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QARR: Access to Primary Care by Payer

This is a chart based on Quality Assurance Reporting Requirements: Beginning 2008.

Row numberMeasurement YearPayerPlan IDPlan NameDomainSub DomainMeasure DescriptionMeasureMethod of Data CollectionEligible PopulationDenominatorNumeratorRateLevel of SignificancePercentile 90thPercentile 75thPercentile 50thPercentile 25thPercentile 10th
12013HIV Special Needs PlansStatewide AverageAccess to primary careAccess to Primary CareChildren and Adolescents' Access to Primary Care Practitioners (Ages 12-19 Years)Access to Care 12-19yrAdministrative Review28028025390.3689.8489.8489.8489.8489.84
22013Commercial HMOStatewide AverageAccess to primary careAccess to Primary CareChildren and Adolescents' Access to Primary Care Practitioners (Ages 12-19 Years)Access to Care 12-19yrAdministrative Review24120224120222637193.8596.5395.8294.7291.1987.63
32013Medicaid Managed CareStatewide AverageAccess to primary careAccess to Primary CareChildren and Adolescents' Access to Primary Care Practitioners (Ages 12-19 Years)Access to Care 12-19yrAdministrative Review45675545675542899793.9295.6994.9594.393.7491.9
42013Commercial PPOStatewide AverageAccess to primary careAccess to Primary CareChildren and Adolescents' Access to Primary Care Practitioners (Ages 12-19 Years)Access to Care 12-19yrAdministrative Review34408734408731073590.3196.1293.8892.6690.1888.16
52013Medicaid Managed CareStatewide AverageAccess to primary careAccess to Primary CareChildren and Adolescents' Access to Primary Care Practitioners (Ages 12-24 months)Access to Care 12-24mAdministrative Review1008421008429771896.999.3298.897.9296.1295.57
62013Commercial HMOStatewide AverageAccess to primary careAccess to Primary CareChildren and Adolescents' Access to Primary Care Practitioners (Ages 12-24 months)Access to Care 12-24mAdministrative Review22718227182208697.2299.5699.2999.0996.5890.86
72013Commercial PPOStatewide AverageAccess to primary careAccess to Primary CareChildren and Adolescents' Access to Primary Care Practitioners (Ages 12-24 months)Access to Care 12-24mAdministrative Review41895418954021395.9999.1998.0797.7296.4290.08
82013HIV Special Needs PlansStatewide AverageAccess to primary careAccess to Primary CareChildren and Adolescents' Access to Primary Care Practitioners (Ages 12-24 months)Access to Care 12-24mAdministrative Review46464086.96
92013HIV Special Needs PlansStatewide AverageAccess to primary careAccess to Primary CareAdults' Access to Preventive and Ambulatory Health Services (Ages 20-44)Access to Care 20-44yrAdministrative Review43814381425797.1797.897.897.5596.0996.09
102013Commercial PPOStatewide AverageAccess to primary careAccess to Primary CareAdults' Access to Preventive and Ambulatory Health Services (Ages 20-44)Access to Care 20-44yrAdministrative Review79953979953975163594.0195.4894.3194.1892.9692.09
112013Commercial HMOStatewide AverageAccess to primary careAccess to Primary CareAdults' Access to Preventive and Ambulatory Health Services (Ages 20-44)Access to Care 20-44yrAdministrative Review54002554002550959594.3795.049594.4492.8492.14
122013Medicaid Managed CareStatewide AverageAccess to primary careAccess to Primary CareAdults' Access to Preventive and Ambulatory Health Services (Ages 20-44)Access to Care 20-44yrAdministrative Review84819184819172021084.9187.8186.485.5183.6182.76
132013Medicaid Managed CareStatewide AverageAccess to primary careAccess to Primary CareChildren and Adolescents' Access to Primary Care Practitioners (Ages 25 Mos-6 Years)Access to Care 25m-6yrAdministrative Review45809545809543142794.1895.6694.4594.293.292.22
142013Commercial HMOStatewide AverageAccess to primary careAccess to Primary CareChildren and Adolescents' Access to Primary Care Practitioners (Ages 25 Mos-6 Years)Access to Care 25m-6yrAdministrative Review11843811843511257795.0597.0796.5795.6793.3489.42
152013Commercial PPOStatewide AverageAccess to primary careAccess to Primary CareChildren and Adolescents' Access to Primary Care Practitioners (Ages 25 Mos-6 Years)Access to Care 25m-6yrAdministrative Review20397720397719045493.3796.6394.9294.692.9190.68
162013HIV Special Needs PlansStatewide AverageAccess to primary careAccess to Primary CareChildren and Adolescents' Access to Primary Care Practitioners (Ages 25 Mos-6 Years)Access to Care 25m-6yrAdministrative Review18518516187.0389.7889.7889.7889.7889.78
172013HIV Special Needs PlansStatewide AverageAccess to primary careAccess to Primary CareAdults' Access to Preventive and Ambulatory Health Services (Ages 45-64)Access to Care 45-64yrAdministrative Review88658865875498.7599.0299.0298.7698.4498.44
182013Commercial PPOStatewide AverageAccess to primary careAccess to Primary CareAdults' Access to Preventive and Ambulatory Health Services (Ages 45-64)Access to Care 45-64yrAdministrative Review94737494737490510895.5496.396.1895.4894.493.63
192013Medicaid Managed CareStatewide AverageAccess to primary careAccess to Primary CareAdults' Access to Preventive and Ambulatory Health Services (Ages 45-64)Access to Care 45-64yrAdministrative Review54423754423749310090.692.1191.1390.5189.6789.2
202013Commercial HMOStatewide AverageAccess to primary careAccess to Primary CareAdults' Access to Preventive and Ambulatory Health Services (Ages 45-64)Access to Care 45-64yrAdministrative Review74684174684171658095.9596.7196.6795.8294.4694.22
212013HIV Special Needs PlansStatewide AverageAccess to primary careAccess to Primary CareAdults' Access to Preventive and Ambulatory Health Services (Ages 65 and over)Access to Care 65+Administrative Review92929097.8395.1295.1295.1295.1295.12
222013Commercial HMOStatewide AverageAccess to primary careAccess to Primary CareAdults' Access to Preventive and Ambulatory Health Services (Ages 65 and over)Access to Care 65+Administrative Review83341833418077396.9298.3398.2597.7594.5992.85
232013Medicaid Managed CareStatewide AverageAccess to primary careAccess to Primary CareAdults' Access to Preventive and Ambulatory Health Services (Ages 65 and over)Access to Care 65+Administrative Review45203452034071690.0792.4991.3290.188.9486.96
242013Commercial PPOStatewide AverageAccess to primary careAccess to Primary CareAdults' Access to Preventive and Ambulatory Health Services (Ages 65 and over)Access to Care 65+Administrative Review28675128675127862297.1798.1397.569694.7988.16
252013HIV Special Needs PlansStatewide AverageAccess to primary careAccess to Primary CareChildren and Adolescents' Access to Primary Care Practitioners (Ages 7-11 Years)Access to Care 7-11yrAdministrative Review14214213091.5590.4890.4890.4890.4890.48
262013Commercial PPOStatewide AverageAccess to primary careAccess to Primary CareChildren and Adolescents' Access to Primary Care Practitioners (Ages 7-11 Years)Access to Care 7-11yrAdministrative Review18760118760117688894.2998.3596.1695.7794.0793.12
272013Commercial HMOStatewide AverageAccess to primary careAccess to Primary CareChildren and Adolescents' Access to Primary Care Practitioners (Ages 7-11 Years)Access to Care 7-11yrAdministrative Review11753711753711387896.8998.698.3197.5394.5293.15
282013Medicaid Managed CareStatewide AverageAccess to primary careAccess to Primary CareChildren and Adolescents' Access to Primary Care Practitioners (Ages 7-11 Years)Access to Care 7-11yrAdministrative Review33507233507232352196.5597.4697.0296.4995.7695.19

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Open Data NY - DOH Open Data NY - DOH

created Mar 09, 2013

updated Nov 18, 2014

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Description

The column chart shows rates of access to primary care for managed care plans by payer. The chart can be filtered by measurement year or measure by changing these options under the Filter tab. The chart uses statewide average rates of all insurance plans. Removing the statewide average filter is not recommended. For more information, check out http://www.health.ny.gov/health_care/managed_care/reports/quality_performance_improvement.htm, or go to the "About" tab.

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Health
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Tags
managed care, medicaid, plan performance
Row Count
28
Dataset Summary
Organization
Office of Quality and Patient Safety
Time Period
Beginning 2008
Posting Frequency
Annual
Data Frequency
Annual
Dataset Owner
Bureau of Quality Measurement and Improvement
Coverage
Statewide
Granularity
Health Plan
Units
Rates and Percentages
Notes
Notes
Plan-specific rates (percentages) are accompanied by a symbol to denote whether the plan's rate is statistically above (+) or below (-) the statewide average. When comparing plan rates and associated significance ratings, you may notice plans that have the same numerical rating, but a different significance rating. While this may seem like an error, plan significance ratings are based on how much a plan's rate differs from the statewide average and the number of individuals included in the rate. Therefore, plans can have the same rate but have different significance ratings because their rates are based on different numbers of enrollees.
Disclaimers
Limitations
Not all measures are collected each year. Some services require more resource intensive methods of collection, and these measures are collected every other year to reduce the burden associated with reviewing patient records. Refer to the Health Measures Descriptions document to learn about the specific measures included in this dataset. Measure specification changes and health plan mergers and closures preclude the ability to trend this data over time. Please use caution when attempting to compare measures and/or health plans over time.
Dataset Information
Agency
Health, Department of

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