UCare Minnesota
General Info
Disclaimers
HEDIS 2014 (Reporting Year 2013)
Page
Data Last Refreshed: 7/8/2015
2
Effectiveness of Care Measures
Code
Effectiveness of Care Measures
Code
Page
Medication Management
Page
26 MPM
Annual Monitoring for Patients on Persistent Medications
62
ABA
Adult BMI Assessment
3
27 MRP
Medication Reconciliation Post Discharge
69
WCC
Weight Assessment and Counseling for Nutrition and Physical Activity for
Children/Adolescents
4
DDE
Potentially Harmful Drug-Disease Interactions in the Elderly
70
CIS
Childhood Immunization Status
7
Use of High Risk Medications in the Elderly
72
IMA
Immunizations for Adolescents
13
Prevention and Screening
28
29 DAE
BCS
Breast Cancer Screening
16
Code
CCS
Cervical Cancer Screening
17
30 AAP
Adult's Access to Preventive/Ambulatory Health Services
74
COL
Colorectal Cancer Screening
18
31 CAP
Children's and Adolescents' Access to Primary Care Practitioners
81
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
84
Prenatal and Postpartum Care
91
CHL
Chlamydia Screening in Women
19
32
GSO
Glaucoma Screening in Older Adults
22
33 PPC
HPV
Human Papillomavirus Vaccine for Female Adolescents
23
34
Care for Older Adults
24
59 Code
COA
Respiratory Conditions
PCE
Pharmacotherapy Management of COPD Exacerbation
25
SPR
Use of Spirometry Testing in the Assessment and Diagnosis of COPD
29
Use of Appropriate Medications for People with Asthma
30
ASM
Cardiovascular
IET
Access / Availability of Care Measures
Use of Services Measures
Page
Page
34 W15
Well Child Visits in the First 15 Months of Life
35 W34
Well Child Visits in the 3rd, 4th, 5th and 6th Years of Life
97
Adolescent Well-Care Visits
98
36
AWC
94
Ambulatory Care
99
38
IPU
Inpatient Utilization - General Hospital/Acute Care
106
IAD
Identification of Alcohol and Other Drug Services
113
37 AMB
CMC
Cholesterol Management for Patients with Cardiovascular Conditions
33
39
CBP
Controlling High Blood Pressure
37
40 MPT
Mental Health Utilization - % of Members Receiving Inpatient, Day/Night and Ambulatory Services 120
Persistence of Beta Blocker Treatment After Heart Attack
38
41 PCR
Plan All-Cause Readmissions
PBH
Diabetes
CDC
Comprehensive Diabetes Care
39
Musculoskeletal
ART
OMW
Disease Modifying Anti-Rheumatic Drug Therapy in Rheumatoid Arthritis
46
Osteoporosis Management in Women Who had a Fracture
47
Behavioral Health
AMM
Antidepressant Medication Management
48
ADD
Follow-Up Care for Children Prescribed
Attention-Deficit/Hyperactivity Disorder (ADHD) Medication
55
FUH
Follow-up After Hospitalization for Mental Illness
58
HEDIS 2014 (Reporting Year 2013)
127
41
Code
Health Plan Descriptive Information Measures
Page
42 BCR
Board Certification
131
43 ENP
Enrollment by Product Line (Age & Sex)
134
43
DISCLAIMERS
-1
( this page left blank intentionally )
0. Disclaimer Query located below
HEDIS 2014 (Reporting Year 2013)
Page 2
Effectiveness of Care
UCare Minnesota
Adult BMI Assessment
Data Last Refreshed:
Jul 8, 2015 2:47 PM
Medicare
Advantage
2013
H
38473
MA Expand
F& C
2013
H
13339
3192
1000
306
8.30%
411
5.00%
432
66
15.28%
7.50%
411
5.00%
432
38
8.80%
4.09%
411
5.00%
432
22
5.09%
Number of Records Excluded Because of Valid
Data Errors
0
0
0
Number of administrative data records excluded
34
2326
500
Number of medical record data records excluded
0
0
0
Number of employee/dependent medical records
excluded
0
0
0
0
411
64
313
91.73%
88.94%
94.51%
0
411
37
314
85.40%
81.87%
88.94%
0
411
21
335
86.62%
83.20%
90.03%
Data Elements
Commercial
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data on Eligible
Population (before exclusions)
Current Year's Admin Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin Rate on FSS
Records Added from the Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
NR
NR
NR
NR
NR
MN Care
2013
H
7482
Page 3
Effectiveness of Care
UCare Minnesota
Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents
Data Last Refreshed:
Jul 8, 2015 2:47 PM
Commercial
BMI Percentile
Data Elements
General
Measure
Data
Ages 3-11 Ages 12-17
Counseling for Nutrition
Total
General
Measure
Data
Ages 3-11 Ages 12-17
Counseling for Physical Activity
Total
General
Measure
Data
Ages 3-11
Ages 1217
Total
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator events by admin data in eligible
population
Current Year's Administrative Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin rate on FSS
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Number of Records Excluded Because of
Valid Data Errors
Number of administrative data records
excluded
Number of medical records excluded
Number of employee/dependent records
excluded
Records Added from the Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
Page 4
Effectiveness of Care
UCare Minnesota
Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents
Minnesota Health Care Programs - Managed Care (MA Expand F&C)
BMI Percentile
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator events by admin data in eligible
population
Current Year's Administrative Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin rate on FSS
General
Measure
Data
Ages 3-11 Ages 12-17
Data Last Refreshed:
Jul 8, 2015 2:47 PM
Counseling for Nutrition
Total
General
Measure
Data
Ages 3-11 Ages 12-17
Counseling for Physical Activity
Total
2013
H
General
Measure
Data
Total
2013
H
10487
32737
22250
10487
32737
22250
10487
32737
707
3.18%
342
3.26%
1049
3.20%
329
1.48%
225
2.15%
554
1.69%
8
0.04%
11
0.10%
19
0.06%
1
NR
0
NR
1
NR
411
5.00%
411
5.00%
432
5
NR
11
NR
16
NR
432
6
NR
4
NR
10
NR
0
0
106
106
Number of medical records excluded
0
0
Number of employee/dependent records
excluded
0
0
Records Added from the Oversample List
0
0
Number of administrative data records
excluded
HEDIS 2014 (Reporting Year 2013)
Ages 1217
22250
Number of Records Excluded Because of
Valid Data Errors
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
Ages 3-11
254
157
411
254
157
411
254
157
411
5
146
59.45%
53.21%
65.68%
11
83
59.87%
51.89%
67.86%
16
229
59.61%
54.75%
64.48%
5
143
58.27%
52.01%
64.53%
4
76
50.96%
42.82%
59.09%
9
219
55.47%
50.55%
60.40%
1
116
46.06%
39.74%
52.39%
0
76
48.41%
40.27%
56.54%
1
192
46.96%
42.01%
51.91%
Page 5
Effectiveness of Care
UCare Minnesota
Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents
Data Last Refreshed:
Jul 8, 2015 2:47 PM
Minnesota Health Care Programs - Managed Care (MN Care)
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator events by admin data in eligible
Current Year's Administrative Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin rate on FSS
Number of Records Excluded Because of
Number of administrative data records
Number of medical records excluded
Number of employee/dependent records
Records Added from the Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
General
2013
H
BMI Percentile
Ages 3-11 Ages 12-17
4377
129
2.95%
2467
77
3.12%
Total
General
2013
H
6844
206
3.01%
411
5.00%
432
Counseling for Nutrition
Ages 3-11 Ages 12-17
Total
4377
41
0.94%
2467
51
2.07%
6844
92
1.34%
2
0.46%
1
0.23%
3
0.69%
258
2
166
65.12%
59.11%
71.13%
153
1
65
43.14%
34.96%
51.31%
411
3
231
56.93%
52.03%
61.84%
411
5.00%
432
9
2.08%
1
0.23%
10
2.31%
0
11
0
0
0
0
11
0
0
0
258
8
159
64.73%
58.70%
70.75%
153
1
92
60.78%
52.72%
68.85%
411
9
251
63.26%
58.48%
68.04%
Counseling for Physical Activity
General
Ages 3-11 Ages 12Total
2013
H
4377
2467
6844
1
2
3
0.02%
0.08%
0.04%
411
5.00%
432
0
0
0
0.00%
0.00%
0.00%
0
11
0
0
0
258
153
411
0
0
0
139
76
215
53.88%
49.67%
52.31%
47.60%
41.42%
47.36%
60.15%
57.92%
57.26%
Page 6
Effectiveness of Care
UCare Minnesota
Childhood Immunization Status
Data Last Refreshed:
Jul 8, 2015 2:47 PM
Commercial
Data Elements
General
Measure
Data
Pneumococcal
Hepatitis A Rotavirus
Conjugate
DTaP
IPV
MMR
HiB
Hepatitis B
VZV
Influenza
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Reported Rate
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Lower 95% Confidence Interval
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Upper 95% Confidence Interval
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator events by admin data in eligible
population
Current Year's Administrative Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin rate on FSS
Number of Records Excluded Because of
Valid Data Errors
Number of administrative data records
excluded
Number of medical data records excluded
Number of employee/dependent records
excluded
Records Added from the Oversample List
Denominator
Numerator Events by administrative Data
Numerator Events by Medical Record
HEDIS 2014 (Reporting Year 2013)
Page 7
Effectiveness of Care
UCare Minnesota
Childhood Immunization Status
Data Last Refreshed:
Jul 8, 2015 2:47 PM
Commercial
Data Elements
General
Measure
Data
DTaP
Combo 2
Combo 3
Combo 4
Combo 5
Combo 6
Combo 7
Combo 8
Combo 9
Combo10
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Reported Rate
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Lower 95% Confidence Interval
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Upper 95% Confidence Interval
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator events by admin data in eligible
population
Current Year's Administrative Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin rate on FSS
Number of Records Excluded Because of
Valid Data Errors
Number of administrative data records
excluded
Number of medical data records excluded
Number of employee/dependent records
excluded
Records Added from the Oversample List
Denominator
Numerator Events by administrative Data
Numerator Events by Medical Record
HEDIS 2014 (Reporting Year 2013)
Page 8
Effectiveness of Care
UCare Minnesota
Childhood Immunization Status
Data Last Refreshed:
Jul 8, 2015 2:47 PM
Minnesota Health Care Programs - Managed Care (MA Expand F&C)
Data Elements
General
Measure
Data
Pneumococcal
Hepatitis A Rotavirus
Conjugate
DTaP
IPV
MMR
HiB
Hepatitis B
VZV
2466
74.14%
2866
86.17%
2820
84.79%
2928
88.03%
2563
77.06%
2922
87.85%
2441
73.39%
2668
80.22%
2169
65.21%
1710
51.41%
324
366
364
371
336
386
318
357
289
240
75.00%
84.72%
84.26%
85.88%
77.78%
89.35%
73.61%
82.64%
66.90%
55.56%
Numerator Events by administrative Data
307
346
351
351
321
366
299
338
276
230
Numerator Events by Medical Record
22
26
0
18
52
2
37
5
12
25
Reported Rate
80.05%
90.51%
85.40%
89.78%
90.75%
89.54%
81.75%
83.45%
70.07%
62.04%
Lower 95% Confidence Interval
76.06%
87.56%
81.87%
86.73%
87.83%
86.46%
77.90%
79.74%
65.52%
57.23%
Upper 95% Confidence Interval
84.03%
93.47%
88.94%
92.83%
93.68%
92.62%
85.61%
87.17%
74.62%
66.86%
Measurement Year
2013
Data Collection Methodology
H
Eligible Member Population
3326
Numerator events by admin data in eligible
population
Current Year's Administrative Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
411
0.05
432
Numerator events by admin data in FSS
Admin rate on FSS
Number of Records Excluded Because of
Valid Data Errors
0
Number of administrative data records
excluded
8
Number of medical data records excluded
0
Number of employee/dependent records
excluded
0
Records Added from the Oversample List
0
Denominator
HEDIS 2014 (Reporting Year 2013)
Influenza
411
Page 9
Effectiveness of Care
UCare Minnesota
Childhood Immunization Status
Data Last Refreshed:
Jul 8, 2015 2:47 PM
Minnesota Health Care Programs - Managed Care (MA Expand F&C)
Data Elements
General
Measure
Data
DTaP
Combo 2
Combo 3
Combo 4
Combo 5
Combo 6
Combo 7
Combo 8
Combo 9
Combo10
2466
74.14%
1962
58.99%
1830
55.02%
1696
50.99%
1497
45.01%
1186
35.66%
1418
42.63%
1129
33.94%
1018
30.61%
976
29.34%
324
262
246
233
212
176
205
169
160
155
75.00%
60.65%
56.94%
53.94%
49.07%
40.74%
47.45%
39.12%
37.04%
35.88%
Numerator Events by administrative Data
307
253
237
224
205
171
198
164
156
151
Numerator Events by Medical Record
22
45
54
54
40
47
40
46
38
38
Reported Rate
80.05%
72.51%
70.80%
67.64%
59.61%
53.04%
57.91%
51.09%
47.20%
45.99%
Lower 95% Confidence Interval
76.06%
68.07%
66.29%
63.00%
54.75%
48.09%
53.01%
46.14%
42.25%
41.05%
Upper 95% Confidence Interval
84.03%
76.94%
75.32%
72.28%
64.48%
57.99%
62.80%
56.05%
52.15%
50.93%
Measurement Year
2013
Data Collection Methodology
H
Eligible Member Population
3326
Numerator events by admin data in eligible
population
Current Year's Administrative Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
411
0.05
432
Numerator events by admin data in FSS
Admin rate on FSS
Number of Records Excluded Because of
Valid Data Errors
0
Number of administrative data records
excluded
8
Number of medical data records excluded
0
Number of employee/dependent records
excluded
0
Records Added from the Oversample List
0
Denominator
HEDIS 2014 (Reporting Year 2013)
411
Page 10
Effectiveness of Care
UCare Minnesota
Childhood Immunization Status
Data Last Refreshed:
Jul 8, 2015 2:47 PM
Minnesota Health Care Programs - Managed Care (MN Care)
Data Elements
Measurement Year
Data Collection Methodology
General
Measure
Data
Minimum Required Sample Size
287
Number of Records Excluded Because of
Valid Data Errors
0
Number of administrative data records
excluded
1
Number of medical data records excluded
0
Number of employee/dependent records
excluded
0
Records Added from the Oversample List
0
HEDIS 2014 (Reporting Year 2013)
Hepatitis B
VZV
Influenza
207
231
241
240
209
236
194
214
181
151
71.88%
80.21%
83.68%
83.33%
72.57%
81.94%
67.36%
74.31%
62.85%
52.43%
206
230
240
239
208
235
193
213
180
151
71.78%
80.14%
83.62%
83.28%
72.47%
81.88%
67.25%
74.22%
62.72%
52.61%
206
230
240
239
208
235
193
213
180
151
287
Admin rate on FSS
Numerator Events by administrative Data
HiB
0
Numerator events by admin data in FSS
Denominator
MMR
H
288
Final Sample Size (FSS)
IPV
2013
Eligible Member Population
Numerator events by admin data in eligible
population
Current Year's Administrative Rate
Oversampling Rate
Pneumococcal
Hepatitis A Rotavirus
Conjugate
DTaP
287
Page 11
Effectiveness of Care
UCare Minnesota
Childhood Immunization Status
Data Last Refreshed:
Jul 8, 2015 2:47 PM
Minnesota Health Care Programs - Managed Care (MN Care)
Data Elements
Measurement Year
Data Collection Methodology
General
Measure
Data
Minimum Required Sample Size
287
Number of Records Excluded Because of
Valid Data Errors
0
Number of administrative data records
excluded
1
Number of medical data records excluded
0
Number of employee/dependent records
excluded
0
Records Added from the Oversample List
0
HEDIS 2014 (Reporting Year 2013)
Combo 5
Combo 6
Combo 7
Combo 8
Combo 9
Combo10
207
169
152
140
131
103
126
97
89
86
71.88%
58.68%
52.78%
48.61%
45.49%
35.76%
43.75%
33.68%
30.90%
29.86%
206
168
151
139
130
103
125
97
89
86
71.78%
58.54%
52.61%
48.43%
45.30%
35.89%
43.55%
33.80%
31.01%
29.97%
206
168
151
139
130
103
125
97
89
86
287
Admin rate on FSS
Numerator Events by administrative Data
Combo 4
0
Numerator events by admin data in FSS
Denominator
Combo 3
H
288
Final Sample Size (FSS)
Combo 2
2013
Eligible Member Population
Numerator events by admin data in eligible
population
Current Year's Administrative Rate
Oversampling Rate
DTaP
287
Page 12
Effectiveness of Care
UCare Minnesota
Data Last Refreshed:
Jul 8, 2015 2:47 PM
Immunizations for Adolescents
Commercial
Commercial
Data Elements
General
Measure Data
Meningococcal
Tdap
Combo 1
Current Year's Admin Rate
NR
NR
NR
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin Rate on FSS
NR
NR
NR
Reported Rate
NR
NR
NR
Lower 95% Confidence Interval
NR
NR
NR
Upper 95% Confidence Interval
NR
NR
NR
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data on Eligible
Population (before exclusions)
Records Excluded because of Valid Data Errors
Number of administrative data records excluded
Number of medical data records excluded
Number of employee/dependent medical records
excluded
Records Added from the Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
HEDIS 2014 (Reporting Year 2013)
Page 13
Effectiveness of Care
UCare Minnesota
Data Last Refreshed:
Jul 8, 2015 2:47 PM
Immunizations for Adolescents
Commercial
Minnesota Health Care Programs - Managed Care (MA-Expand)
General
Data Elements
Measure Data
Measurement Year
2013
Data Collection Methodology
H
Eligible Member Population
2349
Numerator Events by Admin Data on Eligible
Population (before exclusions)
Current Year's Admin Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin Rate on FSS
0
Number of administrative data records excluded
0
Number of medical data records excluded
0
Number of employee/dependent medical records
excluded
0
HEDIS 2014 (Reporting Year 2013)
Tdap
Combo 1
1525
1959
1457
64.92%
83.40%
62.03%
271
62.73%
359
83.10%
260
60.19%
254
13
64.96%
60.23%
69.70%
340
20
87.59%
84.28%
90.90%
244
17
63.50%
58.73%
68.28%
411
5.00%
432
Records Excluded because of Valid Data Errors
Records Added from the Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
Meningococcal
0
411
Page 14
Effectiveness of Care
UCare Minnesota
Data Last Refreshed:
Jul 8, 2015 2:47 PM
Immunizations for Adolescents
Commercial
Minnesota Health Care Programs - Managed Care (MN Care)
General
Data Elements
Measure Data
Measurement Year
2013
Data Collection Methodology
H
Eligible Member Population
448
Numerator Events by Admin Data on Eligible
Current Year's Admin Rate
Minimum Required Sample Size
411
Oversampling Rate
5.00%
Final Sample Size (FSS)
432
Numerator events by admin data in FSS
Admin Rate on FSS
Records Excluded because of Valid Data Errors
0
Number of administrative data records excluded
0
Number of medical data records excluded
0
Number of employee/dependent medical records
0
Records Added from the Oversample List
0
Denominator
411
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
Meningococcal
Tdap
Combo 1
273
60.94%
380
84.82%
267
59.60%
264
61.11%
365
84.49%
258
59.72%
248
5
61.56%
56.73%
66.38%
345
8
85.89%
82.40%
89.38%
243
7
60.83%
55.99%
65.67%
Page 15
Effectiveness of Care
UCare Minnesota
Breast Cancer Screening
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
Data Last Refreshed:
Jul 8, 2015 2:47 PM
Commercial
NR
NR
NR
Medicare
Advantage
MSHO
MA Expand
F& C
MN Care
2013
A
19755
15680
79.37%
78.81%
79.94%
2013
A
1679
1000
59.56%
57.18%
61.94%
2013
A
657
400
60.88%
57.08%
64.69%
2013
A
939
670
71.35%
68.41%
74.30%
SNBC
SNP
SNBC
Non SNP
NR
NR
NR
2013
A
683
422
61.79%
58.07%
65.50%
Page 16
Effectiveness of Care
UCare Minnesota
Cervical Cancer Screening
Data Last Refreshed:
Jul 8, 2015 2:47 PM
MA Expand
F& C
MN Care
Measurement Year
Data Collection Methodology
Eligible Member Population
2013
H
15520
2013
H
7425
Numerator Events by Admin Data on Eligible
Population (before exclusions)
9137
4240
58.87%
411
5.00%
432
253
58.56%
0
294
5
57.10%
411
5.00%
432
263
60.88%
0
167
13
0
0
5
411
243
36
67.88%
63.25%
72.52%
13
411
259
31
70.56%
66.03%
75.09%
Data Elements
Current Year's Admin Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin Rate on FSS
Records Excluded because of Valid Data Errors
Number of administrative data records excluded
Number of medical record data records excluded
Commercial
NR
NR
Number of employee/dependent medical records
excluded
Records Added from the Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
NR
NR
NR
Page 17
Effectiveness of Care
UCare Minnesota
Colorectal Cancer Screening
Data Last Refreshed:
Jul 8, 2015 2:47 PM
Data Elements
Commercial
Measurement Year
Data collection methodology (administrative or hybrid)
Eligible population
Number of numerator events by administrative data in eligible population
(before exclusions)
Current year's administrative rate (before exclusions)
Minimum required sample size (MRSS) or other sample size
Oversampling rate
Final sample size (FSS)
Number of numerator events by administrative data in FSS
Administrative rate on FSS
Number of original sample records excluded because of valid data errors
Number of administrative data records excluded
Number of medical record data records excluded
Number of employee/dependent medical records excluded
Records added from the oversample list
Denominator
Numerator events by administrative data
Numerator events by medical records
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
HEDIS 2014 (Reporting Year 2013)
NR
NR
NR
NR
NR
Medicare
Advantage
2013
H
42965
MSHO
SNBC
SNP
SNBC
Non SNP
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
2013
H
3097
20012
1275
46.58%
411
0.05
432
214
49.54%
0
105
1
0
1
411
202
90
71.05%
66.54%
75.55%
41.17%
411
5.00%
432
194
44.91%
0
12
0
0
0
411
184
36
53.53%
48.58%
58.47%
Page 18
Effectiveness of Care
UCare Minnesota
Chlamydia Screening in Women
Data Last Refreshed:
Jul 8, 2015 2:47 PM
Commercial
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
General
Measure Data
Ages 16-20
NR
NR
NR
Ages 21-24
Total
NR
NR
NR
NR
NR
NR
NR
NR
Page 19
Effectiveness of Care
UCare Minnesota
Chlamydia Screening in Women
Data Last Refreshed:
Jul 8, 2015 2:47 PM
Minnesota Health Care Programs - Managed Care (MA Expand F& C)
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
General
Measure Data
Ages 16-20
Ages 21-24
Total
1838
1035
56.31%
54.02%
58.61%
1699
1125
66.22%
63.94%
68.49%
3537
2160
61.07%
59.45%
62.69%
2013
A
Page 20
Effectiveness of Care
UCare Minnesota
Chlamydia Screening in Women
Data Last Refreshed:
Jul 8, 2015 2:47 PM
Minnesota Health Care Programs - Managed Care (MN Care)
Data Elements
General
Measurement Year
2013
Data Collection Methodology
A
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
Ages 16-20
Ages 21-24
Total
723
345
47.72%
44.01%
51.43%
399
240
60.15%
55.22%
65.08%
1122
585
52.14%
49.17%
55.11%
Page 21
Effectiveness of Care
UCare Minnesota
Glaucoma Screening in Older Adults
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
Data Last Refreshed:
Jul 8, 2015 2:47 PM
Medicare
Advantage
MSHO
2013
A
70022
54661
78.06%
77.76%
78.37%
2013
A
6866
5086
74.08%
73.03%
75.12%
Page 22
Effectiveness of Care
UCare Minnesota
Data Last Refreshed:
Jul 8, 2015 2:47 PM
Human Papillomavirus Vaccine for Female Adolescents
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Commercial
MA Expand F & C
2013
H
1154
MN Care
2013
H
217
186
20
NR
16.12%
9.22%
NR
411
5.00%
432
64
14.81%
217
0.00%
217
20
9.22%
Records Excluded because of Valid Data
Errors
0
0
Number of administrative data records
excluded
0
0
Number of medical record data records
excluded
0
0
Number of employee/dependent medical
records excluded
0
0
Records Added from the Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
0
411
63
3
0
217
20
4
Numerator Events by Admin Data on
Eligible Population (before exclusions)
Current Year's Admin Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin Rate on FSS
Reported Rate
NR
16.06%
11.06%
Lower 95% Confidence Interval
NR
12.39%
6.66%
Upper 95% Confidence Interval
NR
19.73%
15.46%
HEDIS 2014 (Reporting Year 2013)
Page 23
Effectiveness of Care
UCare Minnesota
Data Last Refreshed:
Jul 8, 2015 2:47 PM
Care for Older Adults
MSHO
Medication Review
Functional
Status
Assessment
Pain
Screening
6
244
1
0
0.07%
2.87%
0.01%
0.00%
0
0.00%
23
5.32%
0
0.00%
0
0.00%
0
336
20
332
0
381
0
375
Reported Rate
81.75%
85.64%
92.70%
91.24%
Lower 95% Confidence Interval
77.90%
82.13%
90.06%
88.39%
Upper 95% Confidence Interval
85.61%
89.16%
95.34%
94.10%
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
General Measure
Data
2013
H
8500
Numerator Events by Admin Data on
Eligible Population (before exclusions)
Current Year's Admin Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin Rate on FSS
411
5.00%
432
Records Excluded because of Valid Data
Errors
0
Number of employee/dependent medical
records excluded
0
Records Added from the Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
HEDIS 2014 (Reporting Year 2013)
Advance Care
Planning
0
411
Page 24
Effectiveness of Care
UCare Minnesota
Pharmacotherapy Management of COPD Exacerbation
Data Last Refreshed:
Jul 8, 2015 2:47 PM
Medicare Advantage
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
General
Measure Data
Systemic
corticosteroid
Bronchodilator
428
81.06%
77.62%
84.50%
426
80.68%
77.22%
84.14%
2013
A
528
Page 25
Effectiveness of Care
UCare Minnesota
Pharmacotherapy Management of COPD Exacerbation
Data Last Refreshed:
Jul 8, 2015 2:47 PM
MSHO
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
General
Measure Data
Systemic
corticosteroid
Bronchodilator
135
78.03%
71.58%
84.49%
157
90.75%
86.15%
95.36%
2013
A
173
Page 26
Effectiveness of Care
UCare Minnesota
Pharmacotherapy Management of COPD Exacerbation
Data Last Refreshed:
Jul 8, 2015 2:47 PM
SNBC-SNP
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
General
Measure Data
Systemic
corticosteroid
Bronchodilator
NR
NR
NR
NR
NR
NR
Page 27
Effectiveness of Care
UCare Minnesota
Pharmacotherapy Management of COPD Exacerbation
Data Last Refreshed:
Jul 8, 2015 2:47 PM
SNBC-Non SNP
Data Elements
Measurement Year
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
General
Measure Data
Systemic
corticosteroid
Bronchodilator
78
79.59%
71.10%
88.08%
88
89.80%
83.29%
96.30%
2013
98
Page 28
Effectiveness of Care
UCare Minnesota
Use of Spirometry Testing in the Assessment and Diagnosis of COPD
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
Medicare
Advantage
MSHO
2013
A
1624
614
37.81%
35.42%
40.20%
2013
A
229
60
26.20%
20.29%
32.11%
Data Last Refreshed:
Jul 8, 2015 2:47 PM
SNBC
SNP
SNBC Non
SNP
NR
NR
NR
2013
A
45
19
42.22%
26.68%
57.76%
Page 29
Effectiveness of Care
UCare Minnesota
Use of Appropriate Medications for People with Asthma
Data Last Refreshed:
Jul 8, 2015 2:47 PM
Commercial
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Number of required exclusions
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
General
Measure Data
Ages 5-11
NR
NR
NR
Ages 12-18
NR
NR
NR
Ages 19-50
NR
NR
NR
Ages 51-64
Total
NR
NR
NR
NR
NR
NR
NR
NR
NR
`
Page 30
Effectiveness of Care
UCare Minnesota
Use of Appropriate Medications for People with Asthma
Data Last Refreshed:
Jul 8, 2015 2:47 PM
Minnesota Health Care Programs - Managed Care (MA Expand F&C)
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Number of required exclusions
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
General
Measure Data
Ages 5-11
Ages 12-18
Ages 19-50
Ages 51-64
Total
390
350
16
89.74%
86.60%
92.88%
303
264
11
87.13%
83.19%
91.06%
443
363
83
81.94%
78.25%
85.64%
73
64
107
87.67%
79.44%
95.90%
1209
1041
217
86.10%
84.11%
88.10%
2013
A
Page 31
Effectiveness of Care
UCare Minnesota
Use of Appropriate Medications for People with Asthma
Minnesota Health Care Programs - Managed Care (MN Care)
Data Elements
General
Ages 5-11
Measurement Year
2013
Data Collection Methodology
A
62
Eligible Member Population
59
Numerator Events by Admin Data
4
Number of required exclusions
95.16%
Reported Rate
89.01%
Lower 95% Confidence Interval
100.00%
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
Data Last Refreshed:
Jul 8, 2015 2:47 PM
Ages 12-18
Ages 19-50
Ages 51-64
Total
70
57
0
81.43%
71.60%
91.25%
149
136
31
91.28%
86.41%
96.14%
86
73
89
84.88%
76.73%
93.04%
367
325
124
88.56%
85.16%
91.95%
Page 32
Effectiveness of Care
UCare Minnesota
Cholesterol Management for Patients with Cardiovascular Conditions
Data Last Refreshed:
Jul 8, 2015 2:47 PM
Commercial
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data on Eligible Population
Current Year's Admin Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin rate on FSS
Records Excluded because of Valid Data Errors
Number of employee/dependent medical records excluded
Records Added from the Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
General
Measure
Data
LDL-C
screening
LDL-C Level of
<100 mg/dL
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 33
Effectiveness of Care
UCare Minnesota
Cholesterol Management for Patients with Cardiovascular Conditions
Data Last Refreshed:
Jul 8, 2015 2:47 PM
Medicare Advantage
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data on Eligible Population
Current Year's Admin Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin rate on FSS
Records Excluded because of Valid Data Errors
Number of employee/dependent medical records excluded
Records Added from the Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
General
Measure
Data
LDL-C
screening
LDL-C Level of
<100 mg/dL
3980
982
90.56%
22.34%
381
106
88.19%
24.54%
343
27
101
173
90.02%
87.01%
93.04%
66.67%
61.99%
71.35%
2013
H
4395
411
5.00%
432
0
0
0
411
Page 34
Effectiveness of Care
UCare Minnesota
Cholesterol Management for Patients with Cardiovascular Conditions
Data Last Refreshed:
Jul 8, 2015 2:47 PM
Minnesota Health Care Programs - Managed Care (MA Expand F&C)
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data on Eligible Population
Current Year's Admin Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin rate on FSS
Records Excluded because of Valid Data Errors
Number of employee/dependent medical records excluded
Records Added from the Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
General
Measure
Data
LDL-C
screening
LDL-C Level of
<100 mg/dL
155
32
82.45%
17.02%
155
32
82.45%
17.02%
145
13
31
68
84.04%
78.54%
89.54%
52.66%
45.26%
60.06%
2013
H
188
188
0.00%
188
0
0
0
188
Page 35
Effectiveness of Care
UCare Minnesota
Cholesterol Management for Patients with Cardiovascular Conditions
Data Last Refreshed:
Jul 8, 2015 2:47 PM
Minnesota Health Care Programs - Managed Care (MN Care)
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data on Eligible Population
Current Year's Admin Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin rate on FSS
Records Excluded because of Valid Data Errors
Number of employee/dependent medical records excluded
Records Added from the Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
General
Measure
Data
LDL-C
screening
LDL-C Level of
<100 mg/dL
129
32
86.58%
21.48%
2013
H
149
148
0.00%
148
129
32
87.16%
21.62%
119
11
31
52
87.84%
82.23%
93.44%
56.08%
47.75%
64.41%
0
0
0
148
Page 36
Effectiveness of Care
UCare Minnesota
Controlling High Blood Pressure
Data Last Refreshed:
Jul 8, 2015 2:47 PM
Medicare
Advantage
MSHO
Measurement Year
Data Collection Methodology (Hybrid)
Eligible Member Population
2013
H
28592
Numerator Events by Admin Data on
Eligible Population (before exclusions)
SNBC
Non SNP
MA Expand
F&C
MN Care
2013
H
2890
2013
H
2898
2013
H
2639
2013
H
1712
0
0
0
0
0
0.00%
411
10.00%
453
0.00%
411
10.00%
453
0.00%
411
10.00%
453
0.00%
411
10.00%
453
0.00%
411
10.00%
453
0
0.00%
0
0.00%
0
0.00%
0
0.00%
0
0.00%
Records Excluded because of Valid Data
Errors
0
0
0
0
0
Number of records excluded because of
false positive diagnoses
0
1
0
0
0
Number of administrative data records
excluded
1763
346
341
171
31
Number of medical record data records
excluded
0
0
0
0
0
Number of employee/dependent medical
records excluded
0
0
0
0
0
Records Added from the OverSample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
0
411
0
290
70.56%
66.03%
75.09%
1
411
0
276
67.15%
62.49%
71.82%
0
411
0
257
62.53%
57.73%
67.33%
0
411
0
257
62.53%
57.73%
67.33%
0
411
0
294
71.53%
67.05%
76.02%
Data Elements
Current Year's Admin Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin rate on FSS
HEDIS 2014 (Reporting Year 2013)
Commercial
NR
NR
NR
NR
NR
SNBC-SNP
NR
NR
NR
NR
NR
Page 37
Effectiveness of Care
UCare Minnesota
Persistence of Beta Blocker Treatment After Heart Attack
Data Last Refreshed:
Jul 8, 2015 2:47 PM
Medicare
Advantage
MSHO
Measurement Year
Data Collection Methodology
Eligible Member Population
2013
A
334
Numerator Events by Admin Data on
Eligible Population
Data Elements
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
Commercial
NR
NR
NR
SNBC
SNP
SNBC
Non SNP
MA Expand
F&C
MN Care
2013
A
41
2013
A
15
2013
A
34
2013
A
17
307
39
12
28
17
91.92%
88.84%
94.99%
95.12%
87.31%
100.00%
NA
NA
NA
82.35%
68.07%
96.64%
NA
NA
NA
NR
NR
NR
Page 38
Effectiveness of Care
UCare Minnesota
Comprehensive Diabetes Care
Data Last Refreshed:
Jul 8, 2015 2:47 PM
Commercial
Data Elements
HbA1c
Testing
Poor HbA1c
Control
(>9.0%)
Good HbA1c
Control
(<7.0%)
Adequate
HbA1c
Control
(<8.0%)
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Blood
Monitoring for
Pressure
Diabetic
<140/90 mm
Nephropathy
Hg
Blood
Pressure
<140/80
mm Hg
Eye Exam
LDL-C
Screening
LDL-C Level
<100 mg/dL
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator events by admin data in eligible
population
Current Year's Administrative Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin rate on FSS
Number of Records Excluded Because of
Valid Data Errors
Number of administrative data records
excluded
Number of medical record data records
excluded
Number of employee/dependent medical
records excluded
Number of HbA1c < 7 required administrative
data records excluded
Number of HbA1c < 7 required medical
records excluded
Additional Records Added from the
Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
Page 39
Effectiveness of Care
UCare Minnesota
Comprehensive Diabetes Care
Data Last Refreshed:
Jul 8, 2015 2:47 PM
Medicare Advantage
HbA1c
Testing
Poor HbA1c
Control
2013
H
9630
2013
H
9630
9160
95.12%
411
5%
432
399
92.36%
6613
68.67%
411
5%
432
98
22.69%
Number of Records Excluded Because of
Valid Data Errors
0
Number of administrative data records
excluded
Number of medical record data records
excluded
Number of employee/dependent medical
records excluded
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator events by admin data in eligible
population
Current Year's Administrative Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin rate on FSS
Good HbA1c
Control
(<7.0%)
Adequate
HbA1c
Control
(<8.0%)
Blood
Monitoring for
Pressure
Diabetic
<140/90 mm
Nephropathy
Hg
Blood
Pressure
<140/80
mm Hg
Eye Exam
LDL-C
Screening
LDL-C Level
<100 mg/dL
2013
H
9630
2013
H
9630
2013
H
9630
2013
H
9630
2013
H
9630
2013
H
9630
2013
H
9630
2782
28.89%
411
5%
432
124
28.70%
6562
68.14%
411
5%
432
286
66.20%
8833
91.72%
411
5%
432
385
89.12%
2605
27.05%
411
5%
432
114
26.39%
8689
90.23%
411
5%
432
392
90.74%
12
0.12%
411
5%
432
0
0.00%
9
0.09%
411
5%
432
0
0.00%
0
0
0
0
0
0
0
0
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
0
0
0
0
0
0
0
0
0
1
411
366
21
94.16%
91.77%
96.55%
1
411
74
15
21.65%
17.55%
25.76%
1
411
118
175
71.29%
66.79%
75.79%
1
411
272
39
75.67%
71.40%
79.94%
1
411
347
25
90.51%
87.56%
93.47%
1
411
108
144
61.31%
56.48%
66.14%
1
411
377
6
93.19%
90.63%
95.74%
1
411
0
316
76.89%
72.69%
81.08%
1
411
0
269
65.45%
60.73%
70.17%
NR
NR
Number of Administrative required exclusions
Number of Hybrid required exclusions
Additional Records Added from the
Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
NR
NR
NR
Page 40
Effectiveness of Care
UCare Minnesota
Comprehensive Diabetes Care
Data Last Refreshed:
Jul 8, 2015 2:47 PM
MSHO
Adequate
HbA1c
Control
(<8.0%)
Eye Exam
LDL-C
Screening
LDL-C Level
<100 mg/dL
2013
H
1417
2013
H
1417
2013
H
1417
2013
H
1417
2013
H
1417
2013
H
1417
2013
H
1417
312
22.02%
411
5%
432
108
25.00%
937
66.13%
411
5%
432
286
66.20%
1233
87.01%
411
5%
432
379
87.73%
316
22.30%
411
5%
432
93
21.53%
1257
88.71%
411
5%
432
388
89.81%
5
0.35%
411
5%
432
3
0.69%
3
0.21%
411
5%
432
3
0.69%
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
411
354
33
94.16%
91.77%
96.55%
0
411
84
31
27.98%
23.52%
32.44%
0
411
102
172
66.67%
61.99%
71.35%
0
411
270
42
75.91%
71.66%
80.17%
0
411
319
49
89.54%
86.46%
92.62%
0
411
82
147
55.72%
50.79%
60.64%
0
411
371
10
92.70%
90.06%
95.34%
0
411
1
289
70.56%
66.03%
75.09%
0
411
1
248
60.58%
55.74%
65.43%
HbA1c
Testing
Poor HbA1c
Control
2013
H
1417
2013
H
1417
1329
93.79%
411
5%
432
405
93.75%
1071
75.58%
411
5%
432
120
27.78%
Number of Records Excluded Because of
Valid Data Errors
0
Number of administrative data records
excluded
Number of medical record data records
excluded
Number of employee/dependent medical
records excluded
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator events by admin data in eligible
population
Current Year's Administrative Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin rate on FSS
Good HbA1c
Control
(<7.0%)
NR
NR
Blood
Monitoring for
Pressure
Diabetic
<140/90 mm
Nephropathy
Hg
Blood
Pressure
<140/80
mm Hg
Number of Administrative required exclusions
Number of Hybrid required exclusions
Additional Records Added from the
Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
NR
NR
NR
Page 41
Effectiveness of Care
UCare Minnesota
Comprehensive Diabetes Care
Data Last Refreshed:
Jul 8, 2015 2:47 PM
SNBC - SNP
Data Elements
HbA1c
Testing
Poor HbA1c
Control
Good HbA1c
Control
(<7.0%)
Adequate
HbA1c
Control
(<8.0%)
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Blood
Monitoring for
Pressure
Diabetic
<140/90 mm
Nephropathy
Hg
Blood
Pressure
<140/80
mm Hg
Eye Exam
LDL-C
Screening
LDL-C Level
<100 mg/dL
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator events by admin data in eligible
population
Current Year's Administrative Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin rate on FSS
Number of Records Excluded Because of
Valid Data Errors
Number of administrative data records
excluded
Number of medical record data records
excluded
Number of employee/dependent medical
records excluded
Number of Administrative required exclusions
Number of Hybrid required exclusions
Additional Records Added from the
Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
Page 42
Effectiveness of Care
UCare Minnesota
Comprehensive Diabetes Care
Data Last Refreshed:
Jul 8, 2015 2:47 PM
SNBC - Non SNP
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator events by admin data in eligible
population
Current Year's Administrative Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin rate on FSS
Number of Records Excluded Because of
Valid Data Errors
Number of administrative data records
excluded
Number of medical record data records
excluded
Number of employee/dependent medical
records excluded
Adequate
HbA1c
Control
(<8.0%)
Eye Exam
LDL-C
Screening
LDL-C Level
<100 mg/dL
2013
H
2768
2013
H
2768
2013
H
2768
2013
H
2768
2013
H
2768
2013
H
2768
2013
H
2768
335
12.10%
548
5%
576
67
11.63%
1570
56.72%
548
5%
576
320
55.56%
2277
82.26%
548
5%
576
455
78.99%
389
14.05%
548
5%
576
71
12.33%
2081
75.18%
548
5%
576
430
74.65%
49
1.77%
548
5%
576
10
1.74%
36
1.30%
548
5%
576
3
0.52%
0
0
0
0
0
0
0
0
6
6
6
6
6
6
6
6
6
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
548
421
69
89.42%
86.75%
92.08%
0
548
145
49
35.40%
31.31%
39.50%
0
548
59
237
54.01%
49.75%
58.28%
0
548
303
71
68.25%
64.26%
72.24%
0
548
381
73
82.85%
79.60%
86.09%
0
548
62
188
45.62%
41.36%
49.88%
0
548
412
43
83.03%
79.80%
86.26%
0
548
1
364
66.61%
62.57%
70.65%
0
548
0
277
50.55%
46.27%
54.82%
HbA1c
Testing
Poor HbA1c
Control
2013
H
2768
2013
H
2768
2475
89.41%
548
5%
576
493
85.59%
2360
85.26%
548
5%
576
208
36.11%
0
Good HbA1c
Control
(<7.0%)
NR
NR
Blood
Monitoring for
Pressure
Diabetic
<140/90 mm
Nephropathy
Hg
Blood
Pressure
<140/80
mm Hg
Number of Administrative required exclusions
Number of Hybrid required exclusions
Additional Records Added from the
Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
NR
NR
NR
Page 43
Effectiveness of Care
UCare Minnesota
Comprehensive Diabetes Care
Data Last Refreshed:
Jul 8, 2015 2:47 PM
Minnesota Health Care Programs - Managed Care (MA Expand F&C)
HbA1c
Testing
Poor HbA1c
Control
Good HbA1c
Control
(<7.0%)
Adequate
HbA1c
Control
(<8.0%)
2013
H
2302
2013
H
2302
H
2028
88.10%
548
5%
576
509
88.37%
1780
77.32%
548
5%
576
217
37.67%
Number of Records Excluded Because of
Valid Data Errors
0
Number of administrative data records
excluded
Number of medical record data records
excluded
Number of employee/dependent medical
records excluded
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator events by admin data in eligible
population
Current Year's Administrative Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin rate on FSS
Blood
Monitoring for
Pressure
Diabetic
<140/90 mm
Nephropathy
Hg
Blood
Pressure
<140/80
mm Hg
Eye Exam
LDL-C
Screening
LDL-C Level
<100 mg/dL
2013
H
2302
2013
H
2302
2013
H
2302
2013
H
2302
2013
H
2302
2013
H
2302
2013
H
2302
443
19.24%
548
5%
576
111
19.27%
1173
50.96%
548
5%
576
307
53.30%
1787
77.63%
548
5%
576
459
79.69%
408
17.72%
548
5%
576
115
19.97%
1740
75.59%
548
5%
576
465
80.73%
2
0.09%
548
5%
576
0
0.00%
0
0.00%
548
5%
576
0
0.00%
0
0
0
0
0
0
0
0
71
71
71
71
71
71
71
71
71
4
4
4
4
4
4
4
4
4
0
0
0
0
0
0
0
0
0
4
548
443
43
88.69%
85.94%
91.43%
4
548
136
73
38.14%
33.98%
42.30%
4
548
106
177
51.64%
47.37%
55.92%
4
548
290
56
63.14%
59.01%
67.27%
4
548
412
31
80.84%
77.45%
84.23%
4
548
106
140
44.89%
40.63%
49.15%
4
548
446
4
82.12%
78.82%
85.42%
4
548
0
395
72.08%
68.23%
75.93%
4
548
0
273
49.82%
45.54%
54.10%
NR
NR
Number of Administrative required exclusions
Number of Hybrid required exclusions
Additional Records Added from the
Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
NR
NR
NR
Page 44
Effectiveness of Care
UCare Minnesota
Comprehensive Diabetes Care
Minnesota Health Care Programs - Managed Care (MN Care)
Data Elements
HbA1c
2013
Measurement Year
H
Data Collection Methodology
1219
Eligible Member Population
1145
Numerator events by admin data in eligible
93.93%
Current Year's Administrative Rate
548
Minimum Required Sample Size
5%
Oversampling Rate
576
Final Sample Size (FSS)
539
Numerator events by admin data in FSS
93.58%
Admin rate on FSS
0
Number of Records Excluded Because of
14
Number of administrative data records
5
Number of medical record data records
0
Number of employee/dependent medical
Number of Administrative required exclusions
Number of Hybrid required exclusions
5
Additional Records Added from the
548
Denominator
491
Numerator Events by Admin Data
27
Numerator Events by Medical Record
94.53%
Reported Rate
92.53%
Lower 95% Confidence Interval
96.52%
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
Data Last Refreshed:
Jul 8, 2015 2:47 PM
Poor HbA1c
2013
H
1219
851
69.81%
548
5%
576
170
29.51%
0
14
5
0
5
548
104
57
29.38%
25.47%
33.28%
Good HbA1c
H
NR
NR
NR
NR
NR
Adequate
2013
H
1219
308
25.27%
548
5%
576
124
21.53%
0
14
5
0
Eye Exam
2013
H
1219
677
55.54%
548
5%
576
322
55.90%
0
14
5
0
LDL-C
2013
H
1219
1072
87.94%
548
5%
576
507
88.02%
0
14
5
0
5
548
121
205
59.49%
55.29%
63.69%
5
548
307
67
68.25%
64.26%
72.24%
5
548
458
31
89.23%
86.55%
91.92%
LDL-C Level Monitoring for
2013
2013
H
H
1219
1219
287
1031
23.54%
84.58%
548
548
5%
5%
576
576
114
485
19.79%
84.20%
0
0
14
14
5
5
0
0
5
548
110
178
52.55%
48.28%
56.83%
5
548
467
11
87.23%
84.34%
90.11%
Blood
2013
H
1219
2
0.16%
548
5%
576
1
0.17%
0
14
5
0
Blood
2013
H
1219
2
0.16%
548
5%
576
1
0.17%
0
14
5
0
5
548
0
419
76.46%
72.82%
80.10%
5
548
0
293
53.47%
49.20%
57.73%
Page 45
Effectiveness of Care
UCare Minnesota
Disease Modifying Anti-Rheumatic Drug Therapy in Rheumatoid Arthritis
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
Data Last Refreshed:
Jul 8, 2015 2:47 PM
Medicare
Advantage
2013
A
975
884
90.67%
88.79%
92.54%
Page 46
Effectiveness of Care
UCare Minnesota
Osteoporosis Management in Women Who had a Fracture
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
Data Last Refreshed:
Jul 8, 2015 2:47 PM
Medicare
Advantage
MSHO
2013
A
1293
212
16.40%
14.34%
18.45%
2013
A
267
33
12.36%
8.22%
16.49%
Page 47
Effectiveness of Care
UCare Minnesota
Antidepressant Medication Management
Data Last Refreshed:
Jul 8, 2015 2:47 PM
Commercial
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
General
Measure Data
Effective
Effective Acute
Continuation
Phase
Phase
Treatment
Treatment
NR
NR
NR
NR
NR
NR
Page 48
Effectiveness of Care
UCare Minnesota
Antidepressant Medication Management
Data Last Refreshed:
Jul 8, 2015 2:47 PM
Medicare Advantage
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
General
Measure Data
Effective
Effective Acute
Continuation
Phase
Phase
Treatment
Treatment
2013
A
1702
1340
78.73%
76.76%
80.70%
1085
63.75%
61.44%
66.06%
Page 49
Effectiveness of Care
UCare Minnesota
Antidepressant Medication Management
Data Last Refreshed:
Jul 8, 2015 2:47 PM
MSHO
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
General
Measure Data
Effective
Effective Acute
Continuation
Phase
Phase
Treatment
Treatment
2013
A
282
183
64.89%
59.15%
70.64%
150
53.19%
47.19%
59.19%
Page 50
Effectiveness of Care
UCare Minnesota
Antidepressant Medication Management
Data Last Refreshed:
Jul 8, 2015 2:47 PM
SNBC-SNP
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
General
Measure Data
Effective
Effective Acute
Continuation
Phase
Phase
Treatment
Treatment
NR
NR
NR
NR
NR
NR
Page 51
Effectiveness of Care
UCare Minnesota
Antidepressant Medication Management
Data Last Refreshed:
Jul 8, 2015 2:47 PM
SNBC-Non SNP
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
General
Measure Data
Effective
Effective Acute
Continuation
Phase
Phase
Treatment
Treatment
2013
A
456
215
47.15%
42.46%
51.84%
165
36.18%
31.66%
40.70%
Page 52
Effectiveness of Care
UCare Minnesota
Antidepressant Medication Management
Data Last Refreshed:
Jul 8, 2015 2:47 PM
Minnesota Health Care Programs - Managed Care (MA Expand F& C)
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
General
Measure Data
Effective
Effective Acute
Continuation
Phase
Phase
Treatment
Treatment
2013
A
2347
1097
46.74%
44.70%
48.78%
780
33.23%
31.31%
35.16%
Page 53
Effectiveness of Care
UCare Minnesota
Antidepressant Medication Management
Minnesota Health Care Programs - Managed Care (MN Care)
Data Elements
General
Measurement Year
2013
Data Collection Methodology
A
Eligible Member Population
503
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
Data Last Refreshed:
Jul 8, 2015 2:47 PM
Effective Acute
Effective
283
56.26%
51.83%
60.70%
213
42.35%
37.93%
46.76%
Page 54
Effectiveness of Care
UCare Minnesota
Follow-Up Care for Children Prescribed
Attention-Deficit/Hyperactivity Disorder (ADHD) Medication
Data Last Refreshed:
Jul 8, 2015 2:47 PM
Commercial
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
General
Measure
Data
Initiation
Phase
Continuation
and
Maintenance
Phase
NR
NR
NR
NR
NR
NR
Page 55
Effectiveness of Care
UCare Minnesota
Follow-Up Care for Children Prescribed
Attention-Deficit/Hyperactivity Disorder (ADHD) Medication
Data Last Refreshed:
Jul 8, 2015 2:47 PM
Minnesota Health Care Programs - Managed Care (MA Expand F& C)
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
General
Measure
Data
Initiation
Phase
Continuation
and
Maintenance
Phase
560
219
39.11%
34.98%
43.24%
125
72
57.60%
48.54%
66.66%
2013
A
Page 56
Effectiveness of Care
UCare Minnesota
Follow-Up Care for Children Prescribed
Attention-Deficit/Hyperactivity Disorder (ADHD) Medication
Minnesota Health Care Programs - Managed Care (MN Care)
Data Elements
General
Measurement Year
2013
Data Collection Methodology
A
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
Data Last Refreshed:
Jul 8, 2015 2:47 PM
Initiation
Continuation
80
36
45.00%
33.47%
56.53%
16
8
NA
NA
NA
Page 57
Effectiveness of Care
UCare Minnesota
Follow-up After Hospitalization for Mental Illness
Data Last Refreshed:
Jul 8, 2015 2:47 PM
Medicare Advantage
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
General
Measure
Data
30 Days
7 Days
101
72.66%
64.89%
80.43%
81
58.27%
49.72%
66.83%
2013
A
139
Page 58
Effectiveness of Care
UCare Minnesota
Follow-up After Hospitalization for Mental Illness
Data Last Refreshed:
Jul 8, 2015 2:47 PM
MSHO
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
General
Measure
Data
30 Days
7 Days
17
56.67%
37.27%
76.07%
13
43.33%
23.93%
62.73%
2013
A
30
Page 59
Effectiveness of Care
UCare Minnesota
Follow-up After Hospitalization for Mental Illness
Data Last Refreshed:
Jul 8, 2015 2:47 PM
SNBC - SNP
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
General
Measure
Data
30 Days
7 Days
NR
NR
NR
NR
NR
NR
Page 60
Effectiveness of Care
Follow-up After Hospitalization for Mental Illness
SNBC-Non SNP
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
General
Measure
Data
30 Days
7 Days
568
78.02%
74.95%
81.10%
440
60.44%
56.82%
64.06%
2013
A
728
Page 61
Effectiveness of Care
UCare Minnesota
Annual Monitoring for Patients on Persistent Medications
Data Last Refreshed:
Jul 8, 2015 2:47 PM
Commercial
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
General
Measure
Data
Annual Monitoring for Members on
ACE Inhibitors
or ARBs
Digoxin
Diuretics
Anticonvulsants
Total
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 62
Effectiveness of Care
UCare Minnesota
Annual Monitoring for Patients on Persistent Medications
Data Last Refreshed:
Jul 8, 2015 2:47 PM
Medicare Advantage
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
General
Measure
Data
Annual Monitoring for Members on
ACE Inhibitors
or ARBs
Digoxin
Diuretics
Anticonvulsants
Total
29437
27392
93.05%
92.76%
93.35%
1100
1042
94.73%
93.36%
96.09%
25162
23510
93.43%
93.13%
93.74%
692
517
74.71%
71.40%
78.02%
56391
52461
93.03%
92.82%
93.24%
2013
A
Page 63
Effectiveness of Care
UCare Minnesota
Annual Monitoring for Patients on Persistent Medications
Data Last Refreshed:
Jul 8, 2015 2:47 PM
MSHO
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
General
Measure
Data
Annual Monitoring for Members on
ACE Inhibitors
or ARBs
Digoxin
Diuretics
Anticonvulsants
Total
3246
3102
95.56%
94.84%
96.29%
168
166
98.81%
96.87%
100.00%
2856
2747
96.18%
95.46%
96.90%
298
272
91.28%
87.90%
94.65%
6568
6287
95.72%
95.22%
96.22%
2013
A
Page 64
Effectiveness of Care
UCare Minnesota
Annual Monitoring for Patients on Persistent Medications
Data Last Refreshed:
Jul 8, 2015 2:47 PM
SNBC-SNP
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
General
Measure
Data
Annual Monitoring for Members on
ACE Inhibitors
or ARBs
Digoxin
Diuretics
Anticonvulsants
Total
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 65
Effectiveness of Care
UCare Minnesota
Annual Monitoring for Patients on Persistent Medications
Data Last Refreshed:
Jul 8, 2015 2:47 PM
SNBC-Non SNP
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
General
Measure
Data
Annual Monitoring for Members on
ACE Inhibitors
or ARBs
Digoxin
Diuretics
Anticonvulsants
Total
1013
943
93.09%
91.48%
94.70%
22
21
NA
NA
NA
763
699
91.61%
89.58%
93.64%
353
272
77.05%
72.53%
81.58%
2151
1935
89.96%
88.66%
91.25%
2013
A
Page 66
Effectiveness of Care
UCare Minnesota
Annual Monitoring for Patients on Persistent Medications
Data Last Refreshed:
Jul 8, 2015 2:47 PM
Minnesota Health Care Programs - Managed Care (MA Expand F&C)
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
General
Measure
Data
Annual Monitoring for Members on
ACE Inhibitors
or ARBs
Digoxin
Diuretics
Anticonvulsants
Total
1777
1572
88.46%
86.95%
89.98%
16
14
NA
NA
NA
1280
1122
87.66%
85.82%
89.50%
200
139
69.50%
62.87%
76.13%
3273
2847
86.98%
85.82%
88.15%
2013
A
Page 67
Effectiveness of Care
UCare Minnesota
Annual Monitoring for Patients on Persistent Medications
Minnesota Health Care Programs - Managed Care (MN Care)
General
Data Elements
Measure
Measurement Year
2013
Data Collection Methodology
A
Eligible Member Population
Numerator Events by Admin Data
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
Data Last Refreshed:
Jul 8, 2015 2:47 PM
ACE Inhibitors
1450
1266
85.56%
89.06%
Annual Monitoring for Members on
Digoxin
Diuretics
Anti-
18
15
NA
NA
1071
942
85.96%
89.95%
99
69
60.14%
79.25%
Total
2638
2292
85.58%
88.19%
Page 68
Access/Availability of Care
UCare Minnesota
Medication Reconciliation Post Discharge
Data Elements
Measurement Year
Data collection methodology (Administrative or Hybrid)
Eligible member population
Data Last Refreshed:
Jul 8, 2015 2:47 PM
MSHO
H
Number of numerator events by administrative data in eligible
population (before exclusions)
Current year's administrative rate (before exclusions)
NR
Minimum required sample size (MRSS) or other sample size
Oversampling rate
Final sample size (FSS)
Number of numerator events by administrative data in FSS
Administrative rate on FSS
NR
Number of original sample records excluded because of valid
data errors
Number of employee/dependent medical records excluded
Records added from the oversample list
Denominator
Numerator events by administrative data
Numerator events by medical record
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
HEDIS 2014 (Reporting Year 2013)
NR
NR
NR
Page 69
Effectiveness of Care
UCare Minnesota
Potentially Harmful Drug-Disease Interactions in the Elderly
Data Last Refreshed:
Jul 8, 2015 2:47 PM
Medicare Advantage
Drug-Disease Interactions
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
General
Measure
Data
History of Falls +
Dementia +
Tricyclic
Tricyclic
Antidepressants, Antidepressants
Antipsychotics or or Anticholinergic
Sleep Agents
Agents
Chronic Renal
Failure +
Nonaspirin
NSAIDs or Cox-2
Selective NSAIDs
Total
1250
49
3.92%
2.80%
5.04%
8783
3031
34.51%
33.51%
35.51%
2013
A
4909
2029
41.33%
39.94%
42.72%
2624
953
36.32%
34.46%
38.18%
Page 70
Effectiveness of Care
UCare Minnesota
Potentially Harmful Drug-Disease Interactions in the Elderly
Data Last Refreshed:
Jul 8, 2015 2:47 PM
MSHO
Drug-Disease Interactions
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
General
Measure
Data
History of Falls +
Dementia +
Tricyclic
Tricyclic
Antidepressants, Antidepressants
Antipsychotics or or Anticholinergic
Sleep Agents
Agents
Chronic Renal
Failure +
Nonaspirin
NSAIDs or Cox-2
Selective NSAIDs
Total
320
26
8.13%
4.98%
11.27%
2271
1167
51.39%
49.31%
53.46%
2013
A
800
488
61.00%
57.56%
64.44%
1151
653
56.73%
53.83%
59.64%
Page 71
Effectiveness of Care
UCare Minnesota
Use of High Risk Medications in the Elderly
Data Last Refreshed:
Jul 8, 2015 2:47 PM
Medicare Advantage
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
General
Measure
Data
2013
A
75795
At least 1
Prescription
At least 2
Prescriptions
9056
11.95%
11.72%
12.18%
884
1.17%
1.09%
1.24%
Page 72
Effectiveness of Care
UCare Minnesota
Use of High Risk Medications in the Elderly
Data Last Refreshed:
Jul 8, 2015 2:47 PM
MSHO
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
General
Measure
Data
2013
A
8478
At least 1
Prescription
At least 2
Prescriptions
1590
18.75%
17.92%
19.59%
227
2.68%
2.33%
3.03%
Page 73
Access/Availability of Care
UCare Minnesota
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Jul 8, 2015 2:47 PM
Commercial
Data Elements
General Measure
Data
Ages 20-44
Ages 45-64
Ages 65+
Total
Measurement Year
Data collection methodology
(Administrative only)
Eligible member population (i.e. members
who meet all denominator criteria)
NR
Numerator events by administrative data
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
NR
NR
NR
NR
HEDIS 2014 (Reporting Year 2013)
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 74
Access/Availability of Care
UCare Minnesota
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Jul 8, 2015 2:47 PM
Medicare Advantage
Data Elements
Measurement Year
Data collection methodology
(Administrative only)
Eligible member population (i.e. members
who meet all denominator criteria)
Numerator events by administrative data
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
HEDIS 2014 (Reporting Year 2013)
General Measure
Data
Ages 20-44
Ages 45-64
Ages 65+
Total
108
2302
81728
84138
101
2234
78542
93.52%
88.41%
98.62%
97.05%
96.33%
97.76%
96.10%
95.97%
96.24%
80877
96.12%
95.99%
96.26%
2013
A
Page 75
Access/Availability of Care
UCare Minnesota
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Jul 8, 2015 2:47 PM
MSHO
Data Elements
Measurement Year
Data collection methodology
(Administrative only)
Eligible member population (i.e. members
who meet all denominator criteria)
Numerator events by administrative data
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
HEDIS 2014 (Reporting Year 2013)
General Measure
Data
Ages 20-44
Ages 45-64
Ages 65+
Total
0
0
8590
8590
0
0
8426
NA
NA
NA
NA
NA
NA
98.09%
97.80%
98.39%
8426
98.09%
97.80%
98.39%
2013
A
Page 76
Access/Availability of Care
UCare Minnesota
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Jul 8, 2015 2:47 PM
SNBC-SNP
Data Elements
General Measure
Data
Ages 20-44
Ages 45-64
Ages 65+
Total
Measurement Year
Data collection methodology
(Administrative only)
Eligible member population (i.e. members
who meet all denominator criteria)
NR
Numerator events by administrative data
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
NR
NR
NR
NR
HEDIS 2014 (Reporting Year 2013)
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 77
Access/Availability of Care
UCare Minnesota
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Jul 8, 2015 2:47 PM
SNBC-Non SNP
Data Elements
Measurement Year
Data collection methodology
(Administrative only)
Eligible member population (i.e. members
who meet all denominator criteria)
Numerator events by administrative data
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
HEDIS 2014 (Reporting Year 2013)
General Measure
Data
Ages 20-44
Ages 45-64
Ages 65+
Total
5767
7479
433
13679
5343
7181
417
92.65%
91.97%
93.33%
96.02%
95.57%
96.47%
96.30%
94.41%
98.20%
12941
94.60%
94.22%
94.99%
2013
A
Page 78
Access/Availability of Care
UCare Minnesota
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Jul 8, 2015 2:47 PM
Minnesota Health Care Programs - Managed Care (MA Expand F&C)
Data Elements
Measurement Year
Data collection methodology
(Administrative only)
Eligible member population (i.e. members
who meet all denominator criteria)
Numerator events by administrative data
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
HEDIS 2014 (Reporting Year 2013)
General Measure
Data
Ages 20-44
Ages 45-64
Ages 65+
Total
19466
7828
9
27303
17369
7040
9
89.23%
88.79%
89.67%
89.93%
89.26%
90.61%
NA
NA
NA
24418
89.43%
89.07%
89.80%
2013
A
Page 79
Access/Availability of Care
UCare Minnesota
Adult's Access to Preventive/Ambulatory Health Services
Minnesota Health Care Programs - Managed Care (MN Care)
General Measure
Data Elements
Measurement Year
2013
Data collection methodology
A
Eligible member population (i.e. members
Numerator events by administrative data
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
HEDIS 2014 (Reporting Year 2013)
Data Last Refreshed:
Jul 8, 2015 2:47 PM
Ages 20-44
Ages 45-64
Ages 65+
Total
7238
6224
85.99%
85.18%
86.80%
6336
5765
90.99%
90.28%
91.70%
59
54
91.53%
83.57%
99.48%
13633
12043
88.34%
87.79%
88.88%
Page 80
Access/Availability of Care
UCare Minnesota
Children's and Adolescents' Access to Primary Care Practitioners
Data Last Refreshed:
Jul 8, 2015 2:47 PM
Commercial
Data Elements
Measurement Year
Data collection methodology (Administrative only)
Eligible member population
Numerator events by administrative data
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
HEDIS 2014 (Reporting Year 2013)
General Measure
Data
12-24 months
25 months 6 yrs.
7-11 yrs.
12-19 yrs.
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 81
Access/Availability of Care
UCare Minnesota
Children's and Adolescents' Access to Primary Care Practitioners
Data Last Refreshed:
Jul 8, 2015 2:47 PM
Minnesota Health Care Programs - Managed Care (MA Expand F&C)
Data Elements
Measurement Year
Data collection methodology (Administrative only)
Eligible member population
Numerator events by administrative data
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
HEDIS 2014 (Reporting Year 2013)
General Measure
Data
12-24 months
25 months 6 yrs.
7-11 yrs.
12-19 yrs.
5392
5248
15621
14072
8778
8018
10830
9676
97.33%
96.89%
97.77%
90.08%
89.61%
90.56%
91.34%
90.75%
91.94%
89.34%
88.76%
89.93%
2013
A
Page 82
Access/Availability of Care
UCare Minnesota
Children's and Adolescents' Access to Primary Care Practitioners
Minnesota Health Care Programs - Managed Care (MN Care)
General Measure
Data Elements
Measurement Year
2013
Data collection methodology (Administrative only)
A
Eligible member population
Numerator events by administrative data
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
HEDIS 2014 (Reporting Year 2013)
Data Last Refreshed:
Jul 8, 2015 2:47 PM
12-24 months
25 months -
7-11 yrs.
12-19 yrs.
357
346
96.92%
94.99%
98.85%
2786
2528
90.74%
89.65%
91.83%
1712
1584
92.52%
91.25%
93.80%
2730
2481
90.88%
89.78%
91.98%
Page 83
Access/Availability of Care
UCare Minnesota
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
Data Last Refreshed:
Jul 8, 2015 2:47 PM
Commercial
13-17 Year Olds
Data Elements
General
Measure
Data
Initiation of
AOD
Treatment
Engagement
of AOD
Treatment
18+ Year Olds
Initiation of
AOD
Treatment
Engagement
of AOD
Treatment
Total
Initiation of
AOD
Treatment
Engagement
of AOD
Treatment
Measurement Year
Data collection methodology (Administrative only)
Eligible member population
Numerator events by administrative data
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
HEDIS 2014 (Reporting Year 2013)
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 84
Access/Availability of Care
UCare Minnesota
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
Data Last Refreshed:
Jul 8, 2015 2:47 PM
Medicare Advantage
Data Elements
Measurement Year
Data collection methodology (Administrative only)
Eligible member population
Numerator events by administrative data
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
HEDIS 2014 (Reporting Year 2013)
General
2013
A
13-17 Year Olds
Initiation of Engagement
18+ Year Olds
Initiation of Engagement
0
0
NA
NA
NA
Total
Initiation of Engagement
959
0
NA
NA
NA
380
39.62%
36.48%
42.77%
959
37
3.86%
2.59%
5.13%
380
39.62%
36.48%
42.77%
37
3.86%
2.59%
5.13%
Page 85
Access/Availability of Care
UCare Minnesota
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
Data Last Refreshed:
Jul 8, 2015 2:47 PM
MSHO
Data Elements
Measurement Year
Data collection methodology (Administrative only)
Eligible member population
Numerator events by administrative data
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
HEDIS 2014 (Reporting Year 2013)
General
2013
A
13-17 Year Olds
Initiation of Engagement
18+ Year Olds
Initiation of Engagement
0
0
NA
NA
NA
Total
Initiation of Engagement
160
0
NA
NA
NA
77
48.13%
40.07%
56.18%
160
6
3.75%
0.49%
7.01%
77
48.13%
40.07%
56.18%
6
3.75%
0.49%
7.01%
Page 86
Access/Availability of Care
UCare Minnesota
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
Data Last Refreshed:
Jul 8, 2015 2:47 PM
SNBC-SNP
Data Elements
Measurement Year
Data collection methodology (Administrative only)
Eligible member population
Numerator events by administrative data
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
HEDIS 2014 (Reporting Year 2013)
General
13-17 Year Olds
Initiation of Engagement
18+ Year Olds
Initiation of Engagement
Total
Initiation of Engagement
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 87
Access/Availability of Care
UCare Minnesota
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
Data Last Refreshed:
Jul 8, 2015 2:47 PM
SNBC-Non SNP
Data Elements
Measurement Year
Data collection methodology (Administrative only)
Eligible member population
Numerator events by administrative data
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
HEDIS 2014 (Reporting Year 2013)
General
2013
A
13-17 Year Olds
Initiation of Engagement
18+ Year Olds
Initiation of Engagement
0
0
NA
NA
NA
Total
Initiation of Engagement
1820
0
NA
NA
NA
721
39.62%
37.34%
41.89%
1820
154
8.46%
7.16%
9.77%
721
39.62%
37.34%
41.89%
154
8.46%
7.16%
9.77%
Page 88
Access/Availability of Care
UCare Minnesota
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
Data Last Refreshed:
Jul 8, 2015 2:47 PM
Minnesota Health Care Programs - Managed Care (MA Expand F&C)
Data Elements
Measurement Year
Data collection methodology (Administrative only)
Eligible member population
Numerator events by administrative data
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
HEDIS 2014 (Reporting Year 2013)
General
2013
A
13-17 Year Olds
Initiation of Engagement
18+ Year Olds
Initiation of Engagement
299
129
43.14%
37.36%
48.92%
Total
Initiation of Engagement
3605
65
21.74%
16.90%
26.58%
1274
35.34%
33.77%
36.91%
3904
499
13.84%
12.70%
14.98%
1403
35.94%
34.42%
37.46%
564
14.45%
13.33%
15.56%
Page 89
Access/Availability of Care
UCare Minnesota
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
Data Last Refreshed:
Jul 8, 2015 2:47 PM
Minnesota Health Care Programs - Managed Care (MN Care)
Data Elements
Measurement Year
Data collection methodology (Administrative only)
Eligible member population
Numerator events by administrative data
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
HEDIS 2014 (Reporting Year 2013)
General
2013
A
13-17 Year Olds
Initiation of Engagement
18+ Year Olds
Initiation of Engagement
41
16
39.02%
22.87%
55.18%
Total
Initiation of Engagement
728
11
26.83%
12.05%
41.61%
232
31.87%
28.41%
35.32%
769
86
11.81%
9.40%
14.23%
248
32.25%
28.88%
35.62%
97
12.61%
10.20%
15.03%
Page 90
Access/Availability of Care
UCare Minnesota
Prenatal and Postpartum Care
Data Last Refreshed:
Jul 8, 2015 2:47 PM
Commercial
Timeliness of
Prenatal Care
Postpartum
Care
Current year's administrative rate (before exclusions)
NR
NR
Minimum required sample size (MRSS) or other sample size
Oversampling rate
Final sample size (FSS)
Number of numerator events by administrative data in FSS
Administrative rate on FSS
NR
NR
NR
NR
NR
NR
NR
NR
Data Elements
Measurement Year
Data collection methodology (Administrative or Hybrid)
Eligible member population
Number of numerator events by administrative data in eligible
population (before exclusions)
Number of original sample records excluded because of valid
data errors
Number of employee/dependent medical records excluded
Records added from the oversample list
Denominator
Numerator events by administrative data
Numerator events by medical record
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
HEDIS 2014 (Reporting Year 2013)
Page 91
Access/Availability of Care
UCare Minnesota
Prenatal and Postpartum Care
Data Last Refreshed:
Jul 8, 2015 2:47 PM
Minnesota Health Care Programs - Managed Care (MA Expand F&C)
Timeliness of
Prenatal Care
Postpartum
Care
Measurement Year
Data collection methodology (Administrative or Hybrid)
Eligible member population
2013
H
6194
2013
H
6194
Number of numerator events by administrative data in eligible
population (before exclusions)
2958
2871
47.76%
411
5.00%
432
217
46.35%
411
5.00%
432
208
50.23%
48.15%
1
1
0
1
411
203
105
0
1
411
200
74.94%
70.63%
79.25%
48.66%
43.71%
53.62%
Data Elements
Current year's administrative rate (before exclusions)
Minimum required sample size (MRSS) or other sample size
Oversampling rate
Final sample size (FSS)
Number of numerator events by administrative data in FSS
Administrative rate on FSS
Number of original sample records excluded because of valid
data errors
Number of employee/dependent medical records excluded
Records added from the oversample list
Denominator
Numerator events by administrative data
Numerator events by medical record
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
HEDIS 2014 (Reporting Year 2013)
Page 92
Access/Availability of Care
UCare Minnesota
Prenatal and Postpartum Care
Data Last Refreshed:
Jul 8, 2015 2:47 PM
Minnesota Health Care Programs - Managed Care (MN Care)
Data Elements
Measurement Year
Data collection methodology (Administrative or Hybrid)
Eligible member population
Number of numerator events by administrative data in eligible
Current year's administrative rate (before exclusions)
Minimum required sample size (MRSS) or other sample size
Oversampling rate
Final sample size (FSS)
Number of numerator events by administrative data in FSS
Administrative rate on FSS
Number of original sample records excluded because of valid
Number of employee/dependent medical records excluded
Records added from the oversample list
Denominator
Numerator events by administrative data
Numerator events by medical record
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
HEDIS 2014 (Reporting Year 2013)
Timeliness of
2013
H
404
253
62.62%
404
0.00%
404
253
62.62%
2
0
0
402
252
89
84.83%
81.19%
88.46%
Postpartum
2013
H
404
163
40.35%
404
0.00%
404
163
40.35%
2
0
0
402
162
109
67.41%
62.71%
72.12%
Page 93
Use of Services
UCare Minnesota
Well Child Visits in the First 15 Months of Life
Data Last Refreshed:
Jul 8, 2015 2:47 PM
Commercial
Data Elements
General
Measure
Data
Zero Visits
1 visit
2 visits
3 visits
4 visits
5 visits
6 or more
visits
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator events by admin data in eligible
population
Currect Year's Administrative Rate
Minimum Required Sample Size
Oversampling Rate
Final sample size (FSS)
Numerator events by admin data in FSS
Administrative rate on FSS
Number of Records Excluded Because of
Valid Data Errors
Number of employee/dependent medical
records excluded
Additional Records Added from the
Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
Page 94
Use of Services
UCare Minnesota
Well Child Visits in the First 15 Months of Life
Data Last Refreshed:
Jul 8, 2015 2:47 PM
Minnesota Health Care Programs - Managed Care (MA Expand F&C)
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
General
Measure
Data
0
Number of employee/dependent medical
records excluded
0
Additional Records Added from the
Oversample List
0
HEDIS 2014 (Reporting Year 2013)
2 visits
3 visits
4 visits
5 visits
6 or more
visits
87
1.85%
110
2.33%
194
4.11%
315
6.68%
614
13.02%
1042
22.10%
2353
49.90%
3
0.69%
0
0.00%
0
0.00%
0
0.00%
0
0.00%
0
0.00%
210
48.61%
3
0
0.73%
0.00%
1.67%
0
5
1.22%
0.04%
2.40%
0
9
2.19%
0.65%
3.73%
0
28
6.81%
4.26%
9.37%
0
42
10.22%
7.17%
13.27%
0
69
16.79%
13.05%
20.52%
200
55
62.04%
57.23%
66.86%
411
5.00%
432
Number of Records Excluded Because of
Valid Data Errors
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
1 visit
2013
H
4715
Numerator events by admin data in eligible
population
Currect Year's Administrative Rate
Minimum Required Sample Size
Oversampling Rate
Final sample size (FSS)
Numerator events by admin data in FSS
Administrative rate on FSS
Zero Visits
411
Page 95
Use of Services
UCare Minnesota
Well Child Visits in the First 15 Months of Life
Minnesota Health Care Programs - Managed Care (MN Care)
Data Elements
General
Zero Visits
Measurement Year
2013
Data Collection Methodology
H
Eligible Member Population
283
4
Numerator events by admin data in eligible
1.41%
Currect Year's Administrative Rate
Minimum Required Sample Size
283
Oversampling Rate
0.00%
Final sample size (FSS)
283
2
Numerator events by admin data in FSS
0.71%
Administrative rate on FSS
Number of Records Excluded Because of
0
Number of employee/dependent medical
0
Additional Records Added from the
0
Denominator
283
2
Numerator Events by Admin Data
0
Numerator Events by Medical Record
0.71%
Reported Rate
0.00%
Lower 95% Confidence Interval
1.86%
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
Data Last Refreshed:
Jul 8, 2015 2:47 PM
1 visit
2 visits
3 visits
4 visits
5 visits
6 or more
10
3.53%
9
3.18%
8
2.83%
25
8.83%
65
22.97%
162
57.24%
0
0.00%
0
0.00%
0
0.00%
0
0.00%
0
0.00%
162
57.24%
0
7
2.47%
0.49%
4.46%
0
9
3.18%
0.96%
5.40%
0
8
2.83%
0.72%
4.93%
0
16
5.65%
2.79%
8.52%
0
50
17.67%
13.05%
22.29%
162
29
67.49%
61.86%
73.13%
Page 96
Use of Services
UCare Minnesota
Well Child Visits in the 3rd, 4th, 5th and 6th Years of Life
Data Last Refreshed:
Jul 8, 2015 2:47 PM
MA Expand
F&C
MN Care
Measurement Year
Data Collection Methodology
Eligible Member Population
2013
H
12753
2013
H
2415
Numerator events by admin data in eligible
population
8728
1690
NR
68.44%
411
5.00%
432
302
69.98%
411
5.00%
432
313
NR
69.91%
0
72.45%
0
0
0
0
411
289
6
71.78%
67.30%
76.25%
0
411
298
4
73.48%
69.09%
77.87%
Data Elements
Current Year's Admin Rate
Minimum Required Sample Size
Oversampling Rate
Final sample size (FSS)
Numerator events by admin data in FSS
Administrative rate on FSS
Records Excluded because of Valid Data Errors
Commercial
Number of employee/dependent medical records
excluded
Records Added from the Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
NR
NR
NR
Page 97
Use of Services
UCare Minnesota
Adolescent Well-Care Visits
Data Last Refreshed:
Jul 8, 2015 2:47 PM
MA Expand
F&C
MN Care
Measurement Year
Data Collection Methodology
Eligible Member Population
2013
H
17998
2013
H
5035
Numerator events by admin data in eligible
population
6791
1738
NR
37.73%
411
5.00%
432
155
34.52%
411
5.00%
432
163
NR
35.88%
0
37.73%
0
0
0
0
411
144
11
37.71%
32.91%
42.52%
0
411
154
14
40.88%
36.00%
45.75%
Data Elements
Current Year's Admin Rate
Minimum Required Sample Size
Oversampling Rate
Final sample size (FSS)
Numerator events by admin data in FSS
Administrative rate on FSS
Records Excluded because of Valid Data Errors
Commercial
Number of employee/dependent medical records
excluded
Records Added from the Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
NR
NR
NR
Page 98
Use of Services
UCare Minnesota
Ambulatory Care
Data Last Refreshed:
Jul 8, 2015 2:47 PM
Commercial
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Member Months
NR
Outpatient Visits (Excludes
MH/CD)
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Visits
NR
HEDIS 2014 (Reporting Year 2013)
Visits/ 1,000
Member
Months
NR
NR
NR
NR
NR
NR
NR
NR
NR
Emergency Room Visits
Visits
NR
Visits/ 1,000
Member
Months
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 99
Use of Services
UCare Minnesota
Ambulatory Care
Data Last Refreshed:
Jul 8, 2015 2:47 PM
Medicare Advantage
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Member Months
0
0
0
1677
34174
597472
312626
118772
0
1064721
Outpatient Visits (Excludes
MH/CD)
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Visits
0
0
0
1073
27846
343809
235007
96877
0
704612
HEDIS 2014 (Reporting Year 2013)
Visits/ 1,000
Member
Months
NA
NA
NA
639.83
814.83
575.44
751.72
815.66
661.78
Emergency Room Visits
Visits
0
0
0
92
1205
9133
7310
3793
0
21533
Visits/ 1,000
Member
Months
NA
NA
NA
54.86
35.26
15.29
23.38
31.94
20.22
Page 100
Use of Services
UCare Minnesota
Ambulatory Care
Data Last Refreshed:
Jul 8, 2015 2:47 PM
MSHO
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Member Months
0
0
0
0
4
46090
38818
29122
0
114034
Outpatient Visits (Excludes
MH/CD)
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Visits
0
0
0
0
3
40146
35420
24009
0
99578
HEDIS 2014 (Reporting Year 2013)
Visits/ 1,000
Member
Months
NA
NA
NA
NA
750.00
871.03
912.46
824.43
873.23
Emergency Room Visits
Visits
0
0
0
0
0
2188
1615
1099
0
4902
Visits/ 1,000
Member
Months
NA
NA
NA
NA
0.00
47.47
41.60
37.74
42.99
Page 101
Use of Services
UCare Minnesota
Ambulatory Care
Data Last Refreshed:
Jul 8, 2015 2:47 PM
SNBC-SNP
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Member Months
NR
Outpatient Visits (Excludes
MH/CD)
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Visits
NR
HEDIS 2014 (Reporting Year 2013)
Visits/ 1,000
Member
Months
NR
NR
NR
NR
NR
NR
NR
NR
NR
Emergency Room Visits
Visits
NR
Visits/ 1,000
Member
Months
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 102
Use of Services
UCare Minnesota
Ambulatory Care
Data Last Refreshed:
Jul 8, 2015 2:47 PM
SNBC-Non SNP
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Member Months
0
0
2996
92244
114000
4455
0
0
0
213695
Outpatient Visits (Excludes
MH/CD)
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Visits
0
0
908
53955
98221
4194
0
0
0
157278
HEDIS 2014 (Reporting Year 2013)
Visits/ 1,000
Member
Months
NA
NA
303.07
584.92
861.59
941.41
NA
NA
735.99
Emergency Room Visits
Visits
0
0
152
10348
10107
309
0
0
0
20916
Visits/ 1,000
Member
Months
NA
NA
50.73
112.18
88.66
69.36
NA
NA
97.88
Page 103
Use of Services
UCare Minnesota
Ambulatory Care
Data Last Refreshed:
Jul 8, 2015 2:47 PM
Minnesota Health Care Programs - Managed Care (MA Expand F&C)
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Member Months
105646
588041
415224
527605
157472
80
1
1
0
1794070
Outpatient Visits (Excludes
MH/CD)
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Visits
86772
196021
107098
253645
98669
50
1
0
0
742256
HEDIS 2014 (Reporting Year 2013)
Visits/ 1,000
Member
Months
821.35
333.35
257.93
480.75
626.58
625.00
1000.00
0.00
413.73
Emergency Room Visits
Visits
11290
31848
14337
48208
9200
2
0
0
0
114885
Visits/ 1,000
Member
Months
106.87
54.16
34.53
91.37
58.42
25.00
0.00
0.00
64.04
Page 104
Use of Services
UCare Minnesota
Ambulatory Care
Data Last Refreshed:
Jul 8, 2015 2:47 PM
Minnesota Health Care Programs - Managed Care (MN Care)
Member Months
Age
<1
4729
1-9
80166
10-19
83226
20-44
147419
45-64
110390
65-74
750
75-84
148
85+
45
Unknown
0
426873
Total
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Outpatient Visits (Excludes
Visits
Visits/ 1,000
3911
827.02
24327
303.46
22607
271.63
59882
406.20
61446
556.63
459
612.00
166
1121.62
44
977.78
0
172842
404.90
HEDIS 2014 (Reporting Year 2013)
Emergency Room Visits
Visits
Visits/ 1,000
291
61.54
2483
30.97
2153
25.87
6292
42.68
3783
34.27
21
28.00
11
74.32
2
44.44
0
15036
35.22
Page 105
Use of Services
UCare Minnesota
Inpatient Utilization - General Hospital/Acute Care
Data Last Refreshed:
Jul 8, 2015 2:47 PM
Commercial
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Age
Total Inpatient
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Medicine
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Surgery
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Maternity
10-19
20-44
45-64
Unknown
Total
Member Months
NR
Discharges
Discharges /
1,000 Member
Months
Days
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
HEDIS 2014 (Reporting Year 2013)
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Days / 1,000
Member
Months
NR
NR
NR
NR
NR
NR
Average
Length of Stay
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 106
Use of Services
UCare Minnesota
Inpatient Utilization - General Hospital/Acute Care
Data Last Refreshed:
Jul 8, 2015 2:47 PM
Medicare Advantage
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Age
Total Inpatient
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Medicine
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Surgery
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Maternity
10-19
20-44
45-64
Unknown
Total
Member Months
0
0
0
1677
34174
597472
312626
118772
0
1064721
Discharges
Discharges /
1,000 Member
Months
0
0
0
18
826
8070
6862
4121
0
19897
NA
NA
NA
10.73
24.17
13.51
21.95
34.70
0
0
0
11
496
4260
4357
3282
0
12406
NA
NA
NA
6.56
14.51
7.13
13.94
27.63
0
0
0
7
330
3809
2504
839
0
7489
NA
NA
NA
4.17
9.66
6.38
8.01
7.06
0
0
0
0
0
NA
0.00
0.00
HEDIS 2014 (Reporting Year 2013)
18.69
11.65
7.03
0.00
Days
Days / 1,000
Member
Months
0
0
0
62
3907
33057
28947
16993
0
82966
NA
NA
NA
36.97
114.33
55.33
92.59
143.07
0
0
0
34
2229
16969
16930
12529
0
48691
NA
NA
NA
20.27
65.23
28.40
54.15
105.49
0
0
0
28
1678
16084
12015
4464
0
34269
NA
NA
NA
16.70
49.10
26.92
38.43
37.58
0
0
0
0
0
NA
0.00
0.00
77.92
45.73
32.19
0.00
Average
Length of Stay
NA
NA
NA
3.44
4.73
4.10
4.22
4.12
NA
4.17
NA
NA
NA
3.09
4.49
3.98
3.89
3.82
NA
3.92
NA
NA
NA
4.00
5.08
4.22
4.80
5.32
NA
4.58
NA
NA
NA
NA
NA
Page 107
Use of Services
UCare Minnesota
Inpatient Utilization - General Hospital/Acute Care
Data Last Refreshed:
Jul 8, 2015 2:47 PM
MSHO
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Age
Total Inpatient
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Medicine
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Surgery
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Maternity
10-19
20-44
45-64
Unknown
Total
Member Months
0
0
0
0
4
46090
38818
29122
0
114034
Discharges
Discharges /
1,000 Member
Months
0
0
0
0
0
1341
1351
1064
0
3756
NA
NA
NA
NA
0.00
29.10
34.80
36.54
0
0
0
0
0
1057
1073
924
0
3054
NA
NA
NA
NA
0.00
22.93
27.64
31.73
0
0
0
0
0
283
278
140
0
701
NA
NA
NA
NA
0.00
6.14
7.16
4.81
0
0
0
0
0
NA
NA
0.00
HEDIS 2014 (Reporting Year 2013)
32.94
26.78
6.15
0.00
Days
Days / 1,000
Member
Months
0
0
0
0
0
5836
6262
4997
0
17095
NA
NA
NA
NA
0.00
126.62
161.32
171.59
0
0
0
0
0
4168
4557
4194
0
12919
NA
NA
NA
NA
0.00
90.43
117.39
144.01
0
0
0
0
0
1664
1705
803
0
4172
NA
NA
NA
NA
0.00
36.10
43.92
27.57
0
0
0
0
0
NA
NA
0.00
149.91
113.29
36.59
0.00
Average
Length of Stay
NA
NA
NA
NA
NA
4.35
4.64
4.70
NA
4.55
NA
NA
NA
NA
NA
3.94
4.25
4.54
NA
4.23
NA
NA
NA
NA
NA
5.88
6.13
5.74
NA
5.95
NA
NA
NA
NA
NA
Page 108
Use of Services
UCare Minnesota
Inpatient Utilization - General Hospital/Acute Care
Data Last Refreshed:
Jul 8, 2015 2:47 PM
SNBC-SNP
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Age
Total Inpatient
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Medicine
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Surgery
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Maternity
10-19
20-44
45-64
Unknown
Total
Member Months
NR
Discharges
Discharges /
1,000 Member
Months
Days
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
HEDIS 2014 (Reporting Year 2013)
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Days / 1,000
Member
Months
NR
NR
NR
NR
NR
NR
Average
Length of Stay
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 109
Use of Services
UCare Minnesota
Inpatient Utilization - General Hospital/Acute Care
Data Last Refreshed:
Jul 8, 2015 2:47 PM
SNBC-Non SNP
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Age
Total Inpatient
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Medicine
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Surgery
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Maternity
10-19
20-44
45-64
Unknown
Total
Member Months
0
0
2996
92244
114000
4455
0
0
0
213695
Discharges
Discharges /
1,000 Member
Months
0
0
38
1618
3000
153
0
0
0
4809
NA
NA
12.68
17.54
26.32
34.34
NA
NA
0
0
23
1118
2262
119
0
0
0
3522
NA
NA
7.68
12.12
19.84
26.71
NA
NA
0
0
10
330
738
34
0
0
0
1112
NA
NA
3.34
3.58
6.47
7.63
NA
NA
5
170
0
0
175
1.67
1.84
0.00
HEDIS 2014 (Reporting Year 2013)
22.50
16.48
5.20
0.84
Days
Days / 1,000
Member
Months
0
0
129
7117
14716
887
0
0
0
22849
NA
NA
43.06
77.15
129.09
199.10
NA
NA
0
0
82
4661
10277
683
0
0
0
15703
NA
NA
27.37
50.53
90.15
153.31
NA
NA
0
0
30
1917
4439
204
0
0
0
6590
NA
NA
10.01
20.78
38.94
45.79
NA
NA
17
539
0
0
556
5.67
5.84
0.00
106.92
73.48
30.84
2.66
Average
Length of Stay
NA
NA
3.39
4.40
4.91
5.80
NA
NA
NA
4.75
NA
NA
3.57
4.17
4.54
5.74
NA
NA
NA
4.46
NA
NA
3.00
5.81
6.01
6.00
NA
NA
NA
5.93
3.40
3.17
NA
NA
3.18
Page 110
Use of Services
UCare Minnesota
Inpatient Utilization - General Hospital/Acute Care
Data Last Refreshed:
Jul 8, 2015 2:47 PM
Minnesota Health Care Programs - Managed Care (MA Expand F&C)
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Age
Total Inpatient
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Medicine
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Surgery
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Maternity
10-19
20-44
45-64
Unknown
Total
Member Months
105646
588041
415224
527605
157472
80
1
1
0
1794070
Discharges
Discharges /
1,000 Member
Months
1168
1041
1164
10098
1970
1
0
0
0
15442
11.06
1.77
2.80
19.14
12.51
12.50
0.00
0.00
1026
870
371
2084
1218
1
0
0
0
5570
9.71
1.48
0.89
3.95
7.73
12.50
0.00
0.00
139
171
162
950
730
0
0
0
0
2152
1.32
0.29
0.39
1.80
4.64
0.00
0.00
0.00
631
7064
21
0
7716
1.52
13.39
0.13
HEDIS 2014 (Reporting Year 2013)
8.61
3.10
1.20
7.01
Days
Days / 1,000
Member
Months
5412
3267
3314
27506
7693
2
0
0
0
47194
51.23
5.56
7.98
52.13
48.85
25.00
0.00
0.00
4133
2357
1098
6251
4191
2
0
0
0
18032
39.12
4.01
2.64
11.85
26.61
25.00
0.00
0.00
26.31
10.05
1274
910
649
3560
3425
0
0
0
0
9818
12.06
1.55
1.56
6.75
21.75
0.00
0.00
0.00
1567
17695
76
0
19338
3.77
33.54
0.48
5.47
17.58
Average
Length of Stay
4.63
3.14
2.85
2.72
3.91
2.00
NA
NA
NA
3.06
4.03
2.71
2.96
3.00
3.44
2.00
NA
NA
NA
3.24
9.17
5.32
4.01
3.75
4.69
NA
NA
NA
NA
4.56
2.48
2.50
3.62
NA
2.51
Page 111
Use of Services
UCare Minnesota
Inpatient Utilization - General Hospital/Acute Care
Data Last Refreshed:
Jul 8, 2015 2:47 PM
Minnesota Health Care Programs - Managed Care (MN Care)
Age
Member Months
<1
4729
1-9
80166
10-19
83226
20-44
147419
45-64
110390
65-74
750
75-84
148
85+
45
Unknown
0
426873
Total
Age
Total Inpatient
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Medicine
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Surgery
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Maternity
10-19
20-44
45-64
Unknown
Total
Discharges
Discharges /
Days
Days / 1,000
Average
42
106
144
863
576
1
0
0
0
1732
8.88
1.32
1.73
5.85
5.22
1.33
0.00
0.00
125
262
424
2492
2154
5
0
0
0
5462
26.43
3.27
5.09
16.90
19.51
6.67
0.00
0.00
2.98
2.47
2.94
2.89
3.74
5.00
NA
NA
NA
3.15
30
84
75
241
336
1
0
0
0
767
6.34
1.05
0.90
1.63
3.04
1.33
0.00
0.00
82
189
177
683
1300
5
0
0
0
2436
17.34
2.36
2.13
4.63
11.78
6.67
0.00
0.00
12
22
38
162
240
0
0
0
0
474
2.54
0.27
0.46
1.10
2.17
0.00
0.00
0.00
43
73
162
551
854
0
0
0
0
1683
9.09
0.91
1.95
3.74
7.74
0.00
0.00
0.00
31
460
0
0
491
0.37
3.12
0.00
85
1258
0
0
1343
1.02
8.53
0.00
HEDIS 2014 (Reporting Year 2013)
4.06
1.80
1.11
1.44
12.80
5.71
3.94
3.94
2.73
2.25
2.36
2.83
3.87
5.00
NA
NA
NA
3.18
3.58
3.32
4.26
3.40
3.56
NA
NA
NA
NA
3.55
2.74
2.73
NA
NA
2.74
Page 112
Use of Services
UCare Minnesota
Identification of Alcohol and Other Drug Services
Data Last Refreshed:
Jul 8, 2015 2:47 PM
Commercial
Age
0-12
13-17
18-24
25-34
35-64
65+
Unknown
Total
Male
NR
Female
Total
NR
NR
NR
NR
NR
NR
NR
NR
NR
Any Services
Age
0-12
13-17
18-24
25-34
35-64
65+
Unknown
Total
Sex
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
Number
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
HEDIS 2014 (Reporting Year 2013)
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Member Months
(Inpatient)
Member Months
(Any)
Male
NR
Female
Total
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Number
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Female
Total
NR
NR
NR
NR
NR
NR
NR
NR
NR
Intensive Outpatient/Partial
Hospitalization
Inpatient
Percent
Male
Percent
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Number
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Percent
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Member Months
(Outpatient/ED)
Male
NR
Female
Total
NR
NR
NR
NR
NR
NR
NR
NR
NR
Outpatient/ED
Number
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Percent
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 113
Use of Services
UCare Minnesota
Identification of Alcohol and Other Drug Services
Data Last Refreshed:
Jul 8, 2015 2:47 PM
Medicare Advantage
Member Months
(Any)
Age
0-12
13-17
18-24
25-34
35-64
65+
Unknown
Total
13-17
18-24
25-34
35-64
65+
Unknown
Total
Member Months
(Outpatient/ED)
Male
Female
Total
Male
Female
Total
Male
Female
Total
Male
Female
Total
0
0
7
224
17161
442147
0
459539
0
0
0
108
18351
586723
0
605182
0
0
7
332
35512
1028870
0
1064721
0
0
7
224
17161
442147
0
459539
0
0
0
108
18351
586723
0
605182
0
0
7
332
35512
1028870
0
1064721
0
0
7
224
17161
442147
0
459539
0
0
0
108
18351
586723
0
605182
0
0
7
332
35512
1028870
0
1064721
0
0
7
224
17161
442147
0
459539
0
0
0
108
18351
586723
0
605182
0
0
7
332
35512
1028870
0
1064721
Any Services
Age
0-12
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Member Months
(Inpatient)
Sex
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
Intensive Outpatient/Partial
Hospitalization
Inpatient
Outpatient/ED
Number
Percent
Number
Percent
Number
Percent
Number
Percent
0
0
0
0
0
0
1
0
1
0
1
1
165
158
323
777
563
1340
0
0
0
943
722
1665
NA
NA
NA
NA
NA
NA
171.43%
NA
171.43%
0.00%
11.11%
3.61%
11.54%
10.33%
10.91%
2.11%
1.15%
1.56%
NA
NA
NA
2.46%
1.43%
1.88%
0
0
0
0
0
0
0
0
0
0
0
0
55
52
107
378
262
640
0
0
0
433
314
747
NA
NA
NA
NA
NA
NA
0.00%
NA
0.00%
0.00%
0.00%
0.00%
3.85%
3.40%
3.62%
1.03%
0.54%
0.75%
NA
NA
NA
1.13%
0.62%
0.84%
0
0
0
0
0
0
0
0
0
0
0
0
2
8
10
8
7
15
0
0
0
10
15
25
NA
NA
NA
NA
NA
NA
0.00%
NA
0.00%
0.00%
0.00%
0.00%
0.14%
0.52%
0.34%
0.02%
0.01%
0.02%
NA
NA
NA
0.03%
0.03%
0.03%
0
0
0
0
0
0
1
0
1
0
1
1
142
133
275
513
383
896
0
0
0
656
517
1173
NA
NA
NA
NA
NA
NA
171.43%
NA
171.43%
0.00%
11.11%
3.61%
9.93%
8.70%
9.29%
1.39%
0.78%
1.05%
NA
NA
NA
1.71%
1.03%
1.32%
HEDIS 2014 (Reporting Year 2013)
Page 114
Use of Services
UCare Minnesota
Identification of Alcohol and Other Drug Services
Data Last Refreshed:
Jul 8, 2015 2:47 PM
MSHO
Member Months
(Any)
Age
0-12
13-17
18-24
25-34
35-64
65+
Unknown
Total
13-17
18-24
25-34
35-64
65+
Unknown
Total
Member Months
(Outpatient/ED)
Male
Female
Total
Male
Female
Total
Male
Female
Total
Male
Female
Total
0
0
0
0
2
34108
0
34110
0
0
0
0
2
79922
0
79924
0
0
0
0
4
114030
0
114034
0
0
0
0
2
34108
0
34110
0
0
0
0
2
79922
0
79924
0
0
0
0
4
114030
0
114034
0
0
0
0
2
34108
0
34110
0
0
0
0
2
79922
0
79924
0
0
0
0
4
114030
0
114034
0
0
0
0
2
34108
0
34110
0
0
0
0
2
79922
0
79924
0
0
0
0
4
114030
0
114034
Any Services
Age
0-12
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Member Months
(Inpatient)
Sex
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
Intensive Outpatient/Partial
Hospitalization
Inpatient
Outpatient/ED
Number
Percent
Number
Percent
Number
Percent
Number
Percent
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
176
158
334
0
0
0
176
158
334
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00%
0.00%
0.00%
6.19%
2.37%
3.51%
NA
NA
NA
6.19%
2.37%
3.51%
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
83
71
154
0
0
0
83
71
154
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00%
0.00%
0.00%
2.92%
1.07%
1.62%
NA
NA
NA
2.92%
1.07%
1.62%
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
1
2
0
0
0
1
1
2
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00%
0.00%
0.00%
0.04%
0.02%
0.02%
NA
NA
NA
0.04%
0.02%
0.02%
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
125
102
227
0
0
0
125
102
227
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00%
0.00%
0.00%
4.40%
1.53%
2.39%
NA
NA
NA
4.40%
1.53%
2.39%
HEDIS 2014 (Reporting Year 2013)
Page 115
Use of Services
UCare Minnesota
Identification of Alcohol and Other Drug Services
Data Last Refreshed:
Jul 8, 2015 2:47 PM
SNBC-SNP
Member Months
(Any)
Age
0-12
13-17
18-24
25-34
35-64
65+
Unknown
Total
Male
NR
Female
Total
NR
NR
NR
NR
NR
NR
NR
NR
NR
Any Services
Age
0-12
13-17
18-24
25-34
35-64
65+
Unknown
Total
Sex
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
Number
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
HEDIS 2014 (Reporting Year 2013)
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Member Months
(Inpatient)
Male
NR
Female
Total
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Number
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Female
Total
NR
NR
NR
NR
NR
NR
NR
NR
NR
Intensive Outpatient/Partial
Hospitalization
Inpatient
Percent
Male
Percent
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Number
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Percent
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Member Months
(Outpatient/ED)
Male
NR
Female
Total
NR
NR
NR
NR
NR
NR
NR
NR
NR
Outpatient/ED
Number
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Percent
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 116
Use of Services
UCare Minnesota
Identification of Alcohol and Other Drug Services
Data Last Refreshed:
Jul 8, 2015 2:47 PM
SNBC-Non SNP
Age
0-12
13-17
18-24
25-34
35-64
65+
Unknown
Total
13-17
18-24
25-34
35-64
65+
Unknown
Total
Member Months
(Outpatient/ED)
Male
Female
Total
Male
Female
Total
Male
Female
Total
Male
Female
Total
0
0
10344
21093
67998
1740
0
101175
0
0
7220
19325
83260
2715
0
112520
0
0
17564
40418
151258
4455
0
213695
0
0
10344
21093
67998
1740
0
101175
0
0
7220
19325
83260
2715
0
112520
0
0
17564
40418
151258
4455
0
213695
0
0
10344
21093
67998
1740
0
101175
0
0
7220
19325
83260
2715
0
112520
0
0
17564
40418
151258
4455
0
213695
0
0
10344
21093
67998
1740
0
101175
0
0
7220
19325
83260
2715
0
112520
0
0
17564
40418
151258
4455
0
213695
Any Services
Age
0-12
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Member Months
(Inpatient)
Member Months
(Any)
Sex
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
Intensive Outpatient/Partial
Hospitalization
Inpatient
Outpatient/ED
Number
Percent
Number
Percent
Number
Percent
Number
Percent
0
0
0
0
0
0
110
76
186
395
327
722
1560
1300
2860
19
14
33
0
0
0
2084
1717
3801
NA
NA
NA
NA
NA
NA
12.76%
12.63%
12.71%
22.47%
20.31%
21.44%
27.53%
18.74%
22.69%
13.10%
6.19%
8.89%
NA
NA
NA
24.72%
18.31%
21.34%
1
7
8
0
0
0
47
27
74
152
112
264
590
455
1045
5
7
12
0
0
0
795
608
1403
NA
NA
NA
NA
NA
NA
5.45%
4.49%
5.06%
8.65%
6.95%
7.84%
10.41%
6.56%
8.29%
3.45%
3.09%
3.23%
NA
NA
NA
9.43%
6.48%
7.88%
3
1
4
0
0
0
2
2
4
15
21
36
42
47
89
0
1
1
0
0
0
62
72
134
NA
NA
NA
NA
NA
NA
0.23%
0.33%
0.27%
0.85%
1.30%
1.07%
0.74%
0.68%
0.71%
0.00%
0.44%
0.27%
NA
NA
NA
0.74%
0.77%
0.75%
3
2
5
0
0
0
93
63
156
342
294
636
1352
1144
2496
17
11
28
0
0
0
1807
1514
3321
NA
NA
NA
NA
NA
NA
10.79%
10.47%
10.66%
19.46%
18.26%
18.88%
23.86%
16.49%
19.80%
11.72%
4.86%
7.54%
NA
NA
NA
21.43%
16.15%
18.65%
HEDIS 2014 (Reporting Year 2013)
Page 117
Use of Services
UCare Minnesota
Identification of Alcohol and Other Drug Services
Data Last Refreshed:
Jul 8, 2015 2:47 PM
Minnesota Health Care Programs - Managed Care (MA Expand F&C)
Member Months
(Any)
Age
0-12
13-17
18-24
25-34
35-64
65+
Total
13-17
18-24
25-34
35-64
65+
Unknown
Total
Member Months
(Outpatient/ED)
Male
Female
Total
Male
Female
Total
Male
Female
Total
Male
Female
Total
424106
101849
69892
77863
143375
36
817121
416043
105049
115982
170049
169780
46
976949
840149
206898
185874
247912
313155
82
1794070
424106
101849
69892
77863
143375
36
817121
416043
105049
115982
170049
169780
46
976949
840149
206898
185874
247912
313155
82
1794070
424106
101849
69892
77863
143375
36
817121
416043
105049
115982
170049
169780
46
976949
840149
206898
185874
247912
313155
82
1794070
424106
101849
69892
77863
143375
36
817121
416043
105049
115982
170049
169780
46
976949
840149
206898
185874
247912
313155
82
1794070
Any Services
Age
0-12
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Member Months
(Inpatient)
Sex
M
Total
M
Total
M
Total
M
Total
M
Total
M
Total
M
Total
M
F
Total
Intensive Outpatient/Partial
Hospitalization
Inpatient
Outpatient/ED
Number
Percent
Number
Percent
Number
Percent
Number
Percent
24
24
470
470
1097
1097
2029
2029
3323
3323
0
0
0
0
6943
NR
6943
0.07%
0.03%
5.54%
2.73%
18.83%
7.08%
31.27%
9.82%
27.81%
12.73%
0.00%
0.00%
NR
NR
10.20%
NR
4.64%
6
6
136
136
366
366
627
627
1072
1072
0
0
0
0
2207
NR
2207
0.02%
0.01%
1.60%
0.79%
6.28%
2.36%
9.66%
3.03%
8.97%
4.11%
0.00%
0.00%
NR
NR
3.24%
NR
1.48%
0
0
29
29
41
41
63
63
141
141
0
0
0
0
274
NR
274
0.00%
0.00%
0.34%
0.17%
0.70%
0.26%
0.97%
0.30%
1.18%
0.54%
0.00%
0.00%
NR
NR
0.40%
NR
0.18%
18
18
437
437
986
986
1841
1841
2999
2999
0
0
0
0
6281
NR
6281
0.05%
0.03%
5.15%
2.53%
16.93%
6.37%
28.37%
8.91%
25.10%
11.49%
0.00%
0.00%
NR
NR
9.22%
NR
4.20%
HEDIS 2014 (Reporting Year 2013)
Page 118
Use of Services
UCare Minnesota
Identification of Alcohol and Other Drug Services
Data Last Refreshed:
Jul 8, 2015 2:47 PM
Minnesota Health Care Programs - Managed Care (MN Care)
Member Months
(Any)
Age
0-12
13-17
18-24
25-34
35-64
65+
Unknown
Total
Male
57041
20286
21207
24122
68924
336
0
191916
Female
53150
19413
28205
37088
96494
607
0
234957
Total
110191
39699
49412
61210
165418
943
0
426873
Any Services
Age
0-12
13-17
18-24
25-34
35-64
65+
Unknown
Total
Sex
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
Number
1
1
2
65
42
107
153
122
275
273
208
481
629
561
1190
1
0
1
0
0
0
1122
934
2056
HEDIS 2014 (Reporting Year 2013)
Total
110191
39699
49412
61210
165418
943
0
426873
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Male
Female
Total
57041
53150
110191
20286
19413
39699
21207
28205
49412
24122
37088
61210
68924
96494
165418
336
607
943
0
0
0
191916
234957
426873
Percent
0.02%
0.02%
0.02%
1.30%
0.99%
1.15%
2.15%
0.98%
1.48%
1.84%
1.33%
1.53%
2.11%
1.12%
1.53%
0.00%
0.00%
0.00%
NA
NA
NA
1.37%
0.87%
1.10%
Intensive Outpatient/Partial
Hospitalization
Number
Percent
0
0.00%
0
0.00%
0
0.00%
5
0.30%
4
0.25%
9
0.27%
2
0.11%
5
0.21%
7
0.17%
9
0.45%
10
0.32%
19
0.37%
13
0.23%
13
0.16%
26
0.19%
0
0.00%
0
0.00%
0
0.00%
0
NA
0
NA
0
NA
29
0.18%
32
0.16%
61
0.17%
Member Months
(Inpatient)
Male
57041
20286
21207
24122
68924
336
0
191916
Female
53150
19413
28205
37088
96494
607
0
234957
Inpatient
Percent
0.02%
0.02%
0.02%
3.85%
2.60%
3.23%
8.66%
5.19%
6.68%
13.58%
6.73%
9.43%
10.95%
6.98%
8.63%
3.57%
0.00%
1.27%
NA
NA
NA
7.02%
4.77%
5.78%
Number
1
1
2
22
16
38
38
23
61
37
41
78
121
90
211
0
0
0
0
0
0
219
171
390
Member Months
(Outpatient/ED)
Male
57041
20286
21207
24122
68924
336
0
191916
Female
53150
19413
28205
37088
96494
607
0
234957
Total
110191
39699
49412
61210
165418
943
0
426873
Outpatient/ED
Number
0
0
0
60
37
97
141
111
252
258
192
450
577
529
1106
1
0
1
0
0
0
1037
869
1906
Percent
0.00%
0.00%
0.00%
3.55%
2.29%
2.93%
7.98%
4.72%
6.12%
12.83%
6.21%
8.82%
10.05%
6.58%
8.02%
3.57%
0.00%
1.27%
NA
NA
NA
6.48%
4.44%
5.36%
Page 119
Use of Services
UCare Minnesota
Mental Health Utilization - % of Members Receiving Inpatient, Day/Night and Ambulatory Services
Data Last Refreshed:
Jul 8, 2015 2:47 PM
Commercial
Member Months
(Any)
Age
0-12
13-17
18-64
65+
Unknown
Total
Male
NR
Member Months
(Inpatient)
Female
Total
NR
NR
NR
NR
NR
NR
NR
Any Services
Age
0-12
13-17
18-64
65+
Unknown
Total
Sex
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
Number
NR
NR
NR
NR
NR
NR
NR
NR
HEDIS 2014 (Reporting Year 2013)
Male
NR
Female
Total
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Number
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Intensive Outpatient/Partial
Hospitalization
Inpatient
Percent
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Total
Male
Female
Percent
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Number
NR
NR
NR
NR
NR
NR
NR
NR
Percent
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Member Months
(Outpatient/ED)
Male
NR
Female
Total
NR
NR
NR
NR
NR
NR
NR
Outpatient/ED
Number
NR
NR
NR
NR
NR
NR
NR
NR
Percent
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 120
Use of Services
UCare Minnesota
Mental Health Utilization - % of Members Receiving Inpatient, Day/Night and Ambulatory Services
Data Last Refreshed:
Jul 8, 2015 2:47 PM
Medicare Advantage
Member Months
(Any)
Age
0-12
13-17
18-64
65+
Unknown
Total
Member Months
(Inpatient)
Male
Female
Total
Male
Female
Total
0
0
17392
442147
0
459539
0
0
18459
586723
0
605182
0
0
35851
1028870
0
1064721
0
0
17392
442147
0
459539
0
0
18459
586723
0
605182
0
0
35851
1028870
0
1064721
Age
0-12
13-17
18-64
65+
Unknown
Total
Sex
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
0
0
17392
442147
0
459539
0
0
18459
586723
0
605182
0
0
35851
1028870
0
1064721
Intensive Outpatient/Partial
Hospitalization
Inpatient
Any Services
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Total
Male
Female
Member Months
(Outpatient/ED)
Male
Female
Total
0
0
17392
442147
0
459539
0
0
18459
586723
0
605182
0
0
35851
1028870
0
1064721
Outpatient/ED
Number
Percent
Number
Percent
Number
Percent
Number
Percent
0
0
0
0
0
0
269
472
741
953
2047
3000
0
0
0
1222
2519
3741
NA
NA
NA
NA
NA
NA
18.56%
30.68%
24.80%
2.59%
4.19%
3.50%
NA
NA
NA
3.19%
4.99%
4.22%
0
0
0
0
0
0
24
25
49
98
178
276
0
0
0
122
203
325
NA
NA
NA
NA
NA
NA
1.66%
1.63%
1.64%
0.27%
0.36%
0.32%
NA
NA
NA
0.32%
0.40%
0.37%
0
0
0
0
0
0
28
58
86
37
68
105
0
0
0
65
126
191
NA
NA
NA
NA
NA
NA
1.93%
3.77%
2.88%
0.10%
0.14%
0.12%
NA
NA
NA
0.17%
0.25%
0.22%
0
0
0
0
0
0
251
449
700
862
1902
2764
0
0
0
1113
2351
3464
NA
NA
NA
NA
NA
NA
17.32%
29.19%
23.43%
2.34%
3.89%
3.22%
NA
NA
NA
2.91%
4.66%
3.90%
HEDIS 2014 (Reporting Year 2013)
Page 121
Use of Services
UCare Minnesota
Mental Health Utilization - % of Members Receiving Inpatient, Day/Night and Ambulatory Services
Data Last Refreshed:
Jul 8, 2015 2:47 PM
MSHO
Member Months
(Any)
Age
0-12
13-17
18-64
65+
Unknown
Total
Member Months
(Inpatient)
Male
Female
Total
Male
Female
Total
0
0
2
34108
0
34110
0
0
2
79922
0
79924
0
0
4
114030
0
114034
0
0
2
34108
0
34110
0
0
2
79922
0
79924
0
0
4
114030
0
114034
Any Services
Age
0-12
13-17
18-64
65+
Unknown
Total
Sex
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Male
Female
Total
Male
Female
Total
0
0
2
34108
0
34110
0
0
2
34108
0
34110
0
0
2
79922
0
79924
0
0
4
114030
0
114034
0
0
2
79922
0
79924
0
0
4
114030
0
114034
Intensive Outpatient/Partial
Hospitalization
Inpatient
Member Months
(Outpatient/ED)
Outpatient/ED
Number
Percent
Number
Percent
Number
Percent
Number
Percent
0
0
0
0
0
0
0
0
0
450
955
1405
0
0
0
450
955
1405
NA
NA
NA
NA
NA
NA
0.00%
0.00%
0.00%
15.83%
14.34%
14.79%
NA
NA
NA
15.83%
14.34%
14.79%
0
0
0
0
0
0
0
0
0
59
117
176
0
0
0
59
117
176
NA
NA
NA
NA
NA
NA
0.00%
0.00%
0.00%
2.08%
1.76%
1.85%
NA
NA
NA
2.08%
1.76%
1.85%
0
0
0
0
0
0
0
0
0
16
46
62
0
0
0
16
46
62
NA
NA
NA
NA
NA
NA
0.00%
0.00%
0.00%
0.56%
0.69%
0.65%
NA
NA
NA
0.56%
0.69%
0.65%
0
0
0
0
0
0
0
0
0
403
874
1277
0
0
0
403
874
1277
NA
NA
NA
NA
NA
NA
0.00%
0.00%
0.00%
14.18%
13.12%
13.44%
NA
NA
NA
14.18%
13.12%
13.44%
HEDIS 2014 (Reporting Year 2013)
Page 122
Use of Services
UCare Minnesota
Mental Health Utilization - % of Members Receiving Inpatient, Day/Night and Ambulatory Services
Data Last Refreshed:
Jul 8, 2015 2:47 PM
SNBC-SNP
Member Months
(Any)
Age
0-12
13-17
18-64
65+
Unknown
Total
Male
NR
Member Months
(Inpatient)
Female
Total
NR
NR
NR
NR
NR
NR
NR
Any Services
Age
0-12
13-17
18-64
65+
Unknown
Total
Sex
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
Number
NR
NR
NR
NR
NR
NR
NR
NR
HEDIS 2014 (Reporting Year 2013)
Male
NR
Female
Total
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Number
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Intensive Outpatient/Partial
Hospitalization
Inpatient
Percent
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Total
Male
Female
Percent
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Number
NR
NR
NR
NR
NR
NR
NR
NR
Percent
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Member Months
(Outpatient/ED)
Male
NR
Female
Total
NR
NR
NR
NR
NR
NR
NR
Outpatient/ED
Number
NR
NR
NR
NR
NR
NR
NR
NR
Percent
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 123
Use of Services
UCare Minnesota
Mental Health Utilization - % of Members Receiving Inpatient, Day/Night and Ambulatory Services
Data Last Refreshed:
Jul 8, 2015 2:47 PM
SNBC-Non SNP
Member Months
(Inpatient)
Member Months
(Any)
Age
0-12
13-17
18-64
65+
Unknown
Total
Male
Female
Total
Male
Female
Total
0
0
99435
1740
0
101175
0
0
109805
2715
0
112520
0
0
209240
4455
0
213695
0
0
99435
1740
0
101175
0
0
109805
2715
0
112520
0
0
209240
4455
0
213695
Any Services
Age
0-12
13-17
18-64
65+
Unknown
Total
Sex
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Total
Male
Female
0
0
99435
1740
0
101175
0
0
109805
2715
0
112520
0
0
209240
4455
0
213695
Intensive Outpatient/Partial
Hospitalization
Inpatient
Member Months
(Outpatient/ED)
Male
Female
Total
0
0
99435
1740
0
101175
0
0
109805
2715
0
112520
0
0
209240
4455
0
213695
Outpatient/ED
Number
Percent
Number
Percent
Number
Percent
Number
Percent
0
0
0
0
0
0
3966
4967
8933
34
66
100
0
0
0
4000
5033
9033
NA
NA
NA
NA
NA
NA
47.86%
54.28%
51.23%
23.45%
29.17%
26.94%
NA
NA
NA
47.44%
53.68%
50.72%
0
0
0
0
0
0
452
407
859
3
5
8
0
0
0
455
412
867
NA
NA
NA
NA
NA
NA
5.45%
4.45%
4.93%
2.07%
2.21%
2.15%
NA
NA
NA
5.40%
4.39%
4.87%
0
0
0
0
0
0
510
643
1153
0
6
6
0
0
0
510
649
1159
NA
NA
NA
NA
NA
NA
6.15%
7.03%
6.61%
0.00%
2.65%
1.62%
NA
NA
NA
6.05%
6.92%
6.51%
0
0
0
0
0
0
3788
4795
8583
33
65
98
0
0
0
3821
4860
8681
NA
NA
NA
NA
NA
NA
45.71%
52.40%
49.22%
22.76%
28.73%
26.40%
NA
NA
NA
45.32%
51.83%
48.75%
HEDIS 2014 (Reporting Year 2013)
Page 124
Use of Services
UCare Minnesota
Mental Health Utilization - % of Members Receiving Inpatient, Day/Night and Ambulatory Services
Data Last Refreshed:
Jul 8, 2015 2:47 PM
Minnesota Health Care Programs - Managed Care(MA Expand F&C)
Member Months
(Any)
Age
0-12
13-17
18-64
65+
Unknown
Total
Member Months
(Inpatient)
Male
Female
Total
Male
Female
Total
424106
101849
291130
36
0
817121
416043
105049
455811
46
0
976949
840149
206898
746941
82
0
1794070
424106
101849
291130
36
0
817121
416043
105049
455811
46
0
976949
840149
206898
746941
82
0
1794070
Any Services
Age
0-12
13-17
18-64
65+
Unknown
Total
Sex
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Male
Female
Total
424106
101849
291130
36
0
817121
416043
105049
455811
46
0
976949
840149
206898
746941
82
0
1794070
Intensive Outpatient/Partial
Hospitalization
Inpatient
Member Months
(Outpatient/ED)
Male
Female
Total
424106
101849
291130
36
0
817121
416043
105049
455811
46
0
976949
840149
206898
746941
82
0
1794070
Outpatient/ED
Number
Percent
Number
Percent
Number
Percent
Number
Percent
3813
2768
6581
1504
1845
3349
6474
11341
17815
2
1
3
0
0
0
11793
15955
27748
10.79%
7.98%
9.40%
17.72%
21.08%
19.42%
26.68%
29.86%
28.62%
66.67%
26.09%
43.90%
NA
NA
NA
17.32%
19.60%
18.56%
77
65
142
123
233
356
531
623
1154
0
0
0
0
0
0
731
921
1652
0.22%
0.19%
0.20%
1.45%
2.66%
2.06%
2.19%
1.64%
1.85%
0.00%
0.00%
0.00%
NA
NA
NA
1.07%
1.13%
1.10%
584
373
957
273
395
668
902
1427
2329
0
0
0
0
0
0
1759
2195
3954
1.65%
1.08%
1.37%
3.22%
4.51%
3.87%
3.72%
3.76%
3.74%
0.00%
0.00%
0.00%
NA
NA
NA
2.58%
2.70%
2.64%
3640
2614
6254
1409
1682
3091
6028
10800
16828
2
1
3
0
0
0
11079
15097
26176
10.30%
7.54%
8.93%
16.60%
19.21%
17.93%
24.85%
28.43%
27.04%
66.67%
26.09%
43.90%
NA
NA
NA
16.27%
18.54%
17.51%
HEDIS 2014 (Reporting Year 2013)
Page 125
Use of Services
UCare Minnesota
Mental Health Utilization - % of Members Receiving Inpatient, Day/Night and Ambulatory Services
Data Last Refreshed:
Jul 8, 2015 2:47 PM
Minnesota Health Care Programs - Managed Care(MN Care)
Member Months
(Any)
Age
0-12
13-17
18-64
65+
Unknown
Total
Member Months
(Inpatient)
Male
Female
Total
Male
Female
Total
57041
20286
114253
336
0
191916
53150
19413
161787
607
0
234957
110191
39699
276040
943
0
426873
57041
20286
114253
336
0
191916
53150
19413
161787
607
0
234957
110191
39699
276040
943
0
426873
Any Services
Age
0-12
13-17
18-64
65+
Unknown
Total
Sex
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Total
Male
Female
57041
20286
114253
336
0
191916
53150
19413
161787
607
0
234957
110191
39699
276040
943
0
426873
Intensive Outpatient/Partial
Hospitalization
Inpatient
Member Months
(Outpatient/ED)
Male
Female
Total
57041
20286
114253
336
0
191916
53150
19413
161787
607
0
234957
110191
39699
276040
943
0
426873
Outpatient/ED
Number
Percent
Number
Percent
Number
Percent
Number
Percent
477
288
765
267
349
616
1388
2792
4180
1
7
8
0
0
0
2133
3436
5569
10.03%
6.50%
8.33%
15.79%
21.57%
18.62%
14.58%
20.71%
18.17%
3.57%
13.84%
10.18%
NA
NA
NA
13.34%
17.55%
15.66%
4
4
8
12
29
41
54
82
136
0
0
0
0
0
0
70
115
185
0.08%
0.09%
0.09%
0.71%
1.79%
1.24%
0.57%
0.61%
0.59%
0.00%
0.00%
0.00%
NA
NA
NA
0.44%
0.59%
0.52%
47
25
72
39
65
104
140
268
408
0
0
0
0
0
0
226
358
584
0.99%
0.56%
0.78%
2.31%
4.02%
3.14%
1.47%
1.99%
1.77%
0.00%
0.00%
0.00%
NA
NA
NA
1.41%
1.83%
1.64%
455
279
734
249
326
575
1312
2672
3984
1
7
8
0
0
0
2017
3284
5301
9.57%
6.30%
7.99%
14.73%
20.15%
17.38%
13.78%
19.82%
17.32%
3.57%
13.84%
10.18%
NA
NA
NA
12.61%
16.77%
14.90%
HEDIS 2014 (Reporting Year 2013)
Page 126
Use of Services
UCare Minnesota
Plan All-Cause Readmissions
Data Last Refreshed:
Jul 8, 2015 2:47 PM
Medicare Advantage
Count of Index Stays
(Denominator)
Age
18-44
45-54
55-64
Total
Age
65-74
75-84
85+
Total
Count of 30-Day
Readmissions
(Numerator)
Observed
Readmission
(Num/Den)
Average Adjusted
Probability
Total Variance
0
0
0
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
0
0
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Count of Index Stays
(Denominator)
Count of 30-Day
Readmissions
(Numerator)
Observed
Readmission
(Num/Den)
Average Adjusted
Probability
Total Variance
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Sex
M
F
Total
M
F
Total
M
F
Total
M
F
Total
Sex
M
F
Total
M
F
Total
M
F
Total
M
F
Total
HEDIS 2014 (Reporting Year 2013)
Page 127
Use of Services
UCare Minnesota
Plan All-Cause Readmissions
Data Last Refreshed:
Jul 8, 2015 2:47 PM
MSHO
Count of Index Stays
(Denominator)
Age
18-44
45-54
55-64
Total
Sex
M
F
Total
M
F
Total
M
F
Total
M
F
Total
0
0
0
0
0
0
0
0
0
0
0
0
Count of Index Stays
(Denominator)
Age
65-74
75-84
85+
Total
Sex
M
F
Total
M
F
Total
M
F
Total
M
F
Total
HEDIS 2014 (Reporting Year 2013)
320
537
857
287
597
884
149
510
659
756
1644
2400
Count of 30-Day
Readmissions
(Numerator)
0
0
0
0
0
0
0
0
0
0
0
0
Observed
Readmission
(Num/Den)
0.00%
0.00%
NA
0.00%
0.00%
NA
0.00%
0.00%
NA
0
0
0
Average Adjusted
Probability
Total Variance
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
Count of 30-Day
Readmissions
(Numerator)
69
81
150
47
91
138
19
73
92
135
245
380
Observed
Readmission
(Num/Den)
21.56%
15.08%
17.50%
16.38%
15.24%
15.61%
12.75%
14.31%
13.96%
17.86%
14.90%
15.83%
Average Adjusted
Probability
Total Variance
16.88%
16.34%
16.54%
18.81%
16.78%
17.44%
18.69%
15.97%
16.59%
17.97%
16.39%
16.88%
4242.44%
6921.77%
11164.21%
4130.63%
7911.69%
12042.32%
2178.03%
6550.78%
8728.81%
10551.10%
21384.24%
31935.34%
Page 128
Use of Services
UCare Minnesota
Plan All-Cause Readmissions
Data Last Refreshed:
Jul 8, 2015 2:47 PM
SNBC-SNP
Age
18-44
45-54
55-64
Total
Age
65-74
75-84
85+
Count of Index Stays
(Denominator)
Count of 30-Day
Readmissions
(Numerator)
Observed
Readmission
(Num/Den)
Average Adjusted
Probability
Total Variance
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Count of Index Stays
(Denominator)
Count of 30-Day
Readmissions
(Numerator)
Observed
Readmission
(Num/Den)
Average Adjusted
Probability
Total Variance
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Sex
M
F
Total
M
F
Total
M
F
Total
M
F
Total
Sex
M
F
Total
M
F
Total
M
F
Total
M
Total
HEDIS 2014 (Reporting Year 2013)
Page 129
Use of Services
UCare Minnesota
Plan All-Cause Readmissions
Data Last Refreshed:
Jul 8, 2015 2:47 PM
SNBC-Non SNP
Age
18-44
45-54
55-64
Total
Age
65-74
75-84
Sex
M
F
Total
M
F
Total
M
F
Total
M
F
Total
Count of Index Stays
(Denominator)
Count of 30-Day
Readmissions
Observed
Readmission
Average Adjusted
Probability
Total Variance
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Count of Index Stays
(Denominator)
Count of 30-Day
Readmissions
(Numerator)
Observed
Readmission
(Num/Den)
Average Adjusted
Probability
Total Variance
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Sex
M
F
Total
M
F
Total
M
F
85+
Total
M
Total
HEDIS 2014 (Reporting Year 2013)
Page 130
Health Plan Descriptive Information
UCare Minnesota
Data Last Refreshed:
Jul 8, 2015 2:47 PM
Board Certification
MSHO
MSHO
Type of Physician
Family Medicine
Internal Medicine
Geriatricians
Other practitioner Specialists
HEDIS 2014 (Reporting Year 2013)
SNBC
Number of Physicians in Active Board Certification
Each Practice Area
Percent
Number
706
246
25
6170
691
237
23
5371
97.88%
96.34%
92.00%
87.05%
Page 131
Health Plan Descriptive Information
UCare Minnesota
Data Last Refreshed:
Jul 8, 2015 2:47 PM
Board Certification
MSHO
SNBC-SNP
Type of Physician
Family Medicine
Internal Medicine
Geriatricians
Other practitioner Specialists
HEDIS 2014 (Reporting Year 2013)
SNBC
Number of Physicians in Active Board Certification
Each Practice Area
Percent
Number
NR
NR
NR
NR
Page 132
Health Plan Descriptive Information
UCare Minnesota
Data Last Refreshed:
Jul 8, 2015 2:47 PM
Board Certification
MSHO
SNBC-Non SNP
Type of Physician
Family Medicine
Internal Medicine
Geriatricians
Other practitioner Specialists
HEDIS 2014 (Reporting Year 2013)
SNBC
Number of Physicians in Active Board Certification
Each Practice Area
Percent
Number
NR
NR
NR
NR
Page 133
Health Plan Descriptive Information
UCare Minnesota
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Jul 8, 2015 2:47 PM
Commercial
Male
<1
1-4
5-9
10-14
15-17
18-19
0-19 Subtotal
0-19 Subtotal: %
20-24
25-29
30-34
35-39
40-44
20-44 Subtotal
20-44 Subtotal: %
45-49
50-54
55-59
60-64
45-64 Subtotal
45-64 Subtotal: %
65-69
70-74
75-79
80-84
85-89
>=90
>=65 Subtotal
>=65 Subtotal: %
Age Unknown
Total
Member Months
Female
Total
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
HEDIS 2014 (Reporting Year 2013)
Page 134
Health Plan Descriptive Information
UCare Minnesota
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Jul 8, 2015 2:47 PM
Medicare Advantage
<1
1-4
5-9
10-14
15-17
18-19
0-19 Subtotal
0-19 Subtotal: %
20-24
25-29
30-34
35-39
40-44
20-44 Subtotal
20-44 Subtotal: %
45-49
50-54
55-59
60-64
45-64 Subtotal
45-64 Subtotal: %
65-69
70-74
75-79
80-84
85-89
>=90
>=65 Subtotal
>=65 Subtotal: %
Age Unknown
Total
Male
0
0
0
0
0
0
Member Months
Female
0
0
0
0
0
0
Total
0
0
0
0
0
0
0
0.00%
7
110
114
218
458
0
0.00%
0
5
103
189
473
0
0.00%
907
0.20%
793
2521
4736
8435
770
0.13%
773
2433
4350
10133
1677
0.16%
16485
3.59%
131093
132199
86056
52553
28406
11840
17689
2.92%
175672
158508
102666
71351
48148
30378
34174
3.21%
442147
96.22%
0
586723
96.95%
0
459539
605182
HEDIS 2014 (Reporting Year 2013)
7
115
217
407
931
1566
4954
9086
18568
306765
290707
188722
123904
76554
42218
1028870
96.63%
0
1064721
Page 135
Health Plan Descriptive Information
UCare Minnesota
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Jul 8, 2015 2:47 PM
MSHO
<1
1-4
5-9
10-14
15-17
18-19
0-19 Subtotal
0-19 Subtotal: %
20-24
25-29
30-34
35-39
40-44
20-44 Subtotal
20-44 Subtotal: %
45-49
50-54
55-59
60-64
45-64 Subtotal
45-64 Subtotal: %
65-69
70-74
75-79
80-84
85-89
>=90
>=65 Subtotal
>=65 Subtotal: %
Age Unknown
Total
Male
0
0
0
0
0
0
Member Months
Female
0
0
0
0
0
0
Total
0
0
0
0
0
0
0
0.00%
0
0
0
0
0
0
0.00%
0
0
0
0
0
0
0.00%
0
0.00%
0
0
0
2
0
0.00%
0
0
0
2
0
0.00%
2
0.01%
8219
8075
6973
5385
3180
2276
2
0.00%
14459
15337
13579
12881
11191
12475
4
0.00%
34108
99.99%
0
79922
100.00%
0
114030
100.00%
34110
79924
HEDIS 2014 (Reporting Year 2013)
0
0
0
0
0
0
0
0
4
22678
23412
20552
18266
14371
14751
0
114034
Page 136
Health Plan Descriptive Information
UCare Minnesota
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Jul 8, 2015 2:47 PM
SNBC-SNP
Male
<1
1-4
5-9
10-14
15-17
18-19
0-19 Subtotal
0-19 Subtotal: %
20-24
25-29
30-34
35-39
40-44
20-44 Subtotal
20-44 Subtotal: %
45-49
50-54
55-59
60-64
45-64 Subtotal
45-64 Subtotal: %
65-69
70-74
75-79
80-84
85-89
>=90
>=65 Subtotal
>=65 Subtotal: %
Age Unknown
Total
Member Months
Female
Total
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
HEDIS 2014 (Reporting Year 2013)
Page 137
Health Plan Descriptive Information
UCare Minnesota
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Jul 8, 2015 2:47 PM
SNBC-Non SNP
Male
<1
1-4
5-9
10-14
15-17
18-19
0-19 Subtotal
0-19 Subtotal: %
20-24
25-29
30-34
35-39
40-44
20-44 Subtotal
20-44 Subtotal: %
45-49
50-54
55-59
60-64
45-64 Subtotal
45-64 Subtotal: %
65-69
70-74
75-79
80-84
85-89
>=90
>=65 Subtotal
>=65 Subtotal: %
Age Unknown
Total
Member Months
Female
Total
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
HEDIS 2014 (Reporting Year 2013)
Page 138
Health Plan Descriptive Information
UCare Minnesota
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Jul 8, 2015 2:47 PM
Minnesota Health Care Programs - Managed Care (MA Expand F&C)
<1
1-4
5-9
10-14
15-17
18-19
0-19 Subtotal
0-19 Subtotal: %
20-24
25-29
30-34
35-39
40-44
20-44 Subtotal
20-44 Subtotal: %
45-49
50-54
55-59
60-64
45-64 Subtotal
45-64 Subtotal: %
65-69
70-74
75-79
80-84
85-89
>=90
>=65 Subtotal
>=65 Subtotal: %
Age Unknown
Total
Male
54328
144069
152933
116640
57985
28966
Member Months
Female
51318
140833
150206
117358
61377
32898
Total
105646
284902
303139
233998
119362
61864
554921
67.91%
40926
39040
38823
31582
30216
553990
56.71%
83084
91513
78536
53088
40797
1108911
61.81%
180587
22.10%
28758
27187
17265
8367
347018
35.52%
30178
22789
14449
8479
527605
29.41%
81577
9.98%
35
0
1
0
0
0
75895
7.77%
45
0
0
0
0
1
157472
8.78%
36
0.00%
0
46
0.00%
0
82
0.00%
817121
976949
HEDIS 2014 (Reporting Year 2013)
124010
130553
117359
84670
71013
58936
49976
31714
16846
80
0
1
0
0
1
0
1794070
Page 139
Health Plan Descriptive Information
UCare Minnesota
Enrollment by Product Line (Age & Sex)
Minnesota Health Care Programs - Managed Care (MN Care)
Member Months
Male
Female
2306
2423
<1
16991
16144
1-4
24209
22822
5-9
21893
19467
10-14
11928
11707
15-17
8657
9574
18-19
85984
82137
0-19 Subtotal
44.80%
34.96%
0-19 Subtotal: %
12550
18631
20-24
11000
18958
25-29
13122
18130
30-34
11012
15280
35-39
12129
16607
40-44
59813
87606
20-44 Subtotal
31.17%
37.29%
20-44 Subtotal: %
12431
17106
45-49
13142
18806
50-54
10822
14902
55-59
9388
13793
60-64
45783
64607
45-64 Subtotal
23.86%
27.50%
45-64 Subtotal: %
175
324
65-69
79
172
70-74
49
54
75-79
12
33
80-84
16
24
85-89
5
0
>=90
336
607
>=65 Subtotal
0.18%
0.26%
>=65 Subtotal: %
0
0
Age Unknown
191916
234957
Total
HEDIS 2014 (Reporting Year 2013)
Data Last Refreshed:
Jul 8, 2015 2:47 PM
Total
4729
33135
47031
41360
23635
18231
168121
39.38%
31181
29958
31252
26292
28736
147419
34.53%
29537
31948
25724
23181
110390
25.86%
499
251
103
45
40
5
943
0.22%
0
426873
Page 140