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.
Medicaid Delivery System Reform Incentive Payment (DSRIP) Clinical Metrics: Beginning 2012 Medicaid Delivery System Reform Incentive Payment (DSRIP) Clinical Metrics: Beginning 2012 Health
This dataset includes Medicaid clinical metrics for Clinical Improvement Projects (Domain 3) of the Delivery System Reform Incentive Payment (DSRIP) Program. The DSRIP program will promote community-level collaborations and focus on system reform, specifically a goal to achieve a 25 percent reduction in avoidable hospital use over five years. For more information on DSRIP, please see http://www.health.ny.gov/health_care/medicaid/redesign/?utm_source=doh&utm_medium=hp-button&utm_campaign=mrt. As a part of the DSRIP program, Performing Provider System will employ multiple projects both to transform health care delivery as well as to address the broad needs of the population that the performing provider system serves. These projects described in Attachment J are grouped into different strategies, such as behavioral health, within each Domain (System Transformation Projects (Domain 2), Clinical Improvement Projects (Domain 3), and Population-wide Projects (Domain 4). For each strategy, there is a set of metrics that the performing provider system will be responsible for if they do any one of the projects within that strategy. This dataset includes only Domain 3 Clinical Metrics. For more information about the measures included in the dataset, check out: http://www.health.ny.gov/health_care/medicaid/redesign/docs/strategies_and_metrics_menu.pdf or go to the "About" tab.
HIV Ambulatory Care Quality of Care Performance Results: Beginning 2011 HIV Ambulatory Care Quality of Care Performance Results: Beginning 2011 Health
This dataset represents self‐reported performance data by HIV ambulatory care programs. All HIV ambulatory programs throughout New York State with a significant HIV caseload (a total caseload of at least 30 HIV‐infected patients receiving ambulatory HIV care at one or more sites) are expected to self‐report their annual quality of care performance data using standardized submission tools and methodologies. With the assistance of the online eHIVQUAL application, performance data results are instantly available to HIV programs, allowing them to immediately utilize their data findings to prioritize upcoming quality activities, and are available for generating benchmarking reports across New York State. See Limitations regarding redaction of small‐population data.
For more information, check out http://www.health.ny.gov/diseases/aids/about/, or go to the "About" tab.