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Managed Care Plan Utilization Data: Beginning 2009

Row numberMeasurement yearPayerPlan IDPlan NameMeasureMeasure DescriptionAge CategoryGenderRatePercentile 10thPercentile 25thPercentile 50thPercentile 75thPercentile 90thLevel of SignificanceMembermonthsEventsDays
12009Child Health Plus2010186Affinity Health PlanER VisitsEmergency Room VisitsAge 0-1Both genders75027136844662275090th percentile or above62439
22009Child Health Plus2010186Affinity Health PlanER VisitsEmergency Room VisitsAge 0-19Both genders3382262693233573952980868398
32009Child Health Plus2010186Affinity Health PlanER VisitsEmergency Room VisitsAge 10-19Both genders2962052502953383701891964669
42009Child Health Plus2010186Affinity Health PlanER VisitsEmergency Room VisitsAge 1-9Both genders4092783033424094561082663690
52009Child Health Plus2010186Affinity Health PlanER VisitsEmergency Room VisitsAllBoth genders3382262693233573952980868398
62009Child Health Plus2010186Affinity Health PlanIP Maternity ALOSInpatient Maternity Average Length Of StayAge 10-19Both genders3.12.72.72.83.13.418919651160
72009Child Health Plus2010186Affinity Health PlanIP Maternity ALOSInpatient Maternity Average Length Of StayAllBoth genders3.12.72.72.83.13.418919651160
82009Child Health Plus2010186Affinity Health PlanIP Maternity DaysInpatient Maternity Total DaysAge 10-19Both genders103568890th percentile or above18919651160
92009Child Health Plus2010186Affinity Health PlanIP Maternity DaysInpatient Maternity Total DaysAllBoth genders103568890th percentile or above18919651160
102009Child Health Plus2010186Affinity Health PlanIP Maternity DISCHInpatient Maternity DischargesAge 10-19Both genders31223390th percentile or above18919651160
112009Child Health Plus2010186Affinity Health PlanIP Maternity DISCHInpatient Maternity DischargesAllBoth genders31223390th percentile or above18919651160
122009Child Health Plus2010186Affinity Health PlanIP Medicine ALOSInpatient Medicine Average Length Of StayAge 0-1Both gendersSample size too small to report
132009Child Health Plus2010186Affinity Health PlanIP Medicine ALOSInpatient Medicine Average Length Of StayAge 10-19Both genders3.72.42.73.13.54189196191706
142009Child Health Plus2010186Affinity Health PlanIP Medicine ALOSInpatient Medicine Average Length Of StayAge 1-9Both genders2.92.42.42.62.93.2108266156445
152009Child Health Plus2010186Affinity Health PlanIP Medicine ALOSInpatient Medicine Average Length Of StayAllBoth genders3.32.32.72.83.13.72980863491154
162009Child Health Plus2010186Affinity Health PlanIP Medicine DaysInpatient Medicine Total DaysAge 0-1Both gendersSample size too small to report
172009Child Health Plus2010186Affinity Health PlanIP Medicine DaysInpatient Medicine Total DaysAge 10-19Both genders451826334968189196191706
182009Child Health Plus2010186Affinity Health PlanIP Medicine DaysInpatient Medicine Total DaysAge 1-9Both genders492833445767108266156445
192009Child Health Plus2010186Affinity Health PlanIP Medicine DaysInpatient Medicine Total DaysAllBoth genders4625293846692980863491154
202009Child Health Plus2010186Affinity Health PlanIP Medicine DISCHInpatient Medicine DischargesAge 0-1Both gendersSample size too small to report
212009Child Health Plus2010186Affinity Health PlanIP Medicine DISCHInpatient Medicine DischargesAge 10-19Both genders1289111518189196191706
222009Child Health Plus2010186Affinity Health PlanIP Medicine DISCHInpatient Medicine DischargesAge 1-9Both genders171314172123108266156445
232009Child Health Plus2010186Affinity Health PlanIP Medicine DISCHInpatient Medicine DischargesAllBoth genders1410111315202980863491154
242009Child Health Plus2010186Affinity Health PlanIP Surgery ALOSInpatient Surgery Average Length Of StayAge 0-1Both gendersSample size too small to report
252009Child Health Plus2010186Affinity Health PlanIP Surgery ALOSInpatient Surgery Average Length Of StayAge 10-19Both genders4.12.93.84.25.36.7189196109444
262009Child Health Plus2010186Affinity Health PlanIP Surgery ALOSInpatient Surgery Average Length Of StayAge 1-9Both genders7.22.73.145.37.290th percentile or above10826630217
272009Child Health Plus2010186Affinity Health PlanIP Surgery ALOSInpatient Surgery Average Length Of StayAllBoth genders4.93.53.84.75.78.1298086140679
282009Child Health Plus2010186Affinity Health PlanIP Surgery DaysInpatient Surgery Total DaysAge 0-1Both gendersSample size too small to report
292009Child Health Plus2010186Affinity Health PlanIP Surgery DaysInpatient Surgery Total DaysAge 10-19Both genders281519223039189196109444
302009Child Health Plus2010186Affinity Health PlanIP Surgery DaysInpatient Surgery Total DaysAge 1-9Both genders2491318244610826630217
312009Child Health Plus2010186Affinity Health PlanIP Surgery DaysInpatient Surgery Total DaysAllBoth genders271215222836298086140679
322009Child Health Plus2010186Affinity Health PlanIP Surgery DISCHInpatient Surgery DischargesAge 0-1Both gendersSample size too small to report
332009Child Health Plus2010186Affinity Health PlanIP Surgery DISCHInpatient Surgery DischargesAge 10-19Both genders74567790th percentile or above189196109444
342009Child Health Plus2010186Affinity Health PlanIP Surgery DISCHInpatient Surgery DischargesAge 1-9Both genders33345510826630217
352009Child Health Plus2010186Affinity Health PlanIP Surgery DISCHInpatient Surgery DischargesAllBoth genders634566298086140679
362009Child Health Plus2010186Affinity Health PlanIP Total ALOSInpatient Total Average Length Of StayAge 0-1Both gendersSample size too small to report
372009Child Health Plus2010186Affinity Health PlanIP Total ALOSInpatient Total Average Length Of StayAge 10-19Both genders3.72.63.13.63.84.91891963511310
382009Child Health Plus2010186Affinity Health PlanIP Total ALOSInpatient Total Average Length Of StayAge 1-9Both genders3.62.52.72.93.63.8108266186662
392009Child Health Plus2010186Affinity Health PlanIP Total ALOSInpatient Total Average Length Of StayAllBoth genders3.72.633.43.74.32980865401993
402009Child Health Plus2010186Affinity Health PlanIP Total DaysInpatient Total DaysAge 0-1Both gendersSample size too small to report
412009Child Health Plus2010186Affinity Health PlanIP Total DaysInpatient Total DaysAge 10-19Both genders83434767771031891963511310
422009Child Health Plus2010186Affinity Health PlanIP Total DaysInpatient Total DaysAge 1-9Both genders733945688091108266186662
432009Child Health Plus2010186Affinity Health PlanIP Total DaysInpatient Total DaysAllBoth genders8043566280952980865401993
442009Child Health Plus2010186Affinity Health PlanIP Total DISCHInpatient Total DischargesAge 0-1Both gendersSample size too small to report
452009Child Health Plus2010186Affinity Health PlanIP Total DISCHInpatient Total DischargesAge 10-19Both genders2216161821261891963511310
462009Child Health Plus2010186Affinity Health PlanIP Total DISCHInpatient Total DischargesAge 1-9Both genders211517202329108266186662
472009Child Health Plus2010186Affinity Health PlanIP Total DISCHInpatient Total DischargesAllBoth genders2216172022272980865401993
482009Child Health Plus2010186Affinity Health PlanOutpatient VisitsOutpatient VisitsAge 0-1Both genders830882818936100671152713214624432
492009Child Health Plus2010186Affinity Health PlanOutpatient VisitsOutpatient VisitsAge 10-19Both genders31112769313437754179470018919649052
502009Child Health Plus2010186Affinity Health PlanOutpatient VisitsOutpatient VisitsAge 1-9Both genders43073846421645935127628110826638862

About

Open Data NY - DOH Open Data NY - DOH

created Mar 29, 2013

updated Mar 28, 2014

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Description

The New York State Department of Health (NYSDOH) collects annual data on children’s and adults’ use of health services. This information complements the quality of care and member satisfaction information collected through an annual public reporting system called the Quality Assurance Reporting Requirements (QARR). Utilization measures are designed to capture the frequency of certain services provided by health plans. NCQA does not view higher or lower services counts as better or worse performance. Plans with fewer than 30 eligible events are excluded from the statistical calculations of the percentiles. For more information please visit, http://www.health.ny.gov/health_care/managed_care/qarrfull/qarr_2012/supplement_intro.htm or go to the "About" tab.

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Category
Health
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Public
Tags
managed care, qarr, plan performance report, medicaid access, utilization
Row Count
56649
Dataset Summary
Organization
Office of Quality and Patient Safety
Time Period
Beginning 2009
Posting Frequency
Annually
Data Frequency
Annually
Dataset Owner
Bureau of Quality Measurement and Improvement
Coverage
Statewide
Granularity
Health Plan
Units
Percentage, rate per 1000 member year
Notes
Notes
This dataset allows the public to understand the frequency of certain services provided by a health plan performed in the areas of outpatient, inpatient, mental health, alcohol and other drug, selected procedures, and antibiotic prescriptions. It compares types of insurances across a standardized national measurement set. And it represents information about the utilization of health care being delivered by providers across the health care delivery system (inpatient and outpatient services) for people insured by managed care health plans.
Disclaimers
Limitations
Utilization measures are designed to capture the frequency of certain services provided by health plans. NCQA does not view higher or lower services counts as better or worse performance. Plans with fewer than 30 eligible events are excluded from the statistical calculations of the percentiles.
Dataset Information
Agency
Health, Department of

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