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QARR: Behavioral Health 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 AverageBehavioral HealthBehavioral HealthAntidepressant Medication Management-Effective Acute Phase TreatmentAMM - Acute PhaseAdministrative Review800180015210656969656159
22011Commercial PPOStatewide AverageBehavioral HealthBehavioral HealthAntidepressant Medication Management-Effective Acute Phase TreatmentAMM - Acute PhaseAdministrative Review10524105246935667070656463
32011Medicaid Managed CareStatewide AverageBehavioral HealthBehavioral HealthAntidepressant Medication Management-Effective Acute Phase TreatmentAMM - Acute PhaseAdministrative Review12851128516510516452494645
42011Commercial HMOStatewide AverageBehavioral HealthBehavioral HealthAntidepressant Medication Management-Effective Continuation Phase TreatmentAMM - Cont PhaseAdministrative Review800180014019505755494443
52011Commercial PPOStatewide AverageBehavioral HealthBehavioral HealthAntidepressant Medication Management-Effective Continuation Phase TreatmentAMM - Cont PhaseAdministrative Review10524105245244505954514744
62011Medicaid Managed CareStatewide AverageBehavioral HealthBehavioral HealthAntidepressant Medication Management-Effective Continuation Phase TreatmentAMM - Cont PhaseAdministrative Review12851128514415345035333129
72011Commercial HMOStatewide AverageBehavioral HealthBehavioral HealthFollow-Up After Hospitalization for Mental Illness Within 30 DaysFUH within 30 daysAdministrative Review455045503690819189837673
82011Commercial PPOStatewide AverageBehavioral HealthBehavioral HealthFollow-Up After Hospitalization for Mental Illness Within 30 DaysFUH within 30 daysAdministrative Review11014110148656798886797470
92011Medicaid Managed CareStatewide AverageBehavioral HealthBehavioral HealthFollow-Up After Hospitalization for Mental Illness Within 30 DaysFUH within 30 daysAdministrative Review11502114359526839186838072
102011Commercial HMOStatewide AverageBehavioral HealthBehavioral HealthFollow-Up After Hospitalization for Mental Illness Within 7 DaysFUH within 7 daysAdministrative Review455045503198708981726559
112011Commercial PPOStatewide AverageBehavioral HealthBehavioral HealthFollow-Up After Hospitalization for Mental Illness Within 7 DaysFUH within 7 daysAdministrative Review11014110147040648578655856
122011Medicaid Managed CareStatewide AverageBehavioral HealthBehavioral HealthFollow-Up After Hospitalization for Mental Illness Within 7 DaysFUH within 7 daysAdministrative Review11502114358200728678716559

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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 performance measurement rates for behavioral health managed care 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 for all insurance plans. Removing the statewide average filter is not recommended. 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. 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
12
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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