Page 100

100

Part C or D

Measure

Measure Type

Weight

Measurement Year

Improvement Measure Included in the 2026 CAI Values C Medication Reconciliation Post- Discharge Process Measure 1 1/1/2024 – 12/31/2024 Yes Yes C Plan All-Cause Readmissions Outcome Measure 3 1/1/2024 – 12/31/2024 Yes Yes C Statin Therapy for Patients with Cardiovascular Disease Process Measure 1 1/1/2024 – 12/31/2024 Yes Yes C Transitions of Care Process Measure 1 1/1/2024 – 12/31/2024 Yes Yes C Follow-up after Emergency Room Visit Process Measure 1 1/1/2024 – 12/31/2024 Yes Yes C Getting Needed Care Patients’ Experience and Complaints Measure 2 3/2025 – 6/2025 Yes No C Getting Appointments and Care Quickly Patients’ Experience and Complaints Measure 2 3/2025 – 6/2025 Yes No C Customer Service Patients’ Experience and Complaints Measure 2 3/2025 – 6/2025 Yes No C Rating of Health Care Quality Patients’ Experience and Complaints Measure 2 3/2025 – 6/2025 Yes No C Rating of Health Plan Patients’ Experience and Complaints Measure 2 3/2025 – 6/2025 Yes No C Care Coordination Patients’ Experience and Complaints Measure 2 3/2025 – 6/2025 Yes No C Complaints about the Health Plan Patients’ Experience and Complaints Measure 2 1/1/2024 – 12/31/2024 Yes No C Members Choosing to Leave the Plan Patients’ Experience and Complaints Measure 2 1/1/2024 – 12/31/2024 Yes No C Health Plan Quality Improvement Improvement Measure 5 NA No No C Plan Makes Timely Decisions about Appeals Measures Capturing Access 2 1/1/2024 – 12/31/2024 Yes No