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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
22013Commercial PPOStatewide AverageAdult HealthManaging Diabetes Outcomes for AdultsManaging Diabetes Outcomes - Lipids Controlled (<100 mg/dL)Diabetes <100mg/dLHybrid Review1905584414178843.7146.0544.4440.4737.8135.979999999999997
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
42013Medicaid Managed CareStatewide AverageAdult HealthManaging Diabetes Outcomes for AdultsManaging Diabetes Outcomes - Lipids Controlled (<100 mg/dL)Diabetes <100mg/dLHybrid Review1693899340382342.7345.9943.7940.63000000000000337.5335.950000000000003
52013Commercial HMOStatewide AverageAdult HealthMonitoring Diabetes for AdultsMonitoring Diabetes - Received All TestsDiabetes All TestsHybrid Review1490216308285344.9952.349.4244.0939.4238.840000000000003
62013Commercial PPOStatewide AverageAdult HealthMonitoring Diabetes for AdultsMonitoring Diabetes - Received All TestsDiabetes All TestsHybrid Review1938827723277239.7645.9442.7740.72999999999999737.7128.95
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
92013Commercial HMOStatewide AverageAdult HealthManaging Diabetes Outcomes for AdultsManaging Diabetes Outcomes - Blood pressure controlled (<140/80 mm Hg)Diabetes BP <140/80Hybrid Review1490216968273639.36999999999999745.7745.0842.2731.1629.05
102013Commercial 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
112013HIV 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
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 Review1490216968445464.79000000000000673.1171.70999999999999466.8953.7247.01
142013Commercial PPOStatewide AverageAdult HealthManaging Diabetes Outcomes for AdultsManaging Diabetes Outcomes - Blood pressure controlled (<140/90 mm Hg)Diabetes BP <140/90Hybrid Review1905584414249059.5369.81999999999999365.3654.7650.3945.57
152013HIV 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
162013Medicaid Managed CareStatewide AverageAdult HealthManaging Diabetes Outcomes for AdultsManaging Diabetes Outcomes - Blood pressure controlled (<140/90 mm Hg)Diabetes BP <140/90Hybrid Review1693899340647068.5375.3673.29000000000000670.29000000000000665.23999999999999562.75
172013Commercial HMOStatewide AverageAdult HealthMonitoring Diabetes for AdultsMonitoring Diabetes - Lipid ProfileDiabetes CholesterolHybrid Review1490216968603487.1788.0388.0287.1185.9985.95
182013Commercial PPOStatewide AverageAdult HealthMonitoring Diabetes for AdultsMonitoring Diabetes - Lipid ProfileDiabetes CholesterolHybrid Review1938827723656385.9990.0286.9185.484.5883.41
192013HIV Special Needs PlansStatewide AverageAdult HealthMonitoring Diabetes for AdultsMonitoring Diabetes - Lipid ProfileDiabetes CholesterolHybrid Review16971644154694.0696.5396.5393.891.7991.79
202013Medicaid Managed CareStatewide AverageAdult HealthMonitoring Diabetes for AdultsMonitoring Diabetes - Lipid ProfileDiabetes CholesterolHybrid Review1693899340778986.6189.788.8484.0578.5975.55
212013Commercial HMOStatewide AverageAdult HealthManaging Diabetes Outcomes for AdultsManaging Diabetes Outcomes - HbA1c and Lipids ControlledDiabetes ControlledHybrid Review1490216308243538.3644.744.5740.79999999999999732.5730
222013Commercial PPOStatewide AverageAdult HealthManaging Diabetes Outcomes for AdultsManaging Diabetes Outcomes - HbA1c and Lipids ControlledDiabetes ControlledHybrid Review1905584414152637.0139.4738.434.6732.1529.75
232013HIV Special Needs PlansStatewide AverageAdult HealthManaging Diabetes Outcomes for AdultsManaging Diabetes Outcomes - HbA1c and Lipids ControlledDiabetes ControlledHybrid Review1697164455934.02000000000000341.9741.9738.6921.3521.35
242013Medicaid Managed CareStatewide AverageAdult HealthManaging Diabetes Outcomes for AdultsManaging Diabetes Outcomes - HbA1c and Lipids ControlledDiabetes ControlledHybrid Review1693899340307334.536.11999999999999735.0832.7529.927.92
252013Commercial HMOStatewide AverageAdult HealthMonitoring Diabetes for AdultsMonitoring Diabetes - Dilated Eye ExamDiabetes Eye ExamHybrid Review1490216968396156.3863.0262.1357.351.0949.3
262013Commercial PPOStatewide AverageAdult HealthMonitoring Diabetes for AdultsMonitoring Diabetes - Dilated Eye ExamDiabetes Eye ExamHybrid Review1938827723365052.8858.7157.0852.7949.6438.83
272013HIV Special Needs PlansStatewide AverageAdult HealthMonitoring Diabetes for AdultsMonitoring Diabetes - Dilated Eye ExamDiabetes Eye ExamHybrid Review1697164469842.4745.6245.6242.739.04999999999999739.049999999999997
282013Medicaid Managed CareStatewide AverageAdult HealthMonitoring Diabetes for AdultsMonitoring Diabetes - Dilated Eye ExamDiabetes Eye ExamHybrid Review1693899340581162.6166.3965.31999999999999362.5960.6855.88
292013Commercial HMOStatewide AverageAdult HealthManaging Diabetes Outcomes for AdultsManaging Diabetes Outcomes - HbA1C Control (<7.0%) for Selected PopulationsDiabetes HbA1c <7%Hybrid Review890114210173144.2848.4644.5742.8441.319.309999999999999
302013Commercial PPOStatewide AverageAdult HealthManaging Diabetes Outcomes for AdultsManaging Diabetes Outcomes - HbA1C Control (<7.0%) for Selected PopulationsDiabetes HbA1c <7%Hybrid Review28987184972038.7143.2440.9938.6936.86999999999999735.1
312013HIV 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
322013Medicaid 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
332013Commercial HMOStatewide AverageAdult HealthManaging Diabetes Outcomes for AdultsManaging Diabetes Outcomes - HbA1C Control (<8.0%)Diabetes HbA1c <8%Hybrid Review1490216968413961.0766.93000000000000765.8462.0653.4353.02
342013Commercial PPOStatewide AverageAdult HealthManaging Diabetes Outcomes for AdultsManaging Diabetes Outcomes - HbA1C Control (<8.0%)Diabetes HbA1c <8%Hybrid Review1905584414246256.4165.1757.8155.3653.0750
352013HIV Special Needs PlansStatewide AverageAdult HealthManaging Diabetes Outcomes for AdultsManaging Diabetes Outcomes - HbA1C Control (<8.0%)Diabetes HbA1c <8%Hybrid Review1697164495958.366.23999999999999566.23999999999999561.1347.6347.63
362013Medicaid 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
372013Commercial HMOStatewide AverageAdult HealthMonitoring Diabetes for AdultsMonitoring Diabetes - HbA1c TestingDiabetes HbA1c TestHybrid Review1490216968624890.3391.7191.1790.3388.3287.67
382013Commercial PPOStatewide AverageAdult HealthMonitoring Diabetes for AdultsMonitoring Diabetes - HbA1c TestingDiabetes HbA1c TestHybrid Review1938827723679887.8990.7889.588.8187.1686.14
392013HIV Special Needs PlansStatewide AverageAdult HealthMonitoring Diabetes for AdultsMonitoring Diabetes - HbA1c TestingDiabetes HbA1c TestHybrid Review16971644152792.8894.1694.1693.890.6990.69
402013Medicaid Managed CareStatewide AverageAdult HealthMonitoring Diabetes for AdultsMonitoring Diabetes - HbA1c TestingDiabetes HbA1c TestHybrid Review1693899340818089.3591.0690.3387.9984.5183.39
412013Commercial HMOStatewide AverageAdult HealthMonitoring Diabetes for AdultsMonitoring Diabetes - Nephropathy MonitoringDiabetes NephropathyHybrid Review1490216968580181.7886.3684.1683.681.01000000000000577.62
422013Commercial PPOStatewide AverageAdult HealthMonitoring Diabetes for AdultsMonitoring Diabetes - Nephropathy MonitoringDiabetes NephropathyHybrid Review1938827723613077.4184.4180.29000000000000679.3377.73999999999999574.599999999999994
432013HIV Special Needs PlansStatewide AverageAdult HealthMonitoring Diabetes for AdultsMonitoring Diabetes - Nephropathy MonitoringDiabetes NephropathyHybrid Review16971644129178.5680.8480.8479.7399999999999957575
442013Medicaid Managed CareStatewide AverageAdult HealthMonitoring Diabetes for AdultsMonitoring Diabetes - Nephropathy MonitoringDiabetes NephropathyHybrid Review1693899340766283.4287.0484.1381.6479.54000000000000678.099999999999994
452013Commercial HMOStatewide AverageAdult HealthManaging Diabetes Outcomes for AdultsManaging Diabetes Outcomes -Poor HbA1c ControlDiabetes Poor HbA1cHybrid Review1490216968214229.9839.5336.7928.2221.8921.31
462013Commercial PPOStatewide AverageAdult HealthManaging Diabetes Outcomes for AdultsManaging Diabetes Outcomes -Poor HbA1c ControlDiabetes Poor HbA1cHybrid Review1905584414154835.70000000000000341.9138.9335.6131.6324.54
472013HIV Special Needs PlansStatewide AverageAdult HealthManaging Diabetes Outcomes for AdultsManaging Diabetes Outcomes -Poor HbA1c ControlDiabetes Poor HbA1cHybrid Review1697164457635.04999999999999747.0847.0830.1127.9227.92
482013Medicaid Managed CareStatewide AverageAdult HealthManaging Diabetes Outcomes for AdultsManaging Diabetes Outcomes -Poor HbA1c ControlDiabetes Poor HbA1cHybrid Review1693899340322432.3139.638.8335.61999999999999730.6726.82

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Open Data NY - DOH Open Data NY - DOH

created Mar 10, 2013

updated Oct 31, 2016

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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. The "About" tab contains additional details concerning this dataset.

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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
Time Period
Beginning 2008
Posting Frequency
Annual
Dataset Owner
Bureau of Quality Measurement and Improvement
Coverage
Statewide
Granularity
Health Plan
Units
Rates and Percentages
Organization
Office of Quality and Patient Safety
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
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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