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QARR: Diabetes Adult Health by Payer: Beginning 2008

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
12011Commercial HMOStatewide AverageAdult HealthManaging Diabetes Outcomes for AdultsManaging Diabetes Outcomes - Lipids Controlled (<100 mg/dL)Diabetes <100mg/dLHybrid Review13129565122987475252484436
22011Commercial PPOStatewide AverageAdult HealthManaging Diabetes Outcomes for AdultsManaging Diabetes Outcomes - Lipids Controlled (<100 mg/dL)Diabetes <100mg/dLHybrid Review26783451002126405045423832
32011Medicaid Managed CareStatewide AverageAdult HealthManaging Diabetes Outcomes for AdultsManaging Diabetes Outcomes - Lipids Controlled (<100 mg/dL)Diabetes <100mg/dLHybrid Review143551102794572475248454139
42011Medicaid Managed CareStatewide AverageAdult HealthMonitoring Diabetes for AdultsMonitoring Diabetes - Received All TestsDiabetes All TestsHybrid Review143551102795080515755494642
52011Commercial HMOStatewide AverageAdult HealthManaging Diabetes Outcomes for AdultsManaging Diabetes Outcomes - Blood pressure controlled (<140/80 mm Hg)Diabetes BP <140/80Hybrid Review13129565122558404744433331
62011Commercial PPOStatewide AverageAdult HealthManaging Diabetes Outcomes for AdultsManaging Diabetes Outcomes - Blood pressure controlled (<140/80 mm Hg)Diabetes BP <140/80Hybrid Review26783451001703324937333020
72011Medicaid Managed CareStatewide AverageAdult HealthManaging Diabetes Outcomes for AdultsManaging Diabetes Outcomes - Blood pressure controlled (<140/80 mm Hg)Diabetes BP <140/80Hybrid Review143551102794431445146424136
82011Commercial HMOStatewide AverageAdult HealthManaging Diabetes Outcomes for AdultsManaging Diabetes Outcomes - Blood pressure controlled (<140/90 mm Hg)Diabetes BP <140/90Hybrid Review13129565124132667471695651
92011Commercial PPOStatewide AverageAdult HealthManaging Diabetes Outcomes for AdultsManaging Diabetes Outcomes - Blood pressure controlled (<140/90 mm Hg)Diabetes BP <140/90Hybrid Review26783451002795527555545337
102011Medicaid Managed CareStatewide AverageAdult HealthManaging Diabetes Outcomes for AdultsManaging Diabetes Outcomes - Blood pressure controlled (<140/90 mm Hg)Diabetes BP <140/90Hybrid Review143551102796909667671686360
112011Commercial HMOStatewide AverageAdult HealthMonitoring Diabetes for AdultsMonitoring Diabetes - Lipid ProfileDiabetes CholesterolHybrid Review13129565125631888989888484
122011Commercial PPOStatewide AverageAdult HealthMonitoring Diabetes for AdultsMonitoring Diabetes - Lipid ProfileDiabetes CholesterolHybrid Review273990112379373848786858482
132011Medicaid Managed CareStatewide AverageAdult HealthMonitoring Diabetes for AdultsMonitoring Diabetes - Lipid ProfileDiabetes CholesterolHybrid Review143551102798705879189858178
142011Medicaid Managed CareStatewide AverageAdult HealthManaging Diabetes Outcomes for AdultsManaging Diabetes Outcomes - HbA1c and Lipids ControlledDiabetes ControlledHybrid Review143551102793622374138363130
152011Commercial HMOStatewide AverageAdult HealthMonitoring Diabetes for AdultsMonitoring Diabetes - Dilated Eye ExamDiabetes Eye ExamHybrid Review13129565123790606765635748
162011Commercial PPOStatewide AverageAdult HealthMonitoring Diabetes for AdultsMonitoring Diabetes - Dilated Eye ExamDiabetes Eye ExamHybrid Review273990112375383556059545145
172011Medicaid Managed CareStatewide AverageAdult HealthMonitoring Diabetes for AdultsMonitoring Diabetes - Dilated Eye ExamDiabetes Eye ExamHybrid Review143551102796462646665646057
182011Commercial HMOStatewide AverageAdult HealthManaging Diabetes Outcomes for AdultsManaging Diabetes Outcomes - HbA1C Control (<7.0%) for Selected PopulationsDiabetes HbA1c <7%Hybrid Review10584246802106455250484237
192011Commercial PPOStatewide AverageAdult HealthManaging Diabetes Outcomes for AdultsManaging Diabetes Outcomes - HbA1C Control (<7.0%) for Selected PopulationsDiabetes HbA1c <7%Hybrid Review19448536921414364944363428
202011Medicaid Managed CareStatewide AverageAdult HealthManaging Diabetes Outcomes for AdultsManaging Diabetes Outcomes - HbA1C Control (<7.0%) for Selected PopulationsDiabetes HbA1c <7%Hybrid Review11546076493149414543413937
212011Commercial HMOStatewide AverageAdult HealthManaging Diabetes Outcomes for AdultsManaging Diabetes Outcomes - HbA1C Control (<8.0%)Diabetes HbA1c <8%Hybrid Review13129565124112637269685850
222011Commercial PPOStatewide AverageAdult HealthManaging Diabetes Outcomes for AdultsManaging Diabetes Outcomes - HbA1C Control (<8.0%)Diabetes HbA1c <8%Hybrid Review26783451002761517058544740
232011Medicaid Managed CareStatewide AverageAdult HealthManaging Diabetes Outcomes for AdultsManaging Diabetes Outcomes - HbA1C Control (<8.0%)Diabetes HbA1c <8%Hybrid Review143551102795847586259565553
242011Commercial HMOStatewide AverageAdult HealthMonitoring Diabetes for AdultsMonitoring Diabetes - HbA1c TestingDiabetes HbA1c TestHybrid Review13129565125767909291908884
252011Commercial PPOStatewide AverageAdult HealthMonitoring Diabetes for AdultsMonitoring Diabetes - HbA1c TestingDiabetes HbA1c TestHybrid Review273990112379721869188878684
262011Medicaid Managed CareStatewide AverageAdult HealthMonitoring Diabetes for AdultsMonitoring Diabetes - HbA1c TestingDiabetes HbA1c TestHybrid Review143551102799041899190888783
272011Commercial HMOStatewide AverageAdult HealthMonitoring Diabetes for AdultsMonitoring Diabetes - Nephropathy MonitoringDiabetes NephropathyHybrid Review13129565125381838787847876
282011Commercial PPOStatewide AverageAdult HealthMonitoring Diabetes for AdultsMonitoring Diabetes - Nephropathy MonitoringDiabetes NephropathyHybrid Review273990112378551728281777368
292011Medicaid Managed CareStatewide AverageAdult HealthMonitoring Diabetes for AdultsMonitoring Diabetes - Nephropathy MonitoringDiabetes NephropathyHybrid Review143551102798489838785838080
302011Commercial HMOStatewide AverageAdult HealthManaging Diabetes Outcomes for AdultsManaging Diabetes Outcomes -Poor HbA1c ControlDiabetes Poor HbA1cHybrid Review13129565121775274233231919
312011Commercial PPOStatewide AverageAdult HealthManaging Diabetes Outcomes for AdultsManaging Diabetes Outcomes -Poor HbA1c ControlDiabetes Poor HbA1cHybrid Review26783451001938425346403422
322011Medicaid Managed CareStatewide AverageAdult HealthManaging Diabetes Outcomes for AdultsManaging Diabetes Outcomes -Poor HbA1c ControlDiabetes Poor HbA1cHybrid Review143551102793461333635333329

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Open Data NY - DOH Open Data NY - DOH

created Mar 09, 2013

updated Sep 30, 2013

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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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Meta
Category
Health
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Public
Tags
managed care, medicaid, plan performance
Row Count
32
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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