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QARR: Child Preventive 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
12013Medicaid Managed CareStatewide AverageChild and Adolescent HealthChild Preventive CareAdolescent Immunization ComboAdol immu-ComboHybrid Review772937036499771.577.3775.1871.7868.5262.37
22013Commercial HMOStatewide AverageChild and Adolescent HealthChild Preventive CareAdolescent Immunization ComboAdol immu-ComboHybrid Review317874217305371.7878.2175.4771.5368.1565.28
32013Commercial PPOStatewide AverageChild and Adolescent HealthChild Preventive CareAdolescent Immunization ComboAdol immu-ComboHybrid Review478543820248863.7773.0866.1465.2362.2760.34
42013Commercial PPOStatewide AverageChild and Adolescent HealthChild Preventive CareAdolescent Immunization HPVAdol Immu-HPVHybrid Review2328259335149.2414.819.988.738.146.84
52013Commercial HMOStatewide AverageChild and Adolescent HealthChild Preventive CareAdolescent Immunization HPVAdol Immu-HPVHybrid Review1550242636271519.4417.2715.5711.349.42
62013Medicaid Managed CareStatewide AverageChild and Adolescent HealthChild Preventive CareAdolescent Immunization HPVAdol Immu-HPVHybrid Review375766871168627.3335.4830.6624.5718.2811.92
72013Medicaid Managed CareStatewide AverageChild and Adolescent HealthChild Preventive CareAdolescent Immunization MenignococcalAdol immu-MenignococcalHybrid Review772937036509873.278.176.1672.0269.6863.99
82013Commercial HMOStatewide AverageChild and Adolescent HealthChild Preventive CareAdolescent Immunization MenignococcalAdol immu-MenignococcalHybrid Review317874217309472.8678.4576.2872.0269.9767.36
92013Commercial PPOStatewide AverageChild and Adolescent HealthChild Preventive CareAdolescent Immunization MenignococcalAdol immu-MenignococcalHybrid Review478543820255665.7173.3567.3366.8464.8162.29
102013Commercial HMOStatewide AverageChild and Adolescent HealthChild Preventive CareAdolescent Immunization Tdap/TdAdol immu-Tdap/TdHybrid Review317874217400794.6298.8296.0995.6293.2189.81
112013Commercial PPOStatewide AverageChild and Adolescent HealthChild Preventive CareAdolescent Immunization Tdap/TdAdol immu-Tdap/TdHybrid Review478543820345589.6796.793.191.1288.6385.16
122013Medicaid Managed CareStatewide AverageChild and Adolescent HealthChild Preventive CareAdolescent Immunization Tdap/TdAdol immu-Tdap/TdHybrid Review772937036657592.7696.5995.6294.1693.2986.62
132013Commercial HMOStatewide AverageChild and Adolescent HealthChild Preventive CareAdolescent Well-Care VisitsAdol WC VisitsAdministrative Review37555237555222945561.168.6166.3560.5656.2349.79
142013Commercial PPOStatewide AverageChild and Adolescent HealthChild Preventive CareAdolescent Well-Care VisitsAdol WC VisitsAdministrative Review52061852061830288358.1866.0661.1159.3257.452.4
152013Medicaid Managed CareStatewide AverageChild and Adolescent HealthChild Preventive CareAdolescent Well-Care VisitsAdol WC VisitsAdministrative Review66752466752442637363.8769.764.6762.8361.3760.09
162013Medicaid Managed CareStatewide AverageChild and Adolescent HealthChild Preventive CareAnnual Dental Visit (Ages 11-14)Dental Visits 11-14yrAdministrative Review27908727908718125064.9469.2466.5764.861.258.73
172013Medicaid Managed CareStatewide AverageChild and Adolescent HealthChild Preventive CareAnnual Dental Visit (Ages 15-18)Dental Visits 15-18yrAdministrative Review25872025872014573056.3361.0458.7955.4752.5350.72
182013Medicaid Managed CareStatewide AverageChild and Adolescent HealthChild Preventive CareAnnual Dental Visit (Ages 2-18)Dental Visits 2-18yrAdministrative Review1231908123190874699260.6467.686360.7956.7355.42
192013Medicaid Managed CareStatewide AverageChild and Adolescent HealthChild Preventive CareAnnual Dental Visit (Ages 2-21)Dental Visits 2-21yrAdministrative Review1345850134585079722459.2466.2661.1358.7355.7154.23
202013Medicaid Managed CareStatewide AverageChild and Adolescent HealthChild Preventive CareAnnual Dental Visit (Ages 2-3)Dental Visits 2-3yrAdministrative Review1551801551806000938.6750.6443.7640.4236.528.4
212013Medicaid Managed CareStatewide AverageChild and Adolescent HealthChild Preventive CareAnnual Dental Visit (Ages 4-21)Dental Visits 4-21yrAdministrative Review1190670119067073721561.9267.9262.9560.6458.8356.35
222013Medicaid Managed CareStatewide AverageChild and Adolescent HealthChild Preventive CareAnnual Dental Visit (Ages 4-6 )Dental Visits 4-6yrAdministrative Review24113624113615417263.9472.0668.2564.159.958.93
232013Medicaid Managed CareStatewide AverageChild and Adolescent HealthChild Preventive CareAnnual Dental Visit (Ages 7-10)Dental Visits 7-10yrAdministrative Review29778529778520583169.1275.3570.2168.967.0761.56
242013Commercial PPOStatewide AverageChild and Adolescent HealthChild Preventive CareIM_ZEROImmu - 0Hybrid Review376773582742.33.252.551.651.460.97
252013Commercial HMOStatewide AverageChild and Adolescent HealthChild Preventive CareIM_ZEROImmu - 0Hybrid Review208094464761.943.322.711.581.170.6
262013Medicaid Managed CareStatewide AverageChild and Adolescent HealthChild Preventive CareIM_ZEROImmu - 0Hybrid Review852686660921.412.681.541.280.970.73
272013Medicaid Managed CareStatewide AverageChild and Adolescent HealthChild Preventive CareChildhood Immunization - 2 or more HepAImmu - 2+ HepAHybrid Review854536843521177.5984.1882.7376.472.9262.3
282013Commercial PPOStatewide AverageChild and Adolescent HealthChild Preventive CareChildhood Immunization - 2 or more HepAImmu - 2+ HepAHybrid Review376773582247466.3778.4570.868.7963.6456.52
292013Commercial HMOStatewide AverageChild and Adolescent HealthChild Preventive CareChildhood Immunization - 2 or more HepAImmu - 2+ HepAHybrid Review208094464325972.5482.7479.4673.5464.6258.83
302013Medicaid Managed CareStatewide AverageChild and Adolescent HealthChild Preventive CareChildhood Immunization - 2 or more InfluenzaImmu - 2+ InfluenzaHybrid Review854536843397758.3665.4563.559.0353.9445.9
312013Commercial PPOStatewide AverageChild and Adolescent HealthChild Preventive CareChildhood Immunization - 2 or more InfluenzaImmu - 2+ InfluenzaHybrid Review376773582243367.3176.8169.7667.3865.6658.74
322013Commercial HMOStatewide AverageChild and Adolescent HealthChild Preventive CareChildhood Immunization - 2 or more InfluenzaImmu - 2+ InfluenzaHybrid Review208094464298367.2675.6773.4868.8157.5453.33
332013Medicaid Managed CareStatewide AverageChild and Adolescent HealthChild Preventive CareChildhood Immunization - 2 or 3 RotavirusImmu - 2 or 3 RotavirHybrid Review854536843478769.4378.5975.6773.2467.5949.18
342013Commercial HMOStatewide AverageChild and Adolescent HealthChild Preventive CareChildhood Immunization - 2 or 3 RotavirusImmu - 2 or 3 RotavirHybrid Review208094464350376.686.3483.782.770.0762.87
352013Commercial PPOStatewide AverageChild and Adolescent HealthChild Preventive CareChildhood Immunization - 2 or 3 RotavirusImmu - 2 or 3 RotavirHybrid Review376773582261972.9785.2573.9573.0966.6764.81
362013Commercial PPOStatewide AverageChild and Adolescent HealthChild Preventive CareChildhood Immunization-3 or more HepBImmu - 3+ HepBHybrid Review376773582299585.6591.7389.7883.9280.8971.58
372013Commercial HMOStatewide AverageChild and Adolescent HealthChild Preventive CareChildhood Immunization-3 or more HepBImmu - 3+ HepBHybrid Review208094464399988.0794.2192.7691.8385.6479.2
382013Medicaid Managed CareStatewide AverageChild and Adolescent HealthChild Preventive CareChildhood Immunization-3 or more HepBImmu - 3+ HepBHybrid Review854536843622490.4994.8993.4392.1390.0285.19
392013Commercial PPOStatewide AverageChild and Adolescent HealthChild Preventive CareChildhood Immunization-3 or more HibsImmu - 3+ HibsHybrid Review376773582330792.8195.5593.6792.7591.3888.71
402013Medicaid Managed CareStatewide AverageChild and Adolescent HealthChild Preventive CareChildhood Immunization-3 or more HibsImmu - 3+ HibsHybrid Review854536843639792.9597.3295.8693.4392.4689.12
412013Commercial HMOStatewide AverageChild and Adolescent HealthChild Preventive CareChildhood Immunization-3 or more HibsImmu - 3+ HibsHybrid Review208094464423494.1398.3396.8495.6492.789.18
422013Commercial HMOStatewide AverageChild and Adolescent HealthChild Preventive CareChildhood Immunization-3 or more IPVsImmu - 3+ IPVsHybrid Review208094464415991.5596.4395.8694.769185.4
432013Medicaid Managed CareStatewide AverageChild and Adolescent HealthChild Preventive CareChildhood Immunization-3 or more IPVsImmu - 3+ IPVsHybrid Review854536843637992.9896.5994.6593.4392.4689.07
442013Commercial PPOStatewide AverageChild and Adolescent HealthChild Preventive CareChildhood Immunization-3 or more IPVsImmu - 3+ IPVsHybrid Review376773582323590.6895.0891.9790.0287.9885.88
452013Commercial HMOStatewide AverageChild and Adolescent HealthChild Preventive CareChildhood Immunization-4 or more DTPsImmu - 4+ DTPsHybrid Review208094464387585.8492.8691.0688.738076.43
462013Commercial PPOStatewide AverageChild and Adolescent HealthChild Preventive CareChildhood Immunization-4 or more DTPsImmu - 4+ DTPsHybrid Review376773582300484.6189.938783.7679.6375.36
472013Medicaid Managed CareStatewide AverageChild and Adolescent HealthChild Preventive CareChildhood Immunization-4 or more DTPsImmu - 4+ DTPsHybrid Review854536843562682.685.1984.7283.2179.0874.54
482013Commercial HMOStatewide AverageChild and Adolescent HealthChild Preventive CareChildhood Immunization - 4 or more PneumococcalsImmu - 4+ PneumoHybrid Review208094464392486.7393.3392.1491.2882.4678.55
492013Medicaid Managed CareStatewide AverageChild and Adolescent HealthChild Preventive CareChildhood Immunization - 4 or more PneumococcalsImmu - 4+ PneumoHybrid Review854536843562881.5388.0886.8683.9481.0269.95
502013Commercial PPOStatewide AverageChild and Adolescent HealthChild Preventive CareChildhood Immunization - 4 or more PneumococcalsImmu - 4+ PneumoHybrid Review376773582299984.1393.2184.9283.9778.4773.91

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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 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. 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
131
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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