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Patient quality profile · MA
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Quality rates use MeasureResult clinical status. CareGap status is a separate workflow layer and must not be treated as a numerator failure. Each row is a program + measure pair.
| Measure | Program | Clinical status | Care gap | Data sufficiency | Calculated | Evidence date |
|---|---|---|---|---|---|---|
| Annual Preventive / Wellness Visits AWV_ACV_WCV | Medicare Advantage MA | Current / measure met 2025.1 Why this result?Qualifying clinical evidence supports that this measure is met. Data availability unknown Denominator: included. Numerator: compliant evidence recorded. Exclusion: not established. Review denominator, numerator and exclusion evidence below. Missing history is not a confirmed gap. MET | — | Data availability unknown | 2026-10-21 10:25:02 | — |
| Breast Cancer Screening BCS | Medicare Advantage MA | Current / measure met 2025.1 Why this result?Qualifying clinical evidence supports that this measure is met. Data availability unknown Denominator: included. Numerator: compliant evidence recorded. Exclusion: not established. Review denominator, numerator and exclusion evidence below. Missing history is not a confirmed gap. MET | — | Data availability unknown | 2026-10-21 10:25:02 | — |
| Cervical Cancer Screening CCS | Medicare Advantage MA | Measure not met 2025.1 Why this result?Clinical calculation indicates the measure is not met. This is not the same as a confirmed care-gap workflow item unless a DUE CareGap exists. Data availability unknown Denominator: included. Numerator: not established. Exclusion: not established. Review denominator, numerator and exclusion evidence below. Missing history is not a confirmed gap. NOT_MET | — | Data availability unknown | 2026-10-21 10:25:03 | — |
| Colorectal Cancer Screening COL | Medicare Advantage MA | Unable to determine 2025.1 Why this result?Insufficient or incomplete data for a definitive clinical determination. This is not a quality-measure failure. Data availability unknown Denominator: not included. Numerator: not established. Exclusion: not established. Review denominator, numerator and exclusion evidence below. Missing history is not a confirmed gap. UNKNOWN | — | Data availability unknown | 2026-10-21 10:25:03 | — |
| Controlling High BP CBP | Medicare Advantage MA | Measure not met 2025.1 Why this result?Clinical calculation indicates the measure is not met. This is not the same as a confirmed care-gap workflow item unless a DUE CareGap exists. Data availability unknown Denominator: included. Numerator: not established. Exclusion: not established. Review denominator, numerator and exclusion evidence below. Missing history is not a confirmed gap. NOT_MET | — | Data availability unknown | 2026-10-21 10:25:02 | — |
| Glycemic Status GSD | Medicare Advantage MA | Current / measure met 2025.1 Why this result?Qualifying clinical evidence supports that this measure is met. Data availability unknown Denominator: included. Numerator: compliant evidence recorded. Exclusion: not established. Review denominator, numerator and exclusion evidence below. Missing history is not a confirmed gap. MET | Confirmed care gap | Data availability unknown | 2026-10-21 10:25:02 | — |
| Post-partum Care PPC_PP | Medicare Advantage MA | Current / measure met 2025.1 Why this result?Qualifying clinical evidence supports that this measure is met. Data availability unknown Denominator: included. Numerator: compliant evidence recorded. Exclusion: not established. Review denominator, numerator and exclusion evidence below. Missing history is not a confirmed gap. MET | — | Data availability unknown | 2026-10-21 10:25:03 | — |
| Prenatal Care PPC | Medicare Advantage MA | Current / measure met 2025.1 Why this result?Qualifying clinical evidence supports that this measure is met. Data availability unknown Denominator: included. Numerator: compliant evidence recorded. Exclusion: not established. Review denominator, numerator and exclusion evidence below. Missing history is not a confirmed gap. MET | — | Data availability unknown | 2026-10-21 10:25:03 | — |
| Measure | Program | Reason | Sufficiency | Identified |
|---|---|---|---|---|
| Glycemic Status | MA | Confirmed care gap | — | 2026-10-21 |
No chart-review items.
Quality-measure / care-gap history from platform calculations and gap events only — not a complete medical record.
No linked evidence rows.
| When | Kind | Event | Detail |
|---|---|---|---|
| 2026-10-21 10:25:03 | calculation | Calculation · PPC_PP · MET | MA · Data availability unknown |
| 2026-10-21 10:25:03 | calculation | Calculation · PPC · MET | MA · Data availability unknown |
| 2026-10-21 10:25:03 | calculation | Calculation · CCS · NOT_MET | MA · Data availability unknown |
| 2026-10-21 10:25:03 | calculation | Calculation · COL · UNKNOWN | MA · Data availability unknown |
| 2026-10-21 10:25:02 | calculation | Calculation · GSD · MET | MA · Data availability unknown |
| 2026-10-21 10:25:02 | calculation | Calculation · CBP · NOT_MET | MA · Data availability unknown |
| 2026-10-21 10:25:02 | calculation | Calculation · BCS · MET | MA · Data availability unknown |
| 2026-10-21 10:25:02 | calculation | Calculation · AWV_ACV_WCV · MET | MA · Data availability unknown |