Medicare Health Outcomes Survey (HOS) 2015-2017 Cohort

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Medicare Health Outcomes Survey (HOS)2015-2017 Cohort 18 Performance Measurement:Participating MAOsIn January 2018, the Centers for Medicare & Medicaid Services (CMS) updated the list ofMedicare Advantage Organizations (MAOs) to identify the MAO reporting units that would beincluded in the HOS Cohort 18 Performance Measurement analysis. The December 2017 CMSMonthly Enrollment by Contract Report of Medicare Advantage/Part D Health Plans available athttp://go.cms.gov/mapddata, and the August 2017 Health Plan Management System (HPMS)Contract List were used to create the following table, in order to accurately reflect theorganization and product names associated with the Cohort 18 Performance Measurementreporting. Information in the table may have changed since December 2017.The MAO table is sorted by state. A key to the table is included at the end of the section.ReportingUnitMAO OrganizationNameMAO ProductNameMAOStatePlanTypeH0104BLUE CROSS AND BLUE SHIELDOF ALABAMABLUE ADVANTAGE (PPO)ALLocal PPOH0150HEALTHSPRING OF A HEALTH, INC.VIVA MEDICAREALHMO/HMOPOSH6528CARE IMPROVEMENT PLUSSOUTH CENTRAL INSURANCE CO.UNITEDHEALTHCAREARLocal PPOH6972HEALTHSPRING LIFE & HEALTHINSURANCE COMPANY, INC.CIGNA-HEALTHSPRINGARHMO/HMOPOSH8091USABLE MUTUAL INSURANCECOMPANYARKANSAS BLUE CROSS ANDBLUE SHIELDARLocal PPOH0302MEDISUN, INC.BLUE CROSS BLUE SHIELD OFARIZONA ADVANTAGEAZHMO/HMOPOSH0321ARIZONA PHYSICIANS IPA, INC.UNITEDHEALTHCAREAZHMO/HMOPOSH0351HEALTH NET OF ARIZONA, INC.ALLWELLAZHMO/HMOPOSH0354CIGNA HEALTHCARE OFARIZONA, INC.CIGNAAZHMO/HMOPOSH2593CAREMORE HEALTH PLAN OFARIZONA, INC.CAREMORE HEALTH PLAN OFARIZONA, INC.AZHMO/HMOPOSH5430ONECARE BY CARE1ST HEALTHPLAN ARIZONA, INC.CARE1ST AZHMO/HMOPOSH5580SOUTHWEST CATHOLIC HEALTHNETWORK CORPORATIONMERCY CARE ADVANTAGEAZHMO/HMOPOSH5587HEALTH CHOICE ARIZONA, INC.HEALTH CHOICE GENERATIONSHMO SNPAZHMO/HMOPOSMedicare HOS 2015-2017 Cohort 18 Performance MeasurementJuly 2018Participating MAOsPage 1

ReportingUnitMAO OrganizationNameMAO ProductNameMAOStatePlanTypeH5590BRIDGEWAY HEALTH SOLUTIONS ALLWELLAZHMO/HMOPOSH0504CALIFORNIA PHYSICIANS'SERVICEBLUE SHIELD OF CALIFORNIACAHMO/HMOPOSH0523AETNA HEALTH OF CALIFORNIAINC.AETNA MEDICARECAHMO/HMOPOSH0524KAISER FOUNDATION HP, INC.KAISER PERMANENTECAHMO/HMOPOSH0543UHC OF CALIFORNIAUNITEDHEALTHCARECAHMO/HMOPOSH0544BLUE CROSS OF CALIFORNIAANTHEM BLUE CROSSCAHMO/HMOPOSH0545INTER VALLEY HEALTH PLAN,INC.INTER VALLEY HEALTH PLANCAHMO/HMOPOSH0562HEALTH NET OF CALIFORNIA,INC.HEALTH NET OF CALIFORNIACAHMO/HMOPOSH0571CHINESE COMMUNITY HEALTHPLANCHINESE COMMUNITY HEALTHPLANCAHMO/HMOPOSH0838UNIVERSAL CARE, INC.BRAND NEW DAYCAHMO/HMOPOSH2241GOLDEN STATE MEDICAREHEALTH PLANGOLDEN STATECAHMO/HMOPOSH3815ALIGNMENT HEALTH PLANALIGNMENT HEALTH PLANCAHMO/HMOPOSH5087EASY CHOICE HEALTH PLAN, INC. EASY CHOICE HEALTH PLANCAHMO/HMOPOSH5425SCAN HEALTH PLANSCAN HEALTH PLANCAHMO/HMOPOSH5433ORANGE COUNTY HEALTHAUTHORITYONECARECAHMO/HMOPOSH5439HEALTH NET LIFE INSURANCECOMPANYHEALTH NET LIFE INSURANCECOMPANYCALocal PPOH5649CENTRAL HEALTH PLAN OFCALIFORNIA, INC.CENTRAL HEALTH MEDICAREPLANCAHMO/HMOPOSH5810MOLINA HEALTHCARE OFCALIFORNIAMOLINA HEALTHCARE OFCALIFORNIACAHMO/HMOPOSH5852AIDS HEALTHCARE FOUNDATIONAHFCAHMO/HMOPOSH5928CARE1ST HEALTH PLANCARE1ST HEALTH PLANCAHMO/HMOPOSH5943SCAN HEALTH PLANVILLAGEHEALTHCAHMO/HMOPOSH6052KAISER FOUNDATION HP, INC.KAISER PERMANENTE MEDICARECOSTCA1876 CostH8552ANTHEM BLUE CROSS LIFE ANDHEALTH INS COMPANYANTHEM BLUE CROSS LIFE ANDHEALTH INSURANCE CO.CALocal PPOH8764ASPIRE HEALTH PLANASPIRE HEALTH PLANCAHMO/HMOPOSH9104SCAN HEALTH PLANSCAN HEALTH PLANCAHMO/HMOPOSMedicare HOS 2015-2017 Cohort 18 Performance MeasurementJuly 2018Participating MAOsPage 2

ReportingUnitMAO OrganizationNameMAO ProductNameMAOStatePlanTypeH0602ROCKY MOUNTAIN HEALTHMAINTENANCE ORGANIZATIONROCKY MOUNTAIN HEALTHPLANSCO1876 CostH0609PACIFICARE OF COLORADO, REINSURANCE COMPANYUNITEDHEALTHCARECOHMO/HMOPOSH0630KAISER FOUNDATION HP OF COKAISER PERMANENTECOHMO/HMOPOSH0657COLORADO CHOICE HEALTHPLANSFRIDAY HEALTH PLANSCO1876 CostH5608DENVER HEALTH MEDICAL PLAN, DENVER HEALTH MEDICAL RANCE COMPANYUNITEDHEALTHCARECTLocal PPOH0712WELLCARE OF CONNECTICUT,INC.WELLCARECTHMO/HMOPOSH0755OXFORD HEALTH PLANS CARE, INC.CONNECTICARE, INC.CTHMO/HMOPOSH5793AETNA HEALTH, INC. (CT)AETNA MEDICARECTHMO/HMOPOSH5854ANTHEM HEALTH PLANS, INC.ANTHEM BLUE CROSS AND BLUESHIELDCTHMO/HMOPOSH1016AVMED, INC.AVMED MEDICAREFLHMO/HMOPOSH1019CAREPLUS HEALTH PLANS, INC.CAREPLUS HEALTH PLANS, INC.FLHMO/HMOPOSH1026HEALTH OPTIONS, INC.FLORIDA BLUE HMOFLHMO/HMOPOSH1032WELLCARE OF FLORIDA, INC.WELLCAREFLHMO/HMOPOSH1035FLORIDA HEALTH CARE PLAN,INC.FLORIDA HEALTH CARE PLANSFLHMO/HMOPOSH1036HUMANA MEDICAL PLAN, INC.HUMANA MEDICAL PLAN, INC.FLHMO/HMOPOSH1045PREFERRED CARE TH FIRST HEALTH PLANSHEALTH FIRST HEALTH PLANS,INC.FLHMO/HMOPOSH2758BEHEALTHY FLORIDA, INC.FLORIDA BLUE PREFERRED HMOFLHMO/HMOPOSH2962ULTIMATE HEALTH PLANS, INC.ULTIMATE HEALTH PLANSFLHMO/HMOPOSH3132AHF MCO OF FLORIDA, INC.AHFFLHMO/HMOPOSH5410HEALTHSPRING OF FLORIDAHEALTHSPRING OF FLORIDA, INC.FLHMO/HMOPOSH5420MEDICA HEALTHCARE PLANS,INC.UNITEDHEALTHCAREFLHMO/HMOPOSMedicare HOS 2015-2017 Cohort 18 Performance MeasurementJuly 2018Participating MAOsPage 3

ReportingUnitMAO OrganizationNameMAO ProductNameFREEDOM HEALTH, INC.MAOStatePlanTypeFLHMO/HMOPOSH5427FREEDOM HEALTH, INC.H5431HEALTHSUN HEALTH PLANS, INC. HEALTHSUN HEALTH PLANS, INC.FLHMO/HMOPOSH5434BLUE CROSS AND BLUE SHIELDOF FLORIDA, INC.FLORIDA BLUEFLLocal PPOH5471SIMPLY HEALTHCARE PLANS,INC.SIMPLY HEALTHCARE PLANS,INC.FLHMO/HMOPOSH5594OPTIMUM HEALTHCARE, INC.OPTIMUM HEALTHCARE, INC.FLHMO/HMOPOSH5938CAPITAL HEALTH PLANCAPITAL HEALTH PLANFLHMO/HMOPOSH8130MOLINA HEALTHCARE OFFLORIDA, INC.MOLINA HEALTHCARE OFFLORIDAFLHMO/HMOPOSH0439CIGNA HEALTHCARE OFGEORGIA, INC.CIGNA-HEALTHSPRINGGAHMO/HMOPOSH1109AETNA HEALTH, INC.(GA)AETNA MEDICAREGAHMO/HMOPOSH1111UNITEDHEALTHCARE OFGEORGIA, INC.UNITEDHEALTHCAREGAHMO/HMOPOSH1112WELLCARE OF GEORGIA, INC.WELLCAREGAHMO/HMOPOSH1170KAISER FOUNDATION HP OF GA,INC.KAISER PERMANENTEGAHMO/HMOPOSH4141HUMANA EMPLOYERS HEALTHPLAN OF GEORGIA, INC.HUMANA EMPLOYERS HEALTHPLAN OF GEORGIA, INC.GAHMO/HMOPOSH5302AETNA HEALTH, INC. (GA)COVENTRY HEALTH CAREGAHMO/HMOPOSH5422BLUE CROSS BLUE SHIELDHEALTHCARE PLAN OF GEORGIABLUE CROSS BLUE SHIELDHEALTHCARE PLAN OF GEORGIAGAHMO/HMOPOSH1230KAISER FOUNDATION HP, INC.KAISER PERMANENTEHIHMO/HMOPOSH2491WELLCARE HEALTH INSURANCEOF ARIZONA, INC.WELLCARE HEALTH PLANHIHMO/HMOPOSH3832HAWAII MEDICAL SERVICEASSOCIATIONHMSA AKAMAI ADVANTAGEHILocal PPOH0028CHA HMO, INC.CHA HMO, INC.IAHMO/HMOPOSH1608COVENTRY HEALTH AND LIFEINSURANCE COMPANYCOVENTRY HEALTH CAREIALocal PPOH1609AETNA HEALTH, INC. (FL)COVENTRY HEALTH CAREIAHMO/HMOPOSH1651MEDICAL ASSOCIATES HEALTHPLAN, INC.MEDICAL ASSOCIATES HEALTHPLAN, INC.IA1876 CostH1737HEALTH ALLIANCE - MIDWEST,INC.HEALTH ALLIANCE MEDICAREIAHMO/HMOPOSH1302BLUE CROSS OF IDAHO CAREPLUS, INC.BLUE CROSS OF IDAHOIDLocal PPOMedicare HOS 2015-2017 Cohort 18 Performance MeasurementJuly 2018Participating MAOsPage 4

ReportingUnitMAO OrganizationNameMAO ProductNameMAOStatePlanTypeH1304REGENCE BLUESHIELD OF IDAHOREGENCE BLUESHIELD OF IDAHOIDLocal PPOH1350BLUE CROSS OF IDAHO CAREPLUS, INC.BLUE CROSS OF IDAHOIDHMO/HMOPOSH4754PACIFICSOURCE COMMUNITYHEALTH PLANSPACIFICSOURCE MEDICAREIDLocal PPOH1415HEALTHSPRING OF ARMONY HEALTH PLAN, INC.WELLCAREILHMO/HMOPOSH1463HEALTH ALLIANCE CONNECT,INC.HEALTH ALLIANCE MEDICAREILHMO/HMOPOSH1468HUMANA BENEFIT PLAN OFILLINOIS, INC.HUMANA BENEFIT PLAN OFILLINOIS, INC.ILHMO/HMOPOSH3071COMMUNITY CARE ALLIANCE OFILLINOIS, NFPCOMMUNITY CARE ALLIANCE OFILLINOIS, NFPILHMO/HMOPOSH3822HEALTH CARE SERVICECORPORATIONBLUE CROSS BLUE SHIELD OF IL,MT, NMILHMO/HMOPOSH5525HUMANA BENEFIT PLAN OFILLINOIS, INC.HUMANA BENEFIT PLAN OFILLINOIS, INC.ILLocal PPOH5779MERIDIAN HEALTH PLAN OFILLINOIS, INC.MERIDIANCAREILHMO/HMOPOSH7301COVENTRY HEALTH CARE OFILLINOIS, INC.COVENTRY HEALTH CAREILLocal PPOH8634HEALTH CARE SERVICECORPORATIONBLUE CROSS AND BLUE SHIELDOF IL, NM, OKILLocal PPOH1607ANTHEM INSURANCECOMPANIES, INC.ANTHEM BLUE CROSS AND BLUESHIELDINLocal PPOH3945CIGNA HEALTH AND LIFEINSURANCE COMPANYCIGNA-HEALTHSPRINGINHMO/HMOPOSH7220INDIANA UNIVERSITY HEALTHPLANS, INC.INDIANA UNIVERSITY HEALTHPLANS - MEDICAREINHMO/HMOPOSH9730WELLCARE HEALTH INSURANCECOMPANY OF KENTUCKY, INCWELLCAREKYHMO/HMOPOSH1951HUMANA HEALTH BENEFIT PLANOF LOUISIANA, INC.HUMANA HEALTH BENEFIT PLANOF LOUISIANA, INC.LAHMO/HMOPOSH1961PEOPLES HEALTH, INC.PEOPLES HEALTHLAHMO/HMOPOSH3928AETNA HEALTH, INC. (LA)COVENTRY HEALTH CARELAHMO/HMOPOSH5576VANTAGE HEALTH PLAN, INC.VANTAGE HEALTH PLAN, INC.LAHMO/HMOPOSMedicare HOS 2015-2017 Cohort 18 Performance MeasurementJuly 2018Participating MAOsPage 5

ReportingUnitMAO OrganizationNameMAO ProductNameMAOStatePlanTypeH0137COMMONWEALTH CAREALLIANCE, INC.COMMONWEALTH CAREALLIANCE, INC.MAMedicareMedicaid PlanHMO/HMOPOSH1944UNITEDHEALTHCARE OF NEWENGLAND, INC.UNITEDHEALTHCAREMAHMO/HMOPOSH2224SENIOR WHOLE HEALTH, LLCSENIOR WHOLE HEALTHMAHMO/HMOPOSH2225COMMONWEALTH CAREALLIANCE, INC.COMMONWEALTH CAREALLIANCE, INC.MAHMO/HMOPOSH2226UNITEDHEALTHCAREINSURANCE THCAREINSURANCE COMPANYUNITEDHEALTHCAREMALocal PPOH2230BCBS OF MASSACHUSETTS HMOBLUE, INC.BLUE CROSS BLUE SHIELD OFMASSACHUSETTSMALocal PPOH2256TUFTS ASSOCIATED HEALTHMAINTENANCE ORGANIZATIONTUFTS HEALTH PLANMAHMO/HMOPOSH2261BCBS OF MASSACHUSETTS HMOBLUE, INC.BLUE CROSS BLUE SHIELD OFMASSACHUSETTSMAHMO/HMOPOSH7419TUFTS HEALTH PUBLIC PLANS,INC.TUFTS HEALTH PLANMAMedicareMedicaid PlanHMO/HMOPOSH8578HEALTH NEW ENGLAND, INC.HEALTH NEW ENGLANDMEDICARE ADVANTAGE PLANSMAHMO/HMOPOSH9001FALLON COMMUNITY HEALTHPLANFALLON HEALTHMAHMO/HMOPOSH2108BRAVO HEALTH 50KAISER FNDN HP OF THE MIDATLANTIC STSKAISER PERMANENTEMD1876 CostH5322CARE IMPROVEMENT PLUSSOUTH CENTRAL INSURANCE CO.UNITEDHEALTHCAREMDHMO/HMOPOSH9915MEDSTAR FAMILY CHOICE, INC.MEDSTAR FAMILY CHOICE, INCMDHMO/HMOPOSH1365MARTIN'S POINT GENERATIONSADVANTAGE, INC.MARTIN'S POINT GENERATIONSADVANTAGEMELocal PPOH2001SIERRA HEALTH AND LIFEINSURANCE COMPANY, INC.UNITEDHEALTHCAREMELocal PPOH3597AETNA HEALTH, INC. (ME)AETNA MEDICAREMEHMO/HMOPOSH5591MARTIN'S POINT GENERATIONSADVANTAGE, INC.MARTIN'S POINT GENERATIONSADVANTAGEMEHMO/HMOPOSH5619ARCADIAN HEALTH PLAN, INC.ARCADIAN HEALTH PLAN, INC.MEHMO/HMOPOSMedicare HOS 2015-2017 Cohort 18 Performance MeasurementJuly 2018Participating MAOsPage 6

ReportingUnitMAO OrganizationNameMAO ProductNameMAOStatePlanTypeH8432EMPIRE HEALTHCHOICE HMO,INC.EMPIRE BLUECROSS BLUESHIELDMEHMO/HMOPOSH2161UPPER PENINSULA HEALTHPLAN, LLCUPPER PENINSULA HEALTH PLANMIHMO/HMOPOSH2320PRIORITY HEALTHPRIORITY HEALTH MEDICAREMIHMO/HMOPOSH2322ALLIANCE HEALTH AND LIFEINSURANCE COMPANYHAP SENIOR PLUS (PPO)MILocal PPOH2354HEALTH ALLIANCE PLAN OFMICHIGANHAP SENIOR PLUSMIHMO/HMOPOSH4875PRIORITY HEALTHPRIORITY HEALTH MEDICAREMILocal PPOH5475MERIDIAN HEALTH PLAN OFMICHIGAN, INC.MERIDIANCAREMIHMO/HMOPOSH5685HAP MIDWEST HEALTH PLAN,INC.HAP MIDWEST ADVANTAGEMIHMO/HMOPOSH5883BLUE CARE NETWORK OFMICHIGANBLUE CARE NETWORKMIHMO/HMOPOSH5926MOLINA HEALTHCARE OFMICHIGAN, INC.MOLINA HEALTHCARE OFMICHIGANMIHMO/HMOPOSH8908HUMANA MEDICAL PLAN OFMICHIGAN, INC.HUMANA MEDICAL PLAN OFMICHIGAN, INC.MIHMO/HMOPOSH9572BCBS OF MICHIGAN MUTUALINSURANCE COMPANYBLUE CROSS BLUE SHIELD OFMICHIGANMILocal PPOH1537UNITEDHEALTHCAREINSURANCE COMPANY OF NEWYORKUNITEDHEALTHCAREMNLocal PPOH2416PRIMEWEST RURAL MN HEALTHCARE ACCESS INITIATIVEPRIMEWEST HEALTHMNHMO/HMOPOSH2419SOUTH COUNTRY HEALTHALLIANCESOUTH COUNTRY HEALTHALLIANCEMNHMO/HMOPOSH2422HEALTHPARTNERS, INC.HEALTHPARTNERSMNHMO/HMOPOSH2425BLUE PLUSBLUE PLUSMNHMO/HMOPOSH2450MEDICA INSURANCE COMPANYMEDICA INSURANCE COMPANYMN1876 CostH2456UCARE MINNESOTAUCARE'S MSHOMNHMO/HMOPOSH2458MEDICA HEALTH PLANSMEDICA HEALTH PLANSMNHMO/HMOPOSH2459UCARE MINNESOTAUCAREMNHMO/HMOPOSH2461BLUE CROSS AND BLUE SHIELDOF MINNESOTABLUE CROSS AND BLUE SHIELDOF MINNESOTAMN1876 CostH2462GROUP HEALTH PLAN, INC. (MN)HEALTHPARTNERSMN1876 CostMedicare HOS 2015-2017 Cohort 18 Performance MeasurementJuly 2018Participating MAOsPage 7

ReportingUnitMAO OrganizationNameMAO ProductNameMAOStatePlanTypeH5652SIERRA HEALTH AND LIFEINSURANCE COMPANY, INC.UNITEDHEALTHCAREMNHMO/HMOPOSH5703SOUTH COUNTRY HEALTHALLIANCESOUTH COUNTRY HEALTHALLIANCEMNHMO/HMOPOSH9834GUNDERSEN HEALTH PLAN OFMINNESOTASENIOR PREFERREDMNHMO/HMOPOSH2610ESSENCE HEALTHCARE, INC.ESSENCE HEALTHCAREMOHMO/HMOPOSH2649HUMANA HEALTH PLAN, INC.HUMANA HEALTH PLAN, INC.MOHMO/HMOPOSH2663COVENTRY HEALTH CARE OFMISSOURI, INCCOVENTRY HEALTH CAREMOHMO/HMOPOSH9886HMO MISSOURI, INC.ANTHEM BLUE CROSS AND BLUESHIELDMOHMO/HMOPOSH4407HEALTHSPRING OF EALTH CARE SERVICECORPORATIONBLUE CROSS AND BLUE SHIELDOF MONTANAMTLocal PPOH3404BLUE CROSS AND BLUE SHIELDOF NORTH CAROLINABLUE CROSS AND BLUE SHIELDOF NORTH CAROLINANCLocal PPOH3449BLUE CROSS AND BLUE SHIELDOF NORTH CAROLINABLUE CROSS AND BLUE SHIELDOF NORTH E COMPANYFIRSTMEDICARE DIRECTNCHMO/HMOPOSH8064FIRSTCAROLINACAREINSURANCE COMPANYFIRSTMEDICARE DIRECTNCLocal PPOH9725CIGNA HEALTHCARE OF NORTHCAROLINA, HCARE OF THEMIDLANDS, INC.UNITEDHEALTHCARENEHMO/HMOPOSH7149AETNA HEALTH, INC. (PA)COVENTRY HEALTH CARENEHMO/HMOPOSH3536MATTHEW THORNTON HEALTHPLAN, INC.ANTHEM BLUE CROSS AND BLUESHIELDNHHMO/HMOPOSH6750HARVARD PILGRIM HEALTHCARE OF NEW ENGLAND, INC.HARVARD PILGRIM HEALTHCARE OF NEW ENGLAND, INC.NHHMO/HMOPOSH7728ANTHEM HEALTH PLANS OF NEWHAMPSHIRE, INC.ANTHEM BLUE CROSS AND BLUESHIELDNHLocal PPOH0913WELLCARE HEALTH PLANS OFNEW JERSEY, INC.WELLCARENJHMO/HMOPOSH3113OXFORD HEALTH PLANS (NJ),INC.UNITEDHEALTHCARENJHMO/HMOPOSMedicare HOS 2015-2017 Cohort 18 Performance MeasurementJuly 2018Participating MAOsPage 8

ReportingUnitMAO OrganizationNameMAO ProductNameMAOStatePlanTypeH3152AETNA HEALTH, INC. (NJ)AETNA MEDICARENJHMO/HMOPOSH3154HORIZON INSURANCE COMPANYHORIZON BLUE CROSS BLUESHIELD OF NEW JERSEYNJHMO/HMOPOSH3240AMERIGROUP NEW JERSEY, INC.AMERIGROUP COMMUNITY CARENJHMO/HMOPOSH5141CLOVER INSURANCE COMPANYCLOVER HEALTHNJLocal PPOH3204PRESBYTERIAN HEALTH PLANPRESBYTERIAN HEALTH PLANNMHMO/HMOPOSH3206PRESBYTERIAN INSURANCECOMPANY, INC.PRESBYTERIAN INSURANCECOMPANY, INC.NMLocal PPOH3251HEALTH CARE SERVICECORPORATIONBLUE CROSS BLUE SHIELD OFNEW MEXICONMHMO/HMOPOSH5746AMERIGROUP COMMUNITY CAREOF NEW MEXICO, INC.AMERIGROUP COMMUNITY CAREOF NEW MEXICONMHMO/HMOPOSH9082MOLINA HEALTHCARE OF NEWMEXICO, INC.MOLINA HEALTHCARE OF NEWMEXICO, INC.NMHMO/HMOPOSH2906HOMETOWN HEALTH PLAN, INC.SENIOR CARE PLUSNVLocal PPOH2931HEALTH PLAN OF NEVADA, INC.UNITEDHEALTHCARENVHMO/HMOPOSH2960HOMETOWN HEALTH PLAN, INC.SENIOR CARE PLUSNVHMO/HMOPOSH4346HMO COLORADO, INC.ANTHEM BLUE CROSS AND BLUESHIELDNVHMO/HMOPOSH0423METROPLUS HEALTH PLAN, INC.METROPLUS HEALTH PLANNYHMO/HMOPOSH1777CATHOLIC SPECIAL NEEDS PLAN,LLCARCHCARE ADVANTAGENYHMO/HMOPOSH2773QUALITY HEALTH PLANS OF NEWQUALITY HEALTH PLANSYORK, INC.NYHMO/HMOPOSH2775AMERICAN PROGRESSIVE LIFE &HLTH INS COMPANY OF NYUNIVERSAL AMERICAN, AWELLCARE COMPANYNYLocal PPOH3305MVP HEALTH PLAN, INC.MVP HEALTH CARENYHMO/HMOPOSH3307OXFORD HEALTH PLANS (NY),INC.UNITEDHEALTHCARENYHMO/HMOPOSH3312AETNA HEALTH, INC. (NY)AETNA MEDICARENYHMO/HMOPOSH3328THE NEW YORK STATE CATHOLICFIDELIS CAREHEALTH PLAN, INC.NYHMO/HMOPOSH3330HEALTH INSURANCE PLAN OFGREATER NEW YORKEMBLEMHEALTH MEDICAREHMONYHMO/HMOPOSH3335EXCELLUS HEALTH PLAN, INC.EXCELLUS HEALTH PLAN, INCNYLocal PPOH3337LIBERTY HEALTH ADVANTAGE,INC.LIBERTY HEALTH ADVANTAGENYHMO/HMOPOSMedicare HOS 2015-2017 Cohort 18 Performance MeasurementJuly 2018Participating MAOsPage 9

ReportingUnitMAO OrganizationNameMAO ProductNameMAOStatePlanTypeEMPIRE BLUECROSS BLUESHIELDNYLocal PPOH3342EMPIRE HEALTHCHOICEASSURANCE, INC.H3344INDEPENDENT HEALTH BENEFITSINDEPENDENT HEALTHCORPORATIONNYLocal PPOH3347ELDERPLAN, INC.ELDERPLANNYHMO/HMOPOSH3351EXCELLUS HEALTH PLAN, INC.EXCELLUS HEALTH PLAN, INCNYHMO/HMOPOSH3359HEALTHFIRST HEALTH PLAN,INC.HEALTHFIRST MEDICARE PLANNYHMO/HMOPOSH3361WELLCARE OF NEW YORK, INC.WELLCARENYHMO/HMOPOSH3362INDEPENDENT HEALTHASSOCIATION, INC.INDEPENDENT HEALTHNYHMO/HMOPOSH3379UNITEDHEALTHCARE OF NEWYORK, INC.UNITEDHEALTHCARENYHMO/HMOPOSH3384HEALTHNOW NEW YORK, INC.BLUECROSS BLUESHIELD OF WNY AND BLUESHIELD OF NE NYNYHMO/HMOPOSH3387UNITEDHEALTHCARE OF NEWYORK, INC.UNITEDHEALTHCARENYHMO/HMOPOSH3388CAPITAL DISTRICT PHYSICIANS'HEALTH PLAN, INC.CDPHP MEDICARE CHOICESNYHMO/HMOPOSH3533HUMANA HEALTH COMPANY OFNEW YORK, INC.HUMANA HEALTH COMPANY OFNEW YORK, INC.NYHMO/HMOPOSH5042CDPHP UNIVERSAL BENEFITS,INC.CDPHP MEDICARE CHOICESNYLocal PPOH5526HEALTHNOW NEW YORK, INC.BLUECROSS BLUESHIELD OF WNY AND BLUESHIELD OF NE NYNYLocal PPOH5528GROUP HEALTH INCORPORATEDEMBLEMHEALTH MEDICARE PPONYLocal PPOH5549VNS CHOICEVNSNY CHOICE MEDICARENYHMO/HMOPOSH5970HUMANA INSURANCE COMPANYOF NEW YORKHUMANA INSURANCE COMPANYOF NEW YORKNYLocal PPOH5989CENTERLIGHT HEALTHCARE,INC.CENTERLIGHT HEALTHCARENYHMO/HMOPOSH5991AFFINITY HEALTH PLAN, INC.AFFINITY HEALTH PLANNYHMO/HMOPOSH6864GUILDNET, INC.GUILDNETNYHMO/HMOPOSH9615MVP HEALTH PLAN, INC.MVP HEALTH CARENYLocal PPOH0490MOLINA HEALTHCARE OF OHIO,INC.MOLINA HEALTHCARE OF OHIOOHHMO/HMOPOSH0908BUCKEYE COMMUNITY HEALTHPLAN, INC.ALLWELLOHHMO/HMOPOSMedicare HOS 2015-2017 Cohort 18 Performance MeasurementJuly 2018Participating MAOsPage 10

ReportingUnitMAO OrganizationNameMAO ProductNameMAOStatePlanTypeH1846MOUNT CARMEL HEALTHINSURANCE COMPANYMEDIGOLDOHLocal PPOH2406SIERRA HEALTH AND LIFEINSURANCE COMPANY, INC.UNITEDHEALTHCAREOHLocal PPOH3653PARAMOUNT CARE, INC.PARAMOUNT ELITEOHHMO/HMOPOSH3655COMMUNITY INSURANCECOMPANYANTHEM BLUE CROSS AND BLUESHIELDOHHMO/HMOPOSH3660SUMMACARE, INC.SUMMACARE MEDICAREADVANTAGE PLANSOHHMO/HMOPOSH3664AULTCARE HEALTH INSURINGCORPORATIONPRIMETIME HEALTH PLANOHHMO/HMOPOSH3668MOUNT CARMEL HEALTH PLAN,INC.MEDIGOLDOHHMO/HMOPOSH3672HEALTH PLAN OF THE UPPEROHIO VALLEYTHE HEALTH PLANOHHMO/HMOPOSH8604THP INSURANCE COMPANYTHE HEALTH PLANOHLocal PPOH9190GATEWAY HEALTH PLAN OFOHIO, INC.GATEWAY HEALTH MEDICAREASSUREDOHHMO/HMOPOSH3706GLOBALHEALTH, INC.GLOBALHEALTHOKHMO/HMOPOSH3749UNITEDHEALTHCARE OFOKLAHOMA, INC.UNITEDHEALTHCAREOKHMO/HMOPOSH3755COMMUNITY CARE HMO, INC.COMMUNITYCARE SENIORHEALTH PLAN (HMO)OKHMO/HMOPOSH3979GHS HEALTH MAINTENANCEORGANIZATION, INC.BLUE CROSS BLUE SHIELD OF OKOKHMO/HMOPOSH2174TRILLIUM COMMUNITY HEALTHPLANTRILLIUM MEDICAREADVANTAGEORHMO/HMOPOSH3805UNITEDHEALTHCARE OFOREGON, INC.UNITEDHEALTHCAREORHMO/HMOPOSH3810ALLCARE HEALTH PLAN, INC.ALLCARE ADVANTAGEORHMO/HMOPOSH3811SAMARITAN HEALTH PLANS, INC.SAMARITAN ADVANTAGEHEALTH PLANORHMO/HMOPOSH3813MODA HEALTH PLAN, INC.MODA HEALTH PLAN, INC.ORLocal PPOH3814ATRIO HEALTH PLANSATRIO HEALTH PLANSORHMO/HMOPOSH3817REGENCE BLUECROSSBLUESHIELD OF OREGONREGENCE BLUECROSSBLUESHIELD OF OREGONORLocal PPOH3818FAMILYCARE HEALTH PLANS,INC.FAMILYCARE HEALTHORHMO/HMOPOSMedicare HOS 2015-2017 Cohort 18 Performance MeasurementJuly 2018Participating MAOsPage 11

ReportingUnitMAO OrganizationNameMAO ProductNameMAOStatePlanTypeH3864PACIFICSOURCE COMMUNITYHEALTH PLANSPACIFICSOURCE MEDICAREORHMO/HMOPOSH5859HEALTH PLAN OF CAREOREGON,INC.CAREOREGON ADVANTAGEORHMO/HMOPOSH5995ATRIO HEALTH PLANSATRIO HEALTH PLANSORHMO/HMOPOSH6237REGENCE BLUECROSSBLUESHIELD OF OREGONREGENCE BLUECROSSBLUESHIELD OF OREGONORHMO/HMOPOSH6743ATRIO HEALTH PLANSATRIO HEALTH PLANSORLocal PPOH6815HEALTH NET HEALTH PLAN OFOREGONHEALTH NET HEALTH PLAN OFOREGON, INC.ORHMO/HMOPOSH7006ATRIO HEALTH PLANSATRIO HEALTH PLANSORLocal PPOH9003KAISER FOUNDATION HP OF THENWKAISER PERMANENTEORHMO/HMOPOSH90

tufts associated health maintenance organization tufts health plan ma hmo/hmopos h2261 bcbs of massachusetts hmo blue, inc. . h2001 sierra health and life insurance company, inc. . h2320 priority health priority health medicare mi hmo/hmopos h2322 alliance health and life