Quality Assurance Reporting Requirements: Beginning 2008 Quality Assurance Reporting Requirements: Beginning 2008 Health
As a way of monitoring managed care plan performance and improving the quality of care provided to New York State residents, the New York State Department of Health (NYSDOH) collects data for four types of managed care insurance (commercial HMO, commercial Preferred Provider Organization, Medicaid managed care, and Child Health Plus) on an annual basis. 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. 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.
Managed Care Regional Consumer Guide Managed Care Regional Consumer Guide Health
The managed care consumer guide data provides information about the quality of care for different health plans as well as people's opinions about the care and services plans provide. This information will help consumers choose a managed care plan that meets their health care needs and the needs of his or her family.
Managed Care Health Plan Profile Managed Care Health Plan Profile Health
The plan profile data contains information about managed care plans serving New York State residents including the number of current enrolling members and counties/regions of the state they currently serve. Customer service telephone numbers are included along with their website address. Also included are NCQA accreditation ratings. These are important things to consider when choosing a managed care plan. Data on the ratings of each plan can be found in the Managed Care Regional Consumer Guide located at, https://health.data.ny.gov/Health/Managed-Care-Regional-Consumer-Guide/44t3-4uep.
Managed Care Plan Utilization Data: Beginning 2009 Managed Care Plan Utilization Data: Beginning 2009 Health
The New York State Department of Health (NYSDOH) collects annual data on children’s and adults’ use of health services. This information complements the quality of care and member satisfaction information collected through an annual public reporting system called the Quality Assurance Reporting Requirements (QARR). Utilization measures are designed to capture the frequency of certain services provided by health plans. NCQA does not view higher or lower services counts as better or worse performance. Plans with fewer than 30 eligible events are excluded from the statistical calculations of the percentiles. For more information please visit, http://www.health.ny.gov/health_care/managed_care/reports/quality_performance_improvement.htm#link5 or go to the "About" tab.