HealthPartners / Group Health Plan, Inc.
General Info
Disclaimers
HEDIS 2014 (Reporting Year 2013)
Page
Data Last Refreshed: 7/6/2015
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
HealthPartners / Group Health Plan, Inc.
Adult BMI Assessment
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Data Last Refreshed:
Jul 6, 2015 2:02 PM
Commercial
Medicare
Advantage
2013
H
210320
Numerator Events by Admin Data on Eligible
Population (before exclusions)
MA Expand
F& C
2013
H
6060
MN Care
2013
H
3913
3495
2012
57.67%
411
5.00%
432
239
55.32%
51.42%
411
5.00%
432
208
48.15%
Number of Records Excluded Because of Valid
Data Errors
0
0
Number of administrative data records excluded
0
0
Number of medical record data records excluded
0
0
Number of employee/dependent medical records
excluded
0
0
0
411
229
154
93.19%
90.63%
95.74%
0
411
198
196
95.86%
93.82%
97.91%
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
51
NR
NR
NR
NR
NR
NR
Page 3
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents
Data Last Refreshed:
Jul 6, 2015 2:02 PM
Commercial
BMI Percentile
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
General
Measure
Data
Ages 3-11 Ages 12-17
Counseling for Nutrition
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
43718
29617
73335
43718
29617
73335
43718
29617
73335
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
45
42
87
0
2
2
0
1
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
HealthPartners / Group Health Plan, Inc.
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 6, 2015 2:02 PM
Counseling for Nutrition
Total
General
Measure
Data
Ages 3-11 Ages 12-17
Counseling for Physical Activity
Total
2013
H
General
Measure
Data
Total
7268
3836
11104
7268
3836
11104
7268
3836
11104
3180
43.75%
1697
44.24%
4877
43.92%
63
0.87%
86
2.24%
149
1.34%
2
0.03%
3
0.08%
5
0.05%
0
NR
1
NR
1
NR
411
5.00%
411
5.00%
432
109
NR
77
NR
186
NR
432
1
NR
2
NR
3
NR
0
0
Number of administrative data records
excluded
0
0
Number of medical records excluded
1
1
Number of employee/dependent records
excluded
0
0
Records Added from the Oversample List
1
1
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
255
156
411
255
156
411
255
156
411
100
102
79.22%
74.04%
84.39%
73
53
80.77%
74.26%
87.27%
173
155
79.81%
75.80%
83.81%
1
173
68.24%
62.32%
74.15%
2
87
57.05%
48.96%
65.14%
3
260
63.99%
59.23%
68.75%
0
149
58.43%
52.19%
64.68%
1
95
61.54%
53.58%
69.49%
1
244
59.61%
54.75%
64.48%
Page 5
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents
Data Last Refreshed:
Jul 6, 2015 2:02 PM
Minnesota Health Care Programs - Managed Care (MN Care)
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator events by admin data in eligible
Current Year's Administrative Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin rate on FSS
Number of Records Excluded Because of
Number of administrative data records
Number of medical records excluded
Number of employee/dependent records
Records Added from the Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
General
2013
H
BMI Percentile
Ages 3-11 Ages 12-17
2201
995
45.21%
1400
634
45.29%
Total
General
2013
H
3601
1629
45.24%
411
5.00%
432
Counseling for Nutrition
Ages 3-11 Ages 12-17
Total
2201
11
0.50%
1400
24
1.71%
3601
35
0.97%
0
0.00%
2
0.46%
2
0.46%
239
0
160
66.95%
60.77%
73.12%
172
2
96
56.98%
49.29%
64.67%
411
2
256
62.77%
57.98%
67.57%
411
5.00%
432
121
28.01%
69
15.97%
190
43.98%
0
0
0
0
0
0
0
0
0
0
239
113
86
83.26%
78.32%
88.21%
172
65
69
77.91%
71.42%
84.40%
411
178
155
81.02%
77.11%
84.93%
Counseling for Physical Activity
General
Ages 3-11 Ages 12Total
2013
H
2201
1400
3601
0
1
1
0.00%
0.07%
0.03%
411
5.00%
432
0
0
0
0.00%
0.00%
0.00%
0
0
0
0
0
239
172
411
0
0
0
142
105
247
59.41%
61.05%
60.10%
52.98%
53.47%
55.24%
65.85%
68.62%
64.95%
Page 6
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Childhood Immunization Status
Data Last Refreshed:
Jul 6, 2015 2:02 PM
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
340
370
371
376
338
368
351
344
339
305
Reported Rate
84.37%
91.81%
92.06%
93.30%
83.87%
91.32%
87.10%
85.36%
84.12%
75.68%
Lower 95% Confidence Interval
80.70%
89.01%
89.30%
90.74%
80.16%
88.44%
83.70%
81.78%
80.43%
71.37%
Upper 95% Confidence Interval
88.04%
94.61%
94.82%
95.87%
87.59%
94.19%
90.49%
88.94%
87.81%
79.99%
Measurement Year
Influenza
2013
Data Collection Methodology
H
Eligible Member Population
4873
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
403
Numerator Events by Medical Record
HEDIS 2014 (Reporting Year 2013)
Page 7
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Childhood Immunization Status
Data Last Refreshed:
Jul 6, 2015 2:02 PM
Commercial
Data Elements
General
Measure
Data
DTaP
Combo 2
Combo 3
Combo 4
Combo 5
Combo 6
Combo 7
Combo 8
Combo 9
Combo10
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
340
301
296
276
277
250
262
234
236
223
Reported Rate
84.37%
74.69%
73.45%
68.49%
68.73%
62.03%
65.01%
58.06%
58.56%
55.33%
Lower 95% Confidence Interval
80.70%
70.32%
69.01%
63.83%
64.08%
57.17%
60.23%
53.12%
53.63%
50.36%
Upper 95% Confidence Interval
88.04%
79.06%
77.88%
73.15%
73.38%
66.90%
69.79%
63.01%
63.49%
60.31%
Measurement Year
2013
Data Collection Methodology
H
Eligible Member Population
4873
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
403
Numerator Events by Medical Record
HEDIS 2014 (Reporting Year 2013)
Page 8
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Childhood Immunization Status
Data Last Refreshed:
Jul 6, 2015 2:02 PM
Minnesota Health Care Programs - Managed Care (MA Expand F&C)
Data Elements
General
Measure
Data
Pneumococcal
Hepatitis A Rotavirus
Conjugate
DTaP
IPV
MMR
HiB
Hepatitis B
VZV
867
79.03%
977
89.06%
969
88.33%
993
90.52%
936
85.32%
966
88.06%
852
77.67%
946
86.24%
820
74.75%
668
60.89%
353
390
386
393
379
382
343
375
330
271
81.71%
90.28%
89.35%
90.97%
87.73%
88.43%
79.40%
86.81%
76.39%
62.73%
Numerator Events by administrative Data
336
371
370
374
361
364
326
359
315
262
Numerator Events by Medical Record
10
9
1
8
23
2
13
1
17
8
Reported Rate
84.18%
92.46%
90.27%
92.94%
93.43%
89.05%
82.48%
87.59%
80.78%
65.69%
Lower 95% Confidence Interval
80.54%
89.78%
87.28%
90.35%
90.91%
85.91%
78.69%
84.28%
76.85%
60.98%
Upper 95% Confidence Interval
87.83%
95.13%
93.25%
95.54%
95.95%
92.19%
86.28%
90.90%
84.71%
70.40%
Measurement Year
2013
Data Collection Methodology
H
Eligible Member Population
1097
Numerator events by admin data in eligible
population
Current Year's Administrative Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
411
0.05
432
Numerator events by admin data in FSS
Admin rate on FSS
Number of Records Excluded Because of
Valid Data Errors
0
Number of administrative data records
excluded
0
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
HealthPartners / Group Health Plan, Inc.
Childhood Immunization Status
Data Last Refreshed:
Jul 6, 2015 2:02 PM
Minnesota Health Care Programs - Managed Care (MA Expand F&C)
Data Elements
General
Measure
Data
DTaP
Combo 2
Combo 3
Combo 4
Combo 5
Combo 6
Combo 7
Combo 8
Combo 9
Combo10
867
79.03%
784
71.47%
766
69.83%
746
68.00%
681
62.08%
566
51.60%
665
60.62%
560
51.05%
509
46.40%
505
46.03%
353
327
316
306
282
235
275
232
214
212
81.71%
75.69%
73.15%
70.83%
65.28%
54.40%
63.66%
53.70%
49.54%
49.07%
Numerator Events by administrative Data
336
312
301
293
270
226
264
223
206
204
Numerator Events by Medical Record
10
20
19
18
21
20
19
20
22
21
Reported Rate
84.18%
80.78%
77.86%
75.67%
70.80%
59.85%
68.86%
59.12%
55.47%
54.74%
Lower 95% Confidence Interval
80.54%
76.85%
73.72%
71.40%
66.29%
54.99%
64.26%
54.25%
50.55%
49.81%
Upper 95% Confidence Interval
87.83%
84.71%
81.99%
79.94%
75.32%
64.71%
73.46%
64.00%
60.40%
59.68%
Measurement Year
2013
Data Collection Methodology
H
Eligible Member Population
1097
Numerator events by admin data in eligible
population
Current Year's Administrative Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
411
0.05
432
Numerator events by admin data in FSS
Admin rate on FSS
Number of Records Excluded Because of
Valid Data Errors
0
Number of administrative data records
excluded
0
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
HealthPartners / Group Health Plan, Inc.
Childhood Immunization Status
Data Last Refreshed:
Jul 6, 2015 2:02 PM
Minnesota Health Care Programs - Managed Care (MN Care)
Data Elements
Measurement Year
Data Collection Methodology
General
Measure
Data
Minimum Required Sample Size
135
Number of 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 records
excluded
0
Records Added from the Oversample List
0
HEDIS 2014 (Reporting Year 2013)
Hepatitis B
VZV
Influenza
111
120
122
121
112
117
108
112
110
84
82.22%
88.89%
90.37%
89.63%
82.96%
86.67%
80.00%
82.96%
81.48%
62.22%
111
120
122
121
112
117
108
112
110
84
82.22%
88.89%
90.37%
89.63%
82.96%
86.67%
80.00%
82.96%
81.48%
62.22%
111
120
122
121
112
117
108
112
110
84
135
Admin rate on FSS
Numerator Events by administrative Data
HiB
0
Numerator events by admin data in FSS
Denominator
MMR
H
135
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
135
Page 11
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Childhood Immunization Status
Data Last Refreshed:
Jul 6, 2015 2:02 PM
Minnesota Health Care Programs - Managed Care (MN Care)
Data Elements
Measurement Year
Data Collection Methodology
General
Measure
Data
Minimum Required Sample Size
135
Number of 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 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
111
103
100
97
95
76
92
75
74
73
82.22%
76.30%
74.07%
71.85%
70.37%
56.30%
68.15%
55.56%
54.81%
54.07%
111
103
100
97
95
76
92
75
74
73
82.22%
76.30%
74.07%
71.85%
70.37%
56.30%
68.15%
55.56%
54.81%
54.07%
111
103
100
97
95
76
92
75
74
73
135
Admin rate on FSS
Numerator Events by administrative Data
Combo 4
0
Numerator events by admin data in FSS
Denominator
Combo 3
H
135
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
135
Page 12
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Data Last Refreshed:
Jul 6, 2015 2:02 PM
Immunizations for Adolescents
Commercial
Commercial
Data Elements
General
Measure Data
Meningococcal
Tdap
Combo 1
Current Year's Admin Rate
NR
NR
NR
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin Rate on FSS
NR
NR
NR
4114
5389
4053
Reported Rate
67.91%
88.96%
66.90%
Lower 95% Confidence Interval
66.73%
88.16%
65.71%
Upper 95% Confidence Interval
69.09%
89.75%
68.10%
Measurement Year
Data Collection Methodology
Eligible Member Population
2013
A
6058
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
HealthPartners / Group Health Plan, Inc.
Data Last Refreshed:
Jul 6, 2015 2:02 PM
Immunizations for Adolescents
Commercial
Minnesota Health Care Programs - Managed Care (MA-Expand)
General
Data Elements
Measure Data
Measurement Year
2013
Data Collection Methodology
H
Eligible Member Population
847
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
1
Number of employee/dependent medical records
excluded
0
HEDIS 2014 (Reporting Year 2013)
Tdap
Combo 1
615
759
604
72.61%
89.61%
71.31%
316
73.15%
390
90.28%
311
71.99%
302
2
73.97%
69.60%
78.33%
374
2
91.48%
88.66%
94.30%
298
2
72.99%
68.58%
77.41%
411
5.00%
432
Records Excluded because of Valid Data Errors
Records Added from the Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
Meningococcal
1
411
Page 14
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Data Last Refreshed:
Jul 6, 2015 2:02 PM
Immunizations for Adolescents
Commercial
Minnesota Health Care Programs - Managed Care (MN Care)
General
Data Elements
Measure Data
Measurement Year
2013
Data Collection Methodology
H
Eligible Member Population
262
Numerator Events by Admin Data on Eligible
Current Year's Admin Rate
Minimum Required Sample Size
262
Oversampling Rate
0.00%
Final Sample Size (FSS)
262
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
262
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
172
65.65%
242
92.37%
171
65.27%
172
65.65%
242
92.37%
171
65.27%
172
0
65.65%
59.71%
71.59%
242
0
92.37%
88.96%
95.77%
171
0
65.27%
59.31%
71.22%
Page 15
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
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 6, 2015 2:02 PM
Commercial
2013
A
50247
39655
78.92%
78.56%
79.28%
Medicare
Advantage
NR
NR
NR
MSHO
MA Expand
F& C
MN Care
2013
A
567
392
69.14%
65.25%
73.03%
2013
A
576
371
64.41%
60.41%
68.41%
2013
A
631
460
72.90%
69.35%
76.45%
SNBC
SNP
SNBC
Non SNP
NR
NR
NR
NR
NR
NR
Page 16
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Cervical Cancer Screening
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Data Last Refreshed:
Jul 6, 2015 2:02 PM
Commercial
MA Expand
F& C
MN Care
2013
H
95600
2013
H
6782
2013
H
4167
4729
2838
69.73%
411
5.00%
432
310
71.76%
0
0
7
68.11%
411
5.00%
432
291
67.36%
0
0
6
0
0
7
411
304
24
79.81%
75.80%
83.81%
6
411
281
25
74.45%
70.11%
78.79%
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)
257
NR
NR
NR
Page 17
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Colorectal Cancer Screening
Data Last Refreshed:
Jul 6, 2015 2:02 PM
Data Elements
Measurement Year
Data collection methodology (administrative or hybrid)
Eligible population
Commercial
Medicare
Advantage
2013
H
98444
HEDIS 2014 (Reporting Year 2013)
SNBC
SNP
SNBC
Non SNP
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
2013
H
1045
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
658
NR
NR
NR
NR
240
NR
NR
NR
NR
NR
NR
62.97%
395
5.00%
415
271
65.30%
0
0
1
0
1
395
260
4
66.84%
62.07%
71.61%
Page 18
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Chlamydia Screening in Women
Data Last Refreshed:
Jul 6, 2015 2:02 PM
Commercial
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
General
Measure Data
Ages 16-20
Ages 21-24
Total
6915
3079
44.53%
43.35%
45.71%
8411
4750
56.47%
55.41%
57.54%
15326
7829
51.08%
50.29%
51.88%
2013
A
Page 19
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Chlamydia Screening in Women
Data Last Refreshed:
Jul 6, 2015 2:02 PM
Minnesota Health Care Programs - Managed Care (MA Expand F& C)
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
General
Measure Data
Ages 16-20
Ages 21-24
Total
796
530
66.58%
63.24%
69.92%
645
491
76.12%
72.76%
79.49%
1441
1021
70.85%
68.47%
73.23%
2013
A
Page 20
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Chlamydia Screening in Women
Data Last Refreshed:
Jul 6, 2015 2:02 PM
Minnesota Health Care Programs - Managed Care (MN Care)
Data Elements
General
Measurement Year
2013
Data Collection Methodology
A
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
Ages 16-20
Ages 21-24
Total
372
233
62.63%
57.58%
67.68%
224
159
70.98%
64.82%
77.15%
596
392
65.77%
61.88%
69.67%
Page 21
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
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 6, 2015 2:02 PM
Medicare
Advantage
NR
NR
NR
MSHO
2013
A
2141
1718
80.24%
78.53%
81.95%
Page 22
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Data Last Refreshed:
Jul 6, 2015 2:02 PM
Human Papillomavirus Vaccine for Female Adolescents
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Commercial
2013
H
2974
MA Expand F & C
2013
H
395
MN Care
2013
H
139
68
27
NR
17.22%
19.42%
NR
388
5.00%
395
68
17.22%
139
0.00%
139
27
19.42%
Records Excluded because of Valid Data
Errors
0
0
Number of administrative data records
excluded
0
0
Number of medical record data records
excluded
1
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
1
388
68
2
0
139
27
0
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
65
Reported Rate
NR
18.04%
19.42%
Lower 95% Confidence Interval
NR
14.09%
12.49%
Upper 95% Confidence Interval
NR
22.00%
26.36%
HEDIS 2014 (Reporting Year 2013)
Page 23
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Data Last Refreshed:
Jul 6, 2015 2:02 PM
Care for Older Adults
MSHO
Medication Review
Functional
Status
Assessment
Pain
Screening
1350
7
1026
2011
50.09%
0.26%
38.07%
74.62%
140
51.28%
0
0.00%
84
30.77%
188
68.86%
133
96
0
244
82
153
181
73
Reported Rate
88.08%
93.85%
90.38%
97.69%
Lower 95% Confidence Interval
83.95%
90.73%
86.61%
95.67%
Upper 95% Confidence Interval
92.21%
96.96%
94.16%
99.71%
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
General Measure
Data
2013
H
2695
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
260
5.00%
273
Records Excluded because of Valid Data
Errors
2
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
2
260
Page 24
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Pharmacotherapy Management of COPD Exacerbation
Data Last Refreshed:
Jul 6, 2015 2:02 PM
Medicare Advantage
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
General
Measure Data
Systemic
corticosteroid
Bronchodilator
NR
NR
NR
NR
NR
NR
Page 25
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Pharmacotherapy Management of COPD Exacerbation
Data Last Refreshed:
Jul 6, 2015 2:02 PM
MSHO
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
General
Measure Data
Systemic
corticosteroid
Bronchodilator
53
77.94%
67.35%
88.53%
59
86.76%
77.97%
95.55%
2013
A
68
Page 26
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Pharmacotherapy Management of COPD Exacerbation
Data Last Refreshed:
Jul 6, 2015 2:02 PM
SNBC-SNP
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
General
Measure Data
Systemic
corticosteroid
Bronchodilator
NR
NR
NR
NR
NR
NR
Page 27
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Pharmacotherapy Management of COPD Exacerbation
Data Last Refreshed:
Jul 6, 2015 2:02 PM
SNBC-Non SNP
Data Elements
Measurement Year
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
General
Measure Data
Systemic
corticosteroid
Bronchodilator
NR
NR
NR
NR
NR
NR
Page 28
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
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
56
14
25.00%
12.77%
37.23%
Data Last Refreshed:
Jul 6, 2015 2:02 PM
SNBC
SNP
SNBC Non
SNP
NR
NR
NR
NR
NR
NR
Page 29
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Use of Appropriate Medications for People with Asthma
Data Last Refreshed:
Jul 6, 2015 2:02 PM
Commercial
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Number of required exclusions
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
General
Measure Data
Ages 5-11
Ages 12-18
Ages 19-50
Ages 51-64
Total
368
355
10
96.47%
94.45%
98.49%
415
396
24
95.42%
93.29%
97.55%
1645
1491
170
90.64%
89.20%
92.08%
1136
1068
511
94.01%
92.59%
95.44%
3564
3310
715
92.87%
92.01%
93.73%
2013
A
`
Page 30
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Use of Appropriate Medications for People with Asthma
Data Last Refreshed:
Jul 6, 2015 2:02 PM
Minnesota Health Care Programs - Managed Care (MA Expand F&C)
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Number of required exclusions
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
General
Measure Data
Ages 5-11
Ages 12-18
Ages 19-50
Ages 51-64
Total
167
147
10
88.02%
82.80%
93.25%
110
98
7
89.09%
82.81%
95.37%
214
170
49
79.44%
73.79%
85.09%
47
39
51
82.98%
71.17%
94.79%
538
454
117
84.39%
81.23%
87.55%
2013
A
Page 31
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
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
25
Eligible Member Population
24
Numerator Events by Admin Data
2
Number of required exclusions
NA
Reported Rate
NA
Lower 95% Confidence Interval
NA
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
Data Last Refreshed:
Jul 6, 2015 2:02 PM
Ages 12-18
Ages 19-50
Ages 51-64
Total
29
26
1
NA
NA
NA
89
74
11
83.15%
74.81%
91.49%
38
27
39
71.05%
55.32%
86.79%
181
151
53
83.43%
77.73%
89.12%
Page 32
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Cholesterol Management for Patients with Cardiovascular Conditions
Data Last Refreshed:
Jul 6, 2015 2:02 PM
Commercial
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data on Eligible Population
Current Year's Admin Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin rate on FSS
Records Excluded because of Valid Data Errors
Number of employee/dependent medical records excluded
Records Added from the Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
General
Measure
Data
LDL-C
screening
LDL-C Level of
<100 mg/dL
NR
NR
NR
NR
280
70
85.37%
81.39%
89.34%
21.34%
16.75%
25.93%
2013
H
3348
328
Page 33
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Cholesterol Management for Patients with Cardiovascular Conditions
Data Last Refreshed:
Jul 6, 2015 2:02 PM
Medicare Advantage
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data on Eligible Population
Current Year's Admin Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin rate on FSS
Records Excluded because of Valid Data Errors
Number of employee/dependent medical records excluded
Records Added from the Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
General
Measure
Data
LDL-C
screening
LDL-C Level of
<100 mg/dL
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 34
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Cholesterol Management for Patients with Cardiovascular Conditions
Data Last Refreshed:
Jul 6, 2015 2:02 PM
Minnesota Health Care Programs - Managed Care (MA Expand F&C)
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data on Eligible Population
Current Year's Admin Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin rate on FSS
Records Excluded because of Valid Data Errors
Number of employee/dependent medical records excluded
Records Added from the Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
General
Measure
Data
LDL-C
screening
LDL-C Level of
<100 mg/dL
72
37
82.76%
42.53%
72
37
82.76%
42.53%
72
1
37
18
84.88%
76.73%
93.04%
63.95%
53.22%
74.68%
2013
H
87
87
0.00%
87
0
1
0
86
Page 35
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Cholesterol Management for Patients with Cardiovascular Conditions
Data Last Refreshed:
Jul 6, 2015 2:02 PM
Minnesota Health Care Programs - Managed Care (MN Care)
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data on Eligible Population
Current Year's Admin Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin rate on FSS
Records Excluded because of Valid Data Errors
Number of employee/dependent medical records excluded
Records Added from the Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
General
Measure
Data
LDL-C
screening
LDL-C Level of
<100 mg/dL
61
24
92.42%
36.36%
2013
H
66
66
0.00%
66
61
24
92.42%
36.36%
61
0
24
25
92.42%
85.28%
99.57%
74.24%
62.93%
85.55%
0
0
0
66
Page 36
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Controlling High Blood Pressure
Data Last Refreshed:
Jul 6, 2015 2:02 PM
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
30924
2013
H
1023
2013
H
1444
2013
H
927
Numerator Events by Admin Data on
Eligible Population (before exclusions)
0
0
0
0
0.00%
411
5.00%
432
0.00%
411
5.00%
432
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%
270
5.00%
284
0
0.00%
NR
NR
0.00%
335
10.00%
369
0
0.00%
NR
NR
NR
NR
Records Excluded because of Valid Data
Errors
0
0
0
0
Number of records excluded because of
false positive diagnoses
0
2
8
2
Number of administrative data records
excluded
4
23
9
3
Number of medical record data records
excluded
2
5
3
1
Number of employee/dependent medical
records excluded
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
6
270
0
215
79.63%
74.64%
84.62%
30
335
0
267
79.70%
75.25%
84.16%
20
411
0
303
73.72%
69.35%
78.10%
6
411
0
288
70.07%
65.52%
74.62%
HEDIS 2014 (Reporting Year 2013)
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 37
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Persistence of Beta Blocker Treatment After Heart Attack
Data Elements
Commercial
Data Last Refreshed:
Jul 6, 2015 2:02 PM
Medicare
Advantage
MSHO
SNBC
SNP
SNBC
Non SNP
MA Expand
F&C
MN Care
Measurement Year
Data Collection Methodology
Eligible Member Population
2013
A
205
2013
A
5
2013
A
21
2013
A
7
Numerator Events by Admin Data on
Eligible Population
186
4
17
6
NA
NA
NA
NA
NA
NA
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
90.73%
86.52%
94.95%
NR
NR
NR
NA
NA
NA
NR
NR
NR
NR
NR
NR
Page 38
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Comprehensive Diabetes Care
Data Last Refreshed:
Jul 6, 2015 2:02 PM
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
15947
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
15947
2013
H
15947
H
2013
H
15947
H
H
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
548
246
548
484
44.89%
40.63%
49.15%
88.32%
85.54%
91.10%
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
516
94.16%
92.11%
96.22%
NR
NR
NR
NR
NR
NR
NR
NR
NR
548
444
NR
NR
NR
81.02%
77.65%
84.40%
Page 39
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Comprehensive Diabetes Care
Data Last Refreshed:
Jul 6, 2015 2:02 PM
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
HealthPartners / Group Health Plan, Inc.
Comprehensive Diabetes Care
Data Last Refreshed:
Jul 6, 2015 2:02 PM
MSHO
Adequate
HbA1c
Control
(<8.0%)
Eye Exam
LDL-C
Screening
LDL-C Level
<100 mg/dL
2013
H
499
2013
H
499
2013
H
499
2013
H
499
2013
H
499
2013
H
499
2013
H
499
220
44.09%
371
10%
409
176
43.03%
344
68.94%
371
10%
409
284
69.44%
433
86.77%
371
10%
409
363
88.75%
230
46.09%
371
10%
409
187
45.72%
446
89.38%
371
10%
409
369
90.22%
228
45.69%
371
10%
409
186
45.48%
205
41.08%
371
10%
409
168
41.08%
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
0
0
0
0
0
0
0
0
0
1
371
358
2
97.04%
95.17%
98.90%
1
371
50
1
13.75%
10.11%
17.39%
1
371
158
120
74.93%
70.39%
79.48%
1
371
246
40
77.09%
72.68%
81.50%
1
371
330
2
89.49%
86.23%
92.74%
1
371
170
96
71.70%
66.98%
76.42%
1
371
336
6
92.18%
89.32%
95.05%
1
371
167
121
77.63%
73.25%
82.00%
1
371
152
103
68.73%
63.88%
73.59%
HbA1c
Testing
Poor HbA1c
Control
2013
H
499
2013
H
499
474
94.99%
371
10%
409
394
96.33%
251
50.30%
371
10%
409
210
51.34%
Number of Records Excluded Because of
Valid Data Errors
1
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
HealthPartners / Group Health Plan, Inc.
Comprehensive Diabetes Care
Data Last Refreshed:
Jul 6, 2015 2:02 PM
SNBC - SNP
Data Elements
Blood
Monitoring for
Pressure
Diabetic
<140/90 mm
Nephropathy
Hg
Blood
Pressure
<140/80
mm Hg
HbA1c
Testing
Poor HbA1c
Control
Good HbA1c
Control
(<7.0%)
Adequate
HbA1c
Control
(<8.0%)
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
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
HealthPartners / Group Health Plan, Inc.
Comprehensive Diabetes Care
Data Last Refreshed:
Jul 6, 2015 2:02 PM
SNBC - Non SNP
Data Elements
HbA1c
Testing
Poor HbA1c
Control
Good HbA1c
Control
(<7.0%)
Adequate
HbA1c
Control
(<8.0%)
Eye Exam
LDL-C
Screening
LDL-C Level
<100 mg/dL
Blood
Monitoring for
Pressure
Diabetic
<140/90 mm
Nephropathy
Hg
Blood
Pressure
<140/80
mm Hg
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
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 43
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Comprehensive Diabetes Care
Data Last Refreshed:
Jul 6, 2015 2:02 PM
Minnesota Health Care Programs - Managed Care (MA Expand F&C)
HbA1c
Testing
Poor HbA1c
Control
Good HbA1c
Control
(<7.0%)
Adequate
HbA1c
Control
(<8.0%)
2013
H
1078
2013
H
1078
H
1006
93.32%
548
10%
603
557
92.37%
646
59.93%
548
10%
603
366
60.70%
Number of Records Excluded Because of
Valid Data Errors
10
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
1078
2013
H
1078
2013
H
1078
2013
H
1078
2013
H
1078
2013
H
1078
2013
H
1078
347
32.19%
548
10%
603
188
31.18%
559
51.86%
548
10%
603
312
51.74%
911
84.51%
548
10%
603
499
82.75%
383
35.53%
548
10%
603
207
34.33%
907
84.14%
548
10%
603
506
83.91%
514
47.68%
548
10%
603
279
46.27%
320
29.68%
548
10%
603
168
27.86%
10
10
10
10
10
10
10
10
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
10
548
514
8
95.26%
93.38%
97.13%
10
548
132
7
25.36%
21.63%
29.10%
10
548
170
159
60.04%
55.84%
64.23%
10
548
290
74
66.42%
62.38%
70.47%
10
548
458
14
86.13%
83.15%
89.12%
10
548
196
122
58.03%
53.81%
62.25%
10
548
468
17
88.50%
85.74%
91.27%
10
548
240
192
78.83%
75.32%
82.34%
10
548
145
134
50.91%
46.64%
55.19%
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
HealthPartners / Group Health Plan, Inc.
Comprehensive Diabetes Care
Minnesota Health Care Programs - Managed Care (MN Care)
Data Elements
HbA1c
2013
Measurement Year
H
Data Collection Methodology
642
Eligible Member Population
604
Numerator events by admin data in eligible
94.08%
Current Year's Administrative Rate
548
Minimum Required Sample Size
10%
Oversampling Rate
603
Final Sample Size (FSS)
565
Numerator events by admin data in FSS
93.70%
Admin rate on FSS
6
Number of Records Excluded Because of
0
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
6
Additional Records Added from the
548
Denominator
518
Numerator Events by Admin Data
2
Numerator Events by Medical Record
94.89%
Reported Rate
92.96%
Lower 95% Confidence Interval
96.83%
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
Data Last Refreshed:
Jul 6, 2015 2:02 PM
Poor HbA1c
2013
H
642
394
61.37%
548
10%
603
369
61.19%
6
0
0
0
6
548
106
3
19.89%
16.46%
23.32%
Good HbA1c
H
NR
NR
NR
NR
NR
Adequate
2013
H
642
207
32.24%
548
10%
603
196
32.50%
6
0
0
0
Eye Exam
2013
H
642
374
58.26%
548
10%
603
353
58.54%
6
0
0
0
LDL-C
2013
H
642
583
90.81%
548
10%
603
546
90.55%
6
0
0
0
6
548
179
182
65.88%
61.81%
69.94%
6
548
324
72
72.26%
68.42%
76.10%
6
548
501
5
92.34%
90.02%
94.65%
LDL-C Level Monitoring for
2013
2013
H
H
642
642
237
572
36.92%
89.10%
548
548
10%
10%
603
603
222
535
36.82%
88.72%
6
6
0
0
0
0
0
0
6
548
204
182
70.44%
66.53%
74.35%
6
548
492
6
90.88%
88.37%
93.38%
Blood
2013
H
642
282
43.93%
548
10%
603
266
44.11%
6
0
0
0
Blood
2013
H
642
184
28.66%
548
10%
603
176
29.19%
6
0
0
0
6
548
232
214
81.39%
78.04%
84.74%
6
548
157
150
56.02%
51.77%
60.27%
Page 45
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
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 6, 2015 2:02 PM
Medicare
Advantage
NR
NR
NR
Page 46
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
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 6, 2015 2:02 PM
MSHO
2013
A
53
4
7.55%
0.00%
15.60%
Page 47
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Antidepressant Medication Management
Data Last Refreshed:
Jul 6, 2015 2:02 PM
Commercial
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
General
Measure Data
Effective
Effective Acute
Continuation
Phase
Phase
Treatment
Treatment
2013
A
4591
3438
74.89%
73.62%
76.15%
2648
57.68%
56.24%
59.12%
Page 48
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Antidepressant Medication Management
Data Last Refreshed:
Jul 6, 2015 2:02 PM
Medicare Advantage
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
General
Measure Data
Effective
Effective Acute
Continuation
Phase
Phase
Treatment
Treatment
NR
NR
NR
NR
NR
NR
Page 49
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Antidepressant Medication Management
Data Last Refreshed:
Jul 6, 2015 2:02 PM
MSHO
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
General
Measure Data
Effective
Effective Acute
Continuation
Phase
Phase
Treatment
Treatment
2013
A
60
42
70.00%
57.57%
82.43%
32
53.33%
39.88%
66.79%
Page 50
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Antidepressant Medication Management
Data Last Refreshed:
Jul 6, 2015 2:02 PM
SNBC-SNP
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
General
Measure Data
Effective
Effective Acute
Continuation
Phase
Phase
Treatment
Treatment
NR
NR
NR
NR
NR
NR
Page 51
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Antidepressant Medication Management
Data Last Refreshed:
Jul 6, 2015 2:02 PM
SNBC-Non SNP
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
General
Measure Data
Effective
Effective Acute
Continuation
Phase
Phase
Treatment
Treatment
NR
NR
NR
NR
NR
NR
Page 52
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Antidepressant Medication Management
Data Last Refreshed:
Jul 6, 2015 2:02 PM
Minnesota Health Care Programs - Managed Care (MA Expand F& C)
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
General
Measure Data
Effective
Effective Acute
Continuation
Phase
Phase
Treatment
Treatment
2013
A
1042
482
46.26%
43.18%
49.33%
341
32.73%
29.83%
35.62%
Page 53
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Antidepressant Medication Management
Minnesota Health Care Programs - Managed Care (MN Care)
Data Elements
General
Measurement Year
2013
Data Collection Methodology
A
Eligible Member Population
235
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
Data Last Refreshed:
Jul 6, 2015 2:02 PM
Effective Acute
Effective
139
59.15%
52.65%
65.65%
103
43.83%
37.27%
50.39%
Page 54
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Follow-Up Care for Children Prescribed
Attention-Deficit/Hyperactivity Disorder (ADHD) Medication
Data Last Refreshed:
Jul 6, 2015 2:02 PM
Commercial
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
General
Measure
Data
Initiation
Phase
Continuation
and
Maintenance
Phase
791
351
44.37%
40.85%
47.90%
249
120
48.19%
41.79%
54.60%
2013
A
Page 55
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Follow-Up Care for Children Prescribed
Attention-Deficit/Hyperactivity Disorder (ADHD) Medication
Data Last Refreshed:
Jul 6, 2015 2:02 PM
Minnesota Health Care Programs - Managed Care (MA Expand F& C)
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
General
Measure
Data
Initiation
Phase
Continuation
and
Maintenance
Phase
240
95
39.58%
33.19%
45.98%
58
35
60.34%
46.89%
73.80%
2013
A
Page 56
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
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 6, 2015 2:02 PM
Initiation
Continuation
29
17
NA
NA
NA
6
4
NA
NA
NA
Page 57
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Follow-up After Hospitalization for Mental Illness
Data Last Refreshed:
Jul 6, 2015 2:02 PM
Medicare Advantage
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
General
Measure
Data
30 Days
7 Days
NR
NR
NR
NR
NR
NR
Page 58
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Follow-up After Hospitalization for Mental Illness
Data Last Refreshed:
Jul 6, 2015 2:02 PM
MSHO
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
General
Measure
Data
30 Days
7 Days
5
NA
NA
NA
3
NA
NA
NA
2013
A
6
Page 59
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Follow-up After Hospitalization for Mental Illness
Data Last Refreshed:
Jul 6, 2015 2:02 PM
SNBC - SNP
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
General
Measure
Data
30 Days
7 Days
NR
NR
NR
NR
NR
NR
Page 60
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
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
NR
NR
NR
NR
NR
NR
Page 61
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Annual Monitoring for Patients on Persistent Medications
Data Last Refreshed:
Jul 6, 2015 2:02 PM
Commercial
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
General
Measure
Data
Annual Monitoring for Members on
ACE Inhibitors
or ARBs
Digoxin
Diuretics
Anticonvulsants
Total
21306
17874
83.89%
83.40%
84.39%
204
176
86.27%
81.31%
91.24%
16700
13952
83.54%
82.98%
84.11%
864
606
70.14%
67.03%
73.25%
39074
32608
83.45%
83.08%
83.82%
2013
A
Page 62
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Annual Monitoring for Patients on Persistent Medications
Data Last Refreshed:
Jul 6, 2015 2:02 PM
Medicare Advantage
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
General
Measure
Data
Annual Monitoring for Members on
ACE Inhibitors
or ARBs
Digoxin
Diuretics
Anticonvulsants
Total
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 63
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Annual Monitoring for Patients on Persistent Medications
Data Last Refreshed:
Jul 6, 2015 2:02 PM
MSHO
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
General
Measure
Data
Annual Monitoring for Members on
ACE Inhibitors
or ARBs
Digoxin
Diuretics
Anticonvulsants
Total
1020
968
94.90%
93.50%
96.30%
50
49
98.00%
93.12%
100.00%
928
875
94.29%
92.74%
95.84%
133
113
84.96%
78.51%
91.41%
2131
2005
94.09%
93.06%
95.11%
2013
A
Page 64
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Annual Monitoring for Patients on Persistent Medications
Data Last Refreshed:
Jul 6, 2015 2:02 PM
SNBC-SNP
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
General
Measure
Data
Annual Monitoring for Members on
ACE Inhibitors
or ARBs
Digoxin
Diuretics
Anticonvulsants
Total
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 65
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Annual Monitoring for Patients on Persistent Medications
Data Last Refreshed:
Jul 6, 2015 2:02 PM
SNBC-Non SNP
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
General
Measure
Data
Annual Monitoring for Members on
ACE Inhibitors
or ARBs
Digoxin
Diuretics
Anticonvulsants
Total
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 66
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Annual Monitoring for Patients on Persistent Medications
Data Last Refreshed:
Jul 6, 2015 2:02 PM
Minnesota Health Care Programs - Managed Care (MA Expand F&C)
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
General
Measure
Data
Annual Monitoring for Members on
ACE Inhibitors
or ARBs
Digoxin
Diuretics
Anticonvulsants
Total
940
818
87.02%
84.82%
89.22%
8
7
NA
NA
NA
773
678
87.71%
85.33%
90.09%
94
70
74.47%
65.12%
83.81%
1815
1573
86.67%
85.08%
88.26%
2013
A
Page 67
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
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 6, 2015 2:02 PM
ACE Inhibitors
698
610
84.86%
89.93%
Annual Monitoring for Members on
Digoxin
Diuretics
Anti-
3
3
NA
NA
529
466
85.24%
90.95%
57
44
65.42%
88.96%
Total
1287
1123
85.40%
89.12%
Page 68
Access/Availability of Care
HealthPartners / Group Health Plan, Inc.
Medication Reconciliation Post Discharge
Data Elements
Measurement Year
Data collection methodology (Administrative or Hybrid)
Eligible member population
Data Last Refreshed:
Jul 6, 2015 2:02 PM
MSHO
H
Number of numerator events by administrative data in eligible
population (before exclusions)
Current year's administrative rate (before exclusions)
NR
Minimum required sample size (MRSS) or other sample size
Oversampling rate
Final sample size (FSS)
Number of numerator events by administrative data in FSS
Administrative rate on FSS
NR
Number of original sample records excluded because of valid
data errors
Number of employee/dependent medical records excluded
Records added from the oversample list
Denominator
Numerator events by administrative data
Numerator events by medical record
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
HEDIS 2014 (Reporting Year 2013)
NR
NR
NR
Page 69
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Potentially Harmful Drug-Disease Interactions in the Elderly
Data Last Refreshed:
Jul 6, 2015 2:02 PM
Medicare Advantage
Drug-Disease Interactions
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
General
Measure
Data
History of Falls +
Dementia +
Tricyclic
Tricyclic
Antidepressants, Antidepressants
Antipsychotics or or Anticholinergic
Sleep Agents
Agents
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
HealthPartners / Group Health Plan, Inc.
Potentially Harmful Drug-Disease Interactions in the Elderly
Data Last Refreshed:
Jul 6, 2015 2:02 PM
MSHO
Drug-Disease Interactions
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
General
Measure
Data
History of Falls +
Dementia +
Tricyclic
Tricyclic
Antidepressants, Antidepressants
Antipsychotics or or Anticholinergic
Sleep Agents
Agents
Chronic Renal
Failure +
Nonaspirin
NSAIDs or Cox-2
Selective NSAIDs
Total
125
9
7.20%
2.27%
12.13%
660
303
45.91%
42.03%
49.79%
2013
A
195
108
55.38%
48.15%
62.62%
340
186
54.71%
49.27%
60.14%
Page 71
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Use of High Risk Medications in the Elderly
Data Last Refreshed:
Jul 6, 2015 2:02 PM
Medicare Advantage
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
General
Measure
Data
At least 1
Prescription
At least 2
Prescriptions
NR
NR
NR
NR
NR
NR
Page 72
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Use of High Risk Medications in the Elderly
Data Last Refreshed:
Jul 6, 2015 2:02 PM
MSHO
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
General
Measure
Data
2013
A
2684
At least 1
Prescription
At least 2
Prescriptions
506
18.85%
17.35%
20.35%
118
4.40%
3.60%
5.19%
Page 73
Access/Availability of Care
HealthPartners / Group Health Plan, Inc.
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Jul 6, 2015 2:02 PM
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
94662
112572
8293
215527
89619
109193
8153
94.67%
94.53%
94.82%
97.00%
96.90%
97.10%
98.31%
98.03%
98.60%
206965
96.03%
95.94%
96.11%
2013
A
Page 74
Access/Availability of Care
HealthPartners / Group Health Plan, Inc.
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Jul 6, 2015 2:02 PM
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
HealthPartners / Group Health Plan, Inc.
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Jul 6, 2015 2:02 PM
MSHO
Data Elements
Measurement Year
Data collection methodology
(Administrative only)
Eligible member population (i.e. members
who meet all denominator criteria)
Numerator events by administrative data
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
HEDIS 2014 (Reporting Year 2013)
General Measure
Data
Ages 20-44
Ages 45-64
Ages 65+
Total
0
0
2714
2714
0
0
2670
NA
NA
NA
NA
NA
NA
98.38%
97.89%
98.87%
2670
98.38%
97.89%
98.87%
2013
A
Page 76
Access/Availability of Care
HealthPartners / Group Health Plan, Inc.
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Jul 6, 2015 2:02 PM
SNBC-SNP
Data Elements
General Measure
Data
Ages 20-44
Ages 45-64
Ages 65+
Total
Measurement Year
Data collection methodology
(Administrative only)
Eligible member population (i.e. members
who meet all denominator criteria)
NR
Numerator events by administrative data
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
NR
NR
NR
NR
HEDIS 2014 (Reporting Year 2013)
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 77
Access/Availability of Care
HealthPartners / Group Health Plan, Inc.
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Jul 6, 2015 2:02 PM
SNBC-Non 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 78
Access/Availability of Care
HealthPartners / Group Health Plan, Inc.
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Jul 6, 2015 2:02 PM
Minnesota Health Care Programs - Managed Care (MA Expand F&C)
Data Elements
Measurement Year
Data collection methodology
(Administrative only)
Eligible member population (i.e. members
who meet all denominator criteria)
Numerator events by administrative data
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
HEDIS 2014 (Reporting Year 2013)
General Measure
Data
Ages 20-44
Ages 45-64
Ages 65+
Total
8696
4007
4
12707
7664
3531
4
88.13%
87.45%
88.82%
88.12%
87.11%
89.14%
NA
NA
NA
11199
88.13%
87.57%
88.70%
2013
A
Page 79
Access/Availability of Care
HealthPartners / Group Health Plan, Inc.
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 6, 2015 2:02 PM
Ages 20-44
Ages 45-64
Ages 65+
Total
4326
3816
88.21%
87.24%
89.18%
3385
3118
92.11%
91.19%
93.04%
27
26
NA
NA
NA
7738
6960
89.95%
89.27%
90.62%
Page 80
Access/Availability of Care
HealthPartners / Group Health Plan, Inc.
Children's and Adolescents' Access to Primary Care Practitioners
Data Last Refreshed:
Jul 6, 2015 2:02 PM
Commercial
Data Elements
Measurement Year
Data collection methodology (Administrative only)
Eligible member population
Numerator events by administrative data
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
HEDIS 2014 (Reporting Year 2013)
General Measure
Data
12-24 months
25 months 6 yrs.
7-11 yrs.
12-19 yrs.
5424
5370
27422
25386
25723
23746
44768
41210
99.00%
98.73%
99.28%
92.58%
92.26%
92.89%
92.31%
91.99%
92.64%
92.05%
91.80%
92.30%
2013
A
Page 81
Access/Availability of Care
HealthPartners / Group Health Plan, Inc.
Children's and Adolescents' Access to Primary Care Practitioners
Data Last Refreshed:
Jul 6, 2015 2:02 PM
Minnesota Health Care Programs - Managed Care (MA Expand F&C)
Data Elements
Measurement Year
Data collection methodology (Administrative only)
Eligible member population
Numerator events by administrative data
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
HEDIS 2014 (Reporting Year 2013)
General Measure
Data
12-24 months
25 months 6 yrs.
7-11 yrs.
12-19 yrs.
1801
1771
5031
4545
3187
2882
3960
3590
98.33%
97.72%
98.95%
90.34%
89.51%
91.17%
90.43%
89.39%
91.47%
90.66%
89.74%
91.58%
2013
A
Page 82
Access/Availability of Care
HealthPartners / Group Health Plan, Inc.
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 6, 2015 2:02 PM
12-24 months
25 months -
7-11 yrs.
12-19 yrs.
204
201
98.53%
96.63%
100.00%
1312
1239
94.44%
93.16%
95.71%
943
884
93.74%
92.14%
95.34%
1618
1513
93.51%
92.28%
94.74%
Page 83
Access/Availability of Care
HealthPartners / Group Health Plan, Inc.
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
Data Last Refreshed:
Jul 6, 2015 2:02 PM
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
303
4764
4461
122
69
1552
709
1674
778
40.26%
34.58%
45.95%
22.77%
17.89%
27.66%
34.79%
33.38%
36.20%
15.89%
14.81%
16.98%
35.14%
33.77%
36.50%
16.33%
15.27%
17.39%
Page 84
Access/Availability of Care
HealthPartners / Group Health Plan, Inc.
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
Data Last Refreshed:
Jul 6, 2015 2:02 PM
Medicare Advantage
Data Elements
Measurement Year
Data collection methodology (Administrative only)
Eligible member population
Numerator events by administrative data
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
HEDIS 2014 (Reporting Year 2013)
General
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
HealthPartners / Group Health Plan, Inc.
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
Data Last Refreshed:
Jul 6, 2015 2:02 PM
MSHO
Data Elements
Measurement Year
Data collection methodology (Administrative only)
Eligible member population
Numerator events by administrative data
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
HEDIS 2014 (Reporting Year 2013)
General
2013
A
13-17 Year Olds
Initiation of Engagement
18+ Year Olds
Initiation of Engagement
0
0
NA
NA
NA
Total
Initiation of Engagement
40
0
NA
NA
NA
10
25.00%
10.33%
39.67%
40
1
2.50%
0.00%
8.59%
10
25.00%
10.33%
39.67%
1
2.50%
0.00%
8.59%
Page 86
Access/Availability of Care
HealthPartners / Group Health Plan, Inc.
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
Data Last Refreshed:
Jul 6, 2015 2:02 PM
SNBC-SNP
Data Elements
Measurement Year
Data collection methodology (Administrative only)
Eligible member population
Numerator events by administrative data
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
HEDIS 2014 (Reporting Year 2013)
General
13-17 Year Olds
Initiation of Engagement
18+ Year Olds
Initiation of Engagement
Total
Initiation of Engagement
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 87
Access/Availability of Care
HealthPartners / Group Health Plan, Inc.
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
Data Last Refreshed:
Jul 6, 2015 2:02 PM
SNBC-Non SNP
Data Elements
Measurement Year
Data collection methodology (Administrative only)
Eligible member population
Numerator events by administrative data
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
HEDIS 2014 (Reporting Year 2013)
General
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 88
Access/Availability of Care
HealthPartners / Group Health Plan, Inc.
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
Data Last Refreshed:
Jul 6, 2015 2:02 PM
Minnesota Health Care Programs - Managed Care (MA Expand F&C)
Data Elements
Measurement Year
Data collection methodology (Administrative only)
Eligible member population
Numerator events by administrative data
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
HEDIS 2014 (Reporting Year 2013)
General
2013
A
13-17 Year Olds
Initiation of Engagement
18+ Year Olds
Initiation of Engagement
134
53
39.55%
30.90%
48.20%
Total
Initiation of Engagement
1888
32
23.88%
16.29%
31.47%
661
35.01%
32.83%
37.19%
2022
288
15.25%
13.61%
16.90%
714
35.31%
33.20%
37.42%
320
15.83%
14.21%
17.44%
Page 89
Access/Availability of Care
HealthPartners / Group Health Plan, Inc.
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
Data Last Refreshed:
Jul 6, 2015 2:02 PM
Minnesota Health Care Programs - Managed Care (MN Care)
Data Elements
Measurement Year
Data collection methodology (Administrative only)
Eligible member population
Numerator events by administrative data
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
HEDIS 2014 (Reporting Year 2013)
General
2013
A
13-17 Year Olds
Initiation of Engagement
18+ Year Olds
Initiation of Engagement
32
16
50.00%
31.11%
68.89%
Total
Initiation of Engagement
342
8
25.00%
8.43%
41.57%
100
29.24%
24.27%
34.21%
374
48
14.04%
10.21%
17.86%
116
31.02%
26.19%
35.84%
56
14.97%
11.22%
18.72%
Page 90
Access/Availability of Care
HealthPartners / Group Health Plan, Inc.
Prenatal and Postpartum Care
Data Last Refreshed:
Jul 6, 2015 2:02 PM
Commercial
Timeliness of
Prenatal Care
Postpartum
Care
2012
H
6100
2012
H
6100
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
95
95
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
HealthPartners / Group Health Plan, Inc.
Prenatal and Postpartum Care
Data Last Refreshed:
Jul 6, 2015 2:02 PM
Minnesota Health Care Programs - Managed Care (MA Expand F&C)
Timeliness of
Prenatal Care
Postpartum
Care
Measurement Year
Data collection methodology (Administrative or Hybrid)
Eligible member population
2013
H
2131
2013
H
2131
Number of numerator events by administrative data in eligible
population (before exclusions)
1561
1029
73.25%
411
5.00%
432
314
48.29%
411
5.00%
432
210
72.69%
48.61%
0
0
0
0
411
299
87
0
0
411
200
93.92%
91.48%
96.35%
48.66%
43.71%
53.62%
Data Elements
Current year's administrative rate (before exclusions)
Minimum required sample size (MRSS) or other sample size
Oversampling rate
Final sample size (FSS)
Number of numerator events by administrative data in FSS
Administrative rate on FSS
Number of original sample records excluded because of valid
data errors
Number of employee/dependent medical records excluded
Records added from the oversample list
Denominator
Numerator events by administrative data
Numerator events by medical record
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
HEDIS 2014 (Reporting Year 2013)
Page 92
Access/Availability of Care
HealthPartners / Group Health Plan, Inc.
Prenatal and Postpartum Care
Data Last Refreshed:
Jul 6, 2015 2:02 PM
Minnesota Health Care Programs - Managed Care (MN Care)
Data Elements
Measurement Year
Data collection methodology (Administrative or Hybrid)
Eligible member population
Number of numerator events by administrative data in eligible
Current year's administrative rate (before exclusions)
Minimum required sample size (MRSS) or other sample size
Oversampling rate
Final sample size (FSS)
Number of numerator events by administrative data in FSS
Administrative rate on FSS
Number of original sample records excluded because of valid
Number of employee/dependent medical records excluded
Records added from the oversample list
Denominator
Numerator events by administrative data
Numerator events by medical record
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
HEDIS 2014 (Reporting Year 2013)
Timeliness of
2013
H
227
209
92.07%
227
0.00%
227
209
92.07%
0
0
0
227
209
13
97.80%
95.67%
99.93%
Postpartum
2013
H
227
132
58.15%
227
0.00%
227
132
58.15%
0
0
0
227
132
51
80.62%
75.25%
85.98%
Page 93
Use of Services
HealthPartners / Group Health Plan, Inc.
Well Child Visits in the First 15 Months of Life
Data Last Refreshed:
Jul 6, 2015 2:02 PM
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
16
25
44
51
147
460
3676
0.36%
0.17%
0.55%
0.57%
0.33%
0.80%
1.00%
0.69%
1.30%
1.15%
0.83%
1.48%
3.33%
2.79%
3.87%
10.41%
9.50%
11.32%
83.19%
82.07%
84.30%
2013
A
4419
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
HealthPartners / Group Health Plan, Inc.
Well Child Visits in the First 15 Months of Life
Data Last Refreshed:
Jul 6, 2015 2:02 PM
Minnesota Health Care Programs - Managed Care (MA Expand F&C)
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
General
Measure
Data
0
Number of employee/dependent medical
records excluded
0
Additional Records Added from the
Oversample List
0
HEDIS 2014 (Reporting Year 2013)
2 visits
3 visits
4 visits
5 visits
6 or more
visits
17
1.06%
29
1.81%
52
3.24%
87
5.42%
134
8.35%
250
15.59%
1035
64.53%
8
1.85%
7
1.62%
15
3.47%
22
5.09%
40
9.26%
72
16.67%
268
62.04%
0
6
1.46%
0.18%
2.74%
0
7
1.70%
0.33%
3.08%
0
10
2.43%
0.82%
4.04%
0
20
4.87%
2.66%
7.07%
0
28
6.81%
4.26%
9.37%
0
56
13.63%
10.19%
17.06%
255
29
69.10%
64.51%
73.69%
411
5.00%
432
Number of Records Excluded Because of
Valid Data Errors
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
1 visit
2013
H
1604
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
HealthPartners / Group Health Plan, Inc.
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
167
3
Numerator events by admin data in eligible
1.80%
Currect Year's Administrative Rate
Minimum Required Sample Size
167
Oversampling Rate
0.00%
Final sample size (FSS)
167
3
Numerator events by admin data in FSS
1.80%
Administrative rate on FSS
Number of Records Excluded Because of
0
Number of employee/dependent medical
0
Additional Records Added from the
0
Denominator
167
0
Numerator Events by Admin Data
3
Numerator Events by Medical Record
1.80%
Reported Rate
0.00%
Lower 95% Confidence Interval
4.11%
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
Data Last Refreshed:
Jul 6, 2015 2:02 PM
1 visit
2 visits
3 visits
4 visits
5 visits
6 or more
1
0.60%
4
2.40%
6
3.59%
8
4.79%
23
13.77%
122
73.05%
1
0.60%
4
2.40%
6
3.59%
8
4.79%
23
13.77%
122
73.05%
0
1
0.60%
0.00%
2.07%
0
4
2.40%
0.00%
5.01%
0
4
2.40%
0.00%
5.01%
0
5
2.99%
0.11%
5.88%
0
17
10.18%
5.29%
15.07%
122
11
79.64%
73.23%
86.05%
Page 96
Use of Services
HealthPartners / Group Health Plan, Inc.
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
22532
2013
H
4078
2013
H
1138
2889
861
NR
70.84%
411
5.00%
432
302
75.66%
411
5.00%
432
331
NR
69.91%
0
76.62%
0
0
0
0
411
291
8
72.75%
68.32%
77.18%
0
411
316
4
77.86%
73.72%
81.99%
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 6, 2015 2:02 PM
16872
74.88%
74.31%
75.45%
Page 97
Use of Services
HealthPartners / Group Health Plan, Inc.
Adolescent Well-Care Visits
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Data Last Refreshed:
Jul 6, 2015 2:02 PM
Commercial
MA Expand
F&C
MN Care
2013
A
66253
2013
H
6635
2013
H
2742
2587
1056
NR
38.99%
411
5.00%
432
166
38.51%
411
5.00%
432
173
NR
38.43%
0
40.05%
0
0
0
0
411
155
26
44.04%
39.12%
48.96%
0
411
167
29
47.69%
42.74%
52.64%
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)
23730
35.82%
35.45%
36.18%
Page 98
Use of Services
HealthPartners / Group Health Plan, Inc.
Ambulatory Care
Data Last Refreshed:
Jul 6, 2015 2:02 PM
Commercial
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Member Months
70470
698667
857133
2138403
1878806
94763
15358
6143
0
5759743
Outpatient Visits (Excludes
MH/CD)
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Visits
60704
196098
188537
498305
666608
59135
18247
7035
0
1694669
HEDIS 2014 (Reporting Year 2013)
Visits/ 1,000
Member
Months
861.42
280.67
219.96
233.03
354.80
624.03
1188.11
1145.21
294.23
Emergency Room Visits
Visits
1768
9014
8851
24178
19556
1613
662
355
0
65997
Visits/ 1,000
Member
Months
25.09
12.90
10.33
11.31
10.41
17.02
43.10
57.79
11.46
Page 99
Use of Services
HealthPartners / Group Health Plan, Inc.
Ambulatory Care
Data Last Refreshed:
Jul 6, 2015 2:02 PM
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
HealthPartners / Group Health Plan, Inc.
Ambulatory Care
Data Last Refreshed:
Jul 6, 2015 2:02 PM
MSHO
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Member Months
0
0
0
0
2
15744
12779
8525
0
37050
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
0
12656
10835
7488
0
30979
HEDIS 2014 (Reporting Year 2013)
Visits/ 1,000
Member
Months
NA
NA
NA
NA
0.00
803.86
847.88
878.36
836.14
Emergency Room Visits
Visits
0
0
0
0
2
560
561
261
0
1384
Visits/ 1,000
Member
Months
NA
NA
NA
NA
1000.00
35.57
43.90
30.62
37.35
Page 101
Use of Services
HealthPartners / Group Health Plan, Inc.
Ambulatory Care
Data Last Refreshed:
Jul 6, 2015 2:02 PM
SNBC-SNP
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Member Months
NR
Outpatient Visits (Excludes
MH/CD)
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Visits
NR
HEDIS 2014 (Reporting Year 2013)
Visits/ 1,000
Member
Months
NR
NR
NR
NR
NR
NR
NR
NR
NR
Emergency Room Visits
Visits
NR
Visits/ 1,000
Member
Months
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 102
Use of Services
HealthPartners / Group Health Plan, Inc.
Ambulatory Care
Data Last Refreshed:
Jul 6, 2015 2:02 PM
SNBC-Non 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 103
Use of Services
HealthPartners / Group Health Plan, Inc.
Ambulatory Care
Data Last Refreshed:
Jul 6, 2015 2:02 PM
Minnesota Health Care Programs - Managed Care (MA Expand F&C)
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Member Months
36711
209376
162387
235501
79448
39
0
0
0
723462
Outpatient Visits (Excludes
MH/CD)
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Visits
25448
55002
35514
93005
40446
11
0
0
0
249426
HEDIS 2014 (Reporting Year 2013)
Visits/ 1,000
Member
Months
693.20
262.69
218.70
394.92
509.09
282.05
NA
NA
344.77
Emergency Room Visits
Visits
3205
9137
4679
17225
3898
1
0
0
0
38145
Visits/ 1,000
Member
Months
87.30
43.64
28.81
73.14
49.06
25.64
NA
NA
52.73
Page 104
Use of Services
HealthPartners / Group Health Plan, Inc.
Ambulatory Care
Data Last Refreshed:
Jul 6, 2015 2:02 PM
Minnesota Health Care Programs - Managed Care (MN Care)
Member Months
Age
<1
2914
1-9
38192
10-19
45583
20-44
87297
45-64
58299
65-74
369
75-84
106
85+
51
Unknown
0
232811
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
2244
770.08
10873
284.69
10932
239.83
32343
370.49
29394
504.19
205
555.56
63
594.34
29
568.63
0
86083
369.75
HEDIS 2014 (Reporting Year 2013)
Emergency Room Visits
Visits
Visits/ 1,000
151
51.82
935
24.48
825
18.10
2449
28.05
1396
23.95
6
16.26
2
18.87
3
58.82
0
5767
24.77
Page 105
Use of Services
HealthPartners / Group Health Plan, Inc.
Inpatient Utilization - General Hospital/Acute Care
Data Last Refreshed:
Jul 6, 2015 2:02 PM
Commercial
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Age
Total Inpatient
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Medicine
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Surgery
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Maternity
10-19
20-44
45-64
Unknown
Total
Member Months
70470
698667
857133
2138403
1878806
94763
15358
6143
0
5759743
Discharges
Discharges /
1,000 Member
Months
525
775
1041
10133
9671
1226
471
253
0
24095
7.45
1.11
1.21
4.74
5.15
12.94
30.67
41.19
447
585
540
1788
4364
655
312
199
0
8890
6.34
0.84
0.63
0.84
2.32
6.91
20.32
32.39
78
190
357
1734
5292
571
159
54
0
8435
1.11
0.27
0.42
0.81
2.82
6.03
10.35
8.79
144
6611
15
0
6770
0.17
3.09
0.01
HEDIS 2014 (Reporting Year 2013)
4.18
1.54
1.46
1.39
Days
Days / 1,000
Member
Months
3731
2906
3653
27473
34952
5100
2078
1077
0
80970
52.94
4.16
4.26
12.85
18.60
53.82
135.30
175.32
2409
1626
1669
5632
15419
2516
1289
762
0
31322
34.18
2.33
1.95
2.63
8.21
26.55
83.93
124.04
1322
1280
1593
5315
19495
2584
789
315
0
32693
18.76
1.83
1.86
2.49
10.38
27.27
51.37
51.28
391
16526
38
0
16955
0.46
7.73
0.02
14.06
5.44
5.68
3.48
Average
Length of Stay
7.11
3.75
3.51
2.71
3.61
4.16
4.41
4.26
NA
3.36
5.39
2.78
3.09
3.15
3.53
3.84
4.13
3.83
NA
3.52
16.95
6.74
4.46
3.07
3.68
4.53
4.96
5.83
NA
3.88
2.72
2.50
2.53
NA
2.50
Page 106
Use of Services
HealthPartners / Group Health Plan, Inc.
Inpatient Utilization - General Hospital/Acute Care
Data Last Refreshed:
Jul 6, 2015 2:02 PM
Medicare Advantage
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Age
Total Inpatient
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Medicine
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Surgery
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Maternity
10-19
20-44
45-64
Unknown
Total
Member Months
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
HealthPartners / Group Health Plan, Inc.
Inpatient Utilization - General Hospital/Acute Care
Data Last Refreshed:
Jul 6, 2015 2:02 PM
MSHO
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Age
Total Inpatient
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Medicine
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Surgery
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Maternity
10-19
20-44
45-64
Unknown
Total
Member Months
0
0
0
0
2
15744
12779
8525
0
37050
Discharges
Discharges /
1,000 Member
Months
0
0
0
0
0
386
404
280
0
1070
NA
NA
NA
NA
0.00
24.52
31.61
32.84
0
0
0
0
0
301
329
242
0
872
NA
NA
NA
NA
0.00
19.12
25.75
28.39
0
0
0
0
0
85
75
38
0
198
NA
NA
NA
NA
0.00
5.40
5.87
4.46
0
0
0
0
0
HEDIS 2014 (Reporting Year 2013)
28.88
23.54
5.34
NA
NA
0.00
0.00
Days
Days / 1,000
Member
Months
0
0
0
0
0
1745
1826
1146
0
4717
NA
NA
NA
NA
0.00
110.84
142.89
134.43
0
0
0
0
0
1263
1416
926
0
3605
NA
NA
NA
NA
0.00
80.22
110.81
108.62
0
0
0
0
0
482
410
220
0
1112
NA
NA
NA
NA
0.00
30.61
32.08
25.81
0
0
0
0
0
NA
NA
0.00
127.31
97.30
30.01
0.00
Average
Length of Stay
NA
NA
NA
NA
NA
4.52
4.52
4.09
NA
4.41
NA
NA
NA
NA
NA
4.20
4.30
3.83
NA
4.13
NA
NA
NA
NA
NA
5.67
5.47
5.79
NA
5.62
NA
NA
NA
NA
NA
Page 108
Use of Services
HealthPartners / Group Health Plan, Inc.
Inpatient Utilization - General Hospital/Acute Care
Data Last Refreshed:
Jul 6, 2015 2:02 PM
SNBC-SNP
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Age
Total Inpatient
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Medicine
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Surgery
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Maternity
10-19
20-44
45-64
Unknown
Total
Member Months
NR
Discharges
Discharges /
1,000 Member
Months
Days
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
HEDIS 2014 (Reporting Year 2013)
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Days / 1,000
Member
Months
NR
NR
NR
NR
NR
NR
Average
Length of Stay
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 109
Use of Services
HealthPartners / Group Health Plan, Inc.
Inpatient Utilization - General Hospital/Acute Care
Data Last Refreshed:
Jul 6, 2015 2:02 PM
SNBC-Non SNP
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Age
Total Inpatient
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Medicine
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Surgery
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Maternity
10-19
20-44
45-64
Unknown
Total
Member Months
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 110
Use of Services
HealthPartners / Group Health Plan, Inc.
Inpatient Utilization - General Hospital/Acute Care
Data Last Refreshed:
Jul 6, 2015 2:02 PM
Minnesota Health Care Programs - Managed Care (MA Expand F&C)
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Age
Total Inpatient
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Medicine
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Surgery
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Maternity
10-19
20-44
45-64
Unknown
Total
Member Months
36711
209376
162387
235501
79448
39
0
0
0
723462
Discharges
Discharges /
1,000 Member
Months
412
316
470
3736
990
0
0
0
0
5924
11.22
1.51
2.89
15.86
12.46
0.00
NA
NA
360
266
143
828
614
0
0
0
0
2211
9.81
1.27
0.88
3.52
7.73
0.00
NA
NA
52
50
62
435
372
0
0
0
0
971
1.42
0.24
0.38
1.85
4.68
0.00
NA
NA
265
2473
4
0
2742
1.63
10.50
0.05
HEDIS 2014 (Reporting Year 2013)
8.19
3.06
1.34
5.74
Days
Days / 1,000
Member
Months
2219
1225
1973
10720
4201
0
0
0
0
20338
60.45
5.85
12.15
45.52
52.88
0.00
NA
NA
1511
815
1072
2694
2380
0
0
0
0
8472
41.16
3.89
6.60
11.44
29.96
0.00
NA
NA
708
410
231
1750
1807
0
0
0
0
4906
19.29
1.96
1.42
7.43
22.74
0.00
NA
NA
670
6276
14
0
6960
4.13
26.65
0.18
28.11
11.71
6.78
14.58
Average
Length of Stay
5.39
3.88
4.20
2.87
4.24
NA
NA
NA
NA
3.43
4.20
3.06
7.50
3.25
3.88
NA
NA
NA
NA
3.83
13.62
8.20
3.73
4.02
4.86
NA
NA
NA
NA
5.05
2.53
2.54
3.50
NA
2.54
Page 111
Use of Services
HealthPartners / Group Health Plan, Inc.
Inpatient Utilization - General Hospital/Acute Care
Data Last Refreshed:
Jul 6, 2015 2:02 PM
Minnesota Health Care Programs - Managed Care (MN Care)
Age
Member Months
<1
2914
1-9
38192
10-19
45583
20-44
87297
45-64
58299
65-74
369
75-84
106
85+
51
Unknown
0
232811
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
21
45
60
427
245
2
1
1
0
802
7.21
1.18
1.32
4.89
4.20
5.42
9.43
19.61
81
293
143
1173
879
22
15
4
0
2610
27.80
7.67
3.14
13.44
15.08
59.62
141.51
78.43
3.86
6.51
2.38
2.75
3.59
11.00
15.00
4.00
NA
3.25
20
30
31
75
126
2
1
1
0
286
6.86
0.79
0.68
0.86
2.16
5.42
9.43
19.61
78
96
72
172
459
22
15
4
0
918
26.77
2.51
1.58
1.97
7.87
59.62
141.51
78.43
1
15
16
90
118
0
0
0
0
240
0.34
0.39
0.35
1.03
2.02
0.00
0.00
0.00
3
197
41
293
419
0
0
0
0
953
1.03
5.16
0.90
3.36
7.19
0.00
0.00
0.00
13
262
1
0
276
0.29
3.00
0.02
30
708
1
0
739
0.66
8.11
0.02
HEDIS 2014 (Reporting Year 2013)
3.44
1.23
1.03
1.44
11.21
3.94
4.09
3.87
3.90
3.20
2.32
2.29
3.64
11.00
15.00
4.00
NA
3.21
3.00
13.13
2.56
3.26
3.55
NA
NA
NA
NA
3.97
2.31
2.70
1.00
NA
2.68
Page 112
Use of Services
HealthPartners / Group Health Plan, Inc.
Identification of Alcohol and Other Drug Services
Data Last Refreshed:
Jul 6, 2015 2:02 PM
Commercial
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
520863
223069
318706
385369
1323344
60902
0
2832253
495464
210274
307802
433421
1425167
55362
0
2927490
1016327
433343
626508
818790
2748511
116264
0
5759743
520863
223069
318706
385369
1323344
60902
0
2832253
495464
210274
307802
433421
1425167
55362
0
2927490
1016327
433343
626508
818790
2748511
116264
0
5759743
520863
223069
318706
385369
1323344
60902
0
2832253
495464
210274
307802
433421
1425167
55362
0
2927490
1016327
433343
626508
818790
2748511
116264
0
5759743
520863
223069
318706
385369
1323344
60902
0
2832253
495464
210274
307802
433421
1425167
55362
0
2927490
1016327
433343
626508
818790
2748511
116264
0
5759743
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
10
7
17
339
198
537
1047
589
1636
738
398
1136
2163
1401
3564
97
44
141
0
0
0
4394
2637
7031
0.02%
0.02%
0.02%
1.82%
1.13%
1.49%
3.94%
2.30%
3.13%
2.30%
1.10%
1.66%
1.96%
1.18%
1.56%
1.91%
0.95%
1.46%
NA
NA
NA
1.86%
1.08%
1.46%
2
2
4
62
47
109
245
143
388
138
56
194
395
272
667
24
8
32
0
0
0
866
528
1394
0.00%
0.00%
0.00%
0.33%
0.27%
0.30%
0.92%
0.56%
0.74%
0.43%
0.16%
0.28%
0.36%
0.23%
0.29%
0.47%
0.17%
0.33%
NA
NA
NA
0.37%
0.22%
0.29%
1
0
1
12
18
30
49
47
96
26
18
44
59
56
115
1
1
2
0
0
0
148
140
288
0.00%
0.00%
0.00%
0.06%
0.10%
0.08%
0.18%
0.18%
0.18%
0.08%
0.05%
0.06%
0.05%
0.05%
0.05%
0.02%
0.02%
0.02%
NA
NA
NA
0.06%
0.06%
0.06%
9
6
15
335
188
523
999
548
1547
712
381
1093
2071
1357
3428
89
38
127
0
0
0
4215
2518
6733
0.02%
0.01%
0.02%
1.80%
1.07%
1.45%
3.76%
2.14%
2.96%
2.22%
1.05%
1.60%
1.88%
1.14%
1.50%
1.75%
0.82%
1.31%
NA
NA
NA
1.79%
1.03%
1.40%
HEDIS 2014 (Reporting Year 2013)
Page 113
Use of Services
HealthPartners / Group Health Plan, Inc.
Identification of Alcohol and Other Drug Services
Data Last Refreshed:
Jul 6, 2015 2:02 PM
Medicare Advantage
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 114
Use of Services
HealthPartners / Group Health Plan, Inc.
Identification of Alcohol and Other Drug Services
Data Last Refreshed:
Jul 6, 2015 2:02 PM
MSHO
Member Months
(Any)
Age
0-12
13-17
18-24
25-34
35-64
65+
Unknown
Total
13-17
18-24
25-34
35-64
65+
Unknown
Total
Member Months
(Outpatient/ED)
Male
Female
Total
Male
Female
Total
Male
Female
Total
Male
Female
Total
0
0
0
0
0
11323
0
11323
0
0
0
0
2
25725
0
25727
0
0
0
0
2
37048
0
37050
0
0
0
0
0
11323
0
11323
0
0
0
0
2
25725
0
25727
0
0
0
0
2
37048
0
37050
0
0
0
0
0
11323
0
11323
0
0
0
0
2
25725
0
25727
0
0
0
0
2
37048
0
37050
0
0
0
0
0
11323
0
11323
0
0
0
0
2
25725
0
25727
0
0
0
0
2
37048
0
37050
Any Services
Age
0-12
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Member Months
(Inpatient)
Sex
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
Intensive Outpatient/Partial
Hospitalization
Inpatient
Outpatient/ED
Number
Percent
Number
Percent
Number
Percent
Number
Percent
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
50
43
93
0
0
0
50
43
93
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00%
0.00%
5.30%
2.01%
3.01%
NA
NA
NA
5.30%
2.01%
3.01%
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
8
6
14
0
0
0
8
6
14
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00%
0.00%
0.85%
0.28%
0.45%
NA
NA
NA
0.85%
0.28%
0.45%
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
2
2
0
0
0
0
2
2
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00%
0.00%
0.00%
0.09%
0.06%
NA
NA
NA
0.00%
0.09%
0.06%
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
48
42
90
0
0
0
48
42
90
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00%
0.00%
5.09%
1.96%
2.92%
NA
NA
NA
5.09%
1.96%
2.91%
HEDIS 2014 (Reporting Year 2013)
Page 115
Use of Services
HealthPartners / Group Health Plan, Inc.
Identification of Alcohol and Other Drug Services
Data Last Refreshed:
Jul 6, 2015 2:02 PM
SNBC-SNP
Member Months
(Any)
Age
0-12
13-17
18-24
25-34
35-64
65+
Unknown
Total
Male
NR
Female
Total
NR
NR
NR
NR
NR
NR
NR
NR
NR
Any Services
Age
0-12
13-17
18-24
25-34
35-64
65+
Unknown
Total
Sex
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
Number
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
HEDIS 2014 (Reporting Year 2013)
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Member Months
(Inpatient)
Male
NR
Female
Total
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Number
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Female
Total
NR
NR
NR
NR
NR
NR
NR
NR
NR
Intensive Outpatient/Partial
Hospitalization
Inpatient
Percent
Male
Percent
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Number
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Percent
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Member Months
(Outpatient/ED)
Male
NR
Female
Total
NR
NR
NR
NR
NR
NR
NR
NR
NR
Outpatient/ED
Number
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Percent
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 116
Use of Services
HealthPartners / Group Health Plan, Inc.
Identification of Alcohol and Other Drug Services
Data Last Refreshed:
Jul 6, 2015 2:02 PM
SNBC-Non SNP
Age
0-12
13-17
18-24
25-34
35-64
65+
Unknown
Total
Male
NR
Female
Total
NR
NR
NR
NR
NR
NR
NR
NR
NR
Any Services
Age
0-12
13-17
18-24
25-34
35-64
65+
Unknown
Total
Sex
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
Number
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
HEDIS 2014 (Reporting Year 2013)
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Member Months
(Inpatient)
Member Months
(Any)
Male
NR
Female
Total
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Number
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Female
Total
NR
NR
NR
NR
NR
NR
NR
NR
NR
Intensive Outpatient/Partial
Hospitalization
Inpatient
Percent
Male
Percent
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Number
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Percent
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Member Months
(Outpatient/ED)
Male
NR
Female
Total
NR
NR
NR
NR
NR
NR
NR
NR
NR
Outpatient/ED
Number
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Percent
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 117
Use of Services
HealthPartners / Group Health Plan, Inc.
Identification of Alcohol and Other Drug Services
Data Last Refreshed:
Jul 6, 2015 2:02 PM
Minnesota Health Care Programs - Managed Care (MA Expand F&C)
Member Months
(Any)
Age
0-12
13-17
18-24
25-34
35-64
65+
Total
13-17
18-24
25-34
35-64
65+
Unknown
Total
Member Months
(Outpatient/ED)
Male
Female
Total
Male
Female
Total
Male
Female
Total
Male
Female
Total
154029
40536
26703
38741
74681
11
334701
150443
40758
43480
76599
77453
28
388761
304472
81294
70183
115340
152134
39
723462
154029
40536
26703
38741
74681
11
334701
150443
40758
43480
76599
77453
28
388761
304472
81294
70183
115340
152134
39
723462
154029
40536
26703
38741
74681
11
334701
150443
40758
43480
76599
77453
28
388761
304472
81294
70183
115340
152134
39
723462
154029
40536
26703
38741
74681
11
334701
150443
40758
43480
76599
77453
28
388761
304472
81294
70183
115340
152134
39
723462
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
Inpatient
Intensive Outpatient/Partial
Hospitalization
Outpatient/ED
Number
Percent
Number
Percent
Number
Percent
Number
Percent
6
6
160
160
373
373
962
962
1674
1674
0
0
0
0
3175
NR
3175
0.05%
0.02%
4.74%
2.36%
16.76%
6.38%
29.80%
10.01%
26.90%
13.20%
0.00%
0.00%
NR
NR
11.38%
NR
5.27%
0
0
29
29
61
61
188
188
372
372
0
0
0
0
650
NR
650
0.00%
0.00%
0.86%
0.43%
2.74%
1.04%
5.82%
1.96%
5.98%
2.93%
0.00%
0.00%
NR
NR
2.33%
NR
1.08%
0
0
10
10
4
4
12
12
14
14
0
0
0
0
40
NR
40
0.00%
0.00%
0.30%
0.15%
0.18%
0.07%
0.37%
0.12%
0.22%
0.11%
0.00%
0.00%
NR
NR
0.14%
NR
0.07%
6
6
160
160
367
367
957
957
1652
1652
0
0
0
0
3142
NR
3142
0.05%
0.02%
4.74%
2.36%
16.49%
6.28%
29.64%
9.96%
26.54%
13.03%
0.00%
0.00%
NR
NR
11.26%
NR
5.21%
HEDIS 2014 (Reporting Year 2013)
Page 118
Use of Services
HealthPartners / Group Health Plan, Inc.
Identification of Alcohol and Other Drug Services
Data Last Refreshed:
Jul 6, 2015 2:02 PM
Minnesota Health Care Programs - Managed Care (MN Care)
Member Months
(Any)
Age
0-12
13-17
18-24
25-34
35-64
65+
Unknown
Total
Male
27837
11299
10199
14972
38527
165
0
102999
Female
27025
11256
13972
23379
53819
361
0
129812
Total
54862
22555
24171
38351
92346
526
0
232811
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
3
4
35
32
67
58
43
101
136
109
245
244
245
489
0
0
0
0
0
0
474
432
906
HEDIS 2014 (Reporting Year 2013)
Total
54862
22555
24171
38351
92346
526
0
232811
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Male
Female
Total
27837
27025
54862
11299
11256
22555
10199
13972
24171
14972
23379
38351
38527
53819
92346
165
361
526
0
0
0
102999
129812
232811
Percent
0.00%
0.00%
0.00%
1.06%
0.96%
1.01%
1.06%
0.94%
0.99%
1.04%
0.56%
0.75%
0.93%
0.56%
0.71%
0.00%
0.00%
0.00%
NA
NA
NA
0.72%
0.52%
0.61%
Intensive Outpatient/Partial
Hospitalization
Number
Percent
0
0.00%
0
0.00%
0
0.00%
0
0.00%
2
0.21%
2
0.11%
1
0.12%
0
0.00%
1
0.05%
4
0.32%
4
0.21%
8
0.25%
4
0.12%
4
0.09%
8
0.10%
0
0.00%
0
0.00%
0
0.00%
0
NA
0
NA
0
NA
9
0.10%
10
0.09%
19
0.10%
Member Months
(Inpatient)
Male
27837
11299
10199
14972
38527
165
0
102999
Female
27025
11256
13972
23379
53819
361
0
129812
Inpatient
Percent
0.04%
0.13%
0.09%
3.72%
3.41%
3.56%
6.82%
3.69%
5.01%
10.90%
5.59%
7.67%
7.60%
5.46%
6.35%
0.00%
0.00%
0.00%
NA
NA
NA
5.52%
3.99%
4.67%
Number
0
0
0
10
9
19
9
11
20
13
11
24
30
25
55
0
0
0
0
0
0
62
56
118
Member Months
(Outpatient/ED)
Male
27837
11299
10199
14972
38527
165
0
102999
Female
27025
11256
13972
23379
53819
361
0
129812
Total
54862
22555
24171
38351
92346
526
0
232811
Outpatient/ED
Number
1
3
4
35
30
65
58
42
100
135
106
241
244
242
486
0
0
0
0
0
0
473
423
896
Percent
0.04%
0.13%
0.09%
3.72%
3.20%
3.46%
6.82%
3.61%
4.96%
10.82%
5.44%
7.54%
7.60%
5.40%
6.32%
0.00%
0.00%
0.00%
NA
NA
NA
5.51%
3.91%
4.62%
Page 119
Use of Services
HealthPartners / Group Health Plan, Inc.
Mental Health Utilization - % of Members Receiving Inpatient, Day/Night and Ambulatory Services
Data Last Refreshed:
Jul 6, 2015 2:02 PM
Commercial
Member Months
(Any)
Age
0-12
13-17
18-64
65+
Unknown
Total
Member Months
(Inpatient)
Male
Female
Total
Male
Female
Total
520863
223069
2027419
60902
0
2832253
495464
210274
2166390
55362
0
2927490
1016327
433343
4193809
116264
0
5759743
520863
223069
2027419
60902
0
2832253
495464
210274
2166390
55362
0
2927490
1016327
433343
4193809
116264
0
5759743
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
520863
223069
2027419
60902
0
2832253
495464
210274
2166390
55362
0
2927490
1016327
433343
4193809
116264
0
5759743
Intensive Outpatient/Partial
Hospitalization
Inpatient
Member Months
(Outpatient/ED)
Male
Female
Total
520863
223069
2027419
60902
0
2832253
495464
210274
2166390
55362
0
2927490
1016327
433343
4193809
116264
0
5759743
Outpatient/ED
Number
Percent
Number
Percent
Number
Percent
Number
Percent
2988
1978
4966
2351
2711
5062
11302
20018
31320
274
305
579
0
0
0
16915
25012
41927
6.88%
4.79%
5.86%
12.65%
15.47%
14.02%
6.69%
11.09%
8.96%
5.40%
6.61%
5.98%
NA
NA
NA
7.17%
10.25%
8.74%
32
20
52
139
238
377
353
497
850
10
9
19
0
0
0
534
764
1298
0.07%
0.05%
0.06%
0.75%
1.36%
1.04%
0.21%
0.28%
0.24%
0.20%
0.20%
0.20%
NA
NA
NA
0.23%
0.31%
0.27%
230
129
359
211
350
561
393
836
1229
1
5
6
0
0
0
835
1320
2155
0.53%
0.31%
0.42%
1.14%
2.00%
1.55%
0.23%
0.46%
0.35%
0.02%
0.11%
0.06%
NA
NA
NA
0.35%
0.54%
0.45%
2881
1923
4804
2253
2576
4829
11050
19617
30667
265
302
567
0
0
0
16449
24418
40867
6.64%
4.66%
5.67%
12.12%
14.70%
13.37%
6.54%
10.87%
8.77%
5.22%
6.55%
5.85%
NA
NA
NA
6.97%
10.01%
8.51%
HEDIS 2014 (Reporting Year 2013)
Page 120
Use of Services
HealthPartners / Group Health Plan, Inc.
Mental Health Utilization - % of Members Receiving Inpatient, Day/Night and Ambulatory Services
Data Last Refreshed:
Jul 6, 2015 2:02 PM
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
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)
NR
Female
Total
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
Number
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Intensive Outpatient/Partial
Hospitalization
Inpatient
Any Services
Age
0-12
Male
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
HealthPartners / Group Health Plan, Inc.
Mental Health Utilization - % of Members Receiving Inpatient, Day/Night and Ambulatory Services
Data Last Refreshed:
Jul 6, 2015 2:02 PM
MSHO
Male
Female
Total
Male
Female
Total
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Male
Female
Total
0
0
0
11323
0
11323
0
0
2
25725
0
25727
0
0
2
37048
0
37050
0
0
0
11323
0
11323
0
0
2
25725
0
25727
0
0
2
37048
0
37050
0
0
0
11323
0
11323
Member Months
(Any)
Age
0-12
13-17
18-64
65+
Unknown
Total
Member Months
(Inpatient)
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
0
0
2
25725
0
25727
0
0
2
37048
0
37050
Intensive Outpatient/Partial
Hospitalization
Inpatient
Member Months
(Outpatient/ED)
Male
Female
Total
0
0
0
11323
0
11323
0
0
2
25725
0
25727
0
0
2
37048
0
37050
Outpatient/ED
Number
Percent
Number
Percent
Number
Percent
Number
Percent
0
0
0
0
0
0
0
0
0
120
278
398
0
0
0
120
278
398
NA
NA
NA
NA
NA
NA
NA
0.00%
0.00%
12.72%
12.97%
12.89%
NA
NA
NA
12.72%
12.97%
12.89%
0
0
0
0
0
0
0
0
0
16
45
61
0
0
0
16
45
61
NA
NA
NA
NA
NA
NA
NA
0.00%
0.00%
1.70%
2.10%
1.98%
NA
NA
NA
1.70%
2.10%
1.98%
0
0
0
0
0
0
0
0
0
1
6
7
0
0
0
1
6
7
NA
NA
NA
NA
NA
NA
NA
0.00%
0.00%
0.11%
0.28%
0.23%
NA
NA
NA
0.11%
0.28%
0.23%
0
0
0
0
0
0
0
0
0
108
240
348
0
0
0
108
240
348
NA
NA
NA
NA
NA
NA
NA
0.00%
0.00%
11.45%
11.20%
11.27%
NA
NA
NA
11.45%
11.19%
11.27%
HEDIS 2014 (Reporting Year 2013)
Page 122
Use of Services
HealthPartners / Group Health Plan, Inc.
Mental Health Utilization - % of Members Receiving Inpatient, Day/Night and Ambulatory Services
Data Last Refreshed:
Jul 6, 2015 2:02 PM
SNBC-SNP
Member Months
(Any)
Age
0-12
13-17
18-64
65+
Unknown
Total
Male
NR
Member Months
(Inpatient)
Female
Total
NR
NR
NR
NR
NR
NR
NR
Any Services
Age
0-12
13-17
18-64
65+
Unknown
Total
Sex
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
Number
NR
NR
NR
NR
NR
NR
NR
NR
HEDIS 2014 (Reporting Year 2013)
Male
NR
Female
Total
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Number
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Intensive Outpatient/Partial
Hospitalization
Inpatient
Percent
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Total
Male
Female
Percent
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Number
NR
NR
NR
NR
NR
NR
NR
NR
Percent
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Member Months
(Outpatient/ED)
Male
NR
Female
Total
NR
NR
NR
NR
NR
NR
NR
Outpatient/ED
Number
NR
NR
NR
NR
NR
NR
NR
NR
Percent
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 123
Use of Services
HealthPartners / Group Health Plan, Inc.
Mental Health Utilization - % of Members Receiving Inpatient, Day/Night and Ambulatory Services
Data Last Refreshed:
Jul 6, 2015 2:02 PM
SNBC-Non SNP
Member Months
(Inpatient)
Member Months
(Any)
Age
0-12
13-17
18-64
65+
Unknown
Total
Male
NR
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 124
Use of Services
HealthPartners / Group Health Plan, Inc.
Mental Health Utilization - % of Members Receiving Inpatient, Day/Night and Ambulatory Services
Data Last Refreshed:
Jul 6, 2015 2:02 PM
Minnesota Health Care Programs - Managed Care(MA Expand F&C)
Member Months
(Any)
Age
0-12
13-17
18-64
65+
Unknown
Total
Member Months
(Inpatient)
Male
Female
Total
Male
Female
Total
154029
40536
140125
11
0
334701
150443
40758
197532
28
0
388761
304472
81294
337657
39
0
723462
154029
40536
140125
11
0
334701
150443
40758
197532
28
0
388761
304472
81294
337657
39
0
723462
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
154029
40536
140125
11
0
334701
150443
40758
197532
28
0
388761
304472
81294
337657
39
0
723462
Intensive Outpatient/Partial
Hospitalization
Inpatient
Member Months
(Outpatient/ED)
Male
Female
Total
154029
40536
140125
11
0
334701
150443
40758
197532
28
0
388761
304472
81294
337657
39
0
723462
Outpatient/ED
Number
Percent
Number
Percent
Number
Percent
Number
Percent
1502
1064
2566
648
881
1529
3151
4996
8147
0
0
0
0
0
0
5301
6941
12242
11.70%
8.49%
10.11%
19.18%
25.94%
22.57%
26.98%
30.35%
28.95%
0.00%
0.00%
0.00%
NA
NA
NA
19.01%
21.42%
20.31%
27
23
50
46
93
139
262
218
480
0
0
0
0
0
0
335
334
669
0.21%
0.18%
0.20%
1.36%
2.74%
2.05%
2.24%
1.32%
1.71%
0.00%
0.00%
0.00%
NA
NA
NA
1.20%
1.03%
1.11%
174
87
261
92
123
215
291
408
699
0
0
0
0
0
0
557
618
1175
1.36%
0.69%
1.03%
2.72%
3.62%
3.17%
2.49%
2.48%
2.48%
0.00%
0.00%
0.00%
NA
NA
NA
2.00%
1.91%
1.95%
1438
1023
2461
607
838
1445
3006
4826
7832
0
0
0
0
0
0
5051
6687
11738
11.20%
8.16%
9.70%
17.97%
24.67%
21.33%
25.74%
29.32%
27.83%
0.00%
0.00%
0.00%
NA
NA
NA
18.11%
20.64%
19.47%
HEDIS 2014 (Reporting Year 2013)
Page 125
Use of Services
HealthPartners / Group Health Plan, Inc.
Mental Health Utilization - % of Members Receiving Inpatient, Day/Night and Ambulatory Services
Data Last Refreshed:
Jul 6, 2015 2:02 PM
Minnesota Health Care Programs - Managed Care(MN Care)
Member Months
(Any)
Age
0-12
13-17
18-64
65+
Unknown
Total
Member Months
(Inpatient)
Male
Female
Total
Male
Female
Total
27837
11299
63698
165
0
102999
27025
11256
91170
361
0
129812
54862
22555
154868
526
0
232811
27837
11299
63698
165
0
102999
27025
11256
91170
361
0
129812
54862
22555
154868
526
0
232811
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
27837
11299
63698
165
0
102999
27025
11256
91170
361
0
129812
54862
22555
154868
526
0
232811
Intensive Outpatient/Partial
Hospitalization
Inpatient
Member Months
(Outpatient/ED)
Male
Female
Total
27837
11299
63698
165
0
102999
27025
11256
91170
361
0
129812
54862
22555
154868
526
0
232811
Outpatient/ED
Number
Percent
Number
Percent
Number
Percent
Number
Percent
176
133
309
154
210
364
741
1483
2224
1
4
5
0
0
0
1072
1830
2902
7.59%
5.91%
6.76%
16.36%
22.39%
19.37%
13.96%
19.52%
17.23%
7.27%
13.30%
11.41%
NA
NA
NA
12.49%
16.92%
14.96%
1
1
2
13
22
35
16
36
52
0
0
0
0
0
0
30
59
89
0.04%
0.04%
0.04%
1.38%
2.35%
1.86%
0.30%
0.47%
0.40%
0.00%
0.00%
0.00%
NA
NA
NA
0.35%
0.55%
0.46%
12
15
27
22
28
50
41
88
129
0
0
0
0
0
0
75
131
206
0.52%
0.67%
0.59%
2.34%
2.99%
2.66%
0.77%
1.16%
1.00%
0.00%
0.00%
0.00%
NA
NA
NA
0.87%
1.21%
1.06%
171
123
294
146
199
345
723
1430
2153
1
4
5
0
0
0
1041
1756
2797
7.37%
5.46%
6.43%
15.51%
21.22%
18.36%
13.62%
18.82%
16.68%
7.27%
13.30%
11.41%
NA
NA
NA
12.13%
16.23%
14.42%
HEDIS 2014 (Reporting Year 2013)
Page 126
Use of Services
HealthPartners / Group Health Plan, Inc.
Plan All-Cause Readmissions
Data Last Refreshed:
Jul 6, 2015 2:02 PM
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
HealthPartners / Group Health Plan, Inc.
Plan All-Cause Readmissions
Data Last Refreshed:
Jul 6, 2015 2:02 PM
MSHO
Count of Index Stays
(Denominator)
Age
18-44
45-54
55-64
Total
Sex
M
F
Total
M
F
Total
M
F
Total
M
F
Total
0
0
0
0
0
0
0
0
0
0
0
0
Count of Index Stays
(Denominator)
Age
65-74
75-84
85+
Total
Sex
M
F
Total
M
F
Total
M
F
Total
M
F
Total
HEDIS 2014 (Reporting Year 2013)
72
130
202
73
154
227
28
97
125
173
381
554
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)
10
14
24
10
17
27
4
9
13
24
40
64
Observed
Readmission
(Num/Den)
13.89%
10.77%
11.88%
13.70%
11.04%
11.89%
14.29%
9.28%
10.40%
13.87%
10.50%
11.55%
Average Adjusted
Probability
Total Variance
18.42%
17.98%
18.14%
18.59%
16.39%
17.10%
21.34%
16.22%
17.37%
18.97%
16.89%
17.54%
1012.13%
1731.26%
2743.39%
1053.65%
2024.04%
3077.69%
449.02%
1280.82%
1729.84%
2514.80%
5036.12%
7550.92%
Page 128
Use of Services
HealthPartners / Group Health Plan, Inc.
Plan All-Cause Readmissions
Data Last Refreshed:
Jul 6, 2015 2:02 PM
SNBC-SNP
Age
18-44
45-54
55-64
Total
Age
65-74
75-84
85+
Count of Index Stays
(Denominator)
Count of 30-Day
Readmissions
(Numerator)
Observed
Readmission
(Num/Den)
Average Adjusted
Probability
Total Variance
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Count of Index Stays
(Denominator)
Count of 30-Day
Readmissions
(Numerator)
Observed
Readmission
(Num/Den)
Average Adjusted
Probability
Total Variance
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Sex
M
F
Total
M
F
Total
M
F
Total
M
F
Total
Sex
M
F
Total
M
F
Total
M
F
Total
M
Total
HEDIS 2014 (Reporting Year 2013)
Page 129
Use of Services
HealthPartners / Group Health Plan, Inc.
Plan All-Cause Readmissions
Data Last Refreshed:
Jul 6, 2015 2:02 PM
SNBC-Non SNP
Age
18-44
45-54
55-64
Total
Age
65-74
75-84
Sex
M
F
Total
M
F
Total
M
F
Total
M
F
Total
Count of Index Stays
(Denominator)
Count of 30-Day
Readmissions
Observed
Readmission
Average Adjusted
Probability
Total Variance
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Count of Index Stays
(Denominator)
Count of 30-Day
Readmissions
(Numerator)
Observed
Readmission
(Num/Den)
Average Adjusted
Probability
Total Variance
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Sex
M
F
Total
M
F
Total
M
F
85+
Total
M
Total
HEDIS 2014 (Reporting Year 2013)
Page 130
Health Plan Descriptive Information
HealthPartners / Group Health Plan, Inc.
Data Last Refreshed:
Jul 6, 2015 2:02 PM
Board Certification
MSHO
MSHO
Type of Physician
Family Medicine
Internal Medicine
Geriatricians
Other practitioner Specialists
HEDIS 2014 (Reporting Year 2013)
SNBC
Number of Physicians in Active Board Certification
Each Practice Area
Percent
Number
706
246
25
6170
691
237
23
5371
97.88%
96.34%
92.00%
87.05%
Page 131
Health Plan Descriptive Information
HealthPartners / Group Health Plan, Inc.
Data Last Refreshed:
Jul 6, 2015 2:02 PM
Board Certification
MSHO
SNBC-SNP
Type of Physician
Family Medicine
Internal Medicine
Geriatricians
Other practitioner Specialists
HEDIS 2014 (Reporting Year 2013)
SNBC
Number of Physicians in Active Board Certification
Each Practice Area
Percent
Number
NR
NR
NR
NR
Page 132
Health Plan Descriptive Information
HealthPartners / Group Health Plan, Inc.
Data Last Refreshed:
Jul 6, 2015 2:02 PM
Board Certification
MSHO
SNBC-Non SNP
Type of Physician
Family Medicine
Internal Medicine
Geriatricians
Other practitioner Specialists
HEDIS 2014 (Reporting Year 2013)
SNBC
Number of Physicians in Active Board Certification
Each Practice Area
Percent
Number
NR
NR
NR
NR
Page 133
Health Plan Descriptive Information
HealthPartners / Group Health Plan, Inc.
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Jul 6, 2015 2:02 PM
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
37169
207085
212950
135723
90854
Member Months
Female
33301
142492
198085
204206
127654
85746
Total
70470
142492
405170
417156
263377
176600
683781
25.50%
227852
181733
203636
201804
222908
791484
27.04%
222056
202861
230560
213619
231374
1475265
26.30%
1037933
38.71%
236351
259560
230470
172251
1100470
37.59%
253231
283165
255906
187872
2138403
38.13%
898632
33.52%
40903
10985
4336
2516
1547
615
980174
33.48%
34183
8692
4874
3632
2592
1389
1878806
33.50%
60902
2.27%
0
55362
1.89%
0
116264
2.07%
2681248
2927490
HEDIS 2014 (Reporting Year 2013)
449908
384594
434196
415423
454282
489582
542725
486376
360123
75086
19677
9210
6148
4139
2004
0
5608738
Page 134
Health Plan Descriptive Information
HealthPartners / Group Health Plan, Inc.
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Jul 6, 2015 2:02 PM
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
HealthPartners / Group Health Plan, Inc.
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Jul 6, 2015 2:02 PM
MSHO
<1
1-4
5-9
10-14
15-17
18-19
0-19 Subtotal
0-19 Subtotal: %
20-24
25-29
30-34
35-39
40-44
20-44 Subtotal
20-44 Subtotal: %
45-49
50-54
55-59
60-64
45-64 Subtotal
45-64 Subtotal: %
65-69
70-74
75-79
80-84
85-89
>=90
>=65 Subtotal
>=65 Subtotal: %
Age Unknown
Total
Male
0
0
0
0
0
0
Member Months
Female
0
0
0
0
0
0
Total
0
0
0
0
0
0
0
0.00%
0
0
0
0
0
0
0.00%
0
0
0
0
0
0
0.00%
0
0.00%
0
0
0
0
0
0.00%
0
0
0
2
0
0.00%
0
0.00%
2882
2797
2395
1763
897
589
2
0.01%
4721
5344
4719
3902
3434
3605
2
0.01%
11323
100.00%
0
25725
99.99%
0
37048
99.99%
11323
25727
HEDIS 2014 (Reporting Year 2013)
0
0
0
0
0
0
0
0
2
7603
8141
7114
5665
4331
4194
0
37050
Page 136
Health Plan Descriptive Information
HealthPartners / Group Health Plan, Inc.
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Jul 6, 2015 2:02 PM
SNBC-SNP
Male
<1
1-4
5-9
10-14
15-17
18-19
0-19 Subtotal
0-19 Subtotal: %
20-24
25-29
30-34
35-39
40-44
20-44 Subtotal
20-44 Subtotal: %
45-49
50-54
55-59
60-64
45-64 Subtotal
45-64 Subtotal: %
65-69
70-74
75-79
80-84
85-89
>=90
>=65 Subtotal
>=65 Subtotal: %
Age Unknown
Total
Member Months
Female
Total
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
HEDIS 2014 (Reporting Year 2013)
Page 137
Health Plan Descriptive Information
HealthPartners / Group Health Plan, Inc.
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Jul 6, 2015 2:02 PM
SNBC-Non SNP
Male
<1
1-4
5-9
10-14
15-17
18-19
0-19 Subtotal
0-19 Subtotal: %
20-24
25-29
30-34
35-39
40-44
20-44 Subtotal
20-44 Subtotal: %
45-49
50-54
55-59
60-64
45-64 Subtotal
45-64 Subtotal: %
65-69
70-74
75-79
80-84
85-89
>=90
>=65 Subtotal
>=65 Subtotal: %
Age Unknown
Total
Member Months
Female
Total
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
HEDIS 2014 (Reporting Year 2013)
Page 138
Health Plan Descriptive Information
HealthPartners / Group Health Plan, Inc.
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Jul 6, 2015 2:02 PM
Minnesota Health Care Programs - Managed Care (MA Expand F&C)
<1
1-4
5-9
10-14
15-17
18-19
0-19 Subtotal
0-19 Subtotal: %
20-24
25-29
30-34
35-39
40-44
20-44 Subtotal
20-44 Subtotal: %
45-49
50-54
55-59
60-64
45-64 Subtotal
45-64 Subtotal: %
65-69
70-74
75-79
80-84
85-89
>=90
>=65 Subtotal
>=65 Subtotal: %
Age Unknown
Total
Male
18963
48891
56828
46548
23335
10608
Member Months
Female
17748
47508
56149
46266
23530
12100
Total
36711
96399
112977
92814
46865
22708
205173
61.30%
16095
18920
19821
15762
15052
203301
52.29%
31380
39094
37505
23628
18244
408474
56.46%
85650
25.59%
15108
14101
9822
4836
149851
38.55%
12855
10652
7559
4515
235501
32.55%
43867
13.11%
11
0
0
0
0
0
35581
9.15%
23
5
0
0
0
0
79448
10.98%
11
0.00%
0
28
0.01%
0
39
0.01%
334701
388761
HEDIS 2014 (Reporting Year 2013)
47475
58014
57326
39390
33296
27963
24753
17381
9351
34
5
0
0
0
0
0
723462
Page 139
Health Plan Descriptive Information
HealthPartners / Group Health Plan, Inc.
Enrollment by Product Line (Age & Sex)
Minnesota Health Care Programs - Managed Care (MN Care)
Member Months
Male
Female
1556
1358
<1
7663
7295
1-4
11652
11582
5-9
11372
11406
10-14
6893
6640
15-17
4646
4626
18-19
43782
42907
0-19 Subtotal
42.51%
33.05%
0-19 Subtotal: %
5553
9346
20-24
7225
11853
25-29
7747
11526
30-34
6766
9846
35-39
7341
10094
40-44
34632
52665
20-44 Subtotal
33.62%
40.57%
20-44 Subtotal: %
6830
9947
45-49
6988
9352
50-54
5821
7723
55-59
4781
6857
60-64
24420
33879
45-64 Subtotal
23.71%
26.10%
45-64 Subtotal: %
101
117
65-69
15
136
70-74
32
61
75-79
6
7
80-84
11
28
85-89
0
12
>=90
165
361
>=65 Subtotal
0.16%
0.28%
>=65 Subtotal: %
0
0
Age Unknown
102999
129812
Total
HEDIS 2014 (Reporting Year 2013)
Data Last Refreshed:
Jul 6, 2015 2:02 PM
Total
2914
14958
23234
22778
13533
9272
86689
37.24%
14899
19078
19273
16612
17435
87297
37.50%
16777
16340
13544
11638
58299
25.04%
218
151
93
13
39
12
526
0.23%
0
232811
Page 140