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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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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| H3952 | Local CCP | KEYSTONE HEALTH PLAN EAST, INC. | Independence Blue Cross | Independence Health Group Inc | 78% | 78% | 76% | 68% | 84% | 51% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 52% | 78% | 85% | 73% | 76% | 63% | 44% | 78% | 9% | 88% | 62% | 85% | 82 | 85 | 92 | 87 | 89 | 86 | 0.06 | 5% | Medicare shows only a Star Rating for this topic | 98% | 99% | 97% | 92% | 0.06 | 5% | Medicare shows only a Star Rating for this topic | 87 | 89 | 99 | 86% | 90% | 88% | 91% | 89% |
| H3954 | Local CCP | GEISINGER HEALTH PLAN | Geisinger Gold | Risant Health Inc | 76% | 75% | 72% | 71% | 86% | 44% | 74% | 97% | 97% | 39% | 79% | 91% | 76% | 87% | 60% | 46% | 96% | 7% | 86% | 91% | 57% | 80 | 84 | 92 | 87 | 89 | 86 | 0.06 | 5% | Medicare shows only a Star Rating for this topic | 99% | 96% | 100% | 100% | 0.06 | 5% | Medicare shows only a Star Rating for this topic | 90 | 92 | 99 | 89% | 92% | 92% | 94% | 87% |
| H3957 | Local CCP | HIGHMARK CHOICE COMPANY | Highmark Blue Cross Blue Shield or Highmark Blue S | Highmark Health | 76% | 72% | 75% | 72% | 85% | 42% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 47% | 78% | 91% | 70% | 83% | 57% | 48% | 88% | 10% | 91% | 73% | 65% | 85 | 86 | 92 | 89 | 90 | 89 | 0.09 | 8% | Medicare shows only a Star Rating for this topic | 98% | 100% | 91% | 95% | 0.09 | 8% | Medicare shows only a Star Rating for this topic | 89 | 92 | 99 | 89% | 93% | 92% | 88% | 90% |
| H3959 | Local CCP | AETNA HEALTH INC. (PA) | Aetna Medicare | CVS Health Corporation | 75% | 68% | 68% | 70% | 88% | 43% | 64% | 100% | 98% | 50% | 82% | 85% | 63% | 88% | 59% | 46% | 92% | 9% | 89% | 57% | 62% | 83 | 84 | 92 | 87 | 88 | 89 | 0.18 | 19% | Medicare shows only a Star Rating for this topic | 98% | 99% | 98% | 100% | 0.18 | 19% | Medicare shows only a Star Rating for this topic | 88 | 90 | 99 | 88% | 90% | 90% | 90% | 89% |
| H3962 | Local CCP | KEYSTONE HEALTH PLAN CENTRAL, INC. | Capital Blue Cross | CAPITAL BLUE CROSS | 73% | 74% | 75% | 72% | 85% | 47% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 77% | 87% | 69% | 77% | 62% | 40% | 90% | 10% | 90% | 81% | 61% | 84 | 85 | 92 | 87 | 87 | 90 | 0.06 | 9% | Medicare shows only a Star Rating for this topic | 100% | 98% | 100% | 98% | 0.06 | 9% | Medicare shows only a Star Rating for this topic | 87 | 91 | 99 | 90% | 91% | 91% | 80% | 88% |
| H3975 | Local CCP | WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC | Wellcare | Centene Corporation | 64% | 58% | 58% | Not enough data available | Not enough data available | 36% | 78% | 94% | 97% | Not enough data available | 67% | 84% | 46% | 70% | 50% | 36% | 69% | 10% | 83% | 55% | 59% | 83 | 85 | Not enough data available | 85 | 83 | 89 | 0.36 | 37% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 100% | 100% | 0.36 | 37% | Medicare shows only a Star Rating for this topic | 85 | 90 | 99 | 85% | 92% | 92% | 91% | 82% |
| H3979 | Local CCP | GHS HEALTH MAINTENANCE ORGANIZATION, INC. | Blue Cross and Blue Shield of Oklahoma | Health Care Service Corporation | 70% | 75% | 69% | 65% | 86% | 44% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 74% | 90% | 64% | 78% | 51% | 46% | 80% | 6% | 86% | 72% | 62% | 87 | 87 | 91 | 89 | 87 | 88 | 0.3 | 16% | Medicare shows only a Star Rating for this topic | 100% | 96% | 95% | 98% | 0.3 | 16% | Medicare shows only a Star Rating for this topic | 87 | 90 | 99 | 83% | 88% | 85% | 93% | 83% |
| H4003 | Local CCP | MMM HEALTHCARE, LLC | Medicare y Mucho Mas (MMM) | Elevance Health Inc | 90% | 89% | 54% | 76% | 83% | 58% | 91% | 100% | 100% | 82% | 91% | 89% | 75% | 95% | 61% | 47% | 93% | 10% | 94% | 73% | 64% | 81 | 86 | 92 | 92 | 94 | 87 | 0.07 | 9% | Medicare shows only a Star Rating for this topic | 100% | 99% | 100% | 100% | 0.07 | 9% | Medicare shows only a Star Rating for this topic | 94 | 91 | 100 | 87% | 90% | 85% | 94% | 96% |
| H4004 | Local CCP | MMM HEALTHCARE, LLC | Medicare y Mucho Mas (MMM) | Elevance Health Inc | 90% | 89% | 42% | 76% | 81% | 54% | 91% | 100% | 100% | 83% | 91% | 91% | 75% | 97% | 61% | 46% | 94% | 10% | 94% | 75% | 65% | 82 | 85 | 91 | 92 | 94 | 87 | 0.06 | 11% | Medicare shows only a Star Rating for this topic | 100% | 99% | 100% | 100% | 0.06 | 11% | Medicare shows only a Star Rating for this topic | 93 | 92 | 100 | 87% | 89% | 85% | 94% | 96% |
| H4005 | Local CCP | TRIPLE S ADVANTAGE, INC. | Triple-S Advantage | Guidewell Mutual Holding Corporation | 79% | 77% | 53% | 72% | 83% | 55% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 89% | 86% | 60% | 91% | 62% | 46% | 68% | 11% | 85% | 50% | 51% | 79 | 79 | 89 | 91 | 91 | 85 | 0.09 | 2% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 97% | 98% | 0.09 | 2% | Medicare shows only a Star Rating for this topic | 91 | 92 | 99 | 87% | 90% | 84% | 96% | 89% |