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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
12014Medicaid Managed CareStatewide AverageChild and Adolescent HealthChild Preventive CareAdolescent Immunization HPVAdol Immu-HPVHybrid Review390378228203828.4237.1428.3624.9421.7818.35
22014Commercial HMOStatewide AverageChild and Adolescent HealthChild Preventive CareAdolescent Immunization HPVAdol Immu-HPVHybrid Review12570353456916.1620.8719.7516.5312.677.81
32014Commercial PPOStatewide AverageChild and Adolescent HealthChild Preventive CareAdolescent Immunization HPVAdol Immu-HPVHybrid Review21945570468612.9717.6314.1912.6511.397.42
42014Commercial HMOStatewide AverageChild and Adolescent HealthChild Preventive CareAdolescent Well-Care VisitsAdol WC VisitsAdministrative Review29116229116217895161.4669.6365.5961.9258.0655.53
52014Commercial PPOStatewide AverageChild and Adolescent HealthChild Preventive CareAdolescent Well-Care VisitsAdol WC VisitsAdministrative Review54195654195631972158.9966.7662.4261.1252.7248.88
62014Medicaid Managed CareStatewide AverageChild and Adolescent HealthChild Preventive CareAdolescent Well-Care VisitsAdol WC VisitsAdministrative Review68599268599244548864.9468.6864.2062.7961.4957.88
72014Medicaid Managed CareStatewide AverageChild and Adolescent HealthChild Preventive CareAnnual Dental Visit (Ages 11-14)Dental Visits 11-14yrAdministrative Review29932129932119043563.6268.5567.0364.7659.6557.94
82014Medicaid Managed CareStatewide AverageChild and Adolescent HealthChild Preventive CareAnnual Dental Visit (Ages 15-18)Dental Visits 15-18yrAdministrative Review27493727493715124755.0160.5958.3255.2951.9848.94
92014Medicaid Managed CareStatewide AverageChild and Adolescent HealthChild Preventive CareAnnual Dental Visit (Ages 2-18)Dental Visits 2-18yrAdministrative Review1316876131687678528159.6365.9363.7260.0656.9753.91
102014Medicaid Managed CareStatewide AverageChild and Adolescent HealthChild Preventive CareAnnual Dental Visit (Ages 2-21)Dental Visits 2-21yrAdministrative Review1442155144215583975358.2364.4162.2658.8555.6252.09
112014Medicaid Managed CareStatewide AverageChild and Adolescent HealthChild Preventive CareAnnual Dental Visit (Ages 2-3)Dental Visits 2-3yrAdministrative Review1645681645686238637.9152.8546.6737.7036.3728.49
122014Medicaid Managed CareStatewide AverageChild and Adolescent HealthChild Preventive CareAnnual Dental Visit (Ages 4-21)Dental Visits 4-21yrAdministrative Review1277587127758777736760.8566.1364.6361.5457.9453.36
132014Medicaid Managed CareStatewide AverageChild and Adolescent HealthChild Preventive CareAnnual Dental Visit (Ages 4-6 )Dental Visits 4-6yrAdministrative Review25306925306916049463.4271.6468.1365.0559.3156.87
142014Medicaid Managed CareStatewide AverageChild and Adolescent HealthChild Preventive CareAnnual Dental Visit (Ages 7-10)Dental Visits 7-10yrAdministrative Review32498132498122071967.9273.1071.3668.5165.3061.44
152014Commercial HMOStatewide AverageChild and Adolescent HealthChild Preventive CareNon-Recommended Cervical Cancer Screening in Adolescent FemalesNon-Recommended Cerv. ScreenAdministrative Review750287479632934.405.874.924.453.252.71
162014Commercial PPOStatewide AverageChild and Adolescent HealthChild Preventive CareNon-Recommended Cervical Cancer Screening in Adolescent FemalesNon-Recommended Cerv. ScreenAdministrative Review13738313673679745.838.996.305.804.812.59
172014Medicaid Managed CareStatewide AverageChild and Adolescent HealthChild Preventive CareNon-Recommended Cervical Cancer Screening in Adolescent FemalesNon-Recommended Cerv. ScreenAdministrative Review15963415893159713.764.304.043.522.412.14
182014Commercial HMOStatewide AverageChild and Adolescent HealthChild Preventive CareWell-Child Visits in First 15 Months of Life-0 VisitsWC Visits 15m-0Administrative Review15609156092191.408.041.750.820.370.18
192014Commercial PPOStatewide AverageChild and Adolescent HealthChild Preventive CareWell-Child Visits in First 15 Months of Life-0 VisitsWC Visits 15m-0Administrative Review336513365111683.479.544.021.951.370.51
202014Medicaid Managed CareStatewide AverageChild and Adolescent HealthChild Preventive CareWell-Child Visits in First 15 Months of Life-0 VisitsWC Visits 15m-0Administrative Review841248412411531.372.881.610.980.460.29
212014Commercial HMOStatewide AverageChild and Adolescent HealthChild Preventive CareWell-Child Visits in First 15 Months of Life-1 VisitsWC Visits 15m-1Administrative Review15609156091120.723.010.870.430.000.00
222014Commercial PPOStatewide AverageChild and Adolescent HealthChild Preventive CareWell-Child Visits in First 15 Months of Life-1 VisitsWC Visits 15m-1Administrative Review33651336513561.062.351.300.950.660.41
232014Medicaid Managed CareStatewide AverageChild and Adolescent HealthChild Preventive CareWell-Child Visits in First 15 Months of Life-1 VisitsWC Visits 15m-1Administrative Review841248412412951.542.471.921.130.760.45
242014Commercial HMOStatewide AverageChild and Adolescent HealthChild Preventive CareWell-Child Visits in First 15 Months of Life-2 VisitsWC Visits 15m-2Administrative Review15609156091370.882.710.970.470.230.00
252014Commercial PPOStatewide AverageChild and Adolescent HealthChild Preventive CareWell-Child Visits in First 15 Months of Life-2 VisitsWC Visits 15m-2Administrative Review33651336513180.942.321.320.820.670.31
262014Medicaid Managed CareStatewide AverageChild and Adolescent HealthChild Preventive CareWell-Child Visits in First 15 Months of Life-2 VisitsWC Visits 15m-2Administrative Review841248412423542.804.332.992.291.300.93
272014Commercial HMOStatewide AverageChild and Adolescent HealthChild Preventive CareWell-Child Visits in First 15 Months of Life-3 VisitsWC Visits 15m-3Administrative Review15609156092691.723.532.141.150.620.37
282014Commercial PPOStatewide AverageChild and Adolescent HealthChild Preventive CareWell-Child Visits in First 15 Months of Life-3 VisitsWC Visits 15m-3Administrative Review33651336514681.392.511.781.221.130.71
292014Medicaid Managed CareStatewide AverageChild and Adolescent HealthChild Preventive CareWell-Child Visits in First 15 Months of Life-3 VisitsWC Visits 15m-3Administrative Review841248412442745.087.135.094.383.712.70
302014Commercial HMOStatewide AverageChild and Adolescent HealthChild Preventive CareWell-Child Visits in First 15 Months of Life-4 VisitsWC Visits 15m-4Administrative Review15609156094622.966.053.062.181.221.13
312014Commercial PPOStatewide AverageChild and Adolescent HealthChild Preventive CareWell-Child Visits in First 15 Months of Life-4 VisitsWC Visits 15m-4Administrative Review33651336519012.683.723.392.732.311.62
322014Medicaid Managed CareStatewide AverageChild and Adolescent HealthChild Preventive CareWell-Child Visits in First 15 Months of Life-4 VisitsWC Visits 15m-4Administrative Review841248412470828.4211.5410.388.497.096.34
332014Commercial HMOStatewide AverageChild and Adolescent HealthChild Preventive CareWell-Child Visits in First 15 Months of Life-5 VisitsWC Visits 15m-5Administrative Review156091560912247.8414.868.396.756.364.15
342014Commercial PPOStatewide AverageChild and Adolescent HealthChild Preventive CareWell-Child Visits in First 15 Months of Life-5 VisitsWC Visits 15m-5Administrative Review336513365119975.939.286.836.505.395.15
352014Medicaid Managed CareStatewide AverageChild and Adolescent HealthChild Preventive CareWell-Child Visits in First 15 Months of Life-5 VisitsWC Visits 15m-5Administrative Review84124841241274215.1518.8417.2716.2514.5013.79
362014Commercial HMOStatewide AverageChild and Adolescent HealthChild Preventive CareWell-Child & Preventive Care Visits in First 15 Months of Life (5+ Visits)WC Visits 15m-5+Administrative Review15609156091441092.3297.6197.2095.0390.3578.65
372014Commercial PPOStatewide AverageChild and Adolescent HealthChild Preventive CareWell-Child & Preventive Care Visits in First 15 Months of Life (5+ Visits)WC Visits 15m-5+Administrative Review33651336513044090.4696.1492.8292.6088.2581.35
382014Medicaid Managed CareStatewide AverageChild and Adolescent HealthChild Preventive CareWell-Child & Preventive Care Visits in First 15 Months of Life (5+ Visits)WC Visits 15m-5+Administrative Review84124841246796680.7988.2584.0082.2079.9072.44
392014Commercial HMOStatewide AverageChild and Adolescent HealthChild Preventive CareWell-Child Visits in First 15 Months of Life-6 Visits or moreWC Visits 15m-6+Administrative Review15609156091318684.4891.4989.7588.1576.3269.21
402014Commercial PPOStatewide AverageChild and Adolescent HealthChild Preventive CareWell-Child Visits in First 15 Months of Life-6 Visits or moreWC Visits 15m-6+Administrative Review33651336512844384.5289.9587.4286.1280.7074.55
412014Medicaid Managed CareStatewide AverageChild and Adolescent HealthChild Preventive CareWell-Child Visits in First 15 Months of Life-6 Visits or moreWC Visits 15m-6+Administrative Review84124841245522465.6573.3868.5866.5963.2856.46
422014Commercial HMOStatewide AverageChild and Adolescent HealthChild Preventive CareWell-Child & Preventive Care Visits in 3rd, 4th, 5th & 6th Year of LifeWC Visits 3-6yrAdministrative Review76454764546507385.1189.3489.0785.4883.9281.04
432014Commercial PPOStatewide AverageChild and Adolescent HealthChild Preventive CareWell-Child & Preventive Care Visits in 3rd, 4th, 5th & 6th Year of LifeWC Visits 3-6yrAdministrative Review17030017030014338784.2089.2585.6585.2179.1675.78
442014Medicaid Managed CareStatewide AverageChild and Adolescent HealthChild Preventive CareWell-Child & Preventive Care Visits in 3rd, 4th, 5th & 6th Year of LifeWC Visits 3-6yrAdministrative Review37283237283231395084.2187.5383.9981.7880.4377.80

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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 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
44
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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