Medica
General Info
Disclaimers
HEDIS 2014 (Reporting Year 2013)
Page
Data Last Refreshed: 7/7/2015
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
45 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
Medica
Adult BMI Assessment
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Data Last Refreshed:
Jul 7, 2015 10:10 AM
Commercial
Medicare
Advantage
2013
H
150694
Numerator Events by Admin Data on Eligible
Population (before exclusions)
MA Expand
F& C
2013
H
7579
MN Care
2013
H
5271
532
183
7.02%
411
10.00%
453
35
7.73%
3.47%
411
10.00%
453
15
3.31%
Number of Records Excluded Because of Valid
Data Errors
1
0
Number of administrative data records excluded
1029
260
Number of medical record data records excluded
0
0
Number of employee/dependent medical records
excluded
0
0
1
411
30
342
90.51%
87.56%
93.47%
0
411
13
361
91.00%
88.11%
93.89%
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
12
NR
NR
NR
NR
NR
NR
Page 3
Effectiveness of Care
Medica
Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents
Data Last Refreshed:
Jul 7, 2015 10:10 AM
Commercial
Counseling for Nutrition
BMI Percentile
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
General
Measure
Data
Ages 3-11 Ages 12-17
Total
2013
H
General
Measure
Data
Ages 3-11 Ages 12-17
Counseling for Physical Activity
Total
2013
H
General
Measure
Data
Ages 3-11
Ages 1217
Total
2013
H
28545
19027
47572
28545
19027
47572
28545
19027
47572
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
11
3
14
1
0
1
1
0
1
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
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 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
Medica
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 7, 2015 10:10 AM
Counseling for Nutrition
Total
General
Measure
Data
Ages 3-11 Ages 12-17
Counseling for Physical Activity
Total
2013
H
General
Measure
Data
Total
11356
5479
16835
11356
5479
16835
11356
5479
16835
641
5.64%
250
4.56%
891
5.29%
279
2.46%
116
2.12%
395
2.35%
9
0.08%
8
0.15%
17
0.10%
1
NR
0
NR
1
NR
411
10.00%
411
10.00%
453
11
NR
2
NR
13
NR
453
12
NR
1
NR
13
NR
0
0
Number of administrative data records
excluded
53
53
Number of medical records excluded
0
0
Number of employee/dependent records
excluded
0
0
Records Added from the Oversample List
0
0
HEDIS 2014 (Reporting Year 2013)
Ages 1217
2013
H
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
281
130
411
281
130
411
281
130
411
10
202
75.44%
70.23%
80.66%
2
88
69.23%
60.91%
77.55%
12
290
73.48%
69.09%
77.87%
11
186
70.11%
64.58%
75.64%
1
65
50.77%
41.79%
59.75%
12
251
63.99%
59.23%
68.75%
1
163
58.36%
52.42%
64.30%
0
66
50.77%
41.79%
59.75%
1
229
55.96%
51.04%
60.88%
Page 5
Effectiveness of Care
Medica
Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents
Data Last Refreshed:
Jul 7, 2015 10:10 AM
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
3087
193
6.25%
1940
90
4.64%
Total
General
2013
H
5027
283
5.63%
411
10.00%
453
Counseling for Nutrition
Ages 3-11 Ages 12-17
Total
3087
54
1.75%
1940
24
1.24%
5027
78
1.55%
8
1.77%
4
0.88%
12
2.65%
256
8
159
65.23%
59.21%
71.26%
155
4
81
54.84%
46.68%
63.00%
411
12
240
61.31%
56.48%
66.14%
411
10.00%
453
18
3.97%
9
1.99%
27
5.96%
0
6
0
0
0
0
6
0
0
0
256
17
159
68.75%
62.88%
74.62%
155
6
105
71.61%
64.19%
79.03%
411
23
264
69.83%
65.27%
74.39%
Counseling for Physical Activity
General
Ages 3-11 Ages 12Total
2013
H
3087
1940
5027
2
3
5
0.06%
0.15%
0.10%
411
10.00%
453
0
0
0
0.00%
0.00%
0.00%
0
6
0
0
0
256
155
411
0
0
0
147
92
239
57.42%
59.35%
58.15%
51.17%
51.30%
53.26%
63.67%
67.41%
63.04%
Page 6
Effectiveness of Care
Medica
Childhood Immunization Status
Data Last Refreshed:
Jul 7, 2015 10:10 AM
Commercial
Data Elements
General
Measure
Data
Pneumococcal
Hepatitis A Rotavirus
Conjugate
DTaP
IPV
MMR
HiB
Hepatitis B
VZV
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
316
337
369
356
307
366
331
337
310
280
Reported Rate
76.89%
82.00%
89.78%
86.62%
74.70%
89.05%
80.54%
82.00%
75.43%
68.13%
Lower 95% Confidence Interval
72.69%
78.16%
86.73%
83.20%
70.37%
85.91%
76.59%
78.16%
71.14%
63.50%
Upper 95% Confidence Interval
81.08%
85.83%
92.83%
90.03%
79.02%
92.19%
84.48%
85.83%
79.71%
72.75%
Measurement Year
Influenza
2013
Data Collection Methodology
H
Eligible Member Population
3234
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
411
Numerator Events by Medical Record
HEDIS 2014 (Reporting Year 2013)
Page 7
Effectiveness of Care
Medica
Childhood Immunization Status
Data Last Refreshed:
Jul 7, 2015 10:10 AM
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
316
265
263
233
243
210
219
188
200
181
Reported Rate
76.89%
64.48%
63.99%
56.69%
59.12%
51.09%
53.28%
45.74%
48.66%
44.04%
Lower 95% Confidence Interval
72.69%
59.73%
59.23%
51.78%
54.25%
46.14%
48.34%
40.80%
43.71%
39.12%
Upper 95% Confidence Interval
81.08%
69.23%
68.75%
61.60%
64.00%
56.05%
58.23%
50.68%
53.62%
48.96%
Measurement Year
2013
Data Collection Methodology
H
Eligible Member Population
3234
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
411
Numerator Events by Medical Record
HEDIS 2014 (Reporting Year 2013)
Page 8
Effectiveness of Care
Medica
Childhood Immunization Status
Data Last Refreshed:
Jul 7, 2015 10:10 AM
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
1330
80.56%
1514
91.70%
1508
91.34%
1514
91.70%
1455
88.13%
1519
92.00%
1343
81.34%
1342
81.28%
1131
68.50%
912
55.24%
370
418
417
422
397
423
375
368
301
243
81.68%
92.27%
92.05%
93.16%
87.64%
93.38%
82.78%
81.24%
66.45%
53.64%
Numerator Events by administrative Data
337
379
381
384
361
383
341
335
274
225
Numerator Events by Medical Record
18
15
5
7
28
4
13
8
23
22
Reported Rate
86.37%
95.86%
93.92%
95.13%
94.65%
94.16%
86.13%
83.45%
72.26%
60.10%
Lower 95% Confidence Interval
82.94%
93.82%
91.48%
92.93%
92.35%
91.77%
82.67%
79.74%
67.81%
55.24%
Upper 95% Confidence Interval
89.81%
97.91%
96.35%
97.34%
96.94%
96.55%
89.59%
87.17%
76.71%
64.95%
Measurement Year
2013
Data Collection Methodology
H
Eligible Member Population
1651
Numerator events by admin data in eligible
population
Current Year's Administrative Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
411
0.1
453
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
2
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
Medica
Childhood Immunization Status
Data Last Refreshed:
Jul 7, 2015 10:10 AM
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
1330
80.56%
1221
73.96%
1178
71.35%
1059
64.14%
941
57.00%
760
46.03%
872
52.82%
710
43.00%
645
39.07%
614
37.19%
370
334
327
291
262
207
239
193
179
171
81.68%
73.73%
72.19%
64.24%
57.84%
45.70%
52.76%
42.60%
39.51%
37.75%
Numerator Events by administrative Data
337
306
300
268
240
191
220
178
166
158
Numerator Events by Medical Record
18
32
29
31
30
36
32
31
31
30
Reported Rate
86.37%
82.24%
80.05%
72.75%
65.69%
55.23%
61.31%
50.85%
47.93%
45.74%
Lower 95% Confidence Interval
82.94%
78.42%
76.06%
68.32%
60.98%
50.30%
56.48%
45.90%
42.98%
40.80%
Upper 95% Confidence Interval
89.81%
86.06%
84.03%
77.18%
70.40%
60.16%
66.14%
55.81%
52.88%
50.68%
Measurement Year
2013
Data Collection Methodology
H
Eligible Member Population
1651
Numerator events by admin data in eligible
population
Current Year's Administrative Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
411
0.1
453
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
2
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
Medica
Childhood Immunization Status
Data Last Refreshed:
Jul 7, 2015 10:10 AM
Minnesota Health Care Programs - Managed Care (MN Care)
Data Elements
Measurement Year
Data Collection Methodology
General
Measure
Data
Minimum Required Sample Size
178
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
129
148
143
151
130
140
133
119
115
89
72.07%
82.68%
79.89%
84.36%
72.63%
78.21%
74.30%
66.48%
64.25%
49.72%
128
147
142
150
130
139
132
118
114
88
71.91%
82.58%
79.78%
84.27%
73.03%
78.09%
74.16%
66.29%
64.04%
49.44%
128
147
142
150
130
139
132
118
114
88
178
Admin rate on FSS
Numerator Events by administrative Data
HiB
0
Numerator events by admin data in FSS
Denominator
MMR
H
179
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
178
Page 11
Effectiveness of Care
Medica
Childhood Immunization Status
Data Last Refreshed:
Jul 7, 2015 10:10 AM
Minnesota Health Care Programs - Managed Care (MN Care)
Data Elements
Measurement Year
Data Collection Methodology
General
Measure
Data
Minimum Required Sample Size
178
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
129
113
110
94
94
72
85
63
64
58
72.07%
63.13%
61.45%
52.51%
52.51%
40.22%
47.49%
35.20%
35.75%
32.40%
128
113
110
94
94
72
85
63
64
58
71.91%
63.48%
61.80%
52.81%
52.81%
40.45%
47.75%
35.39%
35.96%
32.58%
128
113
110
94
94
72
85
63
64
58
178
Admin rate on FSS
Numerator Events by administrative Data
Combo 4
0
Numerator events by admin data in FSS
Denominator
Combo 3
H
179
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
178
Page 12
Effectiveness of Care
Medica
Data Last Refreshed:
Jul 7, 2015 10:10 AM
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
256
335
250
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
2013
H
3871
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
Medica
Data Last Refreshed:
Jul 7, 2015 10:10 AM
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
1246
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
807
1057
787
64.77%
84.83%
63.16%
281
62.03%
381
84.11%
274
60.49%
260
3
63.99%
59.23%
68.75%
344
3
84.43%
80.80%
88.06%
253
3
62.29%
57.48%
67.09%
411
10.00%
453
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
Medica
Data Last Refreshed:
Jul 7, 2015 10:10 AM
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
316
Numerator Events by Admin Data on Eligible
Current Year's Admin Rate
Minimum Required Sample Size
316
Oversampling Rate
0.00%
Final Sample Size (FSS)
316
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
316
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
198
62.66%
270
85.44%
191
60.44%
198
62.66%
270
85.44%
191
60.44%
198
9
65.51%
60.11%
70.91%
270
6
87.34%
83.52%
91.17%
191
10
63.61%
58.14%
69.07%
Page 15
Effectiveness of Care
Medica
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 7, 2015 10:10 AM
Commercial
2013
A
23672
17560
74.18%
73.62%
74.74%
Medicare
Advantage
NR
NR
NR
MSHO
MA Expand
F& C
MN Care
2013
A
1567
906
57.82%
55.34%
60.29%
2013
A
617
366
59.32%
55.36%
63.28%
2013
A
893
579
64.84%
61.65%
68.03%
SNBC
SNP
SNBC
Non SNP
NR
NR
NR
2013
A
514
252
49.03%
44.61%
53.45%
Page 16
Effectiveness of Care
Medica
Cervical Cancer Screening
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Data Last Refreshed:
Jul 7, 2015 10:10 AM
Commercial
MA Expand
F& C
MN Care
2013
A
52424
2013
H
8440
2013
H
5227
5357
3274
63.47%
411
10.00%
453
297
65.56%
0
133
2
62.64%
411
10.00%
453
293
64.68%
0
81
5
0
0
2
411
273
40
76.16%
71.91%
80.40%
5
411
272
27
72.75%
68.32%
77.18%
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 Excluded because of Valid Data Errors
Number of administrative data records excluded
Number of medical record data records excluded
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)
38434
73.31%
72.93%
73.69%
Page 17
Effectiveness of Care
Medica
Colorectal Cancer Screening
Data Last Refreshed:
Jul 7, 2015 10:10 AM
Data Elements
Measurement Year
Data collection methodology (administrative or hybrid)
Eligible population
Commercial
Medicare
Advantage
2013
H
63307
HEDIS 2014 (Reporting Year 2013)
SNBC
SNP
SNBC
Non SNP
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
2013
H
2894
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
MSHO
1446
NR
NR
NR
NR
241
NR
NR
NR
NR
NR
NR
49.97%
411
10.00%
453
251
55.41%
0
10
0
0
0
411
227
19
59.85%
54.99%
64.71%
Page 18
Effectiveness of Care
Medica
Chlamydia Screening in Women
Data Last Refreshed:
Jul 7, 2015 10:10 AM
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
Ages 21-24
Total
4625
1769
38.25%
36.84%
39.66%
5300
2788
52.60%
51.25%
53.96%
9925
4557
45.91%
44.93%
46.90%
2013
A
Page 19
Effectiveness of Care
Medica
Chlamydia Screening in Women
Data Last Refreshed:
Jul 7, 2015 10:10 AM
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
1092
617
56.50%
53.52%
59.49%
917
624
68.05%
64.98%
71.12%
2009
1241
61.77%
59.62%
63.92%
2013
A
Page 20
Effectiveness of Care
Medica
Chlamydia Screening in Women
Data Last Refreshed:
Jul 7, 2015 10:10 AM
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
521
254
48.75%
44.36%
53.14%
241
148
61.41%
55.06%
67.76%
762
402
52.76%
49.15%
56.37%
Page 21
Effectiveness of Care
Medica
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 7, 2015 10:10 AM
Medicare
Advantage
NR
NR
NR
MSHO
2013
A
7525
5791
76.96%
76.00%
77.91%
Page 22
Effectiveness of Care
Medica
Data Last Refreshed:
Jul 7, 2015 10:10 AM
Human Papillomavirus Vaccine for Female Adolescents
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Commercial
2013
H
1911
MA Expand F & C
2013
H
632
MN Care
2013
H
170
97
31
NR
15.35%
18.24%
NR
411
10.00%
453
73
16.11%
170
0.00%
170
31
18.24%
Records Excluded because of Valid Data
Errors
0
0
Number of administrative data records
excluded
1
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
64
2
0
170
31
2
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
60
Reported Rate
NR
16.06%
19.41%
Lower 95% Confidence Interval
NR
12.39%
13.17%
Upper 95% Confidence Interval
NR
19.73%
25.65%
HEDIS 2014 (Reporting Year 2013)
Page 23
Effectiveness of Care
Medica
Data Last Refreshed:
Jul 7, 2015 10:10 AM
Care for Older Adults
MSHO
Medication Review
Functional
Status
Assessment
Pain
Screening
4
51
0
0
0.05%
0.58%
0.00%
0.00%
0
0.00%
2
0.44%
0
0.00%
0
0.00%
0
282
2
384
0
289
0
346
Reported Rate
68.61%
93.92%
70.32%
84.18%
Lower 95% Confidence Interval
64.00%
91.48%
65.78%
80.54%
Upper 95% Confidence Interval
73.22%
96.35%
74.85%
87.83%
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
General Measure
Data
2013
H
8770
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
10.00%
453
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
Medica
Pharmacotherapy Management of COPD Exacerbation
Data Last Refreshed:
Jul 7, 2015 10:10 AM
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
NR
NR
NR
NR
NR
NR
Page 25
Effectiveness of Care
Medica
Pharmacotherapy Management of COPD Exacerbation
Data Last Refreshed:
Jul 7, 2015 10:10 AM
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
154
73.33%
67.11%
79.55%
185
88.10%
83.48%
92.71%
2013
A
210
Page 26
Effectiveness of Care
Medica
Pharmacotherapy Management of COPD Exacerbation
Data Last Refreshed:
Jul 7, 2015 10:10 AM
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
Medica
Pharmacotherapy Management of COPD Exacerbation
Data Last Refreshed:
Jul 7, 2015 10:10 AM
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
103
35.27%
29.62%
40.93%
116
39.73%
33.94%
45.51%
2013
292
Page 28
Effectiveness of Care
Medica
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
NR
NR
NR
MSHO
2013
A
223
57
25.56%
19.61%
31.51%
Data Last Refreshed:
Jul 7, 2015 10:10 AM
SNBC
SNP
SNBC Non
SNP
NR
NR
NR
2013
A
39
20
51.28%
34.31%
68.25%
Page 29
Effectiveness of Care
Medica
Use of Appropriate Medications for People with Asthma
Data Last Refreshed:
Jul 7, 2015 10:10 AM
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
Ages 12-18
Ages 19-50
Ages 51-64
Total
272
256
7
94.12%
91.14%
97.10%
289
268
8
92.73%
89.57%
95.90%
1184
1044
93
88.18%
86.29%
90.06%
796
736
299
92.46%
90.57%
94.36%
2541
2304
407
90.67%
89.52%
91.82%
2013
A
`
Page 30
Effectiveness of Care
Medica
Use of Appropriate Medications for People with Asthma
Data Last Refreshed:
Jul 7, 2015 10:10 AM
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
222
204
11
91.89%
88.08%
95.71%
202
188
9
93.07%
89.32%
96.82%
278
209
62
75.18%
69.92%
80.44%
62
54
71
87.10%
77.95%
96.25%
764
655
153
85.73%
83.19%
88.28%
2013
A
Page 31
Effectiveness of Care
Medica
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
53
Eligible Member Population
53
Numerator Events by Admin Data
0
Number of required exclusions
100.00%
Reported Rate
99.06%
Lower 95% Confidence Interval
100.00%
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
Data Last Refreshed:
Jul 7, 2015 10:10 AM
Ages 12-18
Ages 19-50
Ages 51-64
Total
46
41
2
89.13%
79.05%
99.21%
103
85
15
82.52%
74.70%
90.34%
70
56
46
80.00%
69.92%
90.08%
272
235
63
86.40%
82.14%
90.66%
Page 32
Effectiveness of Care
Medica
Cholesterol Management for Patients with Cardiovascular Conditions
Data Last Refreshed:
Jul 7, 2015 10:10 AM
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
324
5
78.83%
74.76%
82.90%
1.22%
0.04%
2.40%
2013
H
2118
411
Page 33
Effectiveness of Care
Medica
Cholesterol Management for Patients with Cardiovascular Conditions
Data Last Refreshed:
Jul 7, 2015 10:10 AM
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
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 34
Effectiveness of Care
Medica
Cholesterol Management for Patients with Cardiovascular Conditions
Data Last Refreshed:
Jul 7, 2015 10:10 AM
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
80
1
78.43%
0.98%
80
1
78.43%
0.98%
76
8
1
57
82.35%
74.46%
90.24%
56.86%
46.76%
66.96%
2013
H
102
102
0.00%
102
0
0
0
102
Page 35
Effectiveness of Care
Medica
Cholesterol Management for Patients with Cardiovascular Conditions
Data Last Refreshed:
Jul 7, 2015 10:10 AM
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
60
0
82.19%
0.00%
2013
H
73
72
0.00%
72
60
0
83.33%
0.00%
58
2
0
40
83.33%
74.03%
92.64%
55.56%
43.38%
67.73%
0
0
0
72
Page 36
Effectiveness of Care
Medica
Controlling High Blood Pressure
Data Last Refreshed:
Jul 7, 2015 10:10 AM
Data Elements
Commercial
Medicare
Advantage
MSHO
SNBC-SNP
SNBC
Non SNP
MA Expand
F&C
MN Care
Measurement Year
Data Collection Methodology (Hybrid)
Eligible Member Population
2012
H
19408
2013
H
2678
2013
H
2965
2013
H
1633
2013
H
1098
Numerator Events by Admin Data on
Eligible Population (before exclusions)
0
0
0
0
0
0.00%
411
15.00%
473
0.00%
411
15.00%
473
0.00%
411
15.00%
473
0
0.00%
0
0.00%
0
0.00%
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
0.00%
411
15.00%
473
0
0.00%
NR
NR
0.00%
411
15.00%
473
0
0.00%
NR
NR
Records Excluded because of Valid Data
Errors
0
2
2
0
1
Number of records excluded because of
false positive diagnoses
0
0
0
0
0
Number of administrative data records
excluded
344
373
272
101
21
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
304
73.97%
69.60%
78.33%
2
411
0
328
79.81%
75.80%
83.81%
2
411
0
309
75.18%
70.88%
79.48%
0
411
0
274
66.67%
61.99%
71.35%
1
411
0
305
74.21%
69.86%
78.56%
HEDIS 2014 (Reporting Year 2013)
NR
NR
NR
NR
NR
NR
Page 37
Effectiveness of Care
Medica
Persistence of Beta Blocker Treatment After Heart Attack
Data Elements
Commercial
Data Last Refreshed:
Jul 7, 2015 10:10 AM
Medicare
Advantage
MSHO
SNBC
SNP
SNBC
Non SNP
MA Expand
F&C
MN Care
Measurement Year
Data Collection Methodology
Eligible Member Population
2013
A
201
2013
A
50
2013
A
19
2013
A
31
2013
A
15
Numerator Events by Admin Data on
Eligible Population
183
46
9
28
15
NA
NA
NA
90.32%
78.30%
100.00%
NA
NA
NA
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
91.04%
86.85%
95.24%
NR
NR
NR
92.00%
83.48%
100.00%
NR
NR
NR
Page 38
Effectiveness of Care
Medica
Comprehensive Diabetes Care
Data Last Refreshed:
Jul 7, 2015 10:10 AM
Commercial
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
HbA1c
Testing
Poor HbA1c
Control
(>9.0%)
Good HbA1c
Control
(<7.0%)
Adequate
HbA1c
Control
(<8.0%)
2013
H
10347
H
H
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
H
2013
H
10347
2013
H
10347
H
2013
H
10347
H
H
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
548
298
548
445
54.38%
50.12%
58.64%
81.20%
77.84%
84.57%
NR
NR
NR
NR
NR
NR
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)
548
499
91.06%
88.58%
93.54%
NR
NR
NR
NR
NR
NR
NR
NR
NR
548
461
NR
NR
NR
84.12%
80.97%
87.28%
Page 39
Effectiveness of Care
Medica
Comprehensive Diabetes Care
Data Last Refreshed:
Jul 7, 2015 10:10 AM
Medicare Advantage
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 40
Effectiveness of Care
Medica
Comprehensive Diabetes Care
Data Last Refreshed:
Jul 7, 2015 10:10 AM
MSHO
Adequate
HbA1c
Control
(<8.0%)
Eye Exam
LDL-C
Screening
LDL-C Level
<100 mg/dL
2013
H
1313
2013
H
1313
2013
H
1313
2013
H
1313
2013
H
1313
2013
H
1313
2013
H
1313
15
1.14%
411
10%
453
7
1.55%
870
66.26%
411
10%
453
307
67.77%
1088
82.86%
411
10%
453
373
82.34%
37
2.82%
411
10%
453
13
2.87%
1177
89.64%
411
10%
453
410
90.51%
6
0.46%
411
10%
453
2
0.44%
6
0.46%
411
10%
453
2
0.44%
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
360
29
94.65%
92.35%
96.94%
0
411
31
30
14.84%
11.28%
18.40%
0
411
6
311
77.13%
72.95%
81.31%
0
411
278
36
76.40%
72.17%
80.63%
0
411
320
32
85.64%
82.13%
89.16%
0
411
11
246
62.53%
57.73%
67.33%
0
411
373
5
91.97%
89.22%
94.72%
0
411
1
327
79.81%
75.80%
83.81%
0
411
1
281
68.61%
64.00%
73.22%
HbA1c
Testing
Poor HbA1c
Control
2013
H
1313
2013
H
1313
1200
91.39%
411
10%
453
411
90.73%
1287
98.02%
411
10%
453
289
63.80%
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
Medica
Comprehensive Diabetes Care
Data Last Refreshed:
Jul 7, 2015 10:10 AM
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
Medica
Comprehensive Diabetes Care
Data Last Refreshed:
Jul 7, 2015 10:10 AM
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
2980
2013
H
2980
2013
H
2980
2013
H
2980
2013
H
2980
2013
H
2980
2013
H
2980
122
4.09%
548
10%
603
22
3.65%
1742
58.46%
548
10%
603
352
58.37%
1767
59.30%
548
10%
603
339
56.22%
208
6.98%
548
10%
603
43
7.13%
1770
59.40%
548
10%
603
393
65.17%
55
1.85%
548
10%
603
13
2.16%
45
1.51%
548
10%
603
11
1.82%
5
5
5
5
5
5
5
5
1
1
1
1
1
1
1
1
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
5
548
366
143
92.88%
90.64%
95.13%
5
548
58
64
22.26%
18.69%
25.84%
5
548
10
352
66.06%
62.00%
70.11%
5
548
320
71
71.35%
67.47%
75.23%
5
548
277
187
84.67%
81.56%
87.78%
5
548
31
281
56.93%
52.70%
61.17%
5
548
364
99
84.49%
81.37%
87.61%
5
548
5
445
82.12%
78.82%
85.42%
5
548
5
326
60.40%
56.22%
64.59%
HbA1c
Testing
Poor HbA1c
Control
2013
H
2980
2013
H
2980
2271
76.21%
548
10%
603
460
76.29%
2800
93.96%
548
10%
603
382
63.35%
5
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
Medica
Comprehensive Diabetes Care
Data Last Refreshed:
Jul 7, 2015 10:10 AM
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
1284
2013
H
1284
H
1091
84.97%
548
10%
603
527
87.40%
1280
99.69%
548
10%
603
444
73.63%
Number of Records Excluded Because of
Valid Data Errors
7
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
1284
2013
H
1284
2013
H
1284
2013
H
1284
2013
H
1284
2013
H
1284
2013
H
1284
2
0.16%
548
10%
603
2
0.33%
623
48.52%
548
10%
603
282
46.77%
955
74.38%
548
10%
603
470
77.94%
15
1.17%
548
10%
603
10
1.66%
968
75.39%
548
10%
603
487
80.76%
3
0.23%
548
10%
603
2
0.33%
2
0.16%
548
10%
603
2
0.33%
7
7
7
7
7
7
7
7
35
35
35
35
35
35
35
35
35
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
7
548
466
31
90.69%
88.17%
93.22%
7
548
61
94
28.28%
24.42%
32.15%
7
548
1
327
59.85%
55.66%
64.05%
7
548
253
80
60.77%
56.59%
64.95%
7
548
410
37
81.57%
78.23%
84.91%
7
548
8
254
47.81%
43.54%
52.08%
7
548
448
15
84.49%
81.37%
87.61%
7
548
2
420
77.01%
73.39%
80.62%
7
548
2
278
51.09%
46.82%
55.37%
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
Medica
Comprehensive Diabetes Care
Minnesota Health Care Programs - Managed Care (MN Care)
Data Elements
HbA1c
2013
Measurement Year
H
Data Collection Methodology
818
Eligible Member Population
761
Numerator events by admin data in eligible
93.03%
Current Year's Administrative Rate
548
Minimum Required Sample Size
10%
Oversampling Rate
603
Final Sample Size (FSS)
567
Numerator events by admin data in FSS
94.03%
Admin rate on FSS
1
Number of Records Excluded Because of
5
Number of administrative data records
0
Number of medical record data records
0
Number of employee/dependent medical
Number of Administrative required exclusions
Number of Hybrid required exclusions
1
Additional Records Added from the
548
Denominator
508
Numerator Events by Admin Data
16
Numerator Events by Medical Record
95.62%
Reported Rate
93.82%
Lower 95% Confidence Interval
97.43%
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
Data Last Refreshed:
Jul 7, 2015 10:10 AM
Poor HbA1c
2013
H
818
817
99.88%
548
10%
603
421
69.82%
1
5
0
0
1
548
38
87
22.81%
19.21%
26.41%
Good HbA1c
H
NR
NR
NR
NR
NR
Adequate
2013
H
818
1
0.12%
548
10%
603
1
0.17%
1
5
0
0
Eye Exam
2013
H
818
449
54.89%
548
10%
603
338
56.05%
1
5
0
0
LDL-C
2013
H
818
709
86.67%
548
10%
603
519
86.07%
1
5
0
0
1
548
1
349
63.87%
59.76%
67.98%
1
548
307
60
66.97%
62.94%
71.00%
1
548
448
38
88.69%
85.94%
91.43%
LDL-C Level Monitoring for
2013
2013
H
H
818
818
6
688
0.73%
84.11%
548
548
10%
10%
603
603
5
510
0.83%
84.58%
1
1
5
5
0
0
0
0
1
548
5
290
53.83%
49.57%
58.10%
1
548
467
17
88.32%
85.54%
91.10%
Blood
2013
H
818
3
0.37%
548
10%
603
3
0.50%
1
5
0
0
Blood
2013
H
818
3
0.37%
548
10%
603
3
0.50%
1
5
0
0
1
548
2
446
81.75%
78.43%
85.08%
1
548
2
300
55.11%
50.85%
59.37%
Page 45
Effectiveness of Care
Medica
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 7, 2015 10:10 AM
Medicare
Advantage
NR
NR
NR
Page 46
Effectiveness of Care
Medica
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)
Medicare
Advantage
NR
NR
NR
Data Last Refreshed:
Jul 7, 2015 10:10 AM
MSHO
2013
A
298
25
8.39%
5.07%
11.70%
Page 47
Effectiveness of Care
Medica
Antidepressant Medication Management
Data Last Refreshed:
Jul 7, 2015 10:10 AM
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
2013
A
3880
2852
73.51%
72.10%
74.91%
2163
55.75%
54.17%
57.32%
Page 48
Effectiveness of Care
Medica
Antidepressant Medication Management
Data Last Refreshed:
Jul 7, 2015 10:10 AM
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
NR
NR
NR
NR
NR
NR
Page 49
Effectiveness of Care
Medica
Antidepressant Medication Management
Data Last Refreshed:
Jul 7, 2015 10:10 AM
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
237
175
73.84%
68.03%
79.65%
157
66.24%
60.01%
72.48%
Page 50
Effectiveness of Care
Medica
Antidepressant Medication Management
Data Last Refreshed:
Jul 7, 2015 10:10 AM
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
Medica
Antidepressant Medication Management
Data Last Refreshed:
Jul 7, 2015 10:10 AM
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
402
156
38.81%
33.92%
43.69%
102
25.37%
20.99%
29.75%
Page 52
Effectiveness of Care
Medica
Antidepressant Medication Management
Data Last Refreshed:
Jul 7, 2015 10:10 AM
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
1426
646
45.30%
42.68%
47.92%
451
31.63%
29.18%
34.08%
Page 53
Effectiveness of Care
Medica
Antidepressant Medication Management
Minnesota Health Care Programs - Managed Care (MN Care)
Data Elements
General
Measurement Year
2013
Data Collection Methodology
A
Eligible Member Population
335
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
Data Last Refreshed:
Jul 7, 2015 10:10 AM
Effective Acute
Effective
194
57.91%
52.47%
63.35%
151
45.07%
39.60%
50.55%
Page 54
Effectiveness of Care
Medica
Follow-Up Care for Children Prescribed
Attention-Deficit/Hyperactivity Disorder (ADHD) Medication
Data Last Refreshed:
Jul 7, 2015 10:10 AM
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
678
251
37.02%
33.31%
40.73%
192
76
39.58%
32.41%
46.76%
2013
A
Page 55
Effectiveness of Care
Medica
Follow-Up Care for Children Prescribed
Attention-Deficit/Hyperactivity Disorder (ADHD) Medication
Data Last Refreshed:
Jul 7, 2015 10:10 AM
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
391
196
50.13%
45.04%
55.21%
91
49
53.85%
43.05%
64.64%
2013
A
Page 56
Effectiveness of Care
Medica
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 7, 2015 10:10 AM
Initiation
Continuation
75
31
41.33%
29.52%
53.14%
20
7
NA
NA
NA
Page 57
Effectiveness of Care
Medica
Follow-up After Hospitalization for Mental Illness
Data Last Refreshed:
Jul 7, 2015 10:10 AM
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
NR
NR
NR
NR
NR
NR
Page 58
Effectiveness of Care
Medica
Follow-up After Hospitalization for Mental Illness
Data Last Refreshed:
Jul 7, 2015 10:10 AM
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
43
56.58%
44.78%
68.38%
29
38.16%
26.58%
49.74%
2013
A
76
Page 59
Effectiveness of Care
Medica
Follow-up After Hospitalization for Mental Illness
Data Last Refreshed:
Jul 7, 2015 10:10 AM
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
667
75.28%
72.39%
78.18%
507
57.22%
53.91%
60.54%
2013
A
886
Page 61
Effectiveness of Care
Medica
Annual Monitoring for Patients on Persistent Medications
Data Last Refreshed:
Jul 7, 2015 10:10 AM
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
17373
14428
83.05%
82.49%
83.61%
157
130
82.80%
76.58%
89.02%
12757
10641
83.41%
82.76%
84.06%
658
429
65.20%
61.48%
68.91%
30945
25628
82.82%
82.40%
83.24%
2013
A
Page 62
Effectiveness of Care
Medica
Annual Monitoring for Patients on Persistent Medications
Data Last Refreshed:
Jul 7, 2015 10:10 AM
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
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 63
Effectiveness of Care
Medica
Annual Monitoring for Patients on Persistent Medications
Data Last Refreshed:
Jul 7, 2015 10:10 AM
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
3561
3423
96.12%
95.48%
96.77%
199
195
97.99%
95.79%
100.00%
3365
3258
96.82%
96.21%
97.43%
364
333
91.48%
88.48%
94.49%
7489
7209
96.26%
95.82%
96.70%
2013
A
Page 64
Effectiveness of Care
Medica
Annual Monitoring for Patients on Persistent Medications
Data Last Refreshed:
Jul 7, 2015 10:10 AM
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
Medica
Annual Monitoring for Patients on Persistent Medications
Data Last Refreshed:
Jul 7, 2015 10:10 AM
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
1009
929
92.07%
90.35%
93.79%
27
24
NA
NA
NA
882
810
91.84%
89.97%
93.70%
367
290
79.02%
74.72%
83.32%
2285
2053
89.85%
88.59%
91.11%
2013
A
Page 66
Effectiveness of Care
Medica
Annual Monitoring for Patients on Persistent Medications
Data Last Refreshed:
Jul 7, 2015 10:10 AM
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
1105
956
86.52%
84.46%
88.57%
6
5
NA
NA
NA
896
776
86.61%
84.32%
88.89%
130
86
66.15%
57.63%
74.67%
2137
1823
85.31%
83.78%
86.83%
2013
A
Page 67
Effectiveness of Care
Medica
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 7, 2015 10:10 AM
ACE Inhibitors
968
828
83.27%
87.80%
Annual Monitoring for Members on
Digoxin
Diuretics
Anti-
14
12
NA
NA
747
634
82.24%
87.51%
58
41
58.11%
83.27%
Total
1787
1515
83.09%
86.47%
Page 68
Access/Availability of Care
Medica
Medication Reconciliation Post Discharge
Data Elements
Measurement Year
Data collection methodology (Administrative or Hybrid)
Eligible member population
Data Last Refreshed:
Jul 7, 2015 10:10 AM
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
Medica
Potentially Harmful Drug-Disease Interactions in the Elderly
Data Last Refreshed:
Jul 7, 2015 10:10 AM
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
NR
NR
NR
NR
NR
NR
Chronic Renal
Failure +
Nonaspirin
NSAIDs or Cox-2
Selective NSAIDs
Total
NR
NR
NR
NR
NR
NR
Page 70
Effectiveness of Care
Medica
Potentially Harmful Drug-Disease Interactions in the Elderly
Data Last Refreshed:
Jul 7, 2015 10:10 AM
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
334
27
8.08%
5.01%
11.16%
1804
863
47.84%
45.51%
50.17%
2013
A
118
69
58.47%
49.16%
67.79%
1352
767
56.73%
54.05%
59.41%
Page 71
Effectiveness of Care
Medica
Use of High Risk Medications in the Elderly
Data Last Refreshed:
Jul 7, 2015 10:10 AM
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
At least 1
Prescription
At least 2
Prescriptions
NR
NR
NR
NR
NR
NR
Page 72
Effectiveness of Care
Medica
Use of High Risk Medications in the Elderly
Data Last Refreshed:
Jul 7, 2015 10:10 AM
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
8666
At least 1
Prescription
At least 2
Prescriptions
1578
18.21%
17.39%
19.03%
292
3.37%
2.98%
3.76%
Page 73
Access/Availability of Care
Medica
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Jul 7, 2015 10:10 AM
Commercial
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
53345
61990
3973
119308
50302
59833
3908
94.30%
94.10%
94.49%
96.52%
96.38%
96.67%
98.36%
97.96%
98.77%
114043
95.59%
95.47%
95.70%
2013
A
Page 74
Access/Availability of Care
Medica
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Jul 7, 2015 10:10 AM
Medicare Advantage
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 75
Access/Availability of Care
Medica
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Jul 7, 2015 10:10 AM
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
8872
8872
0
0
8693
NA
NA
NA
NA
NA
NA
97.98%
97.68%
98.28%
8693
97.98%
97.68%
98.28%
2013
A
Page 76
Access/Availability of Care
Medica
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Jul 7, 2015 10:10 AM
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
Medica
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Jul 7, 2015 10:10 AM
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
4770
8664
352
13786
4498
8360
330
94.30%
93.63%
94.97%
96.49%
96.10%
96.88%
93.75%
91.08%
96.42%
13188
95.66%
95.32%
96.01%
2013
A
Page 78
Access/Availability of Care
Medica
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Jul 7, 2015 10:10 AM
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
10229
4610
4
14843
9121
4134
3
89.17%
88.56%
89.78%
89.67%
88.79%
90.56%
NA
NA
NA
13258
89.32%
88.82%
89.82%
2013
A
Page 79
Access/Availability of Care
Medica
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 7, 2015 10:10 AM
Ages 20-44
Ages 45-64
Ages 65+
Total
4775
4179
87.52%
86.57%
88.47%
4498
4103
91.22%
90.38%
92.06%
30
25
83.33%
68.33%
98.34%
9303
8307
89.29%
88.66%
89.93%
Page 80
Access/Availability of Care
Medica
Children's and Adolescents' Access to Primary Care Practitioners
Data Last Refreshed:
Jul 7, 2015 10:10 AM
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.
3450
3371
17739
16308
15425
14211
26340
24142
97.71%
97.20%
98.22%
91.93%
91.53%
92.34%
92.13%
91.70%
92.56%
91.66%
91.32%
91.99%
2013
A
Page 81
Access/Availability of Care
Medica
Children's and Adolescents' Access to Primary Care Practitioners
Data Last Refreshed:
Jul 7, 2015 10:10 AM
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.
2734
2668
7484
6725
4691
4337
5372
4907
97.59%
96.99%
98.18%
89.86%
89.17%
90.55%
92.45%
91.69%
93.22%
91.34%
90.58%
92.11%
2013
A
Page 82
Access/Availability of Care
Medica
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 7, 2015 10:10 AM
12-24 months
25 months -
7-11 yrs.
12-19 yrs.
204
197
96.57%
93.83%
99.31%
1785
1618
90.64%
89.27%
92.02%
1373
1280
93.23%
91.86%
94.59%
2138
1993
93.22%
92.13%
94.31%
Page 83
Access/Availability of Care
Medica
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
Data Last Refreshed:
Jul 7, 2015 10:10 AM
Commercial
13-17 Year Olds
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
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
2013
A
213
3379
3592
90
44
1153
507
1243
551
42.25%
35.39%
49.12%
20.66%
14.99%
26.33%
34.12%
32.51%
35.74%
15.00%
13.79%
16.22%
34.60%
33.04%
36.17%
15.34%
14.15%
16.53%
Page 84
Access/Availability of Care
Medica
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
Data Last Refreshed:
Jul 7, 2015 10:10 AM
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
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 85
Access/Availability of Care
Medica
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
Data Last Refreshed:
Jul 7, 2015 10:10 AM
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
147
0
NA
NA
NA
58
39.46%
31.21%
47.70%
147
3
2.04%
0.00%
4.67%
58
39.46%
31.21%
47.70%
3
2.04%
0.00%
4.67%
Page 86
Access/Availability of Care
Medica
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
Data Last Refreshed:
Jul 7, 2015 10:10 AM
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
Medica
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
Data Last Refreshed:
Jul 7, 2015 10:10 AM
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
1929
0
NA
NA
NA
670
34.73%
32.58%
36.88%
1929
142
7.36%
6.17%
8.55%
670
34.73%
32.58%
36.88%
142
7.36%
6.17%
8.55%
Page 88
Access/Availability of Care
Medica
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
Data Last Refreshed:
Jul 7, 2015 10:10 AM
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
192
67
34.90%
27.89%
41.90%
Total
Initiation of Engagement
2464
39
20.31%
14.36%
26.26%
835
33.89%
32.00%
35.78%
2656
343
13.92%
12.53%
15.31%
902
33.96%
32.14%
35.78%
382
14.38%
13.03%
15.74%
Page 89
Access/Availability of Care
Medica
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
Data Last Refreshed:
Jul 7, 2015 10:10 AM
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
19
46.34%
29.86%
62.82%
Total
Initiation of Engagement
437
10
24.39%
10.03%
38.75%
129
29.52%
25.13%
33.91%
478
59
13.50%
10.18%
16.82%
148
30.96%
26.71%
35.21%
69
14.44%
11.18%
17.69%
Page 90
Access/Availability of Care
Medica
Prenatal and Postpartum Care
Data Last Refreshed:
Jul 7, 2015 10:10 AM
Commercial
Timeliness of
Prenatal Care
Postpartum
Care
2012
H
3986
2013
H
4252
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
303
204
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
Medica
Prenatal and Postpartum Care
Data Last Refreshed:
Jul 7, 2015 10:10 AM
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
3418
2013
H
3418
Number of numerator events by administrative data in eligible
population (before exclusions)
2186
1665
63.96%
411
10.00%
453
295
48.71%
411
10.00%
453
212
65.12%
46.80%
0
0
0
0
411
265
121
0
0
411
190
93.92%
91.48%
96.35%
46.23%
41.29%
51.17%
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
Medica
Prenatal and Postpartum Care
Data Last Refreshed:
Jul 7, 2015 10:10 AM
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
205
145
70.73%
205
0.00%
205
145
70.73%
0
0
0
205
145
44
92.20%
88.28%
96.11%
Postpartum
2013
H
205
94
45.85%
205
0.00%
205
94
45.85%
0
0
0
205
94
61
75.61%
69.49%
81.73%
Page 93
Use of Services
Medica
Well Child Visits in the First 15 Months of Life
Data Last Refreshed:
Jul 7, 2015 10:10 AM
Commercial
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
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
29
23
22
55
132
370
2248
1.01%
0.63%
1.39%
0.80%
0.46%
1.14%
0.76%
0.43%
1.10%
1.91%
1.39%
2.43%
4.58%
3.80%
5.37%
12.85%
11.61%
14.09%
78.08%
76.55%
79.61%
2013
A
2879
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
Medica
Well Child Visits in the First 15 Months of Life
Data Last Refreshed:
Jul 7, 2015 10:10 AM
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
58
2.26%
48
1.87%
95
3.71%
148
5.77%
300
11.71%
520
20.29%
1394
54.39%
10
2.21%
5
1.10%
10
2.21%
24
5.30%
41
9.05%
59
13.02%
243
53.64%
10
0
2.43%
0.82%
4.04%
5
0
1.22%
0.04%
2.40%
9
2
2.68%
0.99%
4.36%
22
1
5.60%
3.25%
7.94%
35
5
9.73%
6.75%
12.72%
51
11
15.09%
11.50%
18.67%
222
38
63.26%
58.48%
68.04%
411
10.00%
453
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
2563
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
Medica
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
175
4
Numerator events by admin data in eligible
2.29%
Currect Year's Administrative Rate
Minimum Required Sample Size
175
Oversampling Rate
0.00%
Final sample size (FSS)
175
2
Numerator events by admin data in FSS
1.14%
Administrative rate on FSS
Number of Records Excluded Because of
0
Number of employee/dependent medical
0
Additional Records Added from the
0
Denominator
175
2
Numerator Events by Admin Data
0
Numerator Events by Medical Record
1.14%
Reported Rate
0.00%
Lower 95% Confidence Interval
3.00%
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
Data Last Refreshed:
Jul 7, 2015 10:10 AM
1 visit
2 visits
3 visits
4 visits
5 visits
6 or more
7
4.00%
2
1.14%
10
5.71%
12
6.86%
30
17.14%
110
62.86%
7
4.00%
1
0.57%
5
2.86%
7
4.00%
23
13.14%
110
62.86%
7
0
4.00%
0.81%
7.19%
1
1
1.14%
0.00%
3.00%
5
1
3.43%
0.45%
6.41%
7
3
5.71%
1.99%
9.44%
23
5
16.00%
10.28%
21.72%
110
10
68.57%
61.41%
75.74%
Page 96
Use of Services
Medica
Well Child Visits in the 3rd, 4th, 5th and 6th Years of Life
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Commercial
MA Expand
F&C
MN Care
2013
A
14564
2013
H
6164
2013
H
1581
4205
1111
NR
68.22%
411
10.00%
453
291
70.27%
411
10.00%
453
326
NR
64.24%
0
71.96%
0
0
0
0
411
261
14
66.91%
62.24%
71.58%
0
411
294
2
72.02%
67.56%
76.48%
Numerator events by admin data in eligible
population
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
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)
Data Last Refreshed:
Jul 7, 2015 10:10 AM
10653
73.15%
72.42%
73.87%
Page 97
Use of Services
Medica
Adolescent Well-Care Visits
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Data Last Refreshed:
Jul 7, 2015 10:10 AM
Commercial
MA Expand
F&C
MN Care
2013
A
41349
2013
H
8944
2013
H
3713
3523
1399
NR
39.39%
411
10.00%
453
171
37.68%
411
10.00%
453
168
NR
37.75%
0
37.09%
0
0
0
0
411
154
11
40.15%
35.29%
45.01%
0
411
149
12
39.17%
34.33%
44.01%
Numerator events by admin data in eligible
population
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
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)
14855
35.93%
35.46%
36.39%
Page 98
Use of Services
Medica
Ambulatory Care
Data Last Refreshed:
Jul 7, 2015 10:10 AM
Commercial
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Member Months
49035
491720
587517
1657871
1401102
68052
5866
1208
0
4262371
Outpatient Visits (Excludes
MH/CD)
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Visits
42612
139222
132521
390314
472648
36525
4689
1005
0
1219536
HEDIS 2014 (Reporting Year 2013)
Visits/ 1,000
Member
Months
869.01
283.13
225.56
235.43
337.34
536.72
799.35
831.95
286.12
Emergency Room Visits
Visits
1306
7328
6753
21980
15323
959
129
45
0
53823
Visits/ 1,000
Member
Months
26.63
14.90
11.49
13.26
10.94
14.09
21.99
37.25
12.63
Page 99
Use of Services
Medica
Ambulatory Care
Data Last Refreshed:
Jul 7, 2015 10:10 AM
Medicare Advantage
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 100
Use of Services
Medica
Ambulatory Care
Data Last Refreshed:
Jul 7, 2015 10:10 AM
MSHO
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Member Months
0
0
0
0
13
42434
39500
34962
0
116909
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
17
39737
37037
29315
0
106106
HEDIS 2014 (Reporting Year 2013)
Visits/ 1,000
Member
Months
NA
NA
NA
NA
1307.69
936.44
937.65
838.48
907.59
Emergency Room Visits
Visits
0
0
0
0
0
2167
1908
1243
0
5318
Visits/ 1,000
Member
Months
NA
NA
NA
NA
0.00
51.07
48.30
35.55
45.49
Page 101
Use of Services
Medica
Ambulatory Care
Data Last Refreshed:
Jul 7, 2015 10:10 AM
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
Medica
Ambulatory Care
Data Last Refreshed:
Jul 7, 2015 10:10 AM
SNBC-Non SNP
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Member Months
2
0
2716
77624
128114
3325
0
0
0
211781
Outpatient Visits (Excludes
MH/CD)
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Visits
4
0
909
50830
116916
2980
0
0
0
171639
HEDIS 2014 (Reporting Year 2013)
Visits/ 1,000
Member
Months
2000.00
NA
334.68
654.82
912.59
896.24
NA
NA
810.46
Emergency Room Visits
Visits
1
0
183
9525
12983
205
0
0
0
22897
Visits/ 1,000
Member
Months
500.00
NA
67.38
122.71
101.34
61.65
NA
NA
108.12
Page 103
Use of Services
Medica
Ambulatory Care
Data Last Refreshed:
Jul 7, 2015 10:10 AM
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
57051
330717
239597
302154
94475
40
0
0
0
1024034
Outpatient Visits (Excludes
MH/CD)
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Visits
47261
109950
64402
150326
60322
36
0
0
0
432297
HEDIS 2014 (Reporting Year 2013)
Visits/ 1,000
Member
Months
828.40
332.46
268.79
497.51
638.50
900.00
NA
NA
422.15
Emergency Room Visits
Visits
6117
18845
9762
31073
6101
0
0
0
0
71898
Visits/ 1,000
Member
Months
107.22
56.98
40.74
102.84
64.58
0.00
NA
NA
70.21
Page 104
Use of Services
Medica
Ambulatory Care
Data Last Refreshed:
Jul 7, 2015 10:10 AM
Minnesota Health Care Programs - Managed Care (MN Care)
Member Months
Age
<1
2653
1-9
55583
10-19
62349
20-44
98394
45-64
78846
65-74
335
75-84
112
85+
17
Unknown
0
298289
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
2136
805.13
16669
299.89
17325
277.87
40104
407.59
42437
538.23
227
677.61
93
830.36
18
1058.82
3
119012
398.98
HEDIS 2014 (Reporting Year 2013)
Emergency Room Visits
Visits
Visits/ 1,000
168
63.32
1599
28.77
1654
26.53
4045
41.11
2610
33.10
11
32.84
2
17.86
0
0.00
0
10089
33.82
Page 105
Use of Services
Medica
Inpatient Utilization - General Hospital/Acute Care
Data Last Refreshed:
Jul 7, 2015 10:10 AM
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
49035
491720
587517
1657871
1401102
68052
5866
1208
0
4262371
Discharges
Discharges /
1,000 Member
Months
338
607
799
7371
6649
735
106
49
0
16654
6.89
1.23
1.36
4.45
4.75
10.80
18.07
40.56
274
471
408
1433
3015
379
62
36
0
6078
5.59
0.96
0.69
0.86
2.15
5.57
10.57
29.80
64
136
271
1224
3623
356
44
13
0
5731
1.31
0.28
0.46
0.74
2.59
5.23
7.50
10.76
120
4714
10
0
4844
0.20
2.84
0.01
HEDIS 2014 (Reporting Year 2013)
3.91
1.43
1.34
1.33
Days
Days / 1,000
Member
Months
1616
1981
2671
20961
24884
2958
485
210
0
55766
32.96
4.03
4.55
12.64
17.76
43.47
82.68
173.84
1163
1343
1250
4778
11118
1365
231
148
0
21396
23.72
2.73
2.13
2.88
7.94
20.06
39.38
122.52
453
638
1009
3928
13731
1593
254
62
0
21668
9.24
1.30
1.72
2.37
9.80
23.41
43.30
51.32
412
12255
29
0
12696
0.70
7.39
0.02
13.08
5.02
5.08
3.48
Average
Length of Stay
4.78
3.26
3.34
2.84
3.74
4.02
4.58
4.29
NA
3.35
4.24
2.85
3.06
3.33
3.69
3.60
3.73
4.11
NA
3.52
7.08
4.69
3.72
3.21
3.79
4.47
5.77
4.77
NA
3.78
3.43
2.60
2.90
NA
2.62
Page 106
Use of Services
Medica
Inpatient Utilization - General Hospital/Acute Care
Data Last Refreshed:
Jul 7, 2015 10:10 AM
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
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 107
Use of Services
Medica
Inpatient Utilization - General Hospital/Acute Care
Data Last Refreshed:
Jul 7, 2015 10:10 AM
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
13
42434
39500
34962
0
116909
Discharges
Discharges /
1,000 Member
Months
0
0
0
0
0
1363
1541
1266
0
4170
NA
NA
NA
NA
0.00
32.12
39.01
36.21
0
0
0
0
0
1051
1254
1114
0
3419
NA
NA
NA
NA
0.00
24.77
31.75
31.86
0
0
0
0
0
312
287
152
0
751
NA
NA
NA
NA
0.00
7.35
7.27
4.35
0
0
0
0
0
NA
NA
0.00
HEDIS 2014 (Reporting Year 2013)
35.67
29.24
6.42
0.00
Days
Days / 1,000
Member
Months
0
0
0
0
0
6960
7060
5706
0
19726
NA
NA
NA
NA
0.00
164.02
178.73
163.21
0
0
0
0
0
5036
5356
4888
0
15280
NA
NA
NA
NA
0.00
118.68
135.59
139.81
0
0
0
0
0
1924
1704
818
0
4446
NA
NA
NA
NA
0.00
45.34
43.14
23.40
0
0
0
0
0
NA
NA
0.00
168.73
130.70
38.03
0.00
Average
Length of Stay
NA
NA
NA
NA
NA
5.11
4.58
4.51
NA
4.73
NA
NA
NA
NA
NA
4.79
4.27
4.39
NA
4.47
NA
NA
NA
NA
NA
6.17
5.94
5.38
NA
5.92
NA
NA
NA
NA
NA
Page 108
Use of Services
Medica
Inpatient Utilization - General Hospital/Acute Care
Data Last Refreshed:
Jul 7, 2015 10:10 AM
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
Medica
Inpatient Utilization - General Hospital/Acute Care
Data Last Refreshed:
Jul 7, 2015 10:10 AM
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
2
0
2716
77624
128114
3325
0
0
0
211781
Discharges
Discharges /
1,000 Member
Months
0
0
23
1223
3152
86
0
0
0
4484
0.00
NA
8.47
15.76
24.60
25.86
NA
NA
0
0
16
847
2313
64
0
0
0
3240
0.00
NA
5.89
10.91
18.05
19.25
NA
NA
0
0
4
257
839
22
0
0
0
1122
0.00
NA
1.47
3.31
6.55
6.62
NA
NA
3
119
0
0
122
1.10
1.53
0.00
HEDIS 2014 (Reporting Year 2013)
21.17
15.30
5.30
0.59
Days
Days / 1,000
Member
Months
0
0
88
5633
15388
402
0
0
0
21511
0.00
NA
32.40
72.57
120.11
120.90
NA
NA
0
0
55
3469
10269
217
0
0
0
14010
0.00
NA
20.25
44.69
80.16
65.26
NA
NA
0
0
19
1786
5119
185
0
0
0
7109
0.00
NA
7.00
23.01
39.96
55.64
NA
NA
14
378
0
0
392
5.15
4.87
0.00
101.57
66.15
33.57
1.88
Average
Length of Stay
NA
NA
3.83
4.61
4.88
4.67
NA
NA
NA
4.80
NA
NA
3.44
4.10
4.44
3.39
NA
NA
NA
4.32
NA
NA
4.75
6.95
6.10
8.41
NA
NA
NA
6.34
4.67
3.18
NA
NA
3.21
Page 110
Use of Services
Medica
Inpatient Utilization - General Hospital/Acute Care
Data Last Refreshed:
Jul 7, 2015 10:10 AM
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
57051
330717
239597
302154
94475
40
0
0
0
1024034
Discharges
Discharges /
1,000 Member
Months
604
712
767
5396
1386
1
0
0
0
8866
10.59
2.15
3.20
17.86
14.67
25.00
NA
NA
525
594
267
1166
885
0
0
0
0
3437
9.20
1.80
1.11
3.86
9.37
0.00
NA
NA
77
118
112
582
496
1
0
0
0
1386
1.35
0.36
0.47
1.93
5.25
25.00
NA
NA
388
3648
5
0
4041
1.62
12.07
0.05
HEDIS 2014 (Reporting Year 2013)
8.66
3.36
1.35
6.35
Days
Days / 1,000
Member
Months
3265
2153
2178
15688
5819
5
0
0
0
29108
57.23
6.51
9.09
51.92
61.59
125.00
NA
NA
2519
1691
717
3970
3520
0
0
0
0
12417
44.15
5.11
2.99
13.14
37.26
0.00
NA
NA
28.42
12.13
744
462
445
2196
2281
5
0
0
0
6133
13.04
1.40
1.86
7.27
24.14
125.00
NA
NA
1016
9522
18
0
10556
4.24
31.51
0.19
5.99
16.59
Average
Length of Stay
5.41
3.02
2.84
2.91
4.20
5.00
NA
NA
NA
3.28
4.80
2.85
2.69
3.40
3.98
NA
NA
NA
NA
3.61
9.66
3.92
3.97
3.77
4.60
5.00
NA
NA
NA
4.42
2.62
2.61
3.60
NA
2.61
Page 111
Use of Services
Medica
Inpatient Utilization - General Hospital/Acute Care
Data Last Refreshed:
Jul 7, 2015 10:10 AM
Minnesota Health Care Programs - Managed Care (MN Care)
Age
Member Months
<1
2653
1-9
55583
10-19
62349
20-44
98394
45-64
78846
65-74
335
75-84
112
85+
17
Unknown
0
298289
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
19
60
93
526
453
2
2
1
0
1156
7.16
1.08
1.49
5.35
5.75
5.97
17.86
58.82
175
144
355
1595
1655
2
11
5
0
3942
65.96
2.59
5.69
16.21
20.99
5.97
98.21
294.12
9.21
2.40
3.82
3.03
3.65
1.00
5.50
5.00
NA
3.41
15
41
55
153
229
2
0
0
0
495
5.65
0.74
0.88
1.55
2.90
5.97
0.00
0.00
86
91
199
481
825
2
0
0
0
1684
32.42
1.64
3.19
4.89
10.46
5.97
0.00
0.00
4
19
28
140
222
0
2
1
0
416
1.51
0.34
0.45
1.42
2.82
0.00
17.86
58.82
89
53
131
502
828
0
11
5
0
1619
33.55
0.95
2.10
5.10
10.50
0.00
98.21
294.12
10
233
2
0
245
0.16
2.37
0.03
25
612
2
0
639
0.40
6.22
0.03
HEDIS 2014 (Reporting Year 2013)
3.88
1.66
1.39
1.02
13.22
5.65
5.43
2.67
5.73
2.22
3.62
3.14
3.60
1.00
NA
NA
NA
3.40
22.25
2.79
4.68
3.59
3.73
NA
5.50
5.00
NA
3.89
2.50
2.63
1.00
NA
2.61
Page 112
Use of Services
Medica
Identification of Alcohol and Other Drug Services
Data Last Refreshed:
Jul 7, 2015 10:10 AM
Commercial
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
362224
152360
220907
337227
1055389
42569
0
2170676
350001
144836
210878
325627
1027796
32557
0
2091695
712225
297196
431785
662854
2083185
75126
0
4262371
362224
152360
220907
337227
1055389
42569
0
2170676
350001
144836
210878
325627
1027796
32557
0
2091695
712225
297196
431785
662854
2083185
75126
0
4262371
362224
152360
220907
337227
1055389
42569
0
2170676
350001
144836
210878
325627
1027796
32557
0
2091695
712225
297196
431785
662854
2083185
75126
0
4262371
362224
152360
220907
337227
1055389
42569
0
2170676
350001
144836
210878
325627
1027796
32557
0
2091695
712225
297196
431785
662854
2083185
75126
0
4262371
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
8
3
11
225
185
410
735
399
1134
759
406
1165
1876
1162
3038
56
19
75
0
0
0
3659
2174
5833
0.03%
0.01%
0.02%
1.77%
1.53%
1.66%
3.99%
2.27%
3.15%
2.70%
1.50%
2.11%
2.13%
1.36%
1.75%
1.58%
0.70%
1.20%
NA
NA
NA
2.02%
1.25%
1.64%
4
1
5
58
68
126
193
128
321
123
82
205
418
275
693
18
3
21
0
0
0
814
557
1371
0.01%
0.00%
0.01%
0.46%
0.56%
0.51%
1.05%
0.73%
0.89%
0.44%
0.30%
0.37%
0.48%
0.32%
0.40%
0.51%
0.11%
0.34%
NA
NA
NA
0.45%
0.32%
0.39%
0
0
0
33
27
60
73
48
121
51
33
84
87
88
175
0
0
0
0
0
0
244
196
440
0.00%
0.00%
0.00%
0.26%
0.22%
0.24%
0.40%
0.27%
0.34%
0.18%
0.12%
0.15%
0.10%
0.10%
0.10%
0.00%
0.00%
0.00%
NA
NA
NA
0.13%
0.11%
0.12%
5
2
7
208
167
375
671
351
1022
708
374
1082
1677
1054
2731
47
18
65
0
0
0
3316
1966
5282
0.02%
0.01%
0.01%
1.64%
1.38%
1.51%
3.64%
2.00%
2.84%
2.52%
1.38%
1.96%
1.91%
1.23%
1.57%
1.32%
0.66%
1.04%
NA
NA
NA
1.83%
1.13%
1.49%
HEDIS 2014 (Reporting Year 2013)
Page 113
Use of Services
Medica
Identification of Alcohol and Other Drug Services
Data Last Refreshed:
Jul 7, 2015 10:10 AM
Medicare Advantage
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
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)
Male
NR
Female
Total
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
Number
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Male
NR
Female
Total
NR
NR
NR
NR
NR
NR
NR
NR
NR
Intensive Outpatient/Partial
Hospitalization
Inpatient
Any Services
Age
0-12
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Member Months
(Inpatient)
Member Months
(Any)
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 114
Use of Services
Medica
Identification of Alcohol and Other Drug Services
Data Last Refreshed:
Jul 7, 2015 10:10 AM
MSHO
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
32910
0
32912
0
0
0
0
11
83986
0
83997
0
0
0
0
13
116896
0
116909
0
0
0
0
2
32910
0
32912
0
0
0
0
11
83986
0
83997
0
0
0
0
13
116896
0
116909
0
0
0
0
2
32910
0
32912
0
0
0
0
11
83986
0
83997
0
0
0
0
13
116896
0
116909
0
0
0
0
2
32910
0
32912
0
0
0
0
11
83986
0
83997
0
0
0
0
13
116896
0
116909
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
0
0
0
0
0
0
0
0
0
146
176
322
0
0
0
146
176
322
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00%
0.00%
0.00%
5.32%
2.51%
3.31%
NA
NA
NA
5.32%
2.51%
3.31%
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
67
66
133
0
0
0
67
66
133
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00%
0.00%
0.00%
2.44%
0.94%
1.37%
NA
NA
NA
2.44%
0.94%
1.37%
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%
0.01%
0.02%
NA
NA
NA
0.04%
0.01%
0.02%
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
115
131
246
0
0
0
115
131
246
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00%
0.00%
0.00%
4.19%
1.87%
2.53%
NA
NA
NA
4.19%
1.87%
2.53%
HEDIS 2014 (Reporting Year 2013)
Page 115
Use of Services
Medica
Identification of Alcohol and Other Drug Services
Data Last Refreshed:
Jul 7, 2015 10:10 AM
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
Medica
Identification of Alcohol and Other Drug Services
Data Last Refreshed:
Jul 7, 2015 10:10 AM
SNBC-Non SNP
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
8445
15477
71374
1165
0
96461
2
3
5717
13823
93615
2160
0
115320
2
3
14162
29300
164989
3325
0
211781
0
0
8445
15477
71374
1165
0
96461
2
3
5717
13823
93615
2160
0
115320
2
3
14162
29300
164989
3325
0
211781
0
0
8445
15477
71374
1165
0
96461
2
3
5717
13823
93615
2160
0
115320
2
3
14162
29300
164989
3325
0
211781
0
0
8445
15477
71374
1165
0
96461
2
3
5717
13823
93615
2160
0
115320
2
3
14162
29300
164989
3325
0
211781
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
91
59
150
281
266
547
1577
1658
3235
6
12
18
0
0
0
1955
1995
3950
NA
0.00%
0.00%
NA
0.00%
0.00%
12.93%
12.38%
12.71%
21.79%
23.09%
22.40%
26.51%
21.25%
23.53%
6.18%
6.67%
6.50%
NA
NA
NA
24.32%
20.76%
22.38%
0
0
0
0
0
0
35
20
55
98
94
192
504
439
943
3
4
7
0
0
0
640
557
1197
NA
0.00%
0.00%
NA
0.00%
0.00%
4.97%
4.20%
4.66%
7.60%
8.16%
7.86%
8.47%
5.63%
6.86%
3.09%
2.22%
2.53%
NA
NA
NA
7.96%
5.80%
6.78%
0
0
0
0
0
0
2
6
8
14
15
29
90
90
180
1
0
1
0
0
0
107
111
218
NA
0.00%
0.00%
NA
0.00%
0.00%
0.28%
1.26%
0.68%
1.09%
1.30%
1.19%
1.51%
1.15%
1.31%
1.03%
0.00%
0.36%
NA
NA
NA
1.33%
1.16%
1.24%
0
0
0
0
0
0
81
55
136
251
240
491
1436
1514
2950
7
11
18
0
0
0
1775
1820
3595
NA
0.00%
0.00%
NA
0.00%
0.00%
11.51%
11.54%
11.52%
19.46%
20.83%
20.11%
24.14%
19.41%
21.46%
7.21%
6.11%
6.50%
NA
NA
NA
22.08%
18.94%
20.37%
HEDIS 2014 (Reporting Year 2013)
Page 117
Use of Services
Medica
Identification of Alcohol and Other Drug Services
Data Last Refreshed:
Jul 7, 2015 10:10 AM
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
240155
57797
38105
43410
82422
19
461908
235943
59702
65966
94633
105861
21
562126
476098
117499
104071
138043
188283
40
1024034
240155
57797
38105
43410
82422
19
461908
235943
59702
65966
94633
105861
21
562126
476098
117499
104071
138043
188283
40
1024034
240155
57797
38105
43410
82422
19
461908
235943
59702
65966
94633
105861
21
562126
476098
117499
104071
138043
188283
40
1024034
240155
57797
38105
43410
82422
19
461908
235943
59702
65966
94633
105861
21
562126
476098
117499
104071
138043
188283
40
1024034
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
14
14
297
297
686
686
1189
1189
1999
1999
0
0
0
0
4185
NR
4185
0.07%
0.04%
6.17%
3.03%
21.60%
7.91%
32.87%
10.34%
29.10%
12.74%
0.00%
0.00%
NR
NR
10.87%
NR
4.90%
3
3
86
86
202
202
295
295
623
623
0
0
0
0
1209
NR
1209
0.01%
0.01%
1.79%
0.88%
6.36%
2.33%
8.15%
2.56%
9.07%
3.97%
0.00%
0.00%
NR
NR
3.14%
NR
1.42%
1
1
45
45
45
45
89
89
150
150
0
0
0
0
330
NR
330
0.00%
0.00%
0.93%
0.46%
1.42%
0.52%
2.46%
0.77%
2.18%
0.96%
0.00%
0.00%
NR
NR
0.86%
NR
0.39%
11
11
281
281
654
654
1132
1132
1884
1884
0
0
0
0
3962
NR
3962
0.05%
0.03%
5.83%
2.87%
20.60%
7.54%
31.29%
9.84%
27.43%
12.01%
0.00%
0.00%
NR
NR
10.29%
NR
4.64%
HEDIS 2014 (Reporting Year 2013)
Page 118
Use of Services
Medica
Identification of Alcohol and Other Drug Services
Data Last Refreshed:
Jul 7, 2015 10:10 AM
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
39603
14851
13891
15664
47403
226
0
131638
Female
37714
15623
17409
24246
71421
238
0
166651
Total
77317
30474
31300
39910
118824
464
0
298289
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
0
1
46
29
75
96
73
169
169
126
295
382
340
722
1
0
1
0
0
0
695
568
1263
HEDIS 2014 (Reporting Year 2013)
Total
77317
30474
31300
39910
118824
464
0
298289
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Male
Female
Total
39603
37714
77317
14851
15623
30474
13891
17409
31300
15664
24246
39910
47403
71421
118824
226
238
464
0
0
0
131638
166651
298289
Percent
0.00%
0.00%
0.00%
0.89%
0.77%
0.83%
1.55%
1.24%
1.38%
1.30%
1.04%
1.14%
1.65%
0.94%
1.22%
0.00%
0.00%
0.00%
NA
NA
NA
1.01%
0.76%
0.87%
Intensive Outpatient/Partial
Hospitalization
Number
Percent
0
0.00%
0
0.00%
0
0.00%
7
0.57%
6
0.46%
13
0.51%
6
0.52%
3
0.21%
9
0.35%
12
0.92%
6
0.30%
18
0.54%
19
0.48%
15
0.25%
34
0.34%
0
0.00%
0
0.00%
0
0.00%
0
NA
0
NA
0
NA
44
0.40%
30
0.22%
74
0.30%
Member Months
(Inpatient)
Male
39603
14851
13891
15664
47403
226
0
131638
Female
37714
15623
17409
24246
71421
238
0
166651
Inpatient
Percent
0.03%
0.00%
0.02%
3.72%
2.23%
2.95%
8.29%
5.03%
6.48%
12.95%
6.24%
8.87%
9.67%
5.71%
7.29%
5.31%
0.00%
2.59%
NA
NA
NA
6.34%
4.09%
5.08%
Number
0
0
0
11
10
21
18
18
36
17
21
38
65
56
121
0
0
0
0
0
0
111
105
216
Member Months
(Outpatient/ED)
Male
39603
14851
13891
15664
47403
226
0
131638
Female
37714
15623
17409
24246
71421
238
0
166651
Total
77317
30474
31300
39910
118824
464
0
298289
Outpatient/ED
Number
1
0
1
46
26
72
95
64
159
162
117
279
359
319
678
1
0
1
0
0
0
664
526
1190
Percent
0.03%
0.00%
0.02%
3.72%
2.00%
2.84%
8.21%
4.41%
6.10%
12.41%
5.79%
8.39%
9.09%
5.36%
6.85%
5.31%
0.00%
2.59%
NA
NA
NA
6.05%
3.79%
4.79%
Page 119
Use of Services
Medica
Mental Health Utilization - % of Members Receiving Inpatient, Day/Night and Ambulatory Services
Data Last Refreshed:
Jul 7, 2015 10:10 AM
Commercial
Member Months
(Any)
Age
0-12
13-17
18-64
65+
Unknown
Total
Member Months
(Inpatient)
Male
Female
Total
Male
Female
Total
362224
152360
1613523
42569
0
2170676
350001
144836
1564301
32557
0
2091695
712225
297196
3177824
75126
0
4262371
362224
152360
1613523
42569
0
2170676
350001
144836
1564301
32557
0
2091695
712225
297196
3177824
75126
0
4262371
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
362224
152360
1613523
42569
0
2170676
350001
144836
1564301
32557
0
2091695
712225
297196
3177824
75126
0
4262371
Intensive Outpatient/Partial
Hospitalization
Inpatient
Member Months
(Outpatient/ED)
Male
Female
Total
362224
152360
1613523
42569
0
2170676
350001
144836
1564301
32557
0
2091695
712225
297196
3177824
75126
0
4262371
Outpatient/ED
Number
Percent
Number
Percent
Number
Percent
Number
Percent
2165
1352
3517
1625
1969
3594
8314
14174
22488
161
159
320
0
0
0
12265
17654
29919
7.17%
4.64%
5.93%
12.80%
16.31%
14.51%
6.18%
10.87%
8.49%
4.54%
5.86%
5.11%
NA
NA
NA
6.78%
10.13%
8.42%
14
15
29
92
173
265
297
381
678
7
3
10
0
0
0
410
572
982
0.05%
0.05%
0.05%
0.72%
1.43%
1.07%
0.22%
0.29%
0.26%
0.20%
0.11%
0.16%
NA
NA
NA
0.23%
0.33%
0.28%
137
79
216
146
242
388
274
662
936
2
1
3
0
0
0
559
984
1543
0.45%
0.27%
0.36%
1.15%
2.01%
1.57%
0.20%
0.51%
0.35%
0.06%
0.04%
0.05%
NA
NA
NA
0.31%
0.56%
0.43%
2109
1320
3429
1577
1909
3486
8151
13967
22118
157
157
314
0
0
0
11994
17353
29347
6.99%
4.53%
5.78%
12.42%
15.82%
14.08%
6.06%
10.71%
8.35%
4.43%
5.79%
5.02%
NA
NA
NA
6.63%
9.96%
8.26%
HEDIS 2014 (Reporting Year 2013)
Page 120
Use of Services
Medica
Mental Health Utilization - % of Members Receiving Inpatient, Day/Night and Ambulatory Services
Data Last Refreshed:
Jul 7, 2015 10:10 AM
Medicare Advantage
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 121
Use of Services
Medica
Mental Health Utilization - % of Members Receiving Inpatient, Day/Night and Ambulatory Services
Data Last Refreshed:
Jul 7, 2015 10:10 AM
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
32910
0
32912
0
0
11
83986
0
83997
0
0
13
116896
0
116909
0
0
2
32910
0
32912
0
0
11
83986
0
83997
0
0
13
116896
0
116909
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
Male
Female
Total
0
0
2
32910
0
32912
0
0
2
32910
0
32912
0
0
11
83986
0
83997
0
0
13
116896
0
116909
0
0
11
83986
0
83997
0
0
13
116896
0
116909
Intensive Outpatient/Partial
Hospitalization
Inpatient
Any Services
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Total
Male
Female
Member Months
(Outpatient/ED)
Outpatient/ED
Number
Percent
Number
Percent
Number
Percent
Number
Percent
0
0
0
0
0
0
0
1
1
391
1006
1397
0
0
0
391
1007
1398
NA
NA
NA
NA
NA
NA
0.00%
109.09%
92.31%
14.26%
14.37%
14.34%
NA
NA
NA
14.26%
14.39%
14.35%
0
0
0
0
0
0
0
0
0
65
178
243
0
0
0
65
178
243
NA
NA
NA
NA
NA
NA
0.00%
0.00%
0.00%
2.37%
2.54%
2.49%
NA
NA
NA
2.37%
2.54%
2.49%
0
0
0
0
0
0
0
0
0
16
64
80
0
0
0
16
64
80
NA
NA
NA
NA
NA
NA
0.00%
0.00%
0.00%
0.58%
0.91%
0.82%
NA
NA
NA
0.58%
0.91%
0.82%
0
0
0
0
0
0
0
1
1
346
881
1227
0
0
0
346
882
1228
NA
NA
NA
NA
NA
NA
0.00%
109.09%
92.31%
12.62%
12.59%
12.60%
NA
NA
NA
12.62%
12.60%
12.60%
HEDIS 2014 (Reporting Year 2013)
Page 122
Use of Services
Medica
Mental Health Utilization - % of Members Receiving Inpatient, Day/Night and Ambulatory Services
Data Last Refreshed:
Jul 7, 2015 10:10 AM
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)
Male
Female
Total
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
Medica
Mental Health Utilization - % of Members Receiving Inpatient, Day/Night and Ambulatory Services
Data Last Refreshed:
Jul 7, 2015 10:10 AM
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
95296
1165
0
96461
2
3
113155
2160
0
115320
2
3
208451
3325
0
211781
0
0
95296
1165
0
96461
2
3
113155
2160
0
115320
2
3
208451
3325
0
211781
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
95296
1165
0
96461
0
0
95296
1165
0
96461
2
3
113155
2160
0
115320
2
3
208451
3325
0
211781
2
3
113155
2160
0
115320
2
3
208451
3325
0
211781
Intensive Outpatient/Partial
Hospitalization
Inpatient
Member Months
(Outpatient/ED)
Outpatient/ED
Number
Percent
Number
Percent
Number
Percent
Number
Percent
0
0
0
0
1
1
4148
5543
9691
19
49
68
0
0
0
4167
5593
9760
NA
0.00%
0.00%
NA
400.00%
400.00%
52.23%
58.78%
55.79%
19.57%
27.22%
24.54%
NA
NA
NA
51.84%
58.20%
55.30%
0
0
0
0
0
0
414
452
866
0
4
4
0
0
0
414
456
870
NA
0.00%
0.00%
NA
0.00%
0.00%
5.21%
4.79%
4.99%
0.00%
2.22%
1.44%
NA
NA
NA
5.15%
4.75%
4.93%
0
0
0
0
0
0
578
871
1449
0
8
8
0
0
0
578
879
1457
NA
0.00%
0.00%
NA
0.00%
0.00%
7.28%
9.24%
8.34%
0.00%
4.44%
2.89%
NA
NA
NA
7.19%
9.15%
8.26%
0
0
0
0
1
1
4005
5395
9400
19
49
68
0
0
0
4024
5445
9469
NA
0.00%
0.00%
NA
400.00%
400.00%
50.43%
57.21%
54.11%
19.57%
27.22%
24.54%
NA
NA
NA
50.06%
56.66%
53.65%
HEDIS 2014 (Reporting Year 2013)
Page 124
Use of Services
Medica
Mental Health Utilization - % of Members Receiving Inpatient, Day/Night and Ambulatory Services
Data Last Refreshed:
Jul 7, 2015 10:10 AM
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
240155
57797
163937
19
0
461908
235943
59702
266460
21
0
562126
476098
117499
430397
40
0
1024034
240155
57797
163937
19
0
461908
235943
59702
266460
21
0
562126
476098
117499
430397
40
0
1024034
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
240155
57797
163937
19
0
461908
235943
59702
266460
21
0
562126
476098
117499
430397
40
0
1024034
Intensive Outpatient/Partial
Hospitalization
Inpatient
Member Months
(Outpatient/ED)
Male
Female
Total
240155
57797
163937
19
0
461908
235943
59702
266460
21
0
562126
476098
117499
430397
40
0
1024034
Outpatient/ED
Number
Percent
Number
Percent
Number
Percent
Number
Percent
2892
1981
4873
1174
1396
2570
4000
7313
11313
0
0
0
0
0
0
8066
10690
18756
14.45%
10.08%
12.28%
24.37%
28.06%
26.25%
29.28%
32.93%
31.54%
0.00%
0.00%
0.00%
NA
NA
NA
20.95%
22.82%
21.98%
54
37
91
69
164
233
296
346
642
0
0
0
0
0
0
419
547
966
0.27%
0.19%
0.23%
1.43%
3.30%
2.38%
2.17%
1.56%
1.79%
0.00%
0.00%
0.00%
NA
NA
NA
1.09%
1.17%
1.13%
691
447
1138
273
376
649
597
1110
1707
0
0
0
0
0
0
1561
1933
3494
3.45%
2.27%
2.87%
5.67%
7.56%
6.63%
4.37%
5.00%
4.76%
0.00%
0.00%
0.00%
NA
NA
NA
4.06%
4.13%
4.09%
2716
1807
4523
1077
1271
2348
3712
6815
10527
0
0
0
0
0
0
7505
9893
17398
13.57%
9.19%
11.40%
22.36%
25.55%
23.98%
27.17%
30.69%
29.35%
0.00%
0.00%
0.00%
NA
NA
NA
19.50%
21.12%
20.39%
HEDIS 2014 (Reporting Year 2013)
Page 125
Use of Services
Medica
Mental Health Utilization - % of Members Receiving Inpatient, Day/Night and Ambulatory Services
Data Last Refreshed:
Jul 7, 2015 10:10 AM
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
39603
14851
76958
226
0
131638
37714
15623
113076
238
0
166651
77317
30474
190034
464
0
298289
39603
14851
76958
226
0
131638
37714
15623
113076
238
0
166651
77317
30474
190034
464
0
298289
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
39603
14851
76958
226
0
131638
37714
15623
113076
238
0
166651
77317
30474
190034
464
0
298289
Intensive Outpatient/Partial
Hospitalization
Inpatient
Member Months
(Outpatient/ED)
Male
Female
Total
39603
14851
76958
226
0
131638
37714
15623
113076
238
0
166651
77317
30474
190034
464
0
298289
Outpatient/ED
Number
Percent
Number
Percent
Number
Percent
Number
Percent
319
272
591
237
313
550
1028
2119
3147
1
1
2
0
0
0
1585
2705
4290
9.67%
8.65%
9.17%
19.15%
24.04%
21.66%
16.03%
22.49%
19.87%
5.31%
5.04%
5.17%
NA
NA
NA
14.45%
19.48%
17.26%
2
4
6
12
40
52
27
48
75
0
1
1
0
0
0
41
93
134
0.06%
0.13%
0.09%
0.97%
3.07%
2.05%
0.42%
0.51%
0.47%
0.00%
5.04%
2.59%
NA
NA
NA
0.37%
0.67%
0.54%
57
39
96
60
73
133
87
261
348
0
0
0
0
0
0
204
373
577
1.73%
1.24%
1.49%
4.85%
5.61%
5.24%
1.36%
2.77%
2.20%
0.00%
0.00%
0.00%
NA
NA
NA
1.86%
2.69%
2.32%
300
253
553
212
291
503
980
1991
2971
1
1
2
0
0
0
1493
2536
4029
9.09%
8.05%
8.58%
17.13%
22.35%
19.81%
15.28%
21.13%
18.76%
5.31%
5.04%
5.17%
NA
NA
NA
13.61%
18.26%
16.21%
HEDIS 2014 (Reporting Year 2013)
Page 126
Use of Services
Medica
Plan All-Cause Readmissions
Data Last Refreshed:
Jul 7, 2015 10:10 AM
Medicare Advantage
Age
18-44
45-54
55-64
Total
Age
65-74
75-84
85+
Total
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
F
Total
HEDIS 2014 (Reporting Year 2013)
Page 127
Use of Services
Medica
Plan All-Cause Readmissions
Data Last Refreshed:
Jul 7, 2015 10:10 AM
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)
323
561
884
319
705
1024
168
626
794
810
1892
2702
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)
60
86
146
51
104
155
20
66
86
131
256
387
Observed
Readmission
(Num/Den)
18.58%
15.33%
16.52%
15.99%
14.75%
15.14%
11.90%
10.54%
10.83%
16.17%
13.53%
14.32%
Average Adjusted
Probability
Total Variance
18.89%
16.32%
17.26%
18.63%
17.47%
17.83%
19.32%
16.23%
16.88%
18.88%
16.72%
17.37%
4616.20%
7271.45%
11887.65%
4600.41%
9733.34%
14333.75%
2519.72%
8241.25%
10760.97%
11736.33%
25246.04%
36982.37%
Page 128
Use of Services
Medica
Plan All-Cause Readmissions
Data Last Refreshed:
Jul 7, 2015 10:10 AM
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
Medica
Plan All-Cause Readmissions
Data Last Refreshed:
Jul 7, 2015 10:10 AM
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
Medica
Data Last Refreshed:
Jul 7, 2015 10:10 AM
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
Medica
Data Last Refreshed:
Jul 7, 2015 10:10 AM
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
Medica
Data Last Refreshed:
Jul 7, 2015 10:10 AM
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
Medica
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Jul 7, 2015 10:10 AM
Commercial
<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
25604
143053
147956
91505
60652
Member Months
Female
23431
101386
140815
142396
86809
58199
Total
49035
101386
283868
290352
178314
118851
468770
22.71%
160255
157949
179278
170067
179950
553036
26.44%
152679
153300
172327
160705
171361
1021806
24.59%
847499
41.06%
190868
207468
178880
128156
810372
38.74%
186384
206857
175215
127274
1657871
39.89%
705372
34.17%
30402
8002
2492
1085
312
276
695730
33.26%
24218
5430
1648
641
350
270
1401102
33.71%
42569
2.06%
0
32557
1.56%
0
75126
1.81%
2064210
2091695
HEDIS 2014 (Reporting Year 2013)
312934
311249
351605
330772
351311
377252
414325
354095
255430
54620
13432
4140
1726
662
546
0
4155905
Page 134
Health Plan Descriptive Information
Medica
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Jul 7, 2015 10:10 AM
Medicare Advantage
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 135
Health Plan Descriptive Information
Medica
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Jul 7, 2015 10:10 AM
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
11
0
0.00%
2
0.01%
6844
7999
6491
5249
3815
2512
11
0.01%
13170
14421
14072
13688
13005
15630
13
0.01%
32910
99.99%
0
83986
99.99%
0
116896
99.99%
32912
83997
HEDIS 2014 (Reporting Year 2013)
0
0
0
0
0
0
0
0
13
20014
22420
20563
18937
16820
18142
0
116909
Page 136
Health Plan Descriptive Information
Medica
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Jul 7, 2015 10:10 AM
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
Medica
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Jul 7, 2015 10:10 AM
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
Medica
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Jul 7, 2015 10:10 AM
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
28874
77879
89675
69310
32214
15233
Member Months
Female
28177
76560
86603
71107
33198
18535
Total
57051
154439
176278
140417
65412
33768
313185
67.80%
22872
20984
22426
17672
17321
314180
55.89%
47431
49241
45392
33514
25301
627365
61.26%
101275
21.93%
16368
15479
10665
4917
200879
35.74%
18112
14283
9342
5309
302154
29.51%
47429
10.27%
19
0
0
0
0
0
47046
8.37%
21
0
0
0
0
0
94475
9.23%
19
0.00%
0
21
0.00%
0
40
0.00%
461908
562126
HEDIS 2014 (Reporting Year 2013)
70303
70225
67818
51186
42622
34480
29762
20007
10226
40
0
0
0
0
0
0
1024034
Page 139
Health Plan Descriptive Information
Medica
Enrollment by Product Line (Age & Sex)
Minnesota Health Care Programs - Managed Care (MN Care)
Member Months
Male
Female
1373
1280
<1
10868
10226
1-4
17685
16804
5-9
15551
15631
10-14
8977
9396
15-17
6307
6487
18-19
60761
59824
0-19 Subtotal
46.16%
35.90%
0-19 Subtotal: %
7584
10922
20-24
6920
11690
25-29
8744
12556
30-34
7683
11192
35-39
8497
12606
40-44
39428
58966
20-44 Subtotal
29.95%
35.38%
20-44 Subtotal: %
8380
12650
45-49
9009
13519
50-54
7630
11228
55-59
6204
10226
60-64
31223
47623
45-64 Subtotal
23.72%
28.58%
45-64 Subtotal: %
106
148
65-69
44
37
70-74
42
37
75-79
22
11
80-84
10
5
85-89
2
0
>=90
226
238
>=65 Subtotal
0.17%
0.14%
>=65 Subtotal: %
0
0
Age Unknown
131638
166651
Total
HEDIS 2014 (Reporting Year 2013)
Data Last Refreshed:
Jul 7, 2015 10:10 AM
Total
2653
21094
34489
31182
18373
12794
120585
40.43%
18506
18610
21300
18875
21103
98394
32.99%
21030
22528
18858
16430
78846
26.43%
254
81
79
33
15
2
464
0.16%
0
298289
Page 140