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Part C Cutpoints : 2026

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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
1star < 58 % < 48 % < 57 < 66 % < 81 % < 41 % < 42 % < 58 % < 65 % < 32 % < 60 % < 54 % < 34 % < 67 % < 51 % < 41 % < 40 % > 12 % < 81 % < 44 % < 50 % < 78 < 80 < 88 < 84 < 84 < 85 > 1.34 > 39 % < -0.121368 < 74 % < 83 % < 51 %
2star >= 58 % to < 71 % >= 48 % to < 60 % >= 57 to < 61 >= 66 % to < 70 % >= 81 % to < 83 % >= 41 % to < 47 % >= 42 % to < 60 % >= 58 % to < 85 % >= 65 % to < 86 % >= 32 % to < 41 % >= 60 % to < 72 % >= 54 % to < 77 % >= 34 % to < 51 % >= 67 % to < 75 % >= 51 % to < 57 % >= 41 % to < 45 % >= 40 % to < 60 % > 10 % to <= 12 % >= 81 % to < 85 % >= 44 % to < 56 % >= 50 % to < 59 % >= 78 to < 80 >= 80 to < 82 >= 88 to < 89 >= 84 to < 86 >= 84 to < 85 >= 85 to < 86 > 0.71 to <= 1.34 > 28 % to <= 39 % >= -0.121368 to < 0 >= 74 % to < 90 % >= 83 % to < 96 % >= 51 % to < 74 %
3star >= 71 % to < 76 % >= 60 % to < 70 % >= 61 to < 68 >= 70 % to < 72 % >= 83 % to < 85 % >= 47 % to < 53 % >= 60 % to < 73 % >= 85 % to < 93 % >= 86 % to < 95 % >= 41 % to < 53 % >= 72 % to < 80 % >= 77 % to < 87 % >= 51 % to < 62 % >= 75 % to < 80 % >= 57 % to < 62 % >= 45 % to < 49 % >= 60 % to < 74 % > 9 % to <= 10 % >= 85 % to < 88 % >= 56 % to < 69 % >= 59 % to < 67 % >= 80 to < 82 >= 82 to < 84 >= 89 to < 91 >= 86 to < 87 >= 85 to < 87 >= 86 to < 88 > 0.32 to <= 0.71 > 17 % to <= 28 % >= 0 to < 0.202884 >= 90 % to < 99 % >= 96 % to < 98 % >= 74 % to < 97 %
4star >= 76 % to < 84 % >= 70 % to < 78 % >= 68 to < 73 >= 72 % to < 75 % >= 85 % to < 88 % >= 53 % to < 59 % >= 73 % to < 88 % >= 93 % to < 98 % >= 95 % to < 99 % >= 53 % to < 68 % >= 80 % to < 86 % >= 87 % to < 91 % >= 62 % to < 74 % >= 80 % to < 86 % >= 62 % to < 71 % >= 49 % to < 53 % >= 74 % to < 87 % > 7 % to <= 9 % >= 88 % to < 91 % >= 69 % to < 79 % >= 67 % to < 78 % >= 82 to < 84 >= 84 to < 86 >= 91 to < 92 >= 87 to < 88 >= 87 to < 89 >= 88 to < 89 > 0.11 to <= 0.32 > 8 % to <= 17 % >= 0.202884 to < 0.391253 >= 99 % to < 100 % >= 98 % to < 100 % >= 97 % to < 100 %
5star >= 84 % >= 78 % >= 73 >= 75 % >= 88 % >= 59 % >= 88 % >= 98 % >= 99 % >= 68 % >= 86 % >= 91 % >= 74 % >= 86 % >= 71 % >= 53 % >= 87 % <= 7 % >= 91 % >= 79 % >= 78 % >= 84 >= 86 >= 92 >= 88 >= 89 >= 89 <= 0.11 <= 8 % >= 0.391253 100% 100% 100%
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