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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 - Monitoring Physical Activity
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C05 - Special Needs Plan (SNP) Care Management
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C06 - Care for Older Adults - Medication Review
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C07 - Care for Older Adults - Pain Assessment
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C08 - Osteoporosis Management in Women who had a Fracture
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C09 - Diabetes Care - Eye Exam
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C10 - Diabetes Care - Blood Sugar Controlled
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C11 - Controlling Blood Pressure
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C12 - Reducing the Risk of Falling
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C13 - Improving Bladder Control
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C14 - Medication Reconciliation Post-Discharge
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C15 - Plan All-Cause Readmission
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C16 - Statin Therapy for Patients with Cardiovascular Disease
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C17 - Transitions of Care
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C18 - Follow-up after Emergency Department Visit for People with Multiple High-Risk Chronic Conditions
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C19 - Getting Needed Care
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C20 - Getting Appointments and Care Quickly
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C21 - Customer Service
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C22 - Rating of Health Care Quality
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C23 - Rating of Health Plan
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C24 - Care Coordination
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C25 - Complaints about the Health Plan
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C26 - Members Choosing to Leave the Plan
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C27 - Health Plan Quality Improvement
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C28 - Plan Makes Timely Decisions about Appeals
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C29 - Reviewing Appeals Decisions
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C30 - 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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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| H3957 | Local CCP | HIGHMARK CHOICE COMPANY | Highmark Blue Cross Blue Shield or Highmark Blue S | Highmark Health | 3 | 3 | 5 | 2 | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 3 | 4 | 5 | 5 | 3 | 3 | 5 | 3 | 3 | 5 | 4 | 5 | 4 | 5 | 5 | 4 | 5 | 5 | 5 | 3 | 5 | 5 | 5 | 4 | 5 | 5 | 3 | 4 | 5 | 4 | 4 | 5 | 4 | 3 | 4 |
| H3959 | Local CCP | AETNA HEALTH INC. (PA) | Aetna Medicare | CVS Health Corporation | 3 | 3 | 4 | 2 | 3 | 5 | 4 | 4 | 4 | 5 | 5 | 2 | 3 | 5 | 2 | 3 | 3 | 3 | 5 | 4 | 5 | 5 | 5 | 5 | 4 | 4 | 4 | 3 | 4 | 5 | 4 | 4 | 4 | 5 | 5 | 5 | 4 | 4 | 4 | 4 | 4 | 3 |
| H3962 | Local CCP | KEYSTONE HEALTH PLAN CENTRAL, INC. | Capital Blue Cross | CAPITAL BLUE CROSS | 3 | 3 | 4 | 2 | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 1 | 3 | 4 | 3 | 3 | 2 | 4 | 4 | 3 | 4 | 4 | 5 | 5 | 5 | 5 | 4 | 5 | 5 | 4 | 4 | 4 | 4 | 4 | 4 | 5 | 4 | 4 | 4 | 4 | 4 | 4 | 4 | 4 | 3 | 3 |
| H3975 | Local CCP | WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC | Wellcare | Centene Corporation | 2 | 2 | 2 | 1 | 3 | 5 | 4 | Not enough data available | 2 | 4 | 1 | Not enough data available | Not enough data available | 3 | 3 | 2 | 3 | 3 | 5 | 5 | 2 | 4 | 2 | 5 | 3 | 1 | 4 | Not enough data available | Not enough data available | 4 | 4 | 3 | 1 | 5 | 2 | 4 | 4 | 2 | 3 | 3 | 4 | 2 |
| H3979 | Local CCP | GHS HEALTH MAINTENANCE ORGANIZATION, INC. | Blue Cross and Blue Shield of Oklahoma | Health Care Service Corporation | 3 | 4 | 4 | 2 | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 3 | 4 | 3 | 1 | 4 | 4 | 2 | 2 | 4 | 2 | 5 | 4 | 4 | 4 | 4 | 4 | 5 | 4 | 4 | 5 | 4 | 5 | 5 | 5 | 4 | 3 | 4 | 4 | 4 | 4 | 3 | 3 | 5 | 2 |
| H4003 | Local CCP | MMM HEALTHCARE, LLC | Medicare y Mucho Mas | Elevance Health, Inc. | 5 | 5 | 3 | 4 | 5 | 5 | 5 | 5 | 5 | 5 | 5 | 4 | 3 | 5 | 3 | 5 | 3 | 3 | 2 | 2 | 3 | 4 | 5 | 3 | 5 | 3 | 4 | 5 | 4 | 5 | 4 | 5 | 3 | 4 | 5 | 4 | 4 | 3 | 2 | 2 | 5 | 5 |
| H4004 | Local CCP | MMM HEALTHCARE, LLC | PMC Medicare Choice | Elevance Health, Inc. | 5 | 5 | 1 | 4 | 5 | 5 | 5 | 5 | 5 | 5 | 5 | 4 | 3 | 5 | 4 | 5 | 3 | 3 | 1 | 4 | 3 | 4 | 5 | 3 | 4 | 1 | 3 | 5 | 4 | 5 | 4 | 4 | 1 | 2 | 5 | 3 | 4 | 3 | 2 | 2 | 5 | 5 |
| H4005 | Local CCP | TRIPLE S ADVANTAGE, INC. | Triple-S Advantage | Guidewell Mutual Holding Corporation | 4 | 5 | 1 | 4 | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | Not enough data available | 5 | 5 | 5 | 4 | 5 | 3 | 2 | 2 | 1 | 2 | 1 | 3 | 2 | 4 | 4 | 3 | 5 | 5 | 4 | Not enough data available | Not enough data available | 4 | 4 | 5 | 5 | 2 | 5 | 3 | 3 | 4 | 4 | 2 | 5 | 3 |
| H4007 | Local CCP | HUMANA HEALTH PLANS OF PUERTO RICO, INC. | Humana | Humana Inc. | 5 | 5 | 1 | 5 | 3 | 5 | 5 | 5 | 5 | 4 | 5 | 4 | 4 | 5 | 3 | 4 | 2 | 2 | 2 | 2 | 3 | 5 | 5 | 4 | 4 | 3 | 3 | 5 | 3 | 5 | 4 | 4 | 3 | 1 | 5 | 4 | 1 | 3 | 3 | 2 | 5 | 5 |
| H4036 | Local CCP | ANTHEM INSURANCE COMPANIES, INC. | Anthem Blue Cross and Blue Shield | Elevance Health, Inc. | 4 | 4 | 4 | 4 | No data available | 5 | 5 | 2 | 3 | 4 | 3 | 3 | 4 | 4 | 3 | 1 | 3 | 4 | 4 | 3 | 3 | 3 | 4 | 3 | 5 | 5 | 5 | 4 | 5 | 5 | 5 | 5 | 5 | 4 | 4 | 2 | 3 | 4 | 4 | 4 | 3 | 2 |