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QARR: Managing Acute Illness for Adults 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 Acute Illness for AdultsAdvising Smokers to QuitAdvise Smokers to QuitCAHPS Survey89575083.7689.3687.583.7881.6975
22013Commercial PPOStatewide AverageAdult HealthManaging Acute Illness for AdultsAdvising Smokers to QuitAdvise Smokers to QuitCAHPS Survey43034680.4785.2984.9380.45999999999999479.6677.78
32013HIV Special Needs PlansStatewide AverageAdult HealthManaging Acute Illness for AdultsAdvising Smokers to QuitAdvise Smokers to QuitCAHPS Survey72567593.195.2895.2892.1791.7391.73
42013Medicaid Managed CareStatewide AverageAdult HealthManaging Acute Illness for AdultsAdvising Smokers to QuitAdvise Smokers to QuitCAHPS Survey1873146578.2283.1381.06999999999999378.65000000000000674.7371.52
52013Commercial HMOStatewide AverageAdult HealthManaging Acute Illness for AdultsAvoidance of Antibiotics Therapy in Adults with Acute BronchitisBronchitisAdministrative Review37007370072831223.537.2830.8420.9617.6217.47
62013Commercial PPOStatewide AverageAdult HealthManaging Acute Illness for AdultsAvoidance of Antibiotics Therapy in Adults with Acute BronchitisBronchitisAdministrative Review26074260741855728.8337.97999999999999732.02000000000000326.0424.1718.73
72013Medicaid Managed CareStatewide AverageAdult HealthManaging Acute Illness for AdultsAvoidance of Antibiotics Therapy in Adults with Acute BronchitisBronchitisAdministrative Review31786317862348226.1228.6527.5525.0921.2619.14
82013Commercial HMOStatewide AverageAdult HealthManaging Acute Illness for AdultsUse of Imaging Studies for Low Back PainLow Back PainAdministrative Review4013339169875877.6484.1781.1179.3874.2371.150000000000006
92013Commercial PPOStatewide AverageAdult HealthManaging Acute Illness for AdultsUse of Imaging Studies for Low Back PainLow Back PainAdministrative Review56187552101328975.93000000000000777.776.5575.26000000000000572.9172.61
102013HIV Special Needs PlansStatewide AverageAdult HealthManaging Acute Illness for AdultsUse of Imaging Studies for Low Back PainLow Back PainAdministrative Review1651303076.9290.2490.2472.7368.8968.89
112013Medicaid Managed CareStatewide AverageAdult HealthManaging Acute Illness for AdultsUse of Imaging Studies for Low Back PainLow Back PainAdministrative Review48983471971077077.18000000000000781.0679.29000000000000676.8972.1971.06
122013Commercial PPOStatewide AverageAdult HealthManaging Acute Illness for AdultsDiscussing Smoking Cessation MedicationsSmoke Cessation-MedsCAHPS Survey42923254.0868.9756.951.9347.347.06
132013Commercial HMOStatewide AverageAdult HealthManaging Acute Illness for AdultsDiscussing Smoking Cessation MedicationsSmoke Cessation-MedsCAHPS Survey88449756.26361.2256.8648.147.4
142013HIV Special Needs PlansStatewide AverageAdult HealthManaging Acute Illness for AdultsDiscussing Smoking Cessation MedicationsSmoke Cessation-MedsCAHPS Survey71957179.4281.5381.5379.6976.6476.64
152013Medicaid Managed CareStatewide AverageAdult HealthManaging Acute Illness for AdultsDiscussing Smoking Cessation MedicationsSmoke Cessation-MedsCAHPS Survey1870103955.5664.09999999999999461.2855.8550.0145.78
162013Commercial HMOStatewide AverageAdult HealthManaging Acute Illness for AdultsDiscussing Smoking Cessation StrategiesSmoke Cessation-StrtgyCAHPS Survey87743149.1759.1857.4346.5343.0437.93
172013Commercial PPOStatewide AverageAdult HealthManaging Acute Illness for AdultsDiscussing Smoking Cessation StrategiesSmoke Cessation-StrtgyCAHPS Survey425221526055.9350.345045.1
182013HIV Special Needs PlansStatewide AverageAdult HealthManaging Acute Illness for AdultsDiscussing Smoking Cessation StrategiesSmoke Cessation-StrtgyCAHPS Survey70452574.56999999999999376.4276.4274.872.1772.17
192013Medicaid Managed CareStatewide AverageAdult HealthManaging Acute Illness for AdultsDiscussing Smoking Cessation StrategiesSmoke Cessation-StrtgyCAHPS Survey185386246.5254.4949.3547.2143.5637.58

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

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Category
Health
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Tags
managed care, medicaid, plan performance, quality-safety-costs
Row Count
19
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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