Quality Assurance Reporting Requirements: Beginning 2008
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 Long-Term Care Performance Data: Beginning 2014
The Managed Long-Term Care (MLTC) performance data is a semi-annual evaluation of New York state-certified MLTC plans. Rates are calculated for each performance measure by plan, and describe their population or assess their quality of care. Plans are evaluated on the quality of care they provide and on enrollees’ satisfaction. These data also show the statewide demographic profile of MLTC enrollees and statewide rates of emergency room, hospital, and nursing home utilization. Refer to the Measures document to learn more about specific MLTC measures. In the future, as more evaluations are performed, measures can be trended over time. Refer to the Overview document under the "About" tab for information on the data sources, time frames and limitations of this dataset.