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Outlier Results from the Spring 2014 MA and Part D Past Performance Review (Review period of January 2013 through February[removed]The table below lists organizations identified by CMS as poor performers or “outliers.”
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Document Date: 2015-01-05 18:13:04


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City

NEW YORK / Miami / /

Company

D WellPoint Inc. / UNIVERSAL HEALTH CARE INSURANCE COMPANY / UNIVERSAL HEALTH CARE INC. / D Amerigroup Maryland / PUBLIC HEALTH TRUST / BRAVO HEALTH PENNSYLVANIA INC. / WELLCARE PRESCRIPTION INSURANCE INC. / TRIPLE-S SALUD INC. / Poor Performance Triple-S Management Corporation / D First Medical Health Plan Inc. / Florida Healthcare Plus Inc. C / HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY INC. / Medical Card System Inc. / CUATRO LLC C / TEXAS INSURANCE COMPANY / PREFERRED MEDICARE CHOICE INC. / AMERIGROUP NEW JERSEY INC. / CVS Caremark / D WellCare Health Plans Inc. / D Florida Healthcare Plus Inc. / WINDSOR HEALTH PLAN INC. / UnitedHealth Group Inc. / C Humana Inc. / ARCADIAN HEALTH PLAN INC. / MAPFRE PRAICO CORPORATION / D Simply Healthcare Holdings Inc. / D Express Scripts Holding Company / UNITEDHEALTHCARE INSURANCE COMPANY / BRIDGEWAY HEALTH SOLUTIONS / CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO. / HUMANA INSURANCE COMPANY / D Torchmark Corporation / MCS ADVANTAGE INC. / SIMPLY HEALTHCARE PLANS INC. / Outstanding Concerns (Persistent Low Star Ratings) Universal American Corp. / InnovaCare Inc. / AMERIGROUP MARYLAND INC. / Touchstone Health Partnership Inc / HealthSpring / D CareSource Management Group Co. / Universal Health Care Group Inc. / WELLCARE HEALTH PLANS / HHH CHOICES HEALTH PLAN LLC / D Cuatro LLC / Disruptive Termination Humana Insurance Company / HEALTH CHOICE ARIZONA INC. / FIRST MEDICAL HEALTH PLAN INC. / D Public Health Trust / National Health Plan Network Inc. / IASIS Healthcare / Bravo Pennsylvania / SUPERIOR HEALTH PLAN INC. / THE RIVER VALLEY INC. / UNITEDHEALTHCARE COMMUNITY PLAN INC / CARESOURCE D Centene Corporation / WELLCARE HEALTH / /

Organization

National Health Plan Network Inc.^ Orange County Health Authority / Medicare / Both Visiting Nurse Service of New York / LIS / /

ProvinceOrState

Illinois / Louisiana / PUBLIC HEALTH TRUST OF MIAMI-DADE COUNTY / Pennsylvania / South Carolina / Georgia / Massachusetts / Miami-Dade County / /

Technology

pdf / /

URL

http /

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