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QARR: Managing Acute Illness for Adults 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 Acute Illness for AdultsAdvising Smokers to QuitAdvise Smokers to QuitAdministrative Review1050859828686827874
22011Commercial PPOStatewide AverageAdult HealthManaging Acute Illness for AdultsAdvising Smokers to QuitAdvise Smokers to QuitAdministrative Review606459768478767569
32011Medicaid Managed CareStatewide AverageAdult HealthManaging Acute Illness for AdultsAdvising Smokers to QuitAdvise Smokers to QuitAdministrative Review24711926788480777571
42011Commercial HMOStatewide AverageAdult HealthManaging Acute Illness for AdultsAvoidance of Antibiotics Therapy in Adults with Acute BronchitisBronchitisAdministrative Review313953139524702213027191616
52011Commercial PPOStatewide AverageAdult HealthManaging Acute Illness for AdultsAvoidance of Antibiotics Therapy in Adults with Acute BronchitisBronchitisAdministrative Review441904419033423243026252016
62011Medicaid Managed CareStatewide AverageAdult HealthManaging Acute Illness for AdultsAvoidance of Antibiotics Therapy in Adults with Acute BronchitisBronchitisAdministrative Review327563275623581283431261916
72011Commercial HMOStatewide AverageAdult HealthManaging Acute Illness for AdultsUse of Imaging Studies for Low Back PainLow Back PainAdministrative Review31681316296749798382817673
82011Commercial PPOStatewide AverageAdult HealthManaging Acute Illness for AdultsUse of Imaging Studies for Low Back PainLow Back PainAdministrative Review882608826022210757977747371
92011Medicaid Managed CareStatewide AverageAdult HealthManaging Acute Illness for AdultsUse of Imaging Studies for Low Back PainLow Back PainAdministrative Review41904419048952798281787773
102011Commercial HMOStatewide AverageAdult HealthManaging Acute Illness for AdultsDiscussing Smoking Cessation MedicationsSmoke Cessation-MedsAdministrative Review1046624607170585144
112011Commercial PPOStatewide AverageAdult HealthManaging Acute Illness for AdultsDiscussing Smoking Cessation MedicationsSmoke Cessation-MedsAdministrative Review602309516054504636
122011Medicaid Managed CareStatewide AverageAdult HealthManaging Acute Illness for AdultsDiscussing Smoking Cessation MedicationsSmoke Cessation-MedsAdministrative Review24501379566360555148
132011Commercial HMOStatewide AverageAdult HealthManaging Acute Illness for AdultsDiscussing Smoking Cessation StrategiesSmoke Cessation-StrtgyAdministrative Review1043534516256524241
142011Commercial PPOStatewide AverageAdult HealthManaging Acute Illness for AdultsDiscussing Smoking Cessation StrategiesSmoke Cessation-StrtgyAdministrative Review588264455447464128
152011Medicaid Managed CareStatewide AverageAdult HealthManaging Acute Illness for AdultsDiscussing Smoking Cessation StrategiesSmoke Cessation-StrtgyAdministrative Review24551178485554474240

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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 adult health managed care by payer. The chart can be filtered by measurement year or measure by changing these 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
Row Count
15
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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