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QARR: Behavioral Health 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
12014Commercial HMOStatewide AverageBehavioral HealthBehavioral HealthAntidepressant Medication Management-Effective Acute Phase TreatmentAMM - Acute PhaseAdministrative Review86125195111253464.2466.1265.4964.6763.7160.97
22014Commercial PPOStatewide AverageBehavioral HealthBehavioral HealthAntidepressant Medication Management-Effective Acute Phase TreatmentAMM - Acute PhaseAdministrative Review11521713338915068.6075.1568.8066.9965.8262.27
32014HIV Special Needs PlansStatewide AverageBehavioral HealthBehavioral HealthAntidepressant Medication Management-Effective Acute Phase TreatmentAMM - Acute PhaseAdministrative Review190368935952.1053.9353.9352.0449.4749.47
42014Medicaid Managed CareStatewide AverageBehavioral HealthBehavioral HealthAntidepressant Medication Management-Effective Acute Phase TreatmentAMM - Acute PhaseAdministrative Review151696409342038349.7952.3351.0549.1246.9743.10
52014Commercial HMOStatewide AverageBehavioral HealthBehavioral HealthAntidepressant Medication Management-Effective Continuation Phase TreatmentAMM - Cont PhaseAdministrative Review8612519511937948.0749.1749.0847.9846.5343.01
62014Commercial PPOStatewide AverageBehavioral HealthBehavioral HealthAntidepressant Medication Management-Effective Continuation Phase TreatmentAMM - Cont PhaseAdministrative Review11521713338727954.5763.2653.8751.7150.6348.64
72014HIV Special Needs PlansStatewide AverageBehavioral HealthBehavioral HealthAntidepressant Medication Management-Effective Continuation Phase TreatmentAMM - Cont PhaseAdministrative Review190368925937.5941.0741.0736.2034.0434.04
82014Medicaid Managed CareStatewide AverageBehavioral HealthBehavioral HealthAntidepressant Medication Management-Effective Continuation Phase TreatmentAMM - Cont PhaseAdministrative Review151696409341439335.1637.9536.4034.1932.5030.17
92014Medicaid Managed CareStatewide AverageBehavioral HealthBehavioral HealthCardiovascular Monitoring for People with Cardiovascular Disease and SchizophreniaCardio Monitoring for SchizAdministrative Review43643634077.9886.3686.3674.0768.1868.18
102014HIV Special Needs PlansStatewide AverageBehavioral HealthBehavioral HealthDiabetes Monitoring for People with Diabetes and SchizophreniaDiabetes Monitoring for SchizAdministrative Review85857689.4189.4789.4789.4789.4789.47
112014Medicaid Managed CareStatewide AverageBehavioral HealthBehavioral HealthDiabetes Monitoring for People with Diabetes and SchizophreniaDiabetes Monitoring for SchizAdministrative Review40674065315377.5679.0078.3375.3470.2667.27
122014HIV Special Needs PlansStatewide AverageBehavioral HealthBehavioral HealthDiabetes Screening for People w/ Schizophrenia or Bipolar Disorder Using Antipsychotic MedsDiabetes Screening for SchizAdministrative Review85466365899.2599.6999.6999.3298.4398.43
132014Medicaid Managed CareStatewide AverageBehavioral HealthBehavioral HealthDiabetes Screening for People w/ Schizophrenia or Bipolar Disorder Using Antipsychotic MedsDiabetes Screening for SchizAdministrative Review32816205151681681.9783.3082.9481.7978.1276.31
142014Commercial HMOStatewide AverageBehavioral HealthBehavioral HealthFollow-Up After Hospitalization for Mental Illness Within 30 DaysFUH within 30 daysAdministrative Review44574457321372.0983.2879.8173.2664.0455.58
152014Commercial PPOStatewide AverageBehavioral HealthBehavioral HealthFollow-Up After Hospitalization for Mental Illness Within 30 DaysFUH within 30 daysAdministrative Review58495849425372.7181.0774.1173.0370.3862.70
162014HIV Special Needs PlansStatewide AverageBehavioral HealthBehavioral HealthFollow-Up After Hospitalization for Mental Illness Within 30 DaysFUH within 30 daysAdministrative Review21621613160.6570.6770.6764.2951.5251.52
172014Medicaid Managed CareStatewide AverageBehavioral HealthBehavioral HealthFollow-Up After Hospitalization for Mental Illness Within 30 DaysFUH within 30 daysAdministrative Review17698176981381278.0484.6382.7877.1967.9062.76
182014Commercial HMOStatewide AverageBehavioral HealthBehavioral HealthFollow-Up After Hospitalization for Mental Illness Within 7 DaysFUH within 7 daysAdministrative Review44574457251956.5271.3566.2458.0451.3241.47
192014Commercial PPOStatewide AverageBehavioral HealthBehavioral HealthFollow-Up After Hospitalization for Mental Illness Within 7 DaysFUH within 7 daysAdministrative Review58495849344058.8164.8161.2959.7255.2545.24
202014HIV Special Needs PlansStatewide AverageBehavioral HealthBehavioral HealthFollow-Up After Hospitalization for Mental Illness Within 7 DaysFUH within 7 daysAdministrative Review2162169242.5950.0050.0045.3337.3737.37
212014Medicaid Managed CareStatewide AverageBehavioral HealthBehavioral HealthFollow-Up After Hospitalization for Mental Illness Within 7 DaysFUH within 7 daysAdministrative Review17698176981121863.3970.6368.3063.3850.9344.44
222014Medicaid Managed CareStatewide AverageBehavioral HealthBehavioral HealthAdherence to Antipsychotic Medications for Individuals with SchizophreniaSchizophrenia MedAdministrative Review1793114844904660.9463.6763.1560.2256.4749.38
232014HIV Special Needs PlansStatewide AverageBehavioral HealthBehavioral HealthAdherence to Antipsychotic Medications for Individuals with SchizophreniaSchizophrenia MedAdministrative Review39836921157.1861.4861.4857.6553.7053.70

About

Open Data NY - DOH Open Data NY - DOH

created Mar 09, 2013

updated Nov 09, 2015

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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, quality-safety-costs
Row Count
23
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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