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Managed Care Utilization: Inpatient Discharges by Category 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 HMO1000001StatewideIP Maternity DISCHInpatient Maternity DischargesAllBoth genders12313204283011785039
22013Commercial HMO1000001StatewideIP Medicine DISCHInpatient Medicine DischargesAllBoth genders223599789865007243333
32013Commercial HMO1000001StatewideIP Surgery DISCHInpatient Surgery DischargesAllBoth genders173599789850481243043
42013Commercial HMO1000001StatewideIP Total DISCHInpatient Total DischargesAllBoth genders4935997898145959578039
52013Commercial PPO1000001StatewideIP Maternity DISCHInpatient Maternity DischargesAllBoth genders14281825093203195312
62013Commercial PPO1000001StatewideIP Medicine DISCHInpatient Medicine DischargesAllBoth genders193301004950939202692
72013Commercial PPO1000001StatewideIP Surgery DISCHInpatient Surgery DischargesAllBoth genders143301004939595198753
82013Commercial PPO1000001StatewideIP Total DISCHInpatient Total DischargesAllBoth genders4533010049122696497540
92013Medicaid Managed Care1000001StatewideIP Maternity DISCHInpatient Maternity DischargesAllBoth genders3835129753110711315968
102013Medicaid Managed Care1000001StatewideIP Medicine DISCHInpatient Medicine DischargesAllBoth genders4249609288174610707452
112013Medicaid Managed Care1000001StatewideIP Surgery DISCHInpatient Surgery DischargesAllBoth genders144960928858318361709
122013Medicaid Managed Care1000001StatewideIP Total DISCHInpatient Total DischargesAllBoth genders85496092883525361447540

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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 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.

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Meta
Category
Health
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Public
Tags
managed care, qarr, plan performance report, medicaid access, utilization, quality-safety-costs
Row Count
12
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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