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QARR: Women's Preventive Care 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
12014Commercial PPOStatewide AverageWomens HealthPreventive Care for WomenBreast Cancer ScreeningBreast Cancer ScreenAdministrative Review44261144134229123665.9975.9570.3469.2463.3660.75
22014HIV Special Needs PlansStatewide AverageWomens HealthPreventive Care for WomenBreast Cancer ScreeningBreast Cancer ScreenAdministrative Review17461746121969.8276.3776.3768.1465.2065.20
32014Medicaid Managed CareStatewide AverageWomens HealthPreventive Care for WomenBreast Cancer ScreeningBreast Cancer ScreenAdministrative Review15634015622311109171.1173.0571.6868.6563.6858.81
42014Commercial HMOStatewide AverageWomens HealthPreventive Care for WomenBreast Cancer ScreeningBreast Cancer ScreenAdministrative Review24806224754318360374.1778.1176.1774.9571.9366.97
52014Commercial HMOStatewide AverageWomens HealthPreventive Care for WomenCervical Cancer ScreeningCervical Cancer ScreenHybrid Review492598967757758379.6481.6380.8079.5176.6474.75
62014Commercial PPOStatewide AverageWomens HealthPreventive Care for WomenCervical Cancer ScreeningCervical Cancer ScreenHybrid Review83526255156143922579.5783.2180.3779.2478.0068.21
72014HIV Special Needs PlansStatewide AverageWomens HealthPreventive Care for WomenCervical Cancer ScreeningCervical Cancer ScreenHybrid Review4610113092782.0986.3786.3782.9977.2677.26
82014Medicaid Managed CareStatewide AverageWomens HealthPreventive Care for WomenCervical Cancer ScreeningCervical Cancer ScreenHybrid Review7979375897427974.8977.6473.9772.5171.0968.55
92014Commercial HMOStatewide AverageWomens HealthPreventive Care for WomenChlamydia Screening (Ages 16-20)Chlamydia 16-20yrAdministrative Review38882379422025853.3967.9059.1654.2551.2046.13
102014Commercial PPOStatewide AverageWomens HealthPreventive Care for WomenChlamydia Screening (Ages 16-20)Chlamydia 16-20yrAdministrative Review60664588903478959.0765.7160.8358.7855.8849.11
112014HIV Special Needs PlansStatewide AverageWomens HealthPreventive Care for WomenChlamydia Screening (Ages 16-20)Chlamydia 16-20yrAdministrative Review84836375.9071.4371.4371.4371.4371.43
122014Medicaid Managed CareStatewide AverageWomens HealthPreventive Care for WomenChlamydia Screening (Ages 16-20)Chlamydia 16-20yrAdministrative Review88754860096089170.8078.1573.4267.7462.3657.70
132014Commercial HMOStatewide AverageWomens HealthPreventive Care for WomenChlamydia Screening (Ages 16-24)Chlamydia 16-24yrAdministrative Review86113845534844857.3069.7162.6857.7254.5450.79
142014Commercial PPOStatewide AverageWomens HealthPreventive Care for WomenChlamydia Screening (Ages 16-24)Chlamydia 16-24yrAdministrative Review1394461366488638463.2268.8364.6362.2261.0954.36
152014HIV Special Needs PlansStatewide AverageWomens HealthPreventive Care for WomenChlamydia Screening (Ages 16-24)Chlamydia 16-24yrAdministrative Review17617513778.2980.4380.4379.0772.5072.50
162014Medicaid Managed CareStatewide AverageWomens HealthPreventive Care for WomenChlamydia Screening (Ages 16-24)Chlamydia 16-24yrAdministrative Review15803115416811123472.1578.3174.6670.1765.6861.62
172014Medicaid Managed CareStatewide AverageWomens HealthPreventive Care for WomenChlamydia Screening (Ages 21-24)Chlamydia 21-24yrAdministrative Review69277681595034373.8677.8476.2072.5770.5367.33
182014Commercial HMOStatewide AverageWomens HealthPreventive Care for WomenChlamydia Screening (Ages 21-24)Chlamydia 21-24yrAdministrative Review47231466112819060.4871.3765.6260.5658.4754.00
192014Commercial PPOStatewide AverageWomens HealthPreventive Care for WomenChlamydia Screening (Ages 21-24)Chlamydia 21-24yrAdministrative Review78782777585159566.3571.4367.5265.6864.3258.81
202014HIV Special Needs PlansStatewide AverageWomens HealthPreventive Care for WomenChlamydia Screening (Ages 21-24)Chlamydia 21-24yrAdministrative Review92927480.4375.7675.7671.2266.6766.67
212014Medicaid Managed CareStatewide AverageWomens HealthPreventive Care for WomenFrequency of Ongoing Prenatal Care <21%Freq of PNC <21%Hybrid Review9644764283857.1514.116.915.162.461.46
222014HIV Special Needs PlansStatewide AverageWomens HealthPreventive Care for WomenFrequency of Ongoing Prenatal Care <21%Freq of PNC <21%Hybrid Review6362914.56
232014HIV Special Needs PlansStatewide AverageWomens HealthPreventive Care for WomenFrequency of Ongoing Prenatal Care 21-40%Freq of PNC 21-40%Hybrid Review6362914.42
242014Medicaid Managed CareStatewide AverageWomens HealthPreventive Care for WomenFrequency of Ongoing Prenatal Care 21-40%Freq of PNC 21-40%Hybrid Review9644764283295.0610.227.384.542.911.46
252014Medicaid Managed CareStatewide AverageWomens HealthPreventive Care for WomenFrequency of Ongoing Prenatal Care 41-60%Freq of PNC 41-60%Hybrid Review9644764284887.5310.269.378.095.932.92
262014HIV Special Needs PlansStatewide AverageWomens HealthPreventive Care for WomenFrequency of Ongoing Prenatal Care 41-60%Freq of PNC 41-60%Hybrid Review636246.49
272014Medicaid Managed CareStatewide AverageWomens HealthPreventive Care for WomenFrequency of Ongoing Prenatal Care 61-80%Freq of PNC 61-80%Hybrid Review96447642887010.2221.6518.0314.976.815.60
282014HIV Special Needs PlansStatewide AverageWomens HealthPreventive Care for WomenFrequency of Ongoing Prenatal Care 61-80%Freq of PNC 61-80%Hybrid Review63621219.39
292014HIV Special Needs PlansStatewide AverageWomens HealthPreventive Care for WomenFrequency of Ongoing Prenatal CareFreq of PNC 81-100%Hybrid Review63622845.13
302014Medicaid Managed CareStatewide AverageWomens HealthPreventive Care for WomenFrequency of Ongoing Prenatal CareFreq of PNC 81-100%Hybrid Review964476428435670.0585.3176.5268.8658.5651.58
312014Commercial HMOStatewide AverageWomens HealthPreventive Care for WomenPostpartum CarePostpartum CareHybrid Review257772833214074.8989.0588.2782.9863.2560.52
322014Commercial PPOStatewide AverageWomens HealthPreventive Care for WomenPostpartum CarePostpartum CareHybrid Review477042447171069.0684.1874.5368.2064.6061.82
332014HIV Special Needs PlansStatewide AverageWomens HealthPreventive Care for WomenPostpartum CarePostpartum CareHybrid Review63622540.23
342014Medicaid Managed CareStatewide AverageWomens HealthPreventive Care for WomenPostpartum CarePostpartum CareHybrid Review964216421434569.2673.7272.1368.6163.5360.58
352014Commercial HMOStatewide AverageWomens HealthPreventive Care for WomenTimeliness of Prenatal CarePrenatal CareHybrid Review257772833258288.5497.5696.8893.6188.5982.06
362014Commercial PPOStatewide AverageWomens HealthPreventive Care for WomenTimeliness of Prenatal CarePrenatal CareHybrid Review477042447218189.1395.2291.3888.4186.2983.64
372014HIV Special Needs PlansStatewide AverageWomens HealthPreventive Care for WomenTimeliness of Prenatal CarePrenatal CareHybrid Review63624369.36
382014Medicaid Managed CareStatewide AverageWomens HealthPreventive Care for WomenTimeliness of Prenatal CarePrenatal CareHybrid Review964216421562387.8791.2490.8089.5686.7475.18

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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 women's preventive care by payer. The chart uses statewide average rates of all insurance plans. 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
38
Dataset Summary
Organization
Office of Quality and Patient Safety
Time Period
Beginning 2008
Posting Frequency
Annually
Data Frequency
Annually
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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