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QARR: Provider Network 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 AverageProvider NetworkProvider NetworkBoard Certified Family MedicineBoard Cert-Family MedAdministrative Review1676913220798383807874
22011Commercial PPOStatewide AverageProvider NetworkProvider NetworkBoard Certified Family MedicineBoard Cert-Family MedAdministrative Review2687721041788381807674
32011Medicaid Managed CareStatewide AverageProvider NetworkProvider NetworkBoard Certified Family MedicineBoard Cert-Family MedAdministrative Review1445311520808584807874
42011Child Health PlusStatewide AverageProvider NetworkProvider NetworkBoard Certified Family MedicineBoard Cert-Family MedAdministrative Review1707313463798584807574
52011Child Health PlusStatewide AverageProvider NetworkProvider NetworkBoard Certified Geriatric SpecialistsBoard Cert-GeriatricAdministrative Review19251354708277716659
62011Commercial HMOStatewide AverageProvider NetworkProvider NetworkBoard Certified Geriatric SpecialistsBoard Cert-GeriatricAdministrative Review20051394707872706757
72011Commercial PPOStatewide AverageProvider NetworkProvider NetworkBoard Certified Geriatric SpecialistsBoard Cert-GeriatricAdministrative Review32142190687772676663
82011Medicaid Managed CareStatewide AverageProvider NetworkProvider NetworkBoard Certified Geriatric SpecialistsBoard Cert-GeriatricAdministrative Review17361265738677746659
92011Child Health PlusStatewide AverageProvider NetworkProvider NetworkBoard Certified Internal MedicineBoard Cert-Int MedAdministrative Review4246033941808884827571
102011Commercial HMOStatewide AverageProvider NetworkProvider NetworkBoard Certified Internal MedicineBoard Cert-Int MedAdministrative Review4433234875798382797570
112011Commercial PPOStatewide AverageProvider NetworkProvider NetworkBoard Certified Internal MedicineBoard Cert-Int MedAdministrative Review7918062000788482817974
122011Medicaid Managed CareStatewide AverageProvider NetworkProvider NetworkBoard Certified Internal MedicineBoard Cert-Int MedAdministrative Review3340027111818884837771
132011Child Health PlusStatewide AverageProvider NetworkProvider NetworkBoard Certified OB/GYNBoard Cert-OB/GYNAdministrative Review1661312856778380797364
142011Commercial HMOStatewide AverageProvider NetworkProvider NetworkBoard Certified OB/GYNBoard Cert-OB/GYNAdministrative Review1401710711768181797470
152011Commercial PPOStatewide AverageProvider NetworkProvider NetworkBoard Certified OB/GYNBoard Cert-OB/GYNAdministrative Review2395118490778381797870
162011Medicaid Managed CareStatewide AverageProvider NetworkProvider NetworkBoard Certified OB/GYNBoard Cert-OB/GYNAdministrative Review1413110942778580797364
172011Child Health PlusStatewide AverageProvider NetworkProvider NetworkBoard Certified Other SpecialistsBoard Cert-OtherAdministrative Review134679107130808684797868
182011Commercial HMOStatewide AverageProvider NetworkProvider NetworkBoard Certified Other SpecialistsBoard Cert-OtherAdministrative Review12240195339788482787571
192011Commercial PPOStatewide AverageProvider NetworkProvider NetworkBoard Certified Other SpecialistsBoard Cert-OtherAdministrative Review203704152589758379787566
202011Medicaid Managed CareStatewide AverageProvider NetworkProvider NetworkBoard Certified Other SpecialistsBoard Cert-OtherAdministrative Review11626792743808684797766
212011Medicaid Managed CareStatewide AverageProvider NetworkProvider NetworkBoard Certified PediatricsBoard Cert-PedsAdministrative Review1727714137828885827974
222011Commercial HMOStatewide AverageProvider NetworkProvider NetworkBoard Certified PediatricsBoard Cert-PedsAdministrative Review2042816425808584827470
232011Commercial PPOStatewide AverageProvider NetworkProvider NetworkBoard Certified PediatricsBoard Cert-PedsAdministrative Review3463728154818684828075
242011Child Health PlusStatewide AverageProvider NetworkProvider NetworkBoard Certified PediatricsBoard Cert-PedsAdministrative Review2142317456818886827974
252011Commercial PPOStatewide AverageProvider NetworkProvider NetworkSatisfaction with Personal DoctorSatisfaction w/PCPCAHPS Survey84
262011Medicaid Managed CareStatewide AverageProvider NetworkProvider NetworkSatisfaction with Personal DoctorSatisfaction w/PCPCAHPS Survey73
272011Commercial HMOStatewide AverageProvider NetworkProvider NetworkSatisfaction with Personal DoctorSatisfaction w/PCPCAHPS Survey83
282011Medicaid Managed CareStatewide AverageProvider NetworkProvider NetworkSatisfaction with SpecialistSatisfaction w/SpecCAHPS Survey69
292011Commercial HMOStatewide AverageProvider NetworkProvider NetworkSatisfaction with SpecialistSatisfaction w/SpecCAHPS Survey82
302011Commercial PPOStatewide AverageProvider NetworkProvider NetworkSatisfaction with SpecialistSatisfaction w/SpecCAHPS Survey82
312011Commercial HMOStatewide AverageProvider NetworkProvider NetworkSatisfaction with Provider CommunicationSatisf w/CommunicationCAHPS Survey94
322011Medicaid Managed CareStatewide AverageProvider NetworkProvider NetworkSatisfaction with Provider CommunicationSatisf w/CommunicationCAHPS Survey87
332011Commercial PPOStatewide AverageProvider NetworkProvider NetworkSatisfaction with Provider CommunicationSatisf w/CommunicationCAHPS Survey94

About

Open Data NY - DOH Open Data NY - DOH

created Mar 10, 2013

updated Sep 30, 2013

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Description

The column chart shows performance measurement rates for the managed care provider network by payer. The chart can be filtered by year or measure by changing these options under the Filter tab. The chart uses the 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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