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QARR: Medicaid Provider Network by Year: 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
12008Medicaid Managed CareStatewide AverageProvider NetworkProvider NetworkBoard Certified Family MedicineBoard Cert-Family MedAdministrative Review1283410466828886837976
22009Medicaid Managed CareStatewide AverageProvider NetworkProvider NetworkBoard Certified Family MedicineBoard Cert-Family MedAdministrative Review1238110082818886837973
32010Medicaid Managed CareStatewide AverageProvider NetworkProvider NetworkBoard Certified Family MedicineBoard Cert-Family MedAdministrative Review120819687808683817774
42011Medicaid Managed CareStatewide AverageProvider NetworkProvider NetworkBoard Certified Family MedicineBoard Cert-Family MedAdministrative Review1445311520808584807874
52012Medicaid Managed CareStatewide AverageProvider NetworkProvider NetworkBoard Certified Family MedicineBoard Cert-Family MedAdministrative Review1491811621788683807672
62011Medicaid Managed CareStatewide AverageProvider NetworkProvider NetworkBoard Certified Geriatric SpecialistsBoard Cert-GeriatricAdministrative Review17361265738677746659
72012Medicaid Managed CareStatewide AverageProvider NetworkProvider NetworkBoard Certified Geriatric SpecialistsBoard Cert-GeriatricAdministrative Review19031333708274726753
82008Medicaid Managed CareStatewide AverageProvider NetworkProvider NetworkBoard Certified Internal MedicineBoard Cert-Int MedAdministrative Review2981724417828984807774
92009Medicaid Managed CareStatewide AverageProvider NetworkProvider NetworkBoard Certified Internal MedicineBoard Cert-Int MedAdministrative Review2944024558839185827974
102010Medicaid Managed CareStatewide AverageProvider NetworkProvider NetworkBoard Certified Internal MedicineBoard Cert-Int MedAdministrative Review2911023613818983817774
112011Medicaid Managed CareStatewide AverageProvider NetworkProvider NetworkBoard Certified Internal MedicineBoard Cert-Int MedAdministrative Review3340027111818884837771
122012Medicaid Managed CareStatewide AverageProvider NetworkProvider NetworkBoard Certified Internal MedicineBoard Cert-Int MedAdministrative Review3587728571808483797672
132008Medicaid Managed CareStatewide AverageProvider NetworkProvider NetworkBoard Certified OB/GYNBoard Cert-OB/GYNAdministrative Review121129250768381777371
142009Medicaid Managed CareStatewide AverageProvider NetworkProvider NetworkBoard Certified OB/GYNBoard Cert-OB/GYNAdministrative Review120159300778381777472
152010Medicaid Managed CareStatewide AverageProvider NetworkProvider NetworkBoard Certified OB/GYNBoard Cert-OB/GYNAdministrative Review115998832768180777369
162011Medicaid Managed CareStatewide AverageProvider NetworkProvider NetworkBoard Certified OB/GYNBoard Cert-OB/GYNAdministrative Review1413110942778580797364
172012Medicaid Managed CareStatewide AverageProvider NetworkProvider NetworkBoard Certified OB/GYNBoard Cert-OB/GYNAdministrative Review130709709748280777063
182008Medicaid Managed CareStatewide AverageProvider NetworkProvider NetworkBoard Certified Other SpecialistsBoard Cert-OtherAdministrative Review10809587151819086817869
192009Medicaid Managed CareStatewide AverageProvider NetworkProvider NetworkBoard Certified Other SpecialistsBoard Cert-OtherAdministrative Review10980987203799185817570
202010Medicaid Managed CareStatewide AverageProvider NetworkProvider NetworkBoard Certified Other SpecialistsBoard Cert-OtherAdministrative Review10701584428799083807767
212011Medicaid Managed CareStatewide AverageProvider NetworkProvider NetworkBoard Certified Other SpecialistsBoard Cert-OtherAdministrative Review11626792743808684797766
222012Medicaid Managed CareStatewide AverageProvider NetworkProvider NetworkBoard Certified Other SpecialistsBoard Cert-OtherAdministrative Review12507697467788483797675
232008Medicaid Managed CareStatewide AverageProvider NetworkProvider NetworkBoard Certified PediatricsBoard Cert-PedsAdministrative Review1778614696838987848175
242009Medicaid Managed CareStatewide AverageProvider NetworkProvider NetworkBoard Certified PediatricsBoard Cert-PedsAdministrative Review1730014259829387848175
252010Medicaid Managed CareStatewide AverageProvider NetworkProvider NetworkBoard Certified PediatricsBoard Cert-PedsAdministrative Review1629813340829086838174
262011Medicaid Managed CareStatewide AverageProvider NetworkProvider NetworkBoard Certified PediatricsBoard Cert-PedsAdministrative Review1727714137828885827974
272012Medicaid Managed CareStatewide AverageProvider NetworkProvider NetworkBoard Certified PediatricsBoard Cert-PedsAdministrative Review1947015688818986827974
282009Medicaid Managed CareStatewide AverageProvider NetworkProvider NetworkSatisfaction with Personal DoctorSatisfaction w/PCPCAHPS Survey74
292011Medicaid Managed CareStatewide AverageProvider NetworkProvider NetworkSatisfaction with Personal DoctorSatisfaction w/PCPCAHPS Survey73
302009Medicaid Managed CareStatewide AverageProvider NetworkProvider NetworkSatisfaction with SpecialistSatisfaction w/SpecCAHPS Survey67
312011Medicaid Managed CareStatewide AverageProvider NetworkProvider NetworkSatisfaction with SpecialistSatisfaction w/SpecCAHPS Survey69
322009Medicaid Managed CareStatewide AverageProvider NetworkProvider NetworkSatisfaction with Provider CommunicationSatisf w/CommunicationCAHPS Survey86
332011Medicaid Managed CareStatewide AverageProvider NetworkProvider NetworkSatisfaction with Provider CommunicationSatisf w/CommunicationCAHPS Survey87

About

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 the Medicaid managed care provider network by year. The column can be filtered by measure by changing the option 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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Meta
Category
Health
Permissions
Public
Tags
managed care, medicaid, plan performance
Row Count
33
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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