Go back to the interactive dataset

Managed Care Utilization: Inpatient Discharges by Category and Payer: Latest Data

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
12014Commercial HMO1000001StatewideIP Maternity DISCHInpatient Maternity DischargesAllBoth genders11253644992411567163
22014Commercial HMO1000001StatewideIP Medicine DISCHInpatient Medicine DischargesAllBoth genders202909933549098189885
32014Commercial HMO1000001StatewideIP Surgery DISCHInpatient Surgery DischargesAllBoth genders162909933538590192225
42014Commercial HMO1000001StatewideIP Total DISCHInpatient Total DischargesAllBoth genders4729099335112863453957
52014Commercial PPO1000001StatewideIP Maternity DISCHInpatient Maternity DischargesAllBoth genders142987972334255100963
62014Commercial PPO1000001StatewideIP Medicine DISCHInpatient Medicine DischargesAllBoth genders193494548254798224929
72014Commercial PPO1000001StatewideIP Surgery DISCHInpatient Surgery DischargesAllBoth genders143494548240489205848
82014Commercial PPO1000001StatewideIP Total DISCHInpatient Total DischargesAllBoth genders4534945482129677532274
92014HIV Special Needs Plans1000001StatewideIP Maternity DISCHInpatient Maternity DischargesAllBoth genders518503777280
102014HIV Special Needs Plans1000001StatewideIP Medicine DISCHInpatient Medicine DischargesAllBoth genders259191291412421626
112014HIV Special Needs Plans1000001StatewideIP Surgery DISCHInpatient Surgery DischargesAllBoth genders361912915714804
122014HIV Special Needs Plans1000001StatewideIP Total DISCHInpatient Total DischargesAllBoth genders299191291477426717
132014Medicaid Managed Care1000001StatewideIP Maternity DISCHInpatient Maternity DischargesAllBoth genders3635982944108324307129
142014Medicaid Managed Care1000001StatewideIP Medicine DISCHInpatient Medicine DischargesAllBoth genders4050043681166897712330
152014Medicaid Managed Care1000001StatewideIP Surgery DISCHInpatient Surgery DischargesAllBoth genders135004368155406352856
162014Medicaid Managed Care1000001StatewideIP Total DISCHInpatient Total DischargesAllBoth genders79500436813310631375663

About

Open Data NY - DOH Open Data NY - DOH

created Mar 29, 2013

updated May 19, 2016

View Full Page
Description

The column chart illustrates the distribution of inpatient discharges by service category for Medicaid, Commercial HMO, and Commercial PPO Payers. 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.

Activity
Community Rating
Current value: 0.0 out of 5
Your Rating
Raters
0
Visits
8680
Downloads
51
Comments
0
Contributors
0
Meta
Category
Health
Permissions
Public
Tags
managed care, qarr, plan performance report, medicaid access, utilization, quality-safety-costs
Row Count
16
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

Filter

  • ;
  • ;
  • ;
  • ;
  • ;
  • ;
  • ;
  • ;
  • ;
  • ;
  • ;
  • ;
  • ;
  • ;
  • ;
  • ;
  • ;
  • ;

Sort

  • ;
  • ;
  • ;
  • ;
  • ;
  • ;
  • ;
  • ;
  • ;
  • ;
  • ;
  • ;
  • ;
  • ;
  • ;
  • ;
  • ;
  • ;

Search

Saved Views

Sharing

This view is public

Publishing

See Preview