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QARR: Caring for Children and Adolescents with Illnesses 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
12013Medicaid Managed CareStatewide AverageChild and Adolescent HealthCaring for Children and Adolescents with IllnessesFollow-Up Care for Children Prescribed ADHD Medication:Continuation PhaseADHD-ContinuationAdministrative Review32013201207064.6778.65000000000000667.561.7458.2353.51
22013Commercial PPOStatewide AverageChild and Adolescent HealthCaring for Children and Adolescents with IllnessesFollow-Up Care for Children Prescribed ADHD Medication:Continuation PhaseADHD-ContinuationAdministrative Review77977940752.2559.7755.7152.7251.1743.75
32013Commercial HMOStatewide AverageChild and Adolescent HealthCaring for Children and Adolescents with IllnessesFollow-Up Care for Children Prescribed ADHD Medication:Continuation PhaseADHD-ContinuationAdministrative Review1094109454049.3655.7154.151.415047.45
42013Commercial HMOStatewide AverageChild and Adolescent HealthCaring for Children and Adolescents with IllnessesFollow-Up Care for Children Prescribed ADHD Medication:Initiation PhaseADHD-InitiationAdministrative Review36043604157943.8150.4547.3342.5541.638.979999999999997
52013Commercial PPOStatewide AverageChild and Adolescent HealthCaring for Children and Adolescents with IllnessesFollow-Up Care for Children Prescribed ADHD Medication:Initiation PhaseADHD-InitiationAdministrative Review28222822131746.6752.0848.1145.224443.96
62013Medicaid Managed CareStatewide AverageChild and Adolescent HealthCaring for Children and Adolescents with IllnessesFollow-Up Care for Children Prescribed ADHD Medication:Initiation PhaseADHD-InitiationAdministrative Review1329313289747556.2564.79000000000000658.6754.5550.544.38
72013Medicaid Managed CareStatewide AverageChild and Adolescent HealthCaring for Children and Adolescents with IllnessesAppropriate Treatment for Upper Respiratory Infection (URI)Appro Tx for URIAdministrative Review2086472086471624492.2193.8692.9292.1790.3188.47
82013Commercial PPOStatewide AverageChild and Adolescent HealthCaring for Children and Adolescents with IllnessesAppropriate Treatment for Upper Respiratory Infection (URI)Appro Tx for URIAdministrative Review3899038990353790.9392.391.2590.890.5789.4
92013Commercial HMOStatewide AverageChild and Adolescent HealthCaring for Children and Adolescents with IllnessesAppropriate Treatment for Upper Respiratory Infection (URI)Appro Tx for URIAdministrative Review3528235281373589.4192.0791.1988.7487.7983.02
102013Commercial HMOStatewide AverageChild and Adolescent HealthCaring for Children and Adolescents with IllnessesMedical Management for People with Asthma 50% Days Covered(Ages 12-18)ASA Med Mgmt 50% 12-18yrAdministrative Review24722201120454.764.6758.1855.3451.4139.659999999999997
112013Commercial PPOStatewide AverageChild and Adolescent HealthCaring for Children and Adolescents with IllnessesMedical Management for People with Asthma 50% Days Covered(Ages 12-18)ASA Med Mgmt 50% 12-18yrAdministrative Review1677158599462.7181.7568.759.6155.6553.19
122013Medicaid Managed CareStatewide AverageChild and Adolescent HealthCaring for Children and Adolescents with IllnessesMedical Management for People with Asthma 50% Days Covered(Ages 12-18)ASA Med Mgmt 50% 12-18yrAdministrative Review1359610818563152.0554.9554.4651.8544.7643.2
132013Commercial HMOStatewide AverageChild and Adolescent HealthCaring for Children and Adolescents with IllnessesMedical Management for People with Asthma 50% Days Covered (Ages 5-11)ASA Med Mgmt 50% 5-11yrAdministrative Review25552348138659.0368.1463.0358.625449.83
142013Commercial PPOStatewide AverageChild and Adolescent HealthCaring for Children and Adolescents with IllnessesMedical Management for People with Asthma 50% Days Covered (Ages 5-11)ASA Med Mgmt 50% 5-11yrAdministrative Review18841779105859.4777.1265.6355.9852.6449.83
152013Medicaid Managed CareStatewide AverageChild and Adolescent HealthCaring for Children and Adolescents with IllnessesMedical Management for People with Asthma 50% Days Covered (Ages 5-11)ASA Med Mgmt 50% 5-11yrAdministrative Review2005116428890854.2264.29000000000000656.6253.7651.1745.6
162013Commercial HMOStatewide AverageChild and Adolescent HealthCaring for Children and Adolescents with IllnessesMedical Management for People with Asthma 50% Days Covered (Ages 5-18)ASA Med Mgmt 50% 5-18yrAdministrative Review50274549259056.9466.0559.2957.1853.2945.78
172013Commercial PPOStatewide AverageChild and Adolescent HealthCaring for Children and Adolescents with IllnessesMedical Management for People with Asthma 50% Days Covered (Ages 5-18)ASA Med Mgmt 50% 5-18yrAdministrative Review3561336420526179.3166.2355.9754.5954.52
182013Medicaid Managed CareStatewide AverageChild and Adolescent HealthCaring for Children and Adolescents with IllnessesMedical Management for People with Asthma 50% Days Covered (Ages 5-18)ASA Med Mgmt 50% 5-18yrAdministrative Review33647272461453953.3658.8455.652.9150.3944.35
192013Commercial HMOStatewide AverageChild and Adolescent HealthCaring for Children and Adolescents with IllnessesMedical Management for People with Asthma 75% Days Covered (Ages 12-18)ASA Med Mgmt 75% 12-18yrAdministrative Review2472220168831.2643.9733.7128.7126.1923.18
202013Commercial PPOStatewide AverageChild and Adolescent HealthCaring for Children and Adolescents with IllnessesMedical Management for People with Asthma 75% Days Covered (Ages 12-18)ASA Med Mgmt 75% 12-18yrAdministrative Review1677158559337.40999999999999759.1246.1131.5328.7426.36
212013Medicaid Managed CareStatewide AverageChild and Adolescent HealthCaring for Children and Adolescents with IllnessesMedical Management for People with Asthma 75% Days Covered (Ages 12-18)ASA Med Mgmt 75% 12-18yrAdministrative Review1359610818304628.1634.0730.3827.8424.2519.100000000000001
222013Medicaid Managed CareStatewide AverageChild and Adolescent HealthCaring for Children and Adolescents with IllnessesMedical Management for People with Asthma 75% Days Covered (Ages 5-11)ASA Med Mgmt 75% 5-11yrAdministrative Review2005116428477129.0438.47999999999999731.2129.6525.4319.739999999999998
232013Commercial PPOStatewide AverageChild and Adolescent HealthCaring for Children and Adolescents with IllnessesMedical Management for People with Asthma 75% Days Covered (Ages 5-11)ASA Med Mgmt 75% 5-11yrAdministrative Review1884177961234.450.9843.8729.9926.1725
242013Commercial HMOStatewide AverageChild and Adolescent HealthCaring for Children and Adolescents with IllnessesMedical Management for People with Asthma 75% Days Covered (Ages 5-11)ASA Med Mgmt 75% 5-11yrAdministrative Review2555234883135.3942.5239.2234.86999999999999728.4126.64
252013Commercial HMOStatewide AverageChild and Adolescent HealthCaring for Children and Adolescents with IllnessesMedical Management for People with Asthma 75% Days Covered (Ages 5-18)ASA Med Mgmt 75% 5-18yrAdministrative Review50274549151933.394236.72999999999999732.3327.3325.35
262013Commercial PPOStatewide AverageChild and Adolescent HealthCaring for Children and Adolescents with IllnessesMedical Management for People with Asthma 75% Days Covered (Ages 5-18)ASA Med Mgmt 75% 5-18yrAdministrative Review35613364120535.8254.8343.7530.3427.8726.64
272013Medicaid Managed CareStatewide AverageChild and Adolescent HealthCaring for Children and Adolescents with IllnessesMedical Management for People with Asthma 75% Days Covered (Ages 5-18)ASA Med Mgmt 75% 5-18yrAdministrative Review3364727246781728.6936.6931.7228.925.0819.45
282013Commercial HMOStatewide AverageChild and Adolescent HealthCaring for Children and Adolescents with IllnessesAsthma Medication Ratio (Ages 12-18)ASA Med Ratio 12-18yrAdministrative Review25222378186578.43000000000000784.4882.0679.0672.3969.400000000000006
292013Commercial PPOStatewide AverageChild and Adolescent HealthCaring for Children and Adolescents with IllnessesAsthma Medication Ratio (Ages 12-18)ASA Med Ratio 12-18yrAdministrative Review17551708133978.40000000000000684.9280.51000000000000577.68000000000000776.3476.09
302013Medicaid Managed CareStatewide AverageChild and Adolescent HealthCaring for Children and Adolescents with IllnessesAsthma Medication Ratio (Ages 12-18)ASA Med Ratio 12-18yrAdministrative Review1384812802820864.117167.5965.06999999999999362.6158.53
312013Medicaid Managed CareStatewide AverageChild and Adolescent HealthCaring for Children and Adolescents with IllnessesAsthma Medication Ratio (Ages 5-11)ASA Med Ratio 5-11yrAdministrative Review20267185891356272.95999999999999480.7579.8177.1172.20999999999999470.36
322013Commercial PPOStatewide AverageChild and Adolescent HealthCaring for Children and Adolescents with IllnessesAsthma Medication Ratio (Ages 5-11)ASA Med Ratio 5-11yrAdministrative Review19221843159886.7192.4189.0587.8586.0676.36
332013Commercial HMOStatewide AverageChild and Adolescent HealthCaring for Children and Adolescents with IllnessesAsthma Medication Ratio (Ages 5-11)ASA Med Ratio 5-11yrAdministrative Review25812416211087.3393.3490.9988.6684.4879.150000000000006
342013Commercial HMOStatewide AverageChild and Adolescent HealthCaring for Children and Adolescents with IllnessesAsthma Medication Ratio (Ages 5-18)ASA Med Ratio 5-18yrAdministrative Review51034794397582.9287.3186.8984.378.775.180000000000007
352013Commercial PPOStatewide AverageChild and Adolescent HealthCaring for Children and Adolescents with IllnessesAsthma Medication Ratio (Ages 5-18)ASA Med Ratio 5-18yrAdministrative Review36773551293782.7187.4584.4283.5481.5876.25
362013Medicaid Managed CareStatewide AverageChild and Adolescent HealthCaring for Children and Adolescents with IllnessesAsthma Medication Ratio (Ages 5-18)ASA Med Ratio 5-18yrAdministrative Review34115313912177069.34999999999999476.273.8672.76000000000000569.34999999999999466.290000000000006
372013Commercial HMOStatewide AverageChild and Adolescent HealthCaring for Children and Adolescents with IllnessesUse of Appropriate Medications for People with Asthma (Ages 12-18)Asthma Meds 12-18yrAdministrative Review25312391220192.0597.594.3291.0388.1784.67
382013Commercial PPOStatewide AverageChild and Adolescent HealthCaring for Children and Adolescents with IllnessesUse of Appropriate Medications for People with Asthma (Ages 12-18)Asthma Meds 12-18yrAdministrative Review17631721158592.19594.4891.4490.0587.82
392013Medicaid Managed CareStatewide AverageChild and Adolescent HealthCaring for Children and Adolescents with IllnessesUse of Appropriate Medications for People with Asthma (Ages 12-18)Asthma Meds 12-18yrAdministrative Review13854128921081883.9189.0988.3586.1583.1279.09
402013Commercial HMOStatewide AverageChild and Adolescent HealthCaring for Children and Adolescents with IllnessesUse of Appropriate Medications for People with Asthma (Ages 5-11)Asthma Meds 5-11yrAdministrative Review25872444234896.0799.6698.3296.4895.3393
412013Commercial PPOStatewide AverageChild and Adolescent HealthCaring for Children and Adolescents with IllnessesUse of Appropriate Medications for People with Asthma (Ages 5-11)Asthma Meds 5-11yrAdministrative Review19311867177995.2998.7397.0495.6893.1390
422013Medicaid Managed CareStatewide AverageChild and Adolescent HealthCaring for Children and Adolescents with IllnessesUse of Appropriate Medications for People with Asthma (Ages 5-11)Asthma Meds 5-11yrAdministrative Review20323189281642886.7992.9391.890.3186.8784.95
432013Commercial HMOStatewide AverageChild and Adolescent HealthCaring for Children and Adolescents with IllnessesUse of Appropriate Medications for People with Asthma (Ages 5-18)Asthma Meds 5-18yrAdministrative Review51184835454994.0898.0595.5894.2891.289.68
442013Commercial PPOStatewide AverageChild and Adolescent HealthCaring for Children and Adolescents with IllnessesUse of Appropriate Medications for People with Asthma (Ages 5-18)Asthma Meds 5-18yrAdministrative Review36943588336493.7696.1395.2893.5592.6488.96
452013Medicaid Managed CareStatewide AverageChild and Adolescent HealthCaring for Children and Adolescents with IllnessesUse of Appropriate Medications for People with Asthma (Ages 5-18)Asthma Meds 5-18yrAdministrative Review34177318202724685.6390.8690.0988.4185.4182.38
462013Commercial HMOStatewide AverageChild and Adolescent HealthCaring for Children and Adolescents with IllnessesAppropriate Testing for PharyngitisPharyngitisAdministrative Review25114251142172586.5190.6790.1685.9184.4483.05
472013Commercial PPOStatewide AverageChild and Adolescent HealthCaring for Children and Adolescents with IllnessesAppropriate Testing for PharyngitisPharyngitisAdministrative Review24907249072192188.0190.5890.0788.9386.8486.38
482013Medicaid Managed CareStatewide AverageChild and Adolescent HealthCaring for Children and Adolescents with IllnessesAppropriate Testing for PharyngitisPharyngitisAdministrative Review94445944458192486.7489.48885.9582.2376.930000000000007

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Open Data NY - DOH Open Data NY - DOH

created Mar 09, 2013

updated Oct 31, 2016

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Description

The column chart shows peformance measurement rates for child and adolescent health managed care by payer. The chart can be filtered by measurement year or measure by changing the options under the Filter tab. The chart uses statewide average rates of all insurance plans. Removing the statewide average filter is not recommended. The "About" tab contains additional details concerning this dataset.

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Category
Health
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Tags
managed care, medicaid, plan performance, quality-safety-costs
Row Count
48
Dataset Summary
Time Period
Beginning 2008
Posting Frequency
Annually
Dataset Owner
Bureau of Quality Measurement and Improvement
Coverage
Statewide
Granularity
Health Plan
Units
Rates and Percentages
Organization
Office of Quality and Patient Safety and Bureau of Quality Measurement and Improvement
Data Frequency
Annual
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
QARR data is collected by health plans and the information is validated by a licensed organization. Only valid information is included in the data. Not all measures are collected each year. Some services require more resource intensive methods of collection, and these measures are often rotated to control collection burden. Measure specification changes and health plan mergers and closures limit the ability to trend this data over time. Please use caution when attempting to compare measures and/or health plans over time. Please review each measure description carefully as some measures have different specifications for payers and cannot be compared across payers even within each year. Several measures are reported as reported as inverted rates. Please refer to the measure descriptions.
Dataset Information
Agency
Health, Department of

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