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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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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| H3868 | Local CCP | UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C. | UnitedHealthcare | UnitedHealth Group Inc | 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 |
| H3890 | Local CCP | HOPKINS HEALTH ADVANTAGE, INC. | Johns Hopkins Advantage MD | Johns Hopkins Healthcare LLC | 79% | 80% | 76% | 71% | 82% | 55% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 75% | 90% | 67% | 80% | 52% | 46% | 63% | 11% | 87% | 59% | 64% | 82 | 82 | 90 | 87 | 86 | 87 | 0.21 | 9% | Medicare shows only a Star Rating for this topic | 100% | 96% | 95% | 98% | 0.21 | 9% | Medicare shows only a Star Rating for this topic | 86 | 88 | 98 | 83% | 88% | 86% | 88% | 88% |
| H3907 | Local CCP | UPMC HEALTH PLAN, INC. | UPMC for Life | UPMC Health System | 78% | 78% | 71% | 70% | 81% | 46% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 34% | 79% | 93% | 70% | 78% | 52% | 48% | 90% | 8% | 87% | 81% | 70% | 84 | 89 | 94 | 90 | 91 | 88 | 0.03 | 6% | Medicare shows only a Star Rating for this topic | 99% | 98% | 98% | 97% | 0.03 | 6% | Medicare shows only a Star Rating for this topic | 90 | 93 | 99 | 89% | 93% | 93% | 83% | 88% |
| H3909 | Local CCP | QCC INSURANCE COMPANY | Independence Blue Cross | Independence Health Group Inc | 81% | 79% | 80% | 75% | 86% | 56% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 50% | 81% | 88% | 70% | 80% | 53% | 44% | 79% | 9% | 88% | 67% | 87% | 82 | 85 | 90 | 88 | 88 | 87 | 0.07 | 4% | Medicare shows only a Star Rating for this topic | 97% | 99% | 97% | 92% | 0.07 | 4% | Medicare shows only a Star Rating for this topic | 88 | 90 | 99 | 86% | 91% | 89% | 93% | 87% |
| H3916 | Local CCP | HIGHMARK SENIOR HEALTH COMPANY | Highmark Blue Cross Blue Shield or Highmark Blue S | Highmark Health | 79% | 77% | 68% | 67% | 83% | 46% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 49% | 85% | 90% | 65% | 83% | 51% | 44% | 85% | 10% | 88% | 72% | 64% | 83 | 85 | 92 | 89 | 89 | 89 | 0.06 | 3% | Medicare shows only a Star Rating for this topic | 98% | 99% | 91% | 95% | 0.06 | 3% | Medicare shows only a Star Rating for this topic | 89 | 91 | 99 | 89% | 93% | 92% | 87% | 87% |
| H3923 | Local CCP | CAPITAL ADVANTAGE INSURANCE COMPANY | Capital Blue Cross | CAPITAL BLUE CROSS | 79% | 76% | 73% | 76% | 85% | 49% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 35% | 79% | 88% | 67% | 81% | 59% | 45% | 89% | 10% | 87% | 81% | 61% | 83 | 86 | 91 | 88 | 88 | 89 | 0.08 | 6% | Medicare shows only a Star Rating for this topic | 99% | 96% | 100% | 98% | 0.08 | 6% | Medicare shows only a Star Rating for this topic | 86 | 90 | 99 | 90% | 92% | 91% | 80% | 86% |
| H3924 | Local CCP | GEISINGER INDEMNITY INSURANCE COMPANY | Geisinger Gold | Risant Health Inc | 80% | 75% | 71% | 71% | 89% | 47% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 43% | 86% | 92% | 76% | 84% | 50% | 39% | 95% | 8% | 87% | 90% | 59% | 82 | 85 | 93 | 87 | 87 | 88 | 0.1 | 20% | Medicare shows only a Star Rating for this topic | 100% | 96% | 100% | 100% | 0.1 | 20% | Medicare shows only a Star Rating for this topic | 88 | 92 | 99 | 89% | 93% | 92% | 94% | 86% |
| H3928 | Local CCP | AETNA HEALTH INC. (LA) | Aetna Medicare | CVS Health Corporation | 74% | 68% | 60% | 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 | Not enough data available | 81% | 86% | 57% | 85% | 57% | 41% | 93% | 6% | 89% | 57% | 57% | 84 | 84 | 91 | 86 | 87 | 89 | 0.68 | 40% | Medicare shows only a Star Rating for this topic | 95% | 100% | 98% | 100% | 0.68 | 40% | Medicare shows only a Star Rating for this topic | 86 | 87 | 99 | 77% | 86% | 85% | 99% | 86% |
| H3931 | Local CCP | AETNA HEALTH INC. (PA) | Aetna Medicare | CVS Health Corporation | 75% | 69% | 62% | 73% | 85% | 47% | 71% | 100% | 94% | 52% | 79% | 85% | 61% | 81% | 55% | 37% | 92% | 9% | 85% | 56% | 58% | 81 | 81 | 88 | 84 | 85 | 85 | 0.34 | 18% | Medicare shows only a Star Rating for this topic | 98% | 98% | 98% | 100% | 0.34 | 18% | Medicare shows only a Star Rating for this topic | 87 | 89 | 99 | 86% | 89% | 88% | 90% | 86% |
| H3949 | Local CCP | BRAVO HEALTH PENNSYLVANIA, INC. | Cigna HealthCare | Health Care Service Corporation | 72% | 68% | 74% | Not enough data available | Not enough data available | 51% | 49% | 94% | 96% | 48% | 79% | 82% | 70% | 80% | 70% | Not enough data available | 81% | 11% | 89% | 64% | 57% | 79 | Not enough data available | 90 | 84 | 86 | Not enough data available | 0.27 | 21% | Medicare shows only a Star Rating for this topic | 99% | 98% | 98% | 100% | 0.27 | 21% | Medicare shows only a Star Rating for this topic | 87 | 88 | 99 | 87% | 89% | 88% | 92% | 91% |