|
hcontract
|
org type
|
contract name
|
org marketing name
|
parent org
|
C01 - Breast Cancer Screening
|
C02 - Colorectal Cancer Screening
|
C03 - Annual Flu Vaccine
|
C04 - Improving or Maintaining Physical Health
|
C05 - Improving or Maintaining Mental Health
|
C06 - Monitoring Physical Activity
|
C07 - Special Needs Plan (SNP) Care Management
|
C08 - Care for Older Adults - Medication Review
|
C09 - Care for Older Adults - Pain Assessment
|
C10 - Osteoporosis Management in Women who had a Fracture
|
C11 - Diabetes Care - Eye Exam
|
C12 - Diabetes Care - Blood Sugar Controlled
|
C13 - Kidney Health Evaluation for Patients with Diabetes
|
C14 - Controlling High Blood Pressure
|
C15 - Reducing the Risk of Falling
|
C16 - Improving Bladder Control
|
C17 - Medication Reconciliation Post-Discharge
|
C18 - Plan All-Cause Readmissions
|
C19 - Statin Therapy for Patients with Cardiovascular Disease
|
C20 - Transitions of Care
|
C21 - Follow-up after ED Visit People with Multiple Chronic Conditions
|
C22 - Getting Needed Care
|
C23 - Getting Appointments and Care Quickly
|
C24 - Customer Service
|
C25 - Rating of Health Care Quality
|
C26 - Rating of Health Plan
|
C27 - Care Coordination
|
C28 - Complaints about the Health Plan
|
C29 - Members Choosing to Leave the Plan
|
C30 - Health Plan Quality Improvement
|
C31 - Plan Makes Timely Decisions about Appeals
|
C32 - Reviewing Appeals Decisions
|
C33 - Call Center - Foreign Language Interpreter and TTY Availability
|
D01 - Call Center - Foreign Language Interpreter and TTY Availability
|
D02 - Complaints about the Drug Plan
|
D03 - Members Choosing to Leave the Plan
|
D04 - Drug Plan Quality Improvement
|
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)
|
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| E3014 | Employer/Union Only Direct Contract PDP | PSERS HOP PROGRAM | Pennsylvania Public School Employees Retirement Sy | Commonwealth of PA Pub Schools Retirement System | 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 | 5 | Not enough data available | 1 | 4 | 5 | Plan not required to report measure | 4 | 4 | 3 | 4 | 5 |
| H0028 | Local CCP | CHA HMO, INC. | Humana | Humana Inc | 4 | 4 | 4 | Not enough data available | Not enough data available | 4 | 4 | 5 | 5 | 3 | 4 | 4 | 4 | 4 | 2 | 2 | 5 | 3 | 3 | 4 | 3 | 3 | 3 | 3 | 4 | 3 | 2 | 4 | 3 | 3 | 4 | 4 | 5 | 5 | 4 | 3 | 3 | 3 | 3 | 1 | 3 | 3 | 3 | 4 | 4 |
| H0029 | Local CCP | COORDINATED CARE OF WASHINGTON, INC. | Wellcare | Centene Corporation | 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 | No data available | 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 | No data available | Not enough data available | Not enough data available | Not enough data available | Not enough data available | 5 | 5 | No 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 |
| H0034 | Local CCP | HAMASPIK, INC. | Hamaspik Inc. | Hamaspik of Rockland County Inc | 2 | 2 | 4 | Not enough data available | Not enough data available | 4 | 5 | 4 | 5 | Not enough data available | 4 | 3 | 4 | 5 | 5 | 5 | 4 | 1 | 4 | 3 | 4 | 2 | 3 | 1 | 2 | 1 | 4 | 4 | 3 | 5 | Not enough data available | Not enough data available | 3 | 4 | 4 | 3 | 4 | 2 | 3 | 1 | 2 | 1 | 1 | 5 | 5 |
| H0062 | Local CCP | SUPERIOR HEALTHPLAN, INC. | Wellcare By Allwell | Centene Corporation | 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 | Plan too small to be measured | No data available | 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 | No 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 | No 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 |
| H0074 | Local CCP | WELLCARE OF MISSISSIPPI, INC. | Wellcare | Centene Corporation | 3 | 3 | 2 | Not enough data available | Not enough data available | 3 | 4 | 3 | 3 | Not enough data available | 2 | 3 | 2 | 2 | Not enough data available | Not enough data available | 3 | 1 | 2 | 2 | 1 | 5 | 5 | 4 | 4 | 3 | Not enough data available | 3 | 1 | 5 | Not enough data available | Not enough data available | 5 | 5 | 3 | 1 | 5 | 2 | Not enough data available | 5 | 3 | 3 | 2 | 4 | 3 |
| H0104 | Local CCP | BLUE CROSS AND BLUE SHIELD OF ALABAMA | Blue Cross and Blue Shield of Alabama | BlueCross BlueShield of Alabama | 4 | 5 | 2 | 2 | 4 | 2 | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 2 | 3 | 4 | 4 | 3 | 1 | 3 | 5 | 3 | 2 | 4 | 2 | 5 | 5 | 5 | 5 | 5 | 3 | 5 | 5 | 4 | 5 | 5 | 5 | 4 | 5 | 5 | 4 | 3 | 4 | 5 | 1 | 3 | 2 | 3 | 2 |
| H0107 | Local CCP | HEALTH CARE SERVICE CORPORATION | Blue Cross and Blue Shield of Montana | Health Care Service Corporation | 4 | 4 | 5 | 4 | 4 | 4 | Plan not required to report measure | Plan not required to report measure | Plan not required to report measure | 1 | 2 | 3 | 3 | 2 | 2 | 2 | 3 | 4 | 2 | 2 | 3 | 4 | 4 | 3 | 4 | 4 | 4 | 5 | 5 | 4 | 4 | 3 | 3 | 4 | 5 | 5 | 3 | 3 | 3 | 5 | 3 | 3 | 3 | 4 | 3 |
| H0111 | Local CCP | WELLCARE OF GEORGIA, INC. | Wellcare | Centene Corporation | 3 | 3 | 2 | Not enough data available | Not enough data available | 4 | 4 | 4 | 3 | 2 | 2 | 3 | 3 | 2 | 2 | Not enough data available | 4 | 3 | 3 | 3 | 3 | 4 | Not enough data available | 4 | 3 | 2 | Not enough data available | 4 | 2 | 5 | 3 | 3 | 5 | 5 | 4 | 2 | 4 | 2 | 3 | 5 | 3 | 3 | 3 | 5 | 2 |
| H0154 | Local CCP | VIVA HEALTH, INC. | VIVA Medicare | Triton Health Systems LLC | 4 | 4 | 2 | 3 | 3 | 3 | 5 | 4 | 4 | 4 | 5 | 5 | 4 | 4 | 3 | 3 | 5 | 4 | 3 | 5 | 3 | 5 | 5 | 5 | 5 | 5 | 4 | 5 | 4 | 4 | 4 | 3 | 3 | 3 | 5 | 4 | 2 | 5 | 5 | 4 | 2 | 3 | 2 | 4 | 3 |