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hcontract
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org type
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contract name
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org marketing name
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parent org
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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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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| H5431 | Local CCP | HEALTHSUN HEALTH PLANS, INC. | HealthSun Health Plans Inc. | Elevance Health Inc | 87% | 83% | 50% | Not enough data available | Not enough data available | 67% | 91% | 98% | 98% | 52% | 87% | 86% | 84% | 93% | 74% | Not enough data available | 80% | 9% | 93% | 46% | 73% | 84 | 86 | 91 | 92 | 91 | 88 | 0.19 | 17% | Medicare shows only a Star Rating for this topic | 100% | 100% | 100% | 100% | 0.19 | 17% | Medicare shows only a Star Rating for this topic | 92 | 90 | 99 | 90% | 92% | 88% | 96% | 94% |
| H5433 | Local CCP | ORANGE COUNTY HEALTH AUTHORITY | CalOptima Health OneCare | Orange County Health Authority | 69% | 68% | 71% | 72% | 86% | 56% | 65% | 83% | 83% | 44% | 78% | 84% | 59% | 77% | 62% | 38% | 57% | 11% | 86% | 45% | 56% | 75 | 77 | 85 | 84 | 86 | 82 | 0.1 | 10% | Medicare shows only a Star Rating for this topic | 95% | 93% | 95% | 92% | 0.1 | 10% | Medicare shows only a Star Rating for this topic | 87 | 86 | 99 | 87% | 87% | 85% | 74% | 89% |
| H5434 | Local CCP | BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC. | Florida Blue | Guidewell Mutual Holding Corporation | 79% | 75% | 71% | 72% | 84% | 54% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 43% | 76% | 88% | 59% | 78% | 53% | 56% | 57% | 10% | 80% | 38% | 62% | 83 | 84 | 89 | 87 | 87 | 87 | 0.15 | 17% | Medicare shows only a Star Rating for this topic | 99% | 98% | 98% | 100% | 0.15 | 17% | Medicare shows only a Star Rating for this topic | 85 | 89 | 99 | 85% | 88% | 86% | 90% | 84% |
| H5435 | PFFS | CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO. | UnitedHealthcare | UnitedHealth Group Inc | 60% | 57% | 57% | Not enough data available | Not enough data available | 32% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 59% | 77% | 22% | 59% | 41% | 34% | 40% | 11% | 85% | 40% | 50% | 85 | 84 | Not enough data available | 84 | 80 | 88 | 0.27 | 6% | Medicare shows only a Star Rating for this topic | 100% | 100% | 100% | 100% | 0.27 | 6% | Medicare shows only a Star Rating for this topic | 83 | 89 | 100 | 83% | 87% | 85% | Not enough data available | 79% |
| H5439 | Local CCP | HEALTH NET LIFE INSURANCE COMPANY | Wellcare By Health Net | Centene Corporation | 66% | 68% | 60% | 67% | 87% | 46% | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 36% | 69% | 83% | 56% | 76% | 48% | 38% | 86% | 9% | 79% | 69% | 52% | 76 | 76 | Not enough data available | 83 | 80 | 84 | 0.26 | 15% | Medicare shows only a Star Rating for this topic | 100% | 100% | 100% | 100% | 0.26 | 15% | Medicare shows only a Star Rating for this topic | 83 | 87 | 100 | 87% | 89% | 90% | 87% | 82% |
| H5447 | Local CCP | COMMUNITY FIRST HEALTH PLANS, INC. | Community First | Bexar County Hospital District | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | CMS identified issues with this plan's data | No data available | No data available | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | Not enough data available | Not enough data available | Not enough data available | Not enough data available | Not enough data available | 87% | 95% | Not enough data available | Not enough data available | Not enough data available | Plan too small to be measured | Plan too small to be measured | 100 | Not enough data available | Not enough data available | Not enough data available | Not enough data available | Not enough data available |
| H5453 | Local CCP | DEVOTED HEALTH INSURANCE COMPANY OF GEORGIA INC | Devoted Health | Devoted 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 | 98% | 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 |
| H5454 | Local CCP | CLEAR SPRING HEALTH OF ILLINOIS, INC. | Clear Spring Health | Group 1001 | Not enough data available | No data available | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | 93% | 74% | 100% | Not enough data available | 50% | 32% | 40% | No data available | Plan too small to be measured | Plan too small to be measured | 64% | No data available | Not enough data available | 35% | No data available | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | 2.28 | 49% | Not enough data available | Not enough data available | Not enough data available | 98% | 98% | 2.28 | 49% | Not enough data available | Plan too small to be measured | Plan too small to be measured | 99 | 84% | 87% | 87% | 92% | 85% |
| H5471 | Local CCP | SIMPLY HEALTHCARE PLANS, INC. | Simply Healthcare Plans Inc. | Elevance Health Inc | 78% | 74% | 48% | Not enough data available | Not enough data available | 63% | 92% | 94% | 96% | 53% | 79% | 88% | 80% | 88% | 72% | 55% | 63% | 11% | 88% | 43% | 63% | 85 | 89 | 91 | 90 | 90 | 90 | 0.29 | 33% | Medicare shows only a Star Rating for this topic | 98% | 100% | 100% | 100% | 0.29 | 33% | Medicare shows only a Star Rating for this topic | 90 | 90 | 99 | 90% | 91% | 88% | 96% | 93% |
| H5472 | Local CCP | ALIGNMENT HEALTH INSURANCE COMPANY OF ARIZONA INC | Alignment Health Plan | Alignment Healthcare USA LLC | Not enough data available | Not enough data available | 73% | Plan too new to be measured | Plan too new to be measured | 55% | 95% | 100% | 99% | Not enough data available | 81% | 85% | 73% | 90% | Not enough data available | Not enough data available | 94% | No data available | Not enough data available | 77% | 80% | 79 | 83 | 91 | 91 | 92 | 82 | 0.21 | 21% | Not enough data available | Not enough data available | Not enough data available | 100% | 100% | 0.21 | 21% | Not enough data available | 90 | Not enough data available | 100 | 92% | 94% | 92% | 89% | 95% |