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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
12013Commercial HMOStatewide AverageBehavioral HealthBehavioral HealthAntidepressant Medication Management-Effective Acute Phase TreatmentAMM - Acute PhaseAdministrative Review23020230201480664.3275.8768.2464.4462.1961.83
22013HIV Special Needs PlansStatewide AverageBehavioral HealthBehavioral HealthAntidepressant Medication Management-Effective Acute Phase TreatmentAMM - Acute PhaseAdministrative Review72372339254.2256.9456.9453.1552.9452.94
32013Commercial PPOStatewide AverageBehavioral HealthBehavioral HealthAntidepressant Medication Management-Effective Acute Phase TreatmentAMM - Acute PhaseAdministrative Review1356813568910267.0880.5174.5267.263.7255.11
42013Medicaid Managed CareStatewide AverageBehavioral HealthBehavioral HealthAntidepressant Medication Management-Effective Acute Phase TreatmentAMM - Acute PhaseAdministrative Review38560385601941550.3551.6150.4649.5448.4144.39
52013HIV Special Needs PlansStatewide AverageBehavioral HealthBehavioral HealthAntidepressant Medication Management-Effective Continuation Phase TreatmentAMM - Cont PhaseAdministrative Review72372329140.2542.1342.1340.7238.4638.46
62013Commercial HMOStatewide AverageBehavioral HealthBehavioral HealthAntidepressant Medication Management-Effective Continuation Phase TreatmentAMM - Cont PhaseAdministrative Review23020230201119848.6464.3953.4648.6746.3244.99
72013Commercial PPOStatewide AverageBehavioral HealthBehavioral HealthAntidepressant Medication Management-Effective Continuation Phase TreatmentAMM - Cont PhaseAdministrative Review1356813568723453.3272.4264.6950.9848.5834.33
82013Medicaid Managed CareStatewide AverageBehavioral HealthBehavioral HealthAntidepressant Medication Management-Effective Continuation Phase TreatmentAMM - Cont PhaseAdministrative Review38560385601361135.336.2135.4634.1532.5730.52
92013Medicaid Managed CareStatewide AverageBehavioral HealthBehavioral HealthCardiovascular Monitoring for People with Cardiovascular Disease and SchizophreniaCardio Monitoring for SCHIZAdministrative Review38838831982.2292.2387.7684.117573.33
102013HIV Special Needs PlansStatewide AverageBehavioral HealthBehavioral HealthDiabetes Monitoring for People with Diabetes and SchizophreniaDiabetes Monitoring for SCHIZAdministrative Review98988384.6986.4986.4985.6784.8584.85
112013Medicaid Managed CareStatewide AverageBehavioral HealthBehavioral HealthDiabetes Monitoring for People with Diabetes and SchizophreniaDiabetes Monitoring for SCHIZAdministrative Review39533952304677.0781.5376.7575.4871.2363.16
122013HIV Special Needs PlansStatewide AverageBehavioral HealthBehavioral HealthDiabetes Screening for People w/ Schizophrenia or Bipolar Disorder Using Antipsychotic MedsDiabetes Screening for SCHIZAdministrative Review96472471598.7699.799.798.1797.897.8
132013Medicaid Managed CareStatewide AverageBehavioral HealthBehavioral HealthDiabetes Screening for People w/ Schizophrenia or Bipolar Disorder Using Antipsychotic MedsDiabetes Screening for SCHIZAdministrative Review30416193811586681.8685.5983.3682.0178.0775.05
142013Medicaid Managed CareStatewide AverageBehavioral HealthBehavioral HealthFollow-Up After Hospitalization for Mental Illness Within 30 DaysFUH within 30 daysAdministrative Review16147161021254177.8885.781.3176.1768.9467.09
152013Commercial HMOStatewide AverageBehavioral HealthBehavioral HealthFollow-Up After Hospitalization for Mental Illness Within 30 DaysFUH within 30 daysAdministrative Review54875487396072.1782.3579.2473.6864.253.17
162013Commercial PPOStatewide AverageBehavioral HealthBehavioral HealthFollow-Up After Hospitalization for Mental Illness Within 30 DaysFUH within 30 daysAdministrative Review80608060586972.8285.0174.2271.6569.4358.93
172013HIV Special Needs PlansStatewide AverageBehavioral HealthBehavioral HealthFollow-Up After Hospitalization for Mental Illness Within 30 DaysFUH within 30 daysAdministrative Review29529517057.6365.7165.716043.3343.33
182013Medicaid Managed CareStatewide AverageBehavioral HealthBehavioral HealthFollow-Up After Hospitalization for Mental Illness Within 7 DaysFUH within 7 daysAdministrative Review16147161021016263.1170.4369.0861.8651.7448.9
192013HIV Special Needs PlansStatewide AverageBehavioral HealthBehavioral HealthFollow-Up After Hospitalization for Mental Illness Within 7 DaysFUH within 7 daysAdministrative Review29529511739.6646.1546.1543.5728.8928.89
202013Commercial PPOStatewide AverageBehavioral HealthBehavioral HealthFollow-Up After Hospitalization for Mental Illness Within 7 DaysFUH within 7 daysAdministrative Review80608060473458.7370.8960.857.1954.9246.73
212013Commercial HMOStatewide AverageBehavioral HealthBehavioral HealthFollow-Up After Hospitalization for Mental Illness Within 7 DaysFUH within 7 daysAdministrative Review54875487309456.3965.465.0258.2449.8839.47
222013Medicaid Managed CareStatewide AverageBehavioral HealthBehavioral HealthAdherence to Antipsychotic Medications for Individuals with SchizophreniaSchizophrenia MedAdministrative Review1622914152887162.6866.6763.8661.2455.7151.96
232013HIV Special Needs PlansStatewide AverageBehavioral HealthBehavioral HealthAdherence to Antipsychotic Medications for Individuals with SchizophreniaSchizophrenia MedAdministrative Review42837621757.7165.2265.2259.2651.6851.68

About

Open Data NY - DOH Open Data NY - DOH

created Mar 09, 2013

updated Mar 10, 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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