HMO/HMOPOS · observed 2020 → 2025 · 70 months of CPSC history · 9 active CY 2025 plans.
| Plan | Category | Premium | MOOP | ★ | Counties | Enrollment |
|---|---|---|---|---|---|---|
| UCare Complete (HMO-POS) H2459/026 | MA-PD | $118 | $4,157 | 4.0 | 87 | 31,370 |
| UCare Classic (HMO-POS) H2459/021 | MA-PD | $195 | $3,341 | 4.0 | 44 | 25,194 |
| UCare Essentials Rx (HMO-POS) H2459/023 | MA-PD | $33 | $3,800 | 4.0 | 46 | 20,403 |
| UCare Value (HMO-POS) H2459/001 | MA | — | $3,400 | 4.0 | 87 | 4,313 |
| UCare Aware (HMO-POS) H2459/029 | MA-PD | $7 | $5,400 | 4.0 | 46 | 3,491 |
| UCare Standard (HMO-POS) H2459/024 | MA-PD | $38 | $6,000 | 4.0 | 41 | 3,276 |
| UCare Value Plus (HMO-POS) H2459/030 | MA | — | $5,500 | 4.0 | 87 | 1,000 |
| UCare Advocate Plus (HMO I-SNP) H2459/032 · Institutional | SNP | $15 | $3,850 | 4.0 | 22 | 11 |
| UCare Advocate Choice (HMO I-SNP) H2459/031 · Institutional | SNP | $0 | $4,500 | 4.0 | 22 | 0 |
| ID | Measure | ★ |
|---|---|---|
| C01 | Breast Cancer Screening | 4.0 |
| C02 | Colorectal Cancer Screening | 4.0 |
| C03 | Annual Flu Vaccine | 5.0 |
| C04 | Monitoring Physical Activity | 2.0 |
| C05 | Special Needs Plan (SNP) Care Management | 5.0 |
| C06 | Care for Older Adults � Medication Review | 5.0 |
| C07 | Care for Older Adults � Pain Assessment | 5.0 |
| C08 | Osteoporosis Management in Women who had a Fracture | 3.0 |
| C09 | Diabetes Care � Eye Exam | 4.0 |
| C10 | Diabetes Care � Blood Sugar Controlled | 5.0 |
| C11 | Controlling High Blood Pressure | 2.0 |
| C12 | Reducing the Risk of Falling | 1.0 |
| C13 | Improving Bladder Control | 2.0 |
| C14 | Medication Reconciliation Post-Discharge | 3.0 |
| C15 | Plan All-Cause Readmissions | 2.0 |
| C16 | Statin Therapy for Patients with Cardiovascular Disease | 4.0 |
| C17 | Transitions of Care | 3.0 |
| C18 | Follow-up after Emergency Department Visit for People with Multiple High-Risk Chronic Conditions | 3.0 |
| C19 | Getting Needed Care | 3.0 |
| C20 | Getting Appointments and Care Quickly | 3.0 |
| C21 | Customer Service | 4.0 |
| C22 | Rating of Health Care Quality | 4.0 |
| C23 | Rating of Health Plan | 5.0 |
| C24 | Care Coordination | 5.0 |
| C25 | Complaints about the Health Plan | 5.0 |
| C26 | Members Choosing to Leave the Plan | 5.0 |
| C27 | Health Plan Quality Improvement | 2.0 |
| C28 | Plan Makes Timely Decisions about Appeals | 4.0 |
| C29 | Reviewing Appeals Decisions | 3.0 |
| C30 | Call Center � Foreign Language Interpreter and TTY Availability | 4.0 |
| D01 | Call Center � Foreign Language Interpreter and TTY Availability | 4.0 |
| D02 | Complaints about the Drug Plan | 5.0 |
| D03 | Members Choosing to Leave the Plan | 5.0 |
| D04 | Drug Plan Quality Improvement | 3.0 |
| D05 | Rating of Drug Plan | 4.0 |
| D06 | Getting Needed Prescription Drugs | 3.0 |
| D07 | MPF Price Accuracy | 4.0 |
| D08 | Medication Adherence for Diabetes Medications | 4.0 |
| D09 | Medication Adherence for Hypertension (RAS antagonists) | 5.0 |
| D10 | Medication Adherence for Cholesterol (Statins) | 4.0 |
| D11 | MTM Program Completion Rate for CMR | 2.0 |
| D12 | Statin Use in Persons with Diabetes (SUPD) | 3.0 |