2017 Blue Cross Blue Shield of Michigan (H4262) Star Rating Details |
Blue Cross Medicare Private Fee for Service (PFFS) (H4262-001-3)
Benefit Details
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The Blue Cross Medicare Private Fee for Service (PFFS) (H4262-001-3) in Crawford, MI: CMS MA Region 11 which includes: MI Plan Monthly Premium: $200.00 |
Star Rating Category & Measures | 2017 | 2016 |
Overall Star Rating [?] | |
Summary Rating of Health Plan Quality [?] | |
Staying Healthy: Screenings, Tests and Vaccines [?] | |
- Breast Cancer Screening [?]
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- Colorectal Cancer Screening [?]
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- Improving or Maintaining Physical Health [?]
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- Improving or Maintaining Mental Health [?]
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- Monitoring Physical Activity [?]
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- Checking to See if Members Are at a Healthy Weight [?]
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Managing Chronic (Long Term) Conditions [?] | |
- Special Needs Plan (SNP) Care Management [?]
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- Care for Older Adults — Medication Review [?]
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- Care for Older Adults — Functional Status Assessment [?]
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- Care for Older Adults — Pain Assessment [?]
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- Osteoporosis Management in Women who had a Fracture [?]
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- Diabetes Care — Eye Exam [?]
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- Diabetes Care — Kidney Disease Monitoring [?]
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- Diabetes Care — Blood Sugar Controlled [?]
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- Controlling Blood Pressure [?]
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- Rheumatoid Arthritis Management [?]
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- Reducing the Risk of Falling [?]
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- Plan All-Cause Readmissions [?]
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Member Experience with Health Plan [?] | |
- Ease of Getting Needed Care and Seeing Specialists [?]
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- Getting Appointments and Care Quickly [?]
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- Health Plan Provides Information or Help When Members Need It [?]
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- Member’s Rating of Health Care Quality [?]
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- Member’s Rating of Health Plan [?]
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- Coordination of Members’s Health Care Services [?]
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Member Complaints and Changes in the Health Plan’s Performance [?] | |
- Complaints about the Health Plan (higher score is better - means fewer complaints) [?]
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- Members Choosing to Leave the Plan (higher score is better - means fewer members leaving) [?]
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- Beneficiary Access and Performance Problems (higher score is better - means fewer serious problems) [?]
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- Health Plan Quality Improvement (if any) [?]
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Health Plan Customer Service [?] | |
- Health Plan Makes Timely Decisions about Appeals [?]
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- Fairness of Drug Plan’s Appeal Decisions [?]
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- Call Center — Foreign Language Interpreter and TTY Availability [?]
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