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QARR: Access to Primary Care by Payer: Beginning 2008

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
12011Commercial HMOStatewide AverageAccess to primary careAccess to Primary CareChildren and Adolescents' Access to Primary Care Practitioners (Ages 12-19 Years)Access to Care 12-19yrAdministrative Review201187201187186296939696949185
22011Child Health PlusStatewide AverageAccess to primary careAccess to Primary CareChildren and Adolescents' Access to Primary Care Practitioners (Ages 12-19 Years)Access to Care 12-19yrAdministrative Review116487116487111853969897969594
32011Commercial PPOStatewide AverageAccess to primary careAccess to Primary CareChildren and Adolescents' Access to Primary Care Practitioners (Ages 12-19 Years)Access to Care 12-19yrAdministrative Review525680514312465275909594928988
42011Medicaid 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 Review292289292289268745929393929090
52011Child Health PlusStatewide AverageAccess to primary careAccess to Primary CareChildren and Adolescents' Access to Primary Care Practitioners (Ages 12-24 months)Access to Care 12-24mAdministrative Review427442744251991001001009999
62011Commercial HMOStatewide AverageAccess to primary careAccess to Primary CareChildren and Adolescents' Access to Primary Care Practitioners (Ages 12-24 months)Access to Care 12-24mAdministrative Review1875418754183579810099989694
72011Commercial PPOStatewide AverageAccess to primary careAccess to Primary CareChildren and Adolescents' Access to Primary Care Practitioners (Ages 12-24 months)Access to Care 12-24mAdministrative Review8394764350620119610099979695
82011Medicaid 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 Review868198681983900979998989695
92011Commercial HMOStatewide AverageAccess to primary careAccess to Primary CareAdults' Access to Preventive and Ambulatory Health Services (Ages 20-44)Access to Care 20-44yrAdministrative Review376757376757355637949696959392
102011Commercial PPOStatewide AverageAccess to primary careAccess to Primary CareAdults' Access to Preventive and Ambulatory Health Services (Ages 20-44)Access to Care 20-44yrAdministrative Review10493791035639969839949594949291
112011Medicaid Managed CareStatewide AverageAccess to primary careAccess to Primary CareAdults' Access to Preventive and Ambulatory Health Services (Ages 20-44)Access to Care 20-44yrAdministrative Review725151725151604585838785858380
122011Commercial 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 Review10033410033494922959797969489
132011Child Health PlusStatewide AverageAccess to primary careAccess to Primary CareChildren and Adolescents' Access to Primary Care Practitioners (Ages 25 Mos-6 Years)Access to Care 25m-6yrAdministrative Review517425174250148979898979694
142011Commercial 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 Review333200318129297606949795949392
152011Medicaid 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 Review364120364120340033939594939291
162011Medicaid Managed CareStatewide AverageAccess to primary careAccess to Primary CareAdults' Access to Preventive and Ambulatory Health Services (Ages 45-64)Access to Care 45-64yrAdministrative Review462905462905414523909190908987
172011Commercial PPOStatewide AverageAccess to primary careAccess to Primary CareAdults' Access to Preventive and Ambulatory Health Services (Ages 45-64)Access to Care 45-64yrAdministrative Review128692912770721212715959696959493
182011Commercial HMOStatewide AverageAccess to primary careAccess to Primary CareAdults' Access to Preventive and Ambulatory Health Services (Ages 45-64)Access to Care 45-64yrAdministrative Review578517578517550767959797969492
192011Medicaid 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 Review384663846634444909291908885
202011Commercial HMOStatewide AverageAccess to primary careAccess to Primary CareAdults' Access to Preventive and Ambulatory Health Services (Ages 65 and over)Access to Care 65+Administrative Review665836658364023969898979392
212011Commercial PPOStatewide AverageAccess to primary careAccess to Primary CareAdults' Access to Preventive and Ambulatory Health Services (Ages 65 and over)Access to Care 65+Administrative Review310104288433278176969898969489
222011Child Health PlusStatewide AverageAccess to primary careAccess to Primary CareChildren and Adolescents' Access to Primary Care Practitioners (Ages 7-11 Years)Access to Care 7-11yrAdministrative Review683906839067040989999989797
232011Commercial HMOStatewide AverageAccess to primary careAccess to Primary CareChildren and Adolescents' Access to Primary Care Practitioners (Ages 7-11 Years)Access to Care 7-11yrAdministrative Review971039710393254969998979491
242011Commercial PPOStatewide AverageAccess to primary careAccess to Primary CareChildren and Adolescents' Access to Primary Care Practitioners (Ages 7-11 Years)Access to Care 7-11yrAdministrative Review296571280435264269949897959392
252011Medicaid 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 Review223243223243212891959696959493

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Open Data NY - DOH Open Data NY - DOH

created Mar 09, 2013

updated Sep 30, 2013

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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
25
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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