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QARR: Diabetes Adult Health 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 AverageAdult HealthManaging Diabetes Outcomes for AdultsManaging Diabetes Outcomes - Lipids Controlled (<100 mg/dL)Diabetes <100mg/dLHybrid Review1490216968315044.795049.5547.138.137.21
22013Medicaid Managed CareStatewide AverageAdult HealthManaging Diabetes Outcomes for AdultsManaging Diabetes Outcomes - Lipids Controlled (<100 mg/dL)Diabetes <100mg/dLHybrid Review1693899340382342.7345.9943.7940.6337.5335.95
32013HIV Special Needs PlansStatewide AverageAdult HealthManaging Diabetes Outcomes for AdultsManaging Diabetes Outcomes - Lipids Controlled (<100 mg/dL)Diabetes <100mg/dLHybrid Review1697164472243.9452.5552.5547.6331.5731.57
42013Commercial PPOStatewide AverageAdult HealthManaging Diabetes Outcomes for AdultsManaging Diabetes Outcomes - Lipids Controlled (<100 mg/dL)Diabetes <100mg/dLHybrid Review1905584414178843.7146.0544.4440.4737.8135.98
52013Commercial HMOStatewide AverageAdult HealthMonitoring Diabetes for AdultsMonitoring Diabetes - Received All TestsDiabetes All TestsHybrid Review1490216308285344.9952.349.4244.0939.4238.84
62013Commercial PPOStatewide AverageAdult HealthMonitoring Diabetes for AdultsMonitoring Diabetes - Received All TestsDiabetes All TestsHybrid Review1938827723277239.7645.9442.7740.7337.7128.95
72013HIV Special Needs PlansStatewide AverageAdult HealthMonitoring Diabetes for AdultsMonitoring Diabetes - Received All TestsDiabetes All TestsHybrid Review1697164454132.9438.538.531.0229.229.2
82013Medicaid Managed CareStatewide AverageAdult HealthMonitoring Diabetes for AdultsMonitoring Diabetes - Received All TestsDiabetes All TestsHybrid Review1693899340454250.5455.7452.5647.8144.9543.61
92013HIV Special Needs PlansStatewide AverageAdult HealthManaging Diabetes Outcomes for AdultsManaging Diabetes Outcomes - Blood pressure controlled (<140/80 mm Hg)Diabetes BP <140/80Hybrid Review1697164473244.5850.7350.7343.0739.7839.78
102013Commercial HMOStatewide AverageAdult HealthManaging Diabetes Outcomes for AdultsManaging Diabetes Outcomes - Blood pressure controlled (<140/80 mm Hg)Diabetes BP <140/80Hybrid Review1490216968273639.3745.7745.0842.2731.1629.05
112013Commercial PPOStatewide AverageAdult HealthManaging Diabetes Outcomes for AdultsManaging Diabetes Outcomes - Blood pressure controlled (<140/80 mm Hg)Diabetes BP <140/80Hybrid Review1905584414153037.5848.4241.6532.529.3126.43
122013Medicaid Managed CareStatewide AverageAdult HealthManaging Diabetes Outcomes for AdultsManaging Diabetes Outcomes - Blood pressure controlled (<140/80 mm Hg)Diabetes BP <140/80Hybrid Review1693899340425046.0450.7348.0646.2942.5939.42
132013Commercial HMOStatewide AverageAdult HealthManaging Diabetes Outcomes for AdultsManaging Diabetes Outcomes - Blood pressure controlled (<140/90 mm Hg)Diabetes BP <140/90Hybrid Review1490216968445464.7973.1171.7166.8953.7247.01
142013HIV Special Needs PlansStatewide AverageAdult HealthManaging Diabetes Outcomes for AdultsManaging Diabetes Outcomes - Blood pressure controlled (<140/90 mm Hg)Diabetes BP <140/90Hybrid Review16971644103462.9164.4264.4263.6960.5860.58
152013Medicaid Managed CareStatewide AverageAdult HealthManaging Diabetes Outcomes for AdultsManaging Diabetes Outcomes - Blood pressure controlled (<140/90 mm Hg)Diabetes BP <140/90Hybrid Review1693899340647068.5375.3673.2970.2965.2462.75
162013Commercial PPOStatewide AverageAdult HealthManaging Diabetes Outcomes for AdultsManaging Diabetes Outcomes - Blood pressure controlled (<140/90 mm Hg)Diabetes BP <140/90Hybrid Review1905584414249059.5369.8265.3654.7650.3945.57
172013HIV Special Needs PlansStatewide AverageAdult HealthMonitoring Diabetes for AdultsMonitoring Diabetes - Lipid ProfileDiabetes CholesterolHybrid Review16971644154694.0696.5396.5393.891.7991.79
182013Commercial PPOStatewide AverageAdult HealthMonitoring Diabetes for AdultsMonitoring Diabetes - Lipid ProfileDiabetes CholesterolHybrid Review1938827723656385.9990.0286.9185.484.5883.41
192013Medicaid Managed CareStatewide AverageAdult HealthMonitoring Diabetes for AdultsMonitoring Diabetes - Lipid ProfileDiabetes CholesterolHybrid Review1693899340778986.6189.788.8484.0578.5975.55
202013Commercial HMOStatewide AverageAdult HealthMonitoring Diabetes for AdultsMonitoring Diabetes - Lipid ProfileDiabetes CholesterolHybrid Review1490216968603487.1788.0388.0287.1185.9985.95
212013HIV Special Needs PlansStatewide AverageAdult HealthManaging Diabetes Outcomes for AdultsManaging Diabetes Outcomes - HbA1c and Lipids ControlledDiabetes ControlledHybrid Review1697164455934.0241.9741.9738.6921.3521.35
222013Commercial PPOStatewide AverageAdult HealthManaging Diabetes Outcomes for AdultsManaging Diabetes Outcomes - HbA1c and Lipids ControlledDiabetes ControlledHybrid Review1905584414152637.0139.4738.434.6732.1529.75
232013Commercial HMOStatewide AverageAdult HealthManaging Diabetes Outcomes for AdultsManaging Diabetes Outcomes - HbA1c and Lipids ControlledDiabetes ControlledHybrid Review1490216308243538.3644.744.5740.832.5730
242013Medicaid Managed CareStatewide AverageAdult HealthManaging Diabetes Outcomes for AdultsManaging Diabetes Outcomes - HbA1c and Lipids ControlledDiabetes ControlledHybrid Review1693899340307334.536.1235.0832.7529.927.92
252013Commercial PPOStatewide AverageAdult HealthMonitoring Diabetes for AdultsMonitoring Diabetes - Dilated Eye ExamDiabetes Eye ExamHybrid Review1938827723365052.8858.7157.0852.7949.6438.83
262013Commercial HMOStatewide AverageAdult HealthMonitoring Diabetes for AdultsMonitoring Diabetes - Dilated Eye ExamDiabetes Eye ExamHybrid Review1490216968396156.3863.0262.1357.351.0949.3
272013HIV Special Needs PlansStatewide AverageAdult HealthMonitoring Diabetes for AdultsMonitoring Diabetes - Dilated Eye ExamDiabetes Eye ExamHybrid Review1697164469842.4745.6245.6242.739.0539.05
282013Medicaid Managed CareStatewide AverageAdult HealthMonitoring Diabetes for AdultsMonitoring Diabetes - Dilated Eye ExamDiabetes Eye ExamHybrid Review1693899340581162.6166.3965.3262.5960.6855.88
292013Medicaid Managed CareStatewide AverageAdult HealthManaging Diabetes Outcomes for AdultsManaging Diabetes Outcomes - HbA1C Control (<7.0%) for Selected PopulationsDiabetes HbA1c <7%Hybrid Review1467216848278240.5746.7342.5540.5837.135.42
302013HIV Special Needs PlansStatewide AverageAdult HealthManaging Diabetes Outcomes for AdultsManaging Diabetes Outcomes - HbA1C Control (<7.0%) for Selected PopulationsDiabetes HbA1c <7%Hybrid Review1697125962649.5856.0156.0153.239.5139.51
312013Commercial HMOStatewide AverageAdult HealthManaging Diabetes Outcomes for AdultsManaging Diabetes Outcomes - HbA1C Control (<7.0%) for Selected PopulationsDiabetes HbA1c <7%Hybrid Review890114210173144.2848.4644.5742.8441.319.31
322013Commercial PPOStatewide AverageAdult HealthManaging Diabetes Outcomes for AdultsManaging Diabetes Outcomes - HbA1C Control (<7.0%) for Selected PopulationsDiabetes HbA1c <7%Hybrid Review28987184972038.7143.2440.9938.6936.8735.1
332013HIV Special Needs PlansStatewide AverageAdult HealthManaging Diabetes Outcomes for AdultsManaging Diabetes Outcomes - HbA1C Control (<8.0%)Diabetes HbA1c <8%Hybrid Review1697164495958.366.2466.2461.1347.6347.63
342013Commercial PPOStatewide AverageAdult HealthManaging Diabetes Outcomes for AdultsManaging Diabetes Outcomes - HbA1C Control (<8.0%)Diabetes HbA1c <8%Hybrid Review1905584414246256.4165.1757.8155.3653.0750
352013Medicaid Managed CareStatewide AverageAdult HealthManaging Diabetes Outcomes for AdultsManaging Diabetes Outcomes - HbA1C Control (<8.0%)Diabetes HbA1c <8%Hybrid Review1693899340521056.6861.559.2554.5951.7651.09
362013Commercial HMOStatewide AverageAdult HealthManaging Diabetes Outcomes for AdultsManaging Diabetes Outcomes - HbA1C Control (<8.0%)Diabetes HbA1c <8%Hybrid Review1490216968413961.0766.9365.8462.0653.4353.02
372013Medicaid Managed CareStatewide AverageAdult HealthMonitoring Diabetes for AdultsMonitoring Diabetes - HbA1c TestingDiabetes HbA1c TestHybrid Review1693899340818089.3591.0690.3387.9984.5183.39
382013Commercial PPOStatewide AverageAdult HealthMonitoring Diabetes for AdultsMonitoring Diabetes - HbA1c TestingDiabetes HbA1c TestHybrid Review1938827723679887.8990.7889.588.8187.1686.14
392013Commercial HMOStatewide AverageAdult HealthMonitoring Diabetes for AdultsMonitoring Diabetes - HbA1c TestingDiabetes HbA1c TestHybrid Review1490216968624890.3391.7191.1790.3388.3287.67
402013HIV Special Needs PlansStatewide AverageAdult HealthMonitoring Diabetes for AdultsMonitoring Diabetes - HbA1c TestingDiabetes HbA1c TestHybrid Review16971644152792.8894.1694.1693.890.6990.69
412013Commercial PPOStatewide AverageAdult HealthMonitoring Diabetes for AdultsMonitoring Diabetes - Nephropathy MonitoringDiabetes NephropathyHybrid Review1938827723613077.4184.4180.2979.3377.7474.6
422013Commercial HMOStatewide AverageAdult HealthMonitoring Diabetes for AdultsMonitoring Diabetes - Nephropathy MonitoringDiabetes NephropathyHybrid Review1490216968580181.7886.3684.1683.681.0177.62
432013Medicaid Managed CareStatewide AverageAdult HealthMonitoring Diabetes for AdultsMonitoring Diabetes - Nephropathy MonitoringDiabetes NephropathyHybrid Review1693899340766283.4287.0484.1381.6479.5478.1
442013HIV Special Needs PlansStatewide AverageAdult HealthMonitoring Diabetes for AdultsMonitoring Diabetes - Nephropathy MonitoringDiabetes NephropathyHybrid Review16971644129178.5680.8480.8479.747575
452013Medicaid Managed CareStatewide AverageAdult HealthManaging Diabetes Outcomes for AdultsManaging Diabetes Outcomes -Poor HbA1c ControlDiabetes Poor HbA1cHybrid Review1693899340322432.3139.638.8335.6230.6726.82
462013HIV Special Needs PlansStatewide AverageAdult HealthManaging Diabetes Outcomes for AdultsManaging Diabetes Outcomes -Poor HbA1c ControlDiabetes Poor HbA1cHybrid Review1697164457635.0547.0847.0830.1127.9227.92
472013Commercial HMOStatewide AverageAdult HealthManaging Diabetes Outcomes for AdultsManaging Diabetes Outcomes -Poor HbA1c ControlDiabetes Poor HbA1cHybrid Review1490216968214229.9839.5336.7928.2221.8921.31
482013Commercial PPOStatewide AverageAdult HealthManaging Diabetes Outcomes for AdultsManaging Diabetes Outcomes -Poor HbA1c ControlDiabetes Poor HbA1cHybrid Review1905584414154835.741.9138.9335.6131.6324.54

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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 performance measurement rates for diabetes adult health managed care by payer. The chart can be filtered by measurement year by changing the option under the Filter tab. The chart uses statewide average rates for 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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Category
Health
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Public
Tags
managed care, medicaid, plan performance, quality-safety-costs
Row Count
48
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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