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Managed Care Utilization: Emergency Room Visits by Age Group and Payer :2013

This is a chart based on Managed Care Plan Utilization Data: Beginning 2009.

Row numberMeasurement yearPayerPlan IDPlan NameMeasureMeasure DescriptionAge CategoryGenderRatePercentile 10thPercentile 25thPercentile 50thPercentile 75thPercentile 90thLevel of SignificanceMembermonthsEventsDays
12013Commercial HMO1000001StatewideER VisitsEmergency Room VisitsAge 0-19Both genders1888207920128761
22013Commercial HMO1000001StatewideER VisitsEmergency Room VisitsAge 20 or olderBoth genders18527789978427853
32013Commercial PPO1000001StatewideER VisitsEmergency Room VisitsAge 20 or olderBoth genders18042260988634799
42013Commercial PPO1000001StatewideER VisitsEmergency Room VisitsAge 0-19Both genders17613050225191157
52013Medicaid Managed Care1000001StatewideER VisitsEmergency Room VisitsAge 20 or olderBoth genders647247081721331248
62013Medicaid Managed Care1000001StatewideER VisitsEmergency Room VisitsAge 0-19Both genders486249011161007500

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Open Data NY - DOH Open Data NY - DOH

created Mar 29, 2013

updated Mar 10, 2015

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Description

The column chart illustrates the statewide rates of emergency room visits by age group and payer. The chart uses statewide average rates of all insurance plans. For more information please visit http://www.health.ny.gov/health_care/managed_care/reports/quality_performance_improvement.htm#link5 , or go to the "About" tab.

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Health
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Public
Tags
managed care, qarr, plan performance report, medicaid access, utilization, quality-safety-costs
Row Count
6
Dataset Summary
Organization
Office of Quality and Patient Safety/Division of Quality Evaluation
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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