | Not enough data available | Not enough data available |
| H3832 | Local CCP | HAWAII MEDICAL SERVICE ASSOCIATION | HMSA Akamai Advantage | Hawaii Medical Service Association | 79% | 72% | 73% | 72% | 84% | 58% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 62% | 81% | 87% | 75% | 73% | 55% | 46% | 71% | 10% | 81% | 51% | 57% | 81 | 81 | 87 | 87 | 87 | 85 | 0.03 | 2% | Medicare shows only a Star Rating for this topic | 100% | 97% | 97% | 100% | 0.03 | 2% | Medicare shows only a Star Rating for this topic | 85 | 89 | 97 | 87% | 89% | 88% | 83% | 86% |
| H3864 | Local CCP | PACIFICSOURCE COMMUNITY HEALTH PLANS | PacificSource Medicare | PacificSource | 74% | 79% | 65% | 71% | 85% | 51% | 60% | 93% | 93% | 32% | 81% | 90% | 61% | 78% | 54% | 47% | 66% | 10% | 84% | 58% | 59% | 81 | 83 | 92 | 86 | 87 | 88 | 0.06 | 10% | Medicare shows only a Star Rating for this topic | 96% | 98% | 89% | 90% | 0.06 | 10% | Medicare shows only a Star Rating for this topic | 87 | 89 | 99 | 86% | 89% | 89% | 88% | 85% |