2020 Healthy Blue (H1947) Star Rating Details |
Healthy Blue Dual Advantage (HMO D-SNP) (H1947-001-0)
Benefit Details
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The Healthy Blue Dual Advantage (HMO D-SNP) (H1947-001-0) in St. Charles, LA: CMS MA Region 16 which includes: LA Plan Monthly Premium: $32.20 Deductible: $435 |
Star Rating Category & Measures | 2020 | 2019 |
Overall Star Rating [?] | |
Summary Rating of Prescription Drug Plan Quality [?] | |
Drug Plan Customer Service [?] | |
- Call Center — Foreign Language Interpreter and TTY Availability [?]
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- Drug Plan Makes Timely Decisions about Appeals [?]
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- Fairness of Drug Plan’s Appeal Decisions [?]
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Member Complaints and Changes in the Drug Plan’s Performance [?] | |
- Complaints about the Drug 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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- Improvement (if any) in the Drug Plan's Performance [?]
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Member Experience with the Drug Plan [?] | |
- Members’s Rating of Drug Plan [?]
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- Ease of Getting Prescriptions Filled When Using the Plan [?]
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Drug Safety and Accuracy of Drug Pricing [?] | |
- Medicare.gov Plan Finder Drug Price Accuracy (higher score is better) [?]
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- Medication Adherence for Diabetes Medications [?]
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- Medication Adherence for Hypertension (RAS antagonists) [?]
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- Medication Adherence for Cholesterol (Statins) [?]
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- MTM Program Completion Rate for CMR [?]
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- Statin Use in Persons with Diabetes [?]
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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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- Rheumatoid Arthritis Management [?]
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- Reducing the Risk of Falling [?]
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- Improving Bladder Control [?]
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- Medication Reconciliation Post-Discharge [?]
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- Plan All-Cause Readmissions [?]
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- Statin Therapy for Patients with Cardiovascular Disease [?]
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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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- Improvement (if any) in the Health Plan’s Performance[?]
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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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- Availability of TTY Services and Foreign Language Interpretation When Prospective Members Call the Health Plan [?]
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