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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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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| H4875 | Local CCP | PRIORITY HEALTH | Priority Health Medicare | Corewell Health | 81% | 75% | 69% | 72% | 85% | 55% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 37% | 80% | 88% | 68% | 81% | 54% | 52% | 74% | 10% | 84% | 78% | 62% | 84 | 85 | 91 | 88 | 88 | 88 | 0.04 | 7% | Medicare shows only a Star Rating for this topic | 100% | 94% | 100% | 100% | 0.04 | 7% | Medicare shows only a Star Rating for this topic | 87 | 90 | 99 | 86% | 91% | 89% | 94% | 85% |
| H4882 | Local CCP | HEALTHPARTNERS, INC. | HealthPartners | HealthPartners Inc | 89% | 75% | 77% | 76% | 86% | 53% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 33% | 84% | 91% | 66% | 80% | 42% | 46% | 80% | 11% | 89% | 78% | 59% | 82 | 84 | 94 | 88 | 90 | 89 | 0.05 | 6% | Medicare shows only a Star Rating for this topic | 100% | 93% | 97% | 100% | 0.05 | 6% | Medicare shows only a Star Rating for this topic | 88 | 91 | 98 | 89% | 92% | 92% | 88% | 88% |
| H4909 | Local CCP | ANTHEM INSURANCE COMPANIES, INC. | Anthem Blue Cross and Blue Shield | Elevance Health Inc | 70% | 67% | 65% | 69% | 79% | 48% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 32% | 73% | 82% | 56% | 77% | 53% | 47% | 86% | 9% | 79% | 72% | 57% | 78 | Not enough data available | Not enough data available | 86 | 84 | 88 | 0.22 | 18% | Medicare shows only a Star Rating for this topic | 97% | 100% | 100% | 100% | 0.22 | 18% | Medicare shows only a Star Rating for this topic | 86 | 88 | 99 | 86% | 89% | 88% | 93% | 83% |
| H4931 | Local CCP | BANNER - UNIVERSITY CARE ADVANTAGE | Banner Medicare Advantage | Banner Health | 71% | 64% | 68% | Not enough data available | Not enough data available | 50% | 81% | 89% | 89% | 21% | 74% | 79% | 63% | 75% | 64% | 47% | 51% | 13% | 84% | 50% | 71% | 82 | 82 | 91 | 91 | 92 | 87 | 0.13 | 14% | Medicare shows only a Star Rating for this topic | 99% | 93% | 98% | 98% | 0.13 | 14% | Medicare shows only a Star Rating for this topic | 91 | 91 | 98 | 89% | 89% | 88% | 90% | 90% |
| H4937 | Local CCP | CALIFORNIA PHYSICIANS' SERVICE | Blue Shield of California | California Physicians Service | 79% | 72% | 69% | 63% | 87% | 52% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 24% | 66% | 83% | 56% | 76% | 53% | 42% | 68% | 12% | 86% | 58% | 57% | 79 | 83 | 90 | 86 | 84 | 86 | 0.14 | 1% | Medicare shows only a Star Rating for this topic | 94% | 98% | 98% | 100% | 0.14 | 1% | Medicare shows only a Star Rating for this topic | 86 | Not enough data available | 99 | 92% | 91% | 90% | 95% | 86% |
| H4939 | Local CCP | ARCADIAN HEALTH PLAN, INC. | Humana | Humana 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 |
| H4961 | Local CCP | ALIGNMENT HEALTH PLAN | Alignment Health Plan | Alignment Healthcare USA LLC | 86% | 86% | 75% | 72% | 84% | 56% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 83% | 86% | 63% | 87% | 50% | 52% | 86% | 9% | 90% | 64% | 68% | 81 | 80 | 91 | 87 | 87 | 87 | 0.23 | 5% | Medicare shows only a Star Rating for this topic | 100% | 95% | 100% | 100% | 0.23 | 5% | Medicare shows only a Star Rating for this topic | 88 | 89 | 99 | 91% | 94% | 94% | 95% | 91% |
| H4982 | Local CCP | AETNA BETTER HEALTH OF CALIFORNIA INC. | Aetna Medicare | CVS Health Corporation | 73% | 68% | 64% | 69% | 87% | 50% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 68% | 80% | 88% | 65% | 80% | 60% | 43% | 84% | 10% | 88% | 47% | 54% | 72 | 76 | 85 | 83 | 82 | Not enough data available | 0.52 | 29% | Medicare shows only a Star Rating for this topic | 94% | 98% | 98% | 100% | 0.52 | 29% | Medicare shows only a Star Rating for this topic | 84 | 86 | 99 | 87% | 89% | 88% | 95% | 90% |
| H5008 | Local CCP | CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO. | UnitedHealthcare | UnitedHealth Group Inc | 66% | 69% | 60% | 68% | 84% | 49% | 76% | 95% | 98% | 36% | 83% | 86% | 54% | 76% | 62% | 44% | 67% | 12% | 86% | 63% | 56% | Not enough data available | Not enough data available | Not enough data available | 85 | 87 | Not enough data available | 0.17 | 25% | Medicare shows only a Star Rating for this topic | 100% | 98% | 100% | 100% | 0.17 | 25% | Medicare shows only a Star Rating for this topic | 90 | Not enough data available | 100 | 87% | 87% | 87% | 90% | 86% |
| H5009 | Local CCP | REGENCE BLUESHIELD | Regence BlueShield | Cambia Health Solutions Inc | 73% | 71% | 74% | 72% | 85% | 53% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 29% | 76% | 80% | 54% | 70% | 46% | 43% | 65% | 9% | 85% | 66% | 60% | 79 | 81 | 91 | 86 | 85 | 84 | 0.08 | 5% | Medicare shows only a Star Rating for this topic | 96% | 96% | 100% | 100% | 0.08 | 5% | Medicare shows only a Star Rating for this topic | 84 | 88 | 99 | 88% | 90% | 90% | 72% | 82% |