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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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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| H1212 | Local CCP | WELLPOINT WEST VIRGINIA , 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 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 |
| S5960 | PDP | WELLPOINT LIFE AND HEALTH INSURANCE COMPANY | Wellpoint | Elevance Health Inc | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 0.05 | Not enough data available | Medicare shows only a Star Rating for this topic | 84 | 88 | Not enough data available | 87% | 89% | 89% | Not enough data available | 84% |
| H4036 | Local CCP | ANTHEM INSURANCE COMPANIES, INC. | Anthem Blue Cross and Blue Shield | Elevance Health Inc | 81% | 78% | 74% | 69% | 85% | 54% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 37% | 74% | 88% | 60% | 78% | 58% | 50% | 80% | 10% | 84% | 73% | 61% | 82 | 84 | 90 | 88 | 89 | 87 | 0.07 | 4% | Medicare shows only a Star Rating for this topic | 97% | 99% | 100% | 100% | 0.07 | 4% | Medicare shows only a Star Rating for this topic | 88 | 89 | 99 | 89% | 91% | 90% | 94% | 84% |
| H4704 | Local CCP | ANTHEM BLUE CROSS LIFE AND HEALTH INS COMPANY | Anthem Blue Cross Life and Health Insurance Compan | Elevance Health Inc | 57% | 54% | 58% | Plan too new to be measured | Plan too new to be measured | Plan too new to be measured | 56% | 91% | 86% | 17% | 65% | 69% | 46% | 63% | Plan too new to be measured | Plan too new to be measured | 68% | 11% | 83% | 60% | 52% | 77 | 82 | 88 | 84 | 84 | 82 | 0.42 | 8% | Not enough data available | 93% | 100% | 100% | 100% | 0.42 | 8% | Not enough data available | 85 | 86 | 99 | 84% | 82% | 84% | 91% | 83% |
| H5828 | Local CCP | WELLPOINT TENNESSEE, INC. | Wellpoint | Elevance Health Inc | 60% | 57% | 59% | Not enough data available | Not enough data available | 37% | 57% | 93% | 92% | 25% | 69% | 81% | 53% | 70% | 62% | 37% | 68% | 11% | 84% | 57% | 53% | 82 | 86 | 89 | 86 | 84 | 86 | 0.35 | 31% | Medicare shows only a Star Rating for this topic | 100% | 100% | 100% | 100% | 0.35 | 31% | Medicare shows only a Star Rating for this topic | 88 | 90 | 99 | 82% | 85% | 84% | 95% | 86% |
| H3447 | Local CCP | HEALTHKEEPERS, INC. | Anthem HealthKeepers | Elevance Health Inc | 70% | 70% | 57% | 70% | 86% | 52% | 59% | 100% | 96% | 31% | 78% | 87% | 59% | 75% | 64% | 45% | 88% | 11% | 86% | 72% | 60% | 82 | 83 | 87 | 86 | 85 | 87 | 0.21 | 19% | Medicare shows only a Star Rating for this topic | 99% | 99% | 100% | 100% | 0.21 | 19% | Medicare shows only a Star Rating for this topic | 86 | 88 | 99 | 85% | 89% | 88% | 93% | 86% |
| S5596 | PDP | ANTHEM INSURANCE COMPANIES, INC. | Anthem Insurance Companies Inc. | Elevance Health Inc | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 100% | 0.06 | 10% | Medicare shows only a Star Rating for this topic | 82 | 89 | 99 | 87% | 89% | 89% | 78% | 82% |
| H8849 | Local CCP | WELLPOINT INSURANCE COMPANY | Wellpoint | Elevance Health Inc | 71% | 73% | 74% | Not enough data available | Not enough data available | 56% | CMS identified issues with this plan's data | 94% | 94% | 58% | 75% | 82% | 67% | 77% | 73% | Not enough data available | 69% | 12% | 90% | 53% | 54% | 80 | Not enough data available | Not enough data available | 84 | 86 | Not enough data available | 0.37 | 20% | Medicare shows only a Star Rating for this topic | 99% | 98% | 100% | 100% | 0.37 | 20% | Medicare shows only a Star Rating for this topic | 87 | Not enough data available | 99 | 87% | 87% | 86% | 94% | 93% |
| H1423 | Local CCP | WELLPOINT HEALTH PLANS, INC. | Wellpoint | Elevance Health Inc | 79% | 66% | 76% | 66% | 77% | 53% | CMS identified issues with this plan's data | 100% | 98% | Not enough data available | 87% | 84% | 79% | 83% | 56% | 43% | 79% | 9% | 87% | 49% | 60% | 78 | 78 | 89 | 83 | 83 | 81 | 0.35 | 28% | Medicare shows only a Star Rating for this topic | Not enough data available | Not enough data available | 100% | 100% | 0.35 | 28% | Medicare shows only a Star Rating for this topic | 86 | 88 | 99 | 87% | 90% | 89% | 95% | 91% |
| H5594 | Local CCP | OPTIMUM HEALTHCARE, INC. | Optimum HealthCare Inc. | Elevance Health Inc | 83% | 83% | 67% | 70% | 87% | 55% | 93% | 98% | 99% | 76% | 80% | 88% | 89% | 92% | 63% | 54% | 82% | 10% | 85% | 56% | 69% | 85 | 88 | 89 | 87 | 89 | 88 | 0.12 | 10% | Medicare shows only a Star Rating for this topic | 99% | 100% | 100% | 100% | 0.12 | 10% | Medicare shows only a Star Rating for this topic | 91 | 90 | 99 | 88% | 90% | 88% | 94% | 92% |