|
hcontract
|
org type
|
contract name
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org marketing name
|
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
|
C20 - Getting Appointments and Care Quickly
|
C21 - Customer Service
|
C22 - Rating of Health Care Quality
|
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
|
C28 - Plan Makes Timely Decisions about Appeals
|
C29 - Reviewing Appeals Decisions
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C30 - Call Center - Foreign Language Interpreter and TTY Availability
|
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
|
D04 - Drug Plan Quality Improvement
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D05 - Rating of Drug Plan
|
D06 - Getting Needed Prescription Drugs
|
D07 - MPF Price Accuracy
|
D08 - Medication Adherence for Diabetes Medications
|
D09 - Medication Adherence for Hypertension (RAS antagonists)
|
D10 - Medication Adherence for Cholesterol (Statins)
|
D11 - MTM Program Completion Rate for CMR
|
D12 - Statin Use in Persons with Diabetes (SUPD)
|
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| H5471 | Local CCP | SIMPLY HEALTHCARE PLANS, INC. | Simply Healthcare Plans, Inc. | Elevance Health, Inc. | 4 | 4 | 1 | 5 | 5 | 4 | 5 | 4 | 4 | 4 | 5 | 5 | Not enough data available | 3 | 2 | 4 | 1 | 4 | 4 | 4 | 4 | 5 | 5 | 4 | 4 | 2 | 3 | 4 | 5 | 5 | 5 | 4 | 2 | 2 | 4 | 4 | 4 | 4 | 4 | 3 | 4 | 5 |
| H5472 | Local CCP | ALIGNMENT HEALTH INSURANCE COMPANY OF ARIZONA INC | Alignment Health Plan | Alignment Healthcare USA, LLC | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | Plan too new to be measured | 5 | 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 new to be measured | Plan too new to be measured | Plan too small to be measured | Plan too small to be measured | Plan too small to be measured | 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 | Not enough data available | Not enough data available | Not enough data available | Not enough data available | Not enough data available | 5 | 5 | Not enough data available | Not enough data available | Not enough data available | Plan too small to be measured | Plan too small to be measured | 4 | Not enough data available | Not enough data available | 3 | Not required to report | Not enough data available |
| H5475 | Local CCP | MERIDIAN HEALTH PLAN OF MICHIGAN, INC. | Wellcare | Centene Corporation | 2 | 2 | 2 | 2 | 3 | 3 | 3 | 2 | 3 | 3 | 2 | Not enough data available | Not enough data available | 3 | 4 | 3 | 3 | 3 | 3 | 4 | 2 | Not enough data available | 1 | Not enough data available | 4 | 1 | 4 | 3 | 3 | 4 | 4 | 4 | 1 | 3 | 2 | Not enough data available | 3 | 2 | 2 | 2 | 5 | 3 |
| H5496 | Local CCP | IMPERIAL HEALTH PLAN OF CALIFORNIA, INC. | Imperial Health Plan of California, Inc. | Imperial Health Plan of California | 5 | 5 | 3 | 3 | 5 | 5 | 5 | Not enough data available | 5 | 5 | 5 | 2 | 2 | 5 | 5 | 5 | 4 | 5 | 1 | Not enough data available | 2 | Not enough data available | 1 | Not enough data available | 2 | 2 | 3 | 4 | 5 | 4 | 4 | 2 | 2 | 2 | 4 | Not enough data available | 4 | 4 | 4 | 4 | 5 | 5 |
| H5521 | Local CCP | AETNA LIFE INSURANCE COMPANY | Aetna Medicare | CVS Health Corporation | 4 | 4 | 3 | 4 | No data available | No data available | No data available | 3 | 4 | 5 | 4 | 2 | 3 | 5 | 3 | 3 | 3 | 4 | 3 | 4 | 3 | 5 | 4 | 5 | 5 | 5 | 4 | 3 | 3 | 5 | 4 | 5 | 5 | 5 | 4 | 4 | 4 | 4 | 4 | 4 | 4 | 2 |
| H5522 | Local CCP | AETNA LIFE INSURANCE COMPANY | Aetna Medicare | CVS Health Corporation | 4 | 3 | 4 | 2 | No data available | No data available | No data available | 4 | 4 | 5 | 4 | 2 | 2 | 5 | 3 | 3 | 3 | 4 | 4 | 5 | 4 | 4 | 4 | 5 | 4 | 4 | 4 | 3 | 4 | 5 | 4 | 4 | 4 | 5 | 5 | 5 | 4 | 4 | 5 | 4 | 4 | 3 |
| H5525 | Local CCP | HUMANA BENEFIT PLAN OF ILLINOIS, INC. | Humana | Humana Inc. | 3 | 3 | 2 | 2 | 4 | 4 | 5 | 2 | 3 | 4 | 3 | 4 | 2 | 4 | 3 | 3 | 4 | 3 | 4 | 4 | 3 | 4 | 2 | 5 | 4 | 3 | 3 | 4 | 4 | 4 | 4 | 4 | 3 | 2 | 4 | 4 | 1 | 3 | 3 | 3 | 3 | 2 |
| H5526 | Local CCP | Highmark Western and Northeastern New York Inc. | Highmark Blue Cross Blue Shield or Highmark Blue S | Highmark Health | 5 | 4 | 5 | 4 | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 4 | 5 | 4 | 3 | 2 | 5 | 3 | 3 | 4 | 2 | 4 | 5 | 4 | 3 | 4 | 2 | 3 | 5 | 5 | 3 | 5 | 5 | 5 | 4 | 5 | 5 | 3 | 2 | 3 | 4 | 4 | 5 | 4 | 3 | 4 |
| H5528 | Local CCP | EMBLEMHEALTH PLAN, INC. | EmblemHealth | EmblemHealth, Inc. | 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 not required to report measure | Plan not required to report measure | Plan not required to report measure | 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 | Not enough data available | Not enough data available | Not enough data available | Not enough data available | Not enough data available | 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 required to report | Not enough data available |
| H5533 | Local CCP | UPMC HEALTH NETWORK, INC. | UPMC for Life | UPMC Health System | 4 | 4 | 3 | 3 | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 3 | 4 | 4 | 4 | 2 | 4 | 4 | 4 | 3 | 4 | 4 | 4 | 5 | 5 | 4 | 5 | 5 | 5 | 5 | 3 | 5 | 4 | 3 | 3 | 5 | 5 | 2 | 4 | 4 | 4 | 4 | 5 | 4 | 3 | 2 |