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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
62013Medicaid Managed CareStatewide AverageProvider NetworkProvider NetworkBoard Certified Family MedicineBoard Cert-Family MedAdministrative Review182161415777.7285.2283.4178.8975.7172.49
72014Medicaid Managed CareStatewide AverageProvider NetworkProvider NetworkBoard Certified Family MedicineBoard Cert-Family MedAdministrative Review174611339076.6984.7282.7377.5873.9671.04
82011Medicaid Managed CareStatewide AverageProvider NetworkProvider NetworkBoard Certified Geriatric SpecialistsBoard Cert-GeriatricAdministrative Review17361265738677746659
92012Medicaid Managed CareStatewide AverageProvider NetworkProvider NetworkBoard Certified Geriatric SpecialistsBoard Cert-GeriatricAdministrative Review19031333708274726753
102013Medicaid Managed CareStatewide AverageProvider NetworkProvider NetworkBoard Certified Geriatric SpecialistsBoard Cert-GeriatricAdministrative Review2150149369.4473.6471.8869.4465.6160
112014Medicaid Managed CareStatewide AverageProvider NetworkProvider NetworkBoard Certified Geriatric SpecialistsBoard Cert-GeriatricAdministrative Review2602166463.9572.4168.8967.0661.0451.89
122008Medicaid Managed CareStatewide AverageProvider NetworkProvider NetworkBoard Certified Internal MedicineBoard Cert-Int MedAdministrative Review2981724417828984807774
132009Medicaid Managed CareStatewide AverageProvider NetworkProvider NetworkBoard Certified Internal MedicineBoard Cert-Int MedAdministrative Review2944024558839185827974
142010Medicaid Managed CareStatewide AverageProvider NetworkProvider NetworkBoard Certified Internal MedicineBoard Cert-Int MedAdministrative Review2911023613818983817774
152011Medicaid Managed CareStatewide AverageProvider NetworkProvider NetworkBoard Certified Internal MedicineBoard Cert-Int MedAdministrative Review3340027111818884837771
162012Medicaid Managed CareStatewide AverageProvider NetworkProvider NetworkBoard Certified Internal MedicineBoard Cert-Int MedAdministrative Review3587728571808483797672
172013Medicaid Managed CareStatewide AverageProvider NetworkProvider NetworkBoard Certified Internal Medicine Board Cert-Int MedAdministrative Review445343489178.3583.2381.3577.6676.6772.7
182014Medicaid Managed CareStatewide AverageProvider NetworkProvider NetworkBoard Certified Internal MedicineBoard Cert-Int MedAdministrative Review425733297677.4682.4681.1477.7274.0171.65
192008Medicaid Managed CareStatewide AverageProvider NetworkProvider NetworkBoard Certified OB/GYNBoard Cert-OB/GYNAdministrative Review121129250768381777371
202009Medicaid Managed CareStatewide AverageProvider NetworkProvider NetworkBoard Certified OB/GYNBoard Cert-OB/GYNAdministrative Review120159300778381777472
212010Medicaid Managed CareStatewide AverageProvider NetworkProvider NetworkBoard Certified OB/GYNBoard Cert-OB/GYNAdministrative Review115998832768180777369
222011Medicaid Managed CareStatewide AverageProvider NetworkProvider NetworkBoard Certified OB/GYNBoard Cert-OB/GYNAdministrative Review1413110942778580797364
232012Medicaid Managed CareStatewide AverageProvider NetworkProvider NetworkBoard Certified OB/GYNBoard Cert-OB/GYNAdministrative Review130709709748280777063
242013Medicaid Managed CareStatewide AverageProvider NetworkProvider NetworkBoard Certified OB/GYNBoard Cert-OB/GYNAdministrative Review164951291178.2782.2779.8477.4774.6764.86
252014Medicaid Managed CareStatewide AverageProvider NetworkProvider NetworkBoard Certified OB/GYNBoard Cert-OB/GYNAdministrative Review154971160774.9083.2880.2577.4168.6965.00
262008Medicaid Managed CareStatewide AverageProvider NetworkProvider NetworkBoard Certified Other SpecialistsBoard Cert-OtherAdministrative Review10809587151819086817869
272009Medicaid Managed CareStatewide AverageProvider NetworkProvider NetworkBoard Certified Other SpecialistsBoard Cert-OtherAdministrative Review10980987203799185817570
282010Medicaid Managed CareStatewide AverageProvider NetworkProvider NetworkBoard Certified Other SpecialistsBoard Cert-OtherAdministrative Review10701584428799083807767
292011Medicaid Managed CareStatewide AverageProvider NetworkProvider NetworkBoard Certified Other SpecialistsBoard Cert-OtherAdministrative Review11626792743808684797766
302012Medicaid Managed CareStatewide AverageProvider NetworkProvider NetworkBoard Certified Other SpecialistsBoard Cert-OtherAdministrative Review12507697467788483797675
312013Medicaid Managed CareStatewide AverageProvider NetworkProvider NetworkBoard Certified Other SpecialistsBoard Cert-OtherAdministrative Review15722012328178.4182.4481.5879.275.9370.09
322014Medicaid Managed CareStatewide AverageProvider NetworkProvider NetworkBoard Certified Other SpecialistsBoard Cert-OtherAdministrative Review16250612430176.4983.1981.8678.7172.5469.86
332008Medicaid Managed CareStatewide AverageProvider NetworkProvider NetworkBoard Certified PediatricsBoard Cert-PedsAdministrative Review1778614696838987848175
342009Medicaid Managed CareStatewide AverageProvider NetworkProvider NetworkBoard Certified PediatricsBoard Cert-PedsAdministrative Review1730014259829387848175
352010Medicaid Managed CareStatewide AverageProvider NetworkProvider NetworkBoard Certified PediatricsBoard Cert-PedsAdministrative Review1629813340829086838174
362011Medicaid Managed CareStatewide AverageProvider NetworkProvider NetworkBoard Certified PediatricsBoard Cert-PedsAdministrative Review1727714137828885827974
372012Medicaid Managed CareStatewide AverageProvider NetworkProvider NetworkBoard Certified PediatricsBoard Cert-PedsAdministrative Review1947015688818986827974
382013Medicaid Managed CareStatewide AverageProvider NetworkProvider NetworkBoard Certified Pediatrics Board Cert-PedsAdministrative Review212261688179.5385.5982.3579.5377.973.82
392014Medicaid Managed CareStatewide AverageProvider NetworkProvider NetworkBoard Certified PediatricsBoard Cert-PedsAdministrative Review222501772479.6687.1384.5481.0274.8373.74
402009Medicaid Managed CareStatewide AverageProvider NetworkProvider NetworkSatisfaction with Personal DoctorSatisfaction w/PCPCAHPS Survey74
412011Medicaid Managed CareStatewide AverageProvider NetworkProvider NetworkSatisfaction with Personal DoctorSatisfaction w/PCPCAHPS Survey73
422013Medicaid Managed CareStatewide AverageProvider NetworkProvider NetworkSatisfaction with Personal Doctor Satisfaction w/PCPCAHPS Survey77.82
432009Medicaid Managed CareStatewide AverageProvider NetworkProvider NetworkSatisfaction with SpecialistSatisfaction w/SpecCAHPS Survey67
442011Medicaid Managed CareStatewide AverageProvider NetworkProvider NetworkSatisfaction with SpecialistSatisfaction w/SpecCAHPS Survey69
452013Medicaid Managed CareStatewide AverageProvider NetworkProvider NetworkSatisfaction with SpecialistSatisfaction w/SpecCAHPS Survey75.68
462009Medicaid Managed CareStatewide AverageProvider NetworkProvider NetworkSatisfaction with Provider CommunicationSatisf w/CommunicationCAHPS Survey86
472011Medicaid Managed CareStatewide AverageProvider NetworkProvider NetworkSatisfaction with Provider CommunicationSatisf w/CommunicationCAHPS Survey87
482013Medicaid Managed CareStatewide AverageProvider NetworkProvider NetworkSatisfaction with Provider CommunicationSatisf w/CommunicationCAHPS Survey89.47

About

Open Data NY - DOH Open Data NY - DOH

created Mar 10, 2013

updated Jun 09, 2016

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

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Health
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Tags
managed care, medicaid, plan performance, quality-safety-costs
Row Count
48
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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