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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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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| H2593 | Local CCP | WELLPOINT TEXAS, INC. | Wellpoint | Elevance Health Inc | 58% | 56% | 66% | Not enough data available | Not enough data available | 54% | 31% | 94% | 89% | Not enough data available | 66% | 72% | 59% | 72% | Not enough data available | Not enough data available | 65% | 11% | 85% | 52% | 46% | Not enough data available | Not enough data available | Not enough data available | Not enough data available | 82 | Not enough data available | 0.27 | 19% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 100% | 100% | 0.27 | 19% | Medicare shows only a Star Rating for this topic | 86 | Not enough data available | 99 | 85% | 86% | 86% | 95% | 90% |
| H4694 | Local CCP | HEALTHKEEPERS, INC. | Anthem HealthKeepers | Elevance Health 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 | Not enough data available | Plan too new to be measured | Not enough data available | Not enough data available | 100% | 100% | Plan too new to be measured | 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 |
| H6078 | Local CCP | Group Retiree Health Solutions, Inc. | Blue Medicare Advantage | Elevance Health Inc | 77% | 64% | 75% | 65% | 84% | 51% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 74% | 80% | 63% | 75% | 61% | 49% | 81% | 11% | 84% | 71% | 66% | 84 | 85 | 90 | 90 | 91 | 87 | 0.04 | Not enough data available | Medicare shows only a Star Rating for this topic | 100% | 100% | Not enough data available | Not enough data available | 0.04 | Not enough data available | Medicare shows only a Star Rating for this topic | 88 | 92 | Not enough data available | 85% | 91% | 89% | Not enough data available | 85% |
| H8552 | Local CCP | ANTHEM BLUE CROSS LIFE AND HEALTH INS COMPANY | Anthem Blue Cross Life and Health Insurance Compan | Elevance Health Inc | 61% | 61% | 57% | 72% | 80% | 43% | 72% | 95% | 93% | 23% | 65% | 73% | 49% | 64% | 56% | 39% | 67% | 9% | 84% | 61% | 52% | 78 | 78 | Not enough data available | 81 | 77 | Not enough data available | 0.33 | 12% | Medicare shows only a Star Rating for this topic | 100% | 100% | 100% | 100% | 0.33 | 12% | Medicare shows only a Star Rating for this topic | 79 | Not enough data available | 99 | 85% | 87% | 87% | 87% | 82% |
| H2687 | Local CCP | WELLPOINT SOUTH CAROLINA, INC. | Wellpoint | Elevance Health 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 not required to report measure | Plan not required to report measure | Plan not required to report measure | 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 |
| H3240 | Local CCP | WELLPOINT NEW JERSEY, INC. | Wellpoint | Elevance Health Inc | 61% | 53% | 57% | 69% | 84% | 57% | 58% | 91% | 90% | 24% | 61% | 78% | 53% | 71% | 79% | 49% | 64% | 13% | 88% | 62% | 67% | 82 | 84 | 89 | 86 | 87 | 86 | 0.35 | 12% | Medicare shows only a Star Rating for this topic | 96% | 100% | 100% | 100% | 0.35 | 12% | Medicare shows only a Star Rating for this topic | 88 | 89 | 99 | 85% | 86% | 84% | 94% | 89% |
| H3536 | Local CCP | MATTHEW THORNTON HEALTH PLAN, INC. | Anthem Blue Cross and Blue Shield | Elevance Health Inc | 66% | 65% | 66% | 75% | 83% | 52% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 71% | 81% | 53% | 73% | 60% | 46% | 85% | 11% | 89% | 73% | 58% | 81 | 83 | 89 | 84 | 83 | Not enough data available | 0.23 | 15% | Medicare shows only a Star Rating for this topic | 100% | 100% | 100% | 100% | 0.23 | 15% | Medicare shows only a Star Rating for this topic | 83 | 88 | 99 | 84% | 90% | 88% | 89% | 85% |
| H9065 | Local CCP | AMH HEALTH, LLC | AMH Health | Elevance Health Inc | 77% | 74% | 66% | 78% | 83% | 45% | 52% | 98% | 93% | 37% | 75% | 79% | 55% | 72% | 55% | 42% | 88% | 10% | 86% | 73% | 56% | 78 | Not enough data available | 87 | 84 | 82 | 85 | 0.14 | 18% | Medicare shows only a Star Rating for this topic | 94% | 100% | 100% | 100% | 0.14 | 18% | Medicare shows only a Star Rating for this topic | 83 | 88 | 99 | 89% | 91% | 90% | 96% | 84% |
| R5941 | Regional CCP | ANTHEM INSURANCE COMPANIES, INC. | Anthem Blue Cross and Blue Shield | Elevance Health Inc | 69% | 70% | 68% | 70% | 86% | 43% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 27% | 66% | 85% | 53% | 70% | 56% | 42% | 88% | 11% | 77% | 73% | 61% | 86 | 87 | 89 | 88 | 85 | 90 | 0.05 | 10% | Not enough data available | 100% | 100% | 100% | 100% | 0.05 | 10% | Not enough data available | 86 | 90 | 99 | 87% | 91% | 90% | 90% | 83% |
| H4346 | Local CCP | HMO COLORADO, INC. | Anthem Blue Cross and Blue Shield | Elevance Health Inc | 61% | 65% | 69% | 64% | 81% | 49% | CMS identified issues with this plan's data | 97% | 93% | 32% | 72% | 80% | 68% | 78% | 62% | 49% | 74% | 11% | 86% | 54% | 53% | 77 | 80 | 88 | 83 | 83 | Not enough data available | 0.41 | 27% | Medicare shows only a Star Rating for this topic | 91% | 100% | 100% | 100% | 0.41 | 27% | Medicare shows only a Star Rating for this topic | 88 | 88 | 99 | 86% | 90% | 88% | 98% | 92% |