Blue Plus (HMO Minnesota)
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
Blue Plus (HMO Minnesota)
Adult BMI Assessment
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Data Last Refreshed:
Jul 6, 2015 1:00 PM
Commercial
Medicare
Advantage
2013
A
8617
Numerator Events by Admin Data on Eligible
Population (before exclusions)
MA Expand
F& C
2013
H
8017
MN Care
2013
H
10685
434
379
5.41%
411
5.00%
432
26
6.02%
3.55%
411
5.00%
432
14
3.24%
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
432
26
335
83.56%
79.95%
87.18%
0
432
14
321
77.55%
73.50%
81.60%
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
219
2.54%
2.20%
2.88%
NR
NR
NR
Page 3
Effectiveness of Care
Blue Plus (HMO Minnesota)
Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents
Data Last Refreshed:
Jul 6, 2015 1:00 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
A
General
Measure
Data
Ages 3-11 Ages 12-17
Counseling for Physical Activity
Total
2013
A
General
Measure
Data
Ages 3-11
Ages 1217
Total
2013
A
2063
1348
3411
2063
1348
3411
2063
1348
3411
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
102
42
144
7
13
20
0
0
0
4.94%
3.98%
5.90%
3.12%
2.15%
4.08%
4.22%
3.53%
4.91%
0.34%
0.06%
0.61%
0.96%
0.41%
1.52%
0.59%
0.32%
0.86%
0.00%
0.00%
0.02%
0.00%
0.00%
0.04%
0.00%
0.00%
0.01%
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
Blue Plus (HMO Minnesota)
Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents
Minnesota Health Care Programs - Managed Care (MA Expand F&C)
BMI Percentile
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator events by admin data in eligible
population
Current Year's Administrative Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin rate on FSS
General
Measure
Data
Ages 3-11 Ages 12-17
Data Last Refreshed:
Jul 6, 2015 1:00 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
10561
5010
15571
10561
5010
15571
10561
5010
15571
204
1.93%
99
1.98%
303
1.95%
73
0.69%
72
1.44%
145
0.93%
2
0.02%
3
0.06%
5
0.03%
0
NR
0
NR
0
NR
411
5.00%
411
5.00%
432
7
NR
1
NR
8
NR
432
1
NR
3
NR
4
NR
0
0
Number of administrative data records
excluded
0
0
Number of medical records excluded
0
0
Number of employee/dependent records
excluded
0
0
Records Added from the Oversample List
0
0
HEDIS 2014 (Reporting Year 2013)
Ages 1217
2013
H
Number of Records Excluded Because of
Valid Data Errors
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
Ages 3-11
283
149
432
283
149
432
283
149
432
7
95
36.04%
30.27%
41.81%
1
52
35.57%
27.55%
43.59%
8
147
35.88%
31.24%
40.52%
1
151
53.71%
47.72%
59.70%
3
53
37.58%
29.47%
45.70%
4
204
48.15%
43.32%
52.98%
0
114
40.28%
34.39%
46.17%
0
59
39.60%
31.41%
47.79%
0
173
40.05%
35.31%
44.78%
Page 5
Effectiveness of Care
Blue Plus (HMO Minnesota)
Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents
Data Last Refreshed:
Jul 6, 2015 1:00 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
5037
77
1.53%
3520
40
1.14%
Total
General
2013
H
8557
117
1.37%
411
5.00%
432
Counseling for Nutrition
Ages 3-11 Ages 12-17
Total
5037
24
0.48%
3520
35
0.99%
8557
59
0.69%
1
0.23%
1
0.23%
2
0.46%
271
1
137
50.92%
44.79%
57.06%
161
1
61
38.51%
30.68%
46.34%
432
2
198
46.30%
41.48%
51.11%
411
5.00%
432
1
0.23%
0
0.00%
1
0.23%
0
0
0
0
0
0
0
0
0
0
271
1
92
34.32%
28.48%
40.15%
161
0
63
39.13%
31.28%
46.98%
432
1
155
36.11%
31.47%
40.76%
Counseling for Physical Activity
General
Ages 3-11 Ages 12Total
2013
H
5037
3520
8557
1
0
1
0.02%
0.00%
0.01%
411
5.00%
432
0
0
0
0.00%
0.00%
0.00%
0
0
0
0
0
271
161
432
0
0
0
124
56
180
45.76%
34.78%
41.67%
39.64%
27.11%
36.90%
51.87%
42.45%
46.43%
Page 6
Effectiveness of Care
Blue Plus (HMO Minnesota)
Childhood Immunization Status
Data Last Refreshed:
Jul 6, 2015 1:00 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
179
196
195
201
179
190
182
168
172
157
Reported Rate
84.43%
92.45%
91.98%
94.81%
84.43%
89.62%
85.85%
79.25%
81.13%
74.06%
Lower 95% Confidence Interval
79.32%
88.66%
88.09%
91.59%
79.32%
85.28%
80.92%
73.55%
75.63%
67.92%
Upper 95% Confidence Interval
89.55%
96.24%
95.87%
98.03%
89.55%
93.96%
90.78%
84.94%
86.63%
80.19%
Measurement Year
Influenza
2013
Data Collection Methodology
A
Eligible Member Population
212
Numerator events by admin data in eligible
population
Current Year's Administrative Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin rate on FSS
Number of Records Excluded Because of
Valid Data Errors
Number of administrative data records
excluded
Number of medical data records excluded
Number of employee/dependent records
excluded
Records Added from the Oversample List
Denominator
Numerator Events by administrative Data
Numerator Events by Medical Record
HEDIS 2014 (Reporting Year 2013)
Page 7
Effectiveness of Care
Blue Plus (HMO Minnesota)
Childhood Immunization Status
Data Last Refreshed:
Jul 6, 2015 1:00 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
179
158
153
134
137
130
124
114
118
106
Reported Rate
84.43%
74.53%
72.17%
63.21%
64.62%
61.32%
58.49%
53.77%
55.66%
50.00%
Lower 95% Confidence Interval
79.32%
68.43%
65.90%
56.48%
57.95%
54.53%
51.62%
46.83%
48.74%
43.03%
Upper 95% Confidence Interval
89.55%
80.63%
78.44%
69.93%
71.29%
68.11%
65.36%
60.72%
62.58%
56.97%
Measurement Year
2013
Data Collection Methodology
A
Eligible Member Population
212
Numerator events by admin data in eligible
population
Current Year's Administrative Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin rate on FSS
Number of Records Excluded Because of
Valid Data Errors
Number of administrative data records
excluded
Number of medical data records excluded
Number of employee/dependent records
excluded
Records Added from the Oversample List
Denominator
Numerator Events by administrative Data
Numerator Events by Medical Record
HEDIS 2014 (Reporting Year 2013)
Page 8
Effectiveness of Care
Blue Plus (HMO Minnesota)
Childhood Immunization Status
Data Last Refreshed:
Jul 6, 2015 1:00 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
1492
82.29%
1677
92.50%
1638
90.35%
1681
92.72%
1570
86.60%
1635
90.18%
1514
83.51%
1330
73.36%
1312
72.37%
1074
59.24%
349
403
398
400
376
395
364
316
316
255
80.79%
93.29%
92.13%
92.59%
87.04%
91.44%
84.26%
73.15%
73.15%
59.03%
Numerator Events by administrative Data
349
403
398
400
376
395
364
316
316
255
Numerator Events by Medical Record
10
6
1
8
26
0
9
4
11
7
Reported Rate
83.10%
94.68%
92.36%
94.44%
93.06%
91.44%
86.34%
74.07%
75.69%
60.65%
Lower 95% Confidence Interval
79.45%
92.44%
89.74%
92.17%
90.54%
88.68%
82.99%
69.83%
71.53%
55.93%
Upper 95% Confidence Interval
86.75%
96.91%
94.98%
96.72%
95.57%
94.19%
89.70%
78.32%
79.86%
65.37%
Measurement Year
2013
Data Collection Methodology
H
Eligible Member Population
1813
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
432
Page 9
Effectiveness of Care
Blue Plus (HMO Minnesota)
Childhood Immunization Status
Data Last Refreshed:
Jul 6, 2015 1:00 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
1492
82.29%
1324
73.03%
1276
70.38%
1045
57.64%
1039
57.31%
865
47.71%
890
49.09%
741
40.87%
735
40.54%
649
35.80%
349
317
310
249
255
205
219
172
174
152
80.79%
73.38%
71.76%
57.64%
59.03%
47.45%
50.69%
39.81%
40.28%
35.19%
Numerator Events by administrative Data
349
317
310
249
255
205
219
172
174
152
Numerator Events by Medical Record
10
27
28
27
29
27
25
27
25
23
Reported Rate
83.10%
79.63%
78.24%
63.89%
65.74%
53.70%
56.48%
46.06%
46.06%
40.51%
Lower 95% Confidence Interval
79.45%
75.72%
74.23%
59.24%
61.15%
48.89%
51.69%
41.25%
41.25%
35.76%
Upper 95% Confidence Interval
86.75%
83.54%
82.25%
68.53%
70.33%
58.52%
61.27%
50.88%
50.88%
45.25%
Measurement Year
2013
Data Collection Methodology
H
Eligible Member Population
1813
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)
432
Page 10
Effectiveness of Care
Blue Plus (HMO Minnesota)
Childhood Immunization Status
Data Last Refreshed:
Jul 6, 2015 1:00 PM
Minnesota Health Care Programs - Managed Care (MN Care)
Data Elements
Measurement Year
Data Collection Methodology
General
Measure
Data
Minimum Required Sample Size
350
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
265
304
297
307
294
281
282
235
240
183
75.50%
86.61%
84.62%
87.46%
83.76%
80.06%
80.34%
66.95%
68.38%
52.14%
265
304
297
307
294
281
283
235
240
183
75.71%
86.86%
84.86%
87.71%
84.00%
80.29%
80.86%
67.14%
68.57%
52.29%
265
304
297
307
294
281
283
235
240
183
350
Admin rate on FSS
Numerator Events by administrative Data
HiB
0
Numerator events by admin data in FSS
Denominator
MMR
H
351
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
350
Page 11
Effectiveness of Care
Blue Plus (HMO Minnesota)
Childhood Immunization Status
Data Last Refreshed:
Jul 6, 2015 1:00 PM
Minnesota Health Care Programs - Managed Care (MN Care)
Data Elements
Measurement Year
Data Collection Methodology
General
Measure
Data
Minimum Required Sample Size
350
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
265
242
237
197
192
162
176
144
142
131
75.50%
68.95%
67.52%
56.13%
54.70%
46.15%
50.14%
41.03%
40.46%
37.32%
265
242
238
197
193
162
176
144
142
131
75.71%
69.14%
68.00%
56.29%
55.14%
46.29%
50.29%
41.14%
40.57%
37.43%
265
242
238
197
193
162
176
144
142
131
350
Admin rate on FSS
Numerator Events by administrative Data
Combo 4
0
Numerator events by admin data in FSS
Denominator
Combo 3
H
351
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
350
Page 12
Effectiveness of Care
Blue Plus (HMO Minnesota)
Data Last Refreshed:
Jul 6, 2015 1:00 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
148
220
144
Reported Rate
60.66%
90.16%
59.02%
Lower 95% Confidence Interval
54.32%
86.22%
52.64%
Upper 95% Confidence Interval
66.99%
94.11%
65.39%
Measurement Year
Data Collection Methodology
Eligible Member Population
2013
A
244
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
Blue Plus (HMO Minnesota)
Data Last Refreshed:
Jul 6, 2015 1:00 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
1174
Numerator Events by Admin Data on Eligible
Population (before exclusions)
Current Year's Admin Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin Rate on FSS
0
Number of administrative data records excluded
0
Number of medical data records excluded
0
Number of employee/dependent medical records
excluded
0
HEDIS 2014 (Reporting Year 2013)
Tdap
Combo 1
638
988
629
54.34%
84.16%
53.58%
254
58.80%
374
86.57%
251
58.10%
254
0
58.80%
54.04%
63.55%
374
1
86.81%
83.50%
90.11%
251
1
58.33%
53.57%
63.10%
411
5.00%
432
Records Excluded because of Valid Data Errors
Records Added from the Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
Meningococcal
0
432
Page 14
Effectiveness of Care
Blue Plus (HMO Minnesota)
Data Last Refreshed:
Jul 6, 2015 1:00 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
671
Numerator Events by Admin Data on Eligible
Current Year's Admin Rate
Minimum Required Sample Size
411
Oversampling Rate
5.00%
Final Sample Size (FSS)
432
Numerator events by admin data in FSS
Admin Rate on FSS
Records Excluded because of Valid Data Errors
0
Number of administrative data records excluded
0
Number of medical data records excluded
0
Number of employee/dependent medical records
0
Records Added from the Oversample List
0
Denominator
432
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
314
46.80%
568
84.65%
311
46.35%
203
46.99%
370
85.65%
203
46.99%
203
3
47.69%
42.86%
52.51%
370
1
85.88%
82.48%
89.28%
203
3
47.69%
42.86%
52.51%
Page 15
Effectiveness of Care
Blue Plus (HMO Minnesota)
Breast Cancer Screening
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
Data Last Refreshed:
Jul 6, 2015 1:00 PM
Commercial
2013
A
2286
1724
75.42%
73.63%
77.20%
Medicare
Advantage
NR
NR
NR
MSHO
MA Expand
F& C
MN Care
2013
A
1022
596
58.32%
55.25%
61.39%
2013
A
614
363
59.12%
55.15%
63.09%
2013
A
1954
1294
66.22%
64.10%
68.35%
SNBC
SNP
SNBC
Non SNP
NR
NR
NR
NR
NR
NR
Page 16
Effectiveness of Care
Blue Plus (HMO Minnesota)
Cervical Cancer Screening
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Data Last Refreshed:
Jul 6, 2015 1:00 PM
Commercial
MA Expand
F& C
MN Care
2013
A
3979
2013
H
8822
2013
H
9563
5521
5757
62.58%
411
5.00%
432
271
62.73%
0
0
7
60.20%
411
5.00%
432
280
64.81%
0
0
14
0
0
0
425
271
32
71.29%
66.88%
75.71%
0
418
280
15
70.57%
66.09%
75.06%
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)
2679
67.33%
65.86%
68.80%
Page 17
Effectiveness of Care
Blue Plus (HMO Minnesota)
Colorectal Cancer Screening
Data Last Refreshed:
Jul 6, 2015 1:00 PM
Data Elements
Measurement Year
Data collection methodology (administrative or hybrid)
Eligible population
Commercial
Medicare
Advantage
2013
A
4414
HEDIS 2014 (Reporting Year 2013)
SNBC
SNP
SNBC
Non SNP
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
2013
H
1901
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
1070
NR
NR
NR
NR
3093
70.07%
68.71%
71.43%
NR
NR
NR
56.29%
411
10.00%
453
263
58.06%
0
0
0
0
0
453
263
20
62.47%
57.90%
67.04%
Page 18
Effectiveness of Care
Blue Plus (HMO Minnesota)
Chlamydia Screening in Women
Data Last Refreshed:
Jul 6, 2015 1:00 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
313
111
35.46%
30.00%
40.92%
410
217
52.93%
47.97%
57.88%
723
328
45.37%
41.67%
49.06%
2013
A
Page 19
Effectiveness of Care
Blue Plus (HMO Minnesota)
Chlamydia Screening in Women
Data Last Refreshed:
Jul 6, 2015 1:00 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
906
425
46.91%
43.60%
50.21%
949
527
55.53%
52.32%
58.75%
1855
952
51.32%
49.02%
53.62%
2013
A
Page 20
Effectiveness of Care
Blue Plus (HMO Minnesota)
Chlamydia Screening in Women
Data Last Refreshed:
Jul 6, 2015 1:00 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
1001
377
37.66%
34.61%
40.71%
458
224
48.91%
44.22%
53.60%
1459
601
41.19%
38.63%
43.75%
Page 21
Effectiveness of Care
Blue Plus (HMO Minnesota)
Glaucoma Screening in Older Adults
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
Data Last Refreshed:
Jul 6, 2015 1:00 PM
Medicare
Advantage
NR
NR
NR
MSHO
2013
A
6326
4786
75.66%
74.59%
76.72%
Page 22
Effectiveness of Care
Blue Plus (HMO Minnesota)
Data Last Refreshed:
Jul 6, 2015 1:00 PM
Human Papillomavirus Vaccine for Female Adolescents
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Commercial
2013
A
113
MA Expand F & C
2013
H
582
MN Care
2013
H
313
77
34
NR
13.23%
10.86%
NR
411
5.00%
432
47
10.88%
313
0.00%
313
34
10.86%
Records Excluded because of Valid Data
Errors
0
0
Number of administrative data records
excluded
0
0
Number of medical record data records
excluded
0
0
Number of employee/dependent medical
records excluded
0
0
Records Added from the Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
0
432
47
5
0
313
34
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
15
Reported Rate
13.27%
12.04%
10.86%
Lower 95% Confidence Interval
6.58%
8.85%
7.26%
Upper 95% Confidence Interval
19.97%
15.22%
14.47%
HEDIS 2014 (Reporting Year 2013)
Page 23
Effectiveness of Care
Blue Plus (HMO Minnesota)
Data Last Refreshed:
Jul 6, 2015 1:00 PM
Care for Older Adults
MSHO
Medication Review
Functional
Status
Assessment
Pain
Screening
164
2282
2255
2260
2.16%
30.07%
29.71%
29.78%
9
1.99%
140
30.91%
139
30.68%
139
30.68%
9
270
140
212
139
272
139
240
Reported Rate
61.59%
77.70%
90.73%
83.66%
Lower 95% Confidence Interval
57.00%
73.76%
87.95%
80.15%
Upper 95% Confidence Interval
66.18%
81.65%
93.51%
87.18%
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
General Measure
Data
2013
H
7590
Numerator Events by Admin Data on
Eligible Population (before exclusions)
Current Year's Admin Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin Rate on FSS
411
10.00%
453
Records Excluded because of Valid Data
Errors
0
Number of employee/dependent medical
records excluded
0
Records Added from the Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
HEDIS 2014 (Reporting Year 2013)
Advance Care
Planning
0
453
Page 24
Effectiveness of Care
Blue Plus (HMO Minnesota)
Pharmacotherapy Management of COPD Exacerbation
Data Last Refreshed:
Jul 6, 2015 1:00 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
Blue Plus (HMO Minnesota)
Pharmacotherapy Management of COPD Exacerbation
Data Last Refreshed:
Jul 6, 2015 1:00 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
152
64.96%
58.63%
71.28%
197
84.19%
79.30%
89.08%
2013
A
234
Page 26
Effectiveness of Care
Blue Plus (HMO Minnesota)
Pharmacotherapy Management of COPD Exacerbation
Data Last Refreshed:
Jul 6, 2015 1:00 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
Blue Plus (HMO Minnesota)
Pharmacotherapy Management of COPD Exacerbation
Data Last Refreshed:
Jul 6, 2015 1:00 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
Blue Plus (HMO Minnesota)
Use of Spirometry Testing in the Assessment and Diagnosis of COPD
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
Medicare
Advantage
NR
NR
NR
MSHO
2013
A
248
53
21.37%
16.07%
26.67%
Data Last Refreshed:
Jul 6, 2015 1:00 PM
SNBC
SNP
SNBC Non
SNP
NR
NR
NR
NR
NR
NR
Page 29
Effectiveness of Care
Blue Plus (HMO Minnesota)
Use of Appropriate Medications for People with Asthma
Data Last Refreshed:
Jul 6, 2015 1:00 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
17
17
0
NA
NA
NA
12
11
1
NA
NA
NA
66
62
1
93.94%
87.43%
100.00%
47
44
18
93.62%
85.56%
100.00%
142
134
20
94.37%
90.22%
98.51%
2013
A
`
Page 30
Effectiveness of Care
Blue Plus (HMO Minnesota)
Use of Appropriate Medications for People with Asthma
Data Last Refreshed:
Jul 6, 2015 1:00 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
173
161
13
93.06%
88.99%
97.14%
144
126
5
87.50%
81.75%
93.25%
241
196
69
81.33%
76.20%
86.46%
70
54
63
77.14%
66.59%
87.69%
628
537
150
85.51%
82.68%
88.34%
2013
A
Page 31
Effectiveness of Care
Blue Plus (HMO Minnesota)
Use of Appropriate Medications for People with Asthma
Minnesota Health Care Programs - Managed Care (MN Care)
Data Elements
General
Ages 5-11
Measurement Year
2013
Data Collection Methodology
A
93
Eligible Member Population
89
Numerator Events by Admin Data
4
Number of required exclusions
95.70%
Reported Rate
91.04%
Lower 95% Confidence Interval
100.00%
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
Data Last Refreshed:
Jul 6, 2015 1:00 PM
Ages 12-18
Ages 19-50
Ages 51-64
Total
92
85
3
92.39%
86.43%
98.35%
192
167
39
86.98%
81.96%
92.00%
113
90
152
79.65%
71.78%
87.51%
490
431
198
87.96%
84.98%
90.94%
Page 32
Effectiveness of Care
Blue Plus (HMO Minnesota)
Cholesterol Management for Patients with Cardiovascular Conditions
Data Last Refreshed:
Jul 6, 2015 1:00 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
120
0
88.24%
82.45%
94.02%
0.00%
0.00%
0.37%
2013
A
136
Page 33
Effectiveness of Care
Blue Plus (HMO Minnesota)
Cholesterol Management for Patients with Cardiovascular Conditions
Data Last Refreshed:
Jul 6, 2015 1:00 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
Blue Plus (HMO Minnesota)
Cholesterol Management for Patients with Cardiovascular Conditions
Data Last Refreshed:
Jul 6, 2015 1:00 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
94
0
85.45%
0.00%
97
0
88.18%
0.00%
97
2
0
60
90.00%
83.94%
96.06%
54.55%
44.79%
64.31%
2013
H
110
110
0.00%
110
0
0
0
110
Page 35
Effectiveness of Care
Blue Plus (HMO Minnesota)
Cholesterol Management for Patients with Cardiovascular Conditions
Data Last Refreshed:
Jul 6, 2015 1:00 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
156
0
84.32%
0.00%
2013
H
185
185
0.00%
185
158
0
85.41%
0.00%
158
5
0
98
88.11%
83.17%
93.04%
52.97%
45.51%
60.44%
0
0
0
185
Page 36
Effectiveness of Care
Blue Plus (HMO Minnesota)
Controlling High Blood Pressure
Data Last Refreshed:
Jul 6, 2015 1:00 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
2013
H
1173
2013
H
1705
2013
H
1374
2013
H
2005
Numerator Events by Admin Data on
Eligible Population (before exclusions)
0
0
0
0
0.00%
411
10.00%
453
0.00%
411
10.00%
453
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%
335
10.00%
369
0
0.00%
NR
NR
0.00%
411
10.00%
453
0
0.00%
NR
NR
NR
NR
Records Excluded because of Valid Data
Errors
1
4
8
2
Number of records excluded because of
false positive diagnoses
1
4
8
2
Number of administrative data records
excluded
0
2
2
0
Number of medical record data records
excluded
0
0
0
0
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
0
368
0
299
81.25%
77.13%
85.37%
0
447
0
315
70.47%
66.13%
74.81%
0
443
0
297
67.04%
62.55%
71.53%
0
451
0
313
69.40%
65.04%
73.77%
HEDIS 2014 (Reporting Year 2013)
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 37
Effectiveness of Care
Blue Plus (HMO Minnesota)
Persistence of Beta Blocker Treatment After Heart Attack
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data on
Eligible Population
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
Commercial
Data Last Refreshed:
Jul 6, 2015 1:00 PM
Medicare
Advantage
MSHO
SNBC
SNP
SNBC
Non SNP
MA Expand
F&C
MN Care
2013
A
8
2013
A
68
2013
A
21
2013
A
15
7
64
19
12
NA
NA
NA
NA
NA
NA
NA
NA
NA
NR
NR
NR
94.12%
87.79%
100.00%
NR
NR
NR
NR
NR
NR
Page 38
Effectiveness of Care
Blue Plus (HMO Minnesota)
Comprehensive Diabetes Care
Data Last Refreshed:
Jul 6, 2015 1:00 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
A
648
Eye Exam
LDL-C
Screening
2013
A
648
2013
A
648
LDL-C Level
<100 mg/dL
Blood
Monitoring for
Pressure
Diabetic
<140/90 mm
Nephropathy
Hg
Blood
Pressure
<140/80
mm Hg
2013
A
648
Numerator events by admin data in eligible
population
Current Year's Administrative Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin rate on FSS
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
350
551
54.01%
50.10%
57.93%
85.03%
82.21%
87.86%
NR
NR
NR
NR
NR
NR
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)
586
90.43%
88.09%
92.77%
NR
NR
NR
NR
NR
NR
NR
NR
NR
517
NR
NR
NR
79.78%
76.61%
82.95%
Page 39
Effectiveness of Care
Blue Plus (HMO Minnesota)
Comprehensive Diabetes Care
Data Last Refreshed:
Jul 6, 2015 1:00 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
Blue Plus (HMO Minnesota)
Comprehensive Diabetes Care
Data Last Refreshed:
Jul 6, 2015 1:00 PM
MSHO
Adequate
HbA1c
Control
(<8.0%)
Eye Exam
LDL-C
Screening
LDL-C Level
<100 mg/dL
2013
H
808
2013
H
808
2013
H
808
2013
H
808
2013
H
808
2013
H
808
2013
H
808
11
1.36%
548
10%
603
8
1.33%
553
68.44%
548
10%
603
418
69.32%
662
81.93%
548
10%
603
511
84.74%
19
2.35%
548
10%
603
14
2.32%
697
86.26%
548
10%
603
525
87.06%
4
0.50%
548
10%
603
1
0.17%
4
0.50%
548
10%
603
1
0.17%
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
603
554
3
92.37%
90.17%
94.57%
0
603
188
16
33.83%
29.97%
37.69%
0
603
8
356
60.36%
56.38%
64.35%
0
603
418
52
77.94%
74.55%
81.34%
0
603
511
2
85.07%
82.15%
88.00%
0
603
14
295
51.24%
47.17%
55.32%
0
603
525
8
88.39%
85.75%
91.03%
0
603
1
422
70.15%
66.41%
73.88%
0
603
1
381
63.35%
59.42%
67.28%
HbA1c
Testing
Poor HbA1c
Control
2013
H
808
2013
H
808
737
91.21%
548
10%
603
554
91.87%
794
98.27%
548
10%
603
594
98.51%
Number of Records Excluded Because of
Valid Data Errors
0
Number of administrative data records
excluded
Number of medical record data records
excluded
Number of employee/dependent medical
records excluded
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator events by admin data in eligible
population
Current Year's Administrative Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin rate on FSS
Good HbA1c
Control
(<7.0%)
NR
NR
Blood
Monitoring for
Pressure
Diabetic
<140/90 mm
Nephropathy
Hg
Blood
Pressure
<140/80
mm Hg
Number of Administrative required exclusions
Number of Hybrid required exclusions
Additional Records Added from the
Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
NR
NR
NR
Page 41
Effectiveness of Care
Blue Plus (HMO Minnesota)
Comprehensive Diabetes Care
Data Last Refreshed:
Jul 6, 2015 1:00 PM
SNBC - SNP
Data Elements
HbA1c
Testing
Poor HbA1c
Control
Good HbA1c
Control
(<7.0%)
Adequate
HbA1c
Control
(<8.0%)
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Blood
Monitoring for
Pressure
Diabetic
<140/90 mm
Nephropathy
Hg
Blood
Pressure
<140/80
mm Hg
Eye Exam
LDL-C
Screening
LDL-C Level
<100 mg/dL
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator events by admin data in eligible
population
Current Year's Administrative Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin rate on FSS
Number of Records Excluded Because of
Valid Data Errors
Number of administrative data records
excluded
Number of medical record data records
excluded
Number of employee/dependent medical
records excluded
Number of Administrative required exclusions
Number of Hybrid required exclusions
Additional Records Added from the
Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
Page 42
Effectiveness of Care
Blue Plus (HMO Minnesota)
Comprehensive Diabetes Care
Data Last Refreshed:
Jul 6, 2015 1:00 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
Blue Plus (HMO Minnesota)
Comprehensive Diabetes Care
Data Last Refreshed:
Jul 6, 2015 1:00 PM
Minnesota Health Care Programs - Managed Care (MA Expand F&C)
HbA1c
Testing
Poor HbA1c
Control
2013
H
1156
2013
H
1156
994
85.99%
411
10%
453
404
89.18%
1156
100.00%
411
10%
453
453
100.00%
Number of Records Excluded Because of
Valid Data Errors
0
Number of administrative data records
excluded
Number of medical record data records
excluded
Number of employee/dependent medical
records excluded
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator events by admin data in eligible
population
Current Year's Administrative Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin rate on FSS
Good HbA1c
Control
(<7.0%)
Adequate
HbA1c
Control
(<8.0%)
Blood
Monitoring for
Pressure
Diabetic
<140/90 mm
Nephropathy
Hg
Blood
Pressure
<140/80
mm Hg
Eye Exam
LDL-C
Screening
LDL-C Level
<100 mg/dL
2013
H
1156
2013
H
1156
2013
H
1156
2013
H
1156
2013
H
1156
2013
H
1156
2013
H
1156
0
0.00%
411
10%
453
0
0.00%
614
53.11%
411
10%
453
251
55.41%
878
75.95%
411
10%
453
363
80.13%
0
0.00%
411
10%
453
0
0.00%
858
74.22%
411
10%
453
346
76.38%
2
0.17%
411
10%
453
0
0.00%
1
0.09%
411
10%
453
0
0.00%
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
453
404
3
89.85%
86.95%
92.74%
0
453
121
79
44.15%
39.47%
48.83%
0
453
0
205
45.25%
40.56%
49.95%
0
453
251
45
65.34%
60.85%
69.83%
0
453
363
7
81.68%
78.00%
85.35%
0
453
0
176
38.85%
34.25%
43.45%
0
453
346
10
78.59%
74.70%
82.48%
0
453
0
327
72.19%
67.95%
76.42%
0
453
0
227
50.11%
45.40%
54.83%
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
Blue Plus (HMO Minnesota)
Comprehensive Diabetes Care
Minnesota Health Care Programs - Managed Care (MN Care)
Data Elements
HbA1c
2013
Measurement Year
H
Data Collection Methodology
1429
Eligible Member Population
1305
Numerator events by admin data in eligible
91.32%
Current Year's Administrative Rate
411
Minimum Required Sample Size
10%
Oversampling Rate
453
Final Sample Size (FSS)
422
Numerator events by admin data in FSS
93.16%
Admin rate on FSS
0
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
0
Additional Records Added from the
453
Denominator
422
Numerator Events by Admin Data
6
Numerator Events by Medical Record
94.48%
Reported Rate
92.27%
Lower 95% Confidence Interval
96.69%
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
Data Last Refreshed:
Jul 6, 2015 1:00 PM
Poor HbA1c
2013
H
1429
1429
100.00%
411
10%
453
453
100.00%
0
0
0
0
0
453
129
39
37.09%
32.53%
41.64%
Good HbA1c
NR
NR
NR
NR
NR
Adequate
2013
H
1429
0
0.00%
411
10%
453
0
0.00%
0
0
0
0
Eye Exam
2013
H
1429
808
56.54%
411
10%
453
275
60.71%
0
0
0
0
LDL-C
2013
H
1429
1177
82.37%
411
10%
453
378
83.44%
0
0
0
0
0
453
0
232
51.21%
46.50%
55.93%
0
453
275
38
69.09%
64.73%
73.46%
0
453
378
6
84.77%
81.35%
88.19%
LDL-C Level Monitoring for
2013
2013
H
H
1429
1429
0
1190
0.00%
83.28%
411
411
10%
10%
453
453
0
377
0.00%
83.22%
0
0
0
0
0
0
0
0
0
453
0
201
44.37%
39.69%
49.06%
0
453
377
12
85.87%
82.55%
89.19%
Blood
2013
H
1429
0
0.00%
411
10%
453
0
0.00%
0
0
0
0
Blood
2013
H
1429
0
0.00%
411
10%
453
0
0.00%
0
0
0
0
0
453
0
311
68.65%
64.27%
73.04%
0
453
0
241
53.20%
48.50%
57.91%
Page 45
Effectiveness of Care
Blue Plus (HMO Minnesota)
Disease Modifying Anti-Rheumatic Drug Therapy in Rheumatoid Arthritis
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
Data Last Refreshed:
Jul 6, 2015 1:00 PM
Medicare
Advantage
NR
NR
NR
Page 46
Effectiveness of Care
Blue Plus (HMO Minnesota)
Osteoporosis Management in Women Who had a Fracture
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
Medicare
Advantage
NR
NR
NR
Data Last Refreshed:
Jul 6, 2015 1:00 PM
MSHO
2013
A
336
36
10.71%
7.26%
14.17%
Page 47
Effectiveness of Care
Blue Plus (HMO Minnesota)
Antidepressant Medication Management
Data Last Refreshed:
Jul 6, 2015 1:00 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
183
149
81.42%
75.51%
87.33%
113
61.75%
54.43%
69.06%
Page 48
Effectiveness of Care
Blue Plus (HMO Minnesota)
Antidepressant Medication Management
Data Last Refreshed:
Jul 6, 2015 1:00 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
Blue Plus (HMO Minnesota)
Antidepressant Medication Management
Data Last Refreshed:
Jul 6, 2015 1:00 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
182
126
69.23%
62.25%
76.21%
116
63.74%
56.48%
71.00%
Page 50
Effectiveness of Care
Blue Plus (HMO Minnesota)
Antidepressant Medication Management
Data Last Refreshed:
Jul 6, 2015 1:00 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
Blue Plus (HMO Minnesota)
Antidepressant Medication Management
Data Last Refreshed:
Jul 6, 2015 1:00 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
Blue Plus (HMO Minnesota)
Antidepressant Medication Management
Data Last Refreshed:
Jul 6, 2015 1:00 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
1344
671
49.93%
47.22%
52.64%
488
36.31%
33.70%
38.92%
Page 53
Effectiveness of Care
Blue Plus (HMO Minnesota)
Antidepressant Medication Management
Minnesota Health Care Programs - Managed Care (MN Care)
Data Elements
General
Measurement Year
2013
Data Collection Methodology
A
Eligible Member Population
616
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 1:00 PM
Effective Acute
Effective
368
59.74%
55.79%
63.69%
270
43.83%
39.83%
47.83%
Page 54
Effectiveness of Care
Blue Plus (HMO Minnesota)
Follow-Up Care for Children Prescribed
Attention-Deficit/Hyperactivity Disorder (ADHD) Medication
Data Last Refreshed:
Jul 6, 2015 1:00 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
45
20
44.44%
28.81%
60.07%
14
4
NA
NA
NA
2013
A
Page 55
Effectiveness of Care
Blue Plus (HMO Minnesota)
Follow-Up Care for Children Prescribed
Attention-Deficit/Hyperactivity Disorder (ADHD) Medication
Data Last Refreshed:
Jul 6, 2015 1:00 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
475
184
38.74%
34.25%
43.22%
120
52
43.33%
34.05%
52.62%
2013
A
Page 56
Effectiveness of Care
Blue Plus (HMO Minnesota)
Follow-Up Care for Children Prescribed
Attention-Deficit/Hyperactivity Disorder (ADHD) Medication
Minnesota Health Care Programs - Managed Care (MN Care)
Data Elements
General
Measurement Year
2013
Data Collection Methodology
A
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
Data Last Refreshed:
Jul 6, 2015 1:00 PM
Initiation
Continuation
103
45
43.69%
33.62%
53.75%
27
9
NA
NA
NA
Page 57
Effectiveness of Care
Blue Plus (HMO Minnesota)
Follow-up After Hospitalization for Mental Illness
Data Last Refreshed:
Jul 6, 2015 1:00 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
Blue Plus (HMO Minnesota)
Follow-up After Hospitalization for Mental Illness
Data Last Refreshed:
Jul 6, 2015 1:00 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
29
72.50%
57.41%
87.59%
17
42.50%
25.93%
59.07%
2013
A
40
Page 59
Effectiveness of Care
Blue Plus (HMO Minnesota)
Follow-up After Hospitalization for Mental Illness
Data Last Refreshed:
Jul 6, 2015 1:00 PM
SNBC - SNP
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
General
Measure
Data
30 Days
7 Days
NR
NR
NR
NR
NR
NR
Page 60
Effectiveness of Care
Follow-up After Hospitalization for Mental Illness
SNBC-Non SNP
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
General
Measure
Data
30 Days
7 Days
NR
NR
NR
NR
NR
NR
Page 61
Effectiveness of Care
Blue Plus (HMO Minnesota)
Annual Monitoring for Patients on Persistent Medications
Data Last Refreshed:
Jul 6, 2015 1:00 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
836
671
80.26%
77.51%
83.02%
3
3
NA
NA
NA
585
469
80.17%
76.85%
83.49%
37
22
59.46%
42.29%
76.63%
1461
1165
79.74%
77.64%
81.84%
2013
A
Page 62
Effectiveness of Care
Blue Plus (HMO Minnesota)
Annual Monitoring for Patients on Persistent Medications
Data Last Refreshed:
Jul 6, 2015 1:00 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
Blue Plus (HMO Minnesota)
Annual Monitoring for Patients on Persistent Medications
Data Last Refreshed:
Jul 6, 2015 1:00 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
3205
3033
94.63%
93.84%
95.43%
322
301
93.48%
90.63%
96.33%
3495
3326
95.16%
94.44%
95.89%
405
324
80.00%
75.98%
84.02%
7427
6984
94.04%
93.49%
94.58%
2013
A
Page 64
Effectiveness of Care
Blue Plus (HMO Minnesota)
Annual Monitoring for Patients on Persistent Medications
Data Last Refreshed:
Jul 6, 2015 1:00 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
Blue Plus (HMO Minnesota)
Annual Monitoring for Patients on Persistent Medications
Data Last Refreshed:
Jul 6, 2015 1:00 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
Blue Plus (HMO Minnesota)
Annual Monitoring for Patients on Persistent Medications
Data Last Refreshed:
Jul 6, 2015 1:00 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
1170
995
85.04%
82.96%
87.13%
9
9
NA
NA
NA
908
783
86.23%
83.94%
88.53%
151
105
69.54%
61.86%
77.21%
2238
1892
84.54%
83.02%
86.06%
2013
A
Page 67
Effectiveness of Care
Blue Plus (HMO Minnesota)
Annual Monitoring for Patients on Persistent Medications
Minnesota Health Care Programs - Managed Care (MN Care)
General
Data Elements
Measure
Measurement Year
2013
Data Collection Methodology
A
Eligible Member Population
Numerator Events by Admin Data
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
Data Last Refreshed:
Jul 6, 2015 1:00 PM
ACE Inhibitors
2034
1709
82.40%
85.64%
Annual Monitoring for Members on
Digoxin
Diuretics
Anti-
20
18
NA
NA
1467
1233
82.14%
85.96%
132
86
56.64%
73.66%
Total
3653
3046
82.16%
84.60%
Page 68
Access/Availability of Care
Blue Plus (HMO Minnesota)
Medication Reconciliation Post Discharge
Data Elements
Measurement Year
Data collection methodology (Administrative or Hybrid)
Eligible member population
Data Last Refreshed:
Jul 6, 2015 1:00 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
Blue Plus (HMO Minnesota)
Potentially Harmful Drug-Disease Interactions in the Elderly
Data Last Refreshed:
Jul 6, 2015 1:00 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
Blue Plus (HMO Minnesota)
Potentially Harmful Drug-Disease Interactions in the Elderly
Data Last Refreshed:
Jul 6, 2015 1:00 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
328
28
8.54%
5.36%
11.71%
2201
1124
51.07%
48.96%
53.18%
2013
A
493
308
62.47%
58.10%
66.85%
1380
788
57.10%
54.45%
59.75%
Page 71
Effectiveness of Care
Blue Plus (HMO Minnesota)
Use of High Risk Medications in the Elderly
Data Last Refreshed:
Jul 6, 2015 1:00 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
Blue Plus (HMO Minnesota)
Use of High Risk Medications in the Elderly
Data Last Refreshed:
Jul 6, 2015 1:00 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
7590
At least 1
Prescription
At least 2
Prescriptions
1362
17.94%
17.07%
18.81%
231
3.04%
2.65%
3.44%
Page 73
Access/Availability of Care
Blue Plus (HMO Minnesota)
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Jul 6, 2015 1:00 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
3266
4587
217
8070
3009
4337
200
92.13%
91.19%
93.07%
94.55%
93.88%
95.22%
92.17%
88.36%
95.97%
7546
93.51%
92.96%
94.05%
2013
A
Page 74
Access/Availability of Care
Blue Plus (HMO Minnesota)
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Jul 6, 2015 1:00 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
Blue Plus (HMO Minnesota)
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Jul 6, 2015 1:00 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
7604
7604
0
0
7497
NA
NA
NA
NA
NA
NA
98.59%
98.32%
98.86%
7497
98.59%
98.32%
98.86%
2013
A
Page 76
Access/Availability of Care
Blue Plus (HMO Minnesota)
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Jul 6, 2015 1:00 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
Blue Plus (HMO Minnesota)
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Jul 6, 2015 1:00 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
Blue Plus (HMO Minnesota)
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Jul 6, 2015 1:00 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
10627
4395
4
15026
9582
3908
3
90.17%
89.60%
90.74%
88.92%
87.98%
89.86%
NA
NA
NA
13493
89.80%
89.31%
90.28%
2013
A
Page 79
Access/Availability of Care
Blue Plus (HMO Minnesota)
Adult's Access to Preventive/Ambulatory Health Services
Minnesota Health Care Programs - Managed Care (MN Care)
General Measure
Data Elements
Measurement Year
2013
Data collection methodology
A
Eligible member population (i.e. members
Numerator events by administrative data
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
HEDIS 2014 (Reporting Year 2013)
Data Last Refreshed:
Jul 6, 2015 1:00 PM
Ages 20-44
Ages 45-64
Ages 65+
Total
8657
7552
87.24%
86.53%
87.94%
8560
7769
90.76%
90.14%
91.38%
24
22
NA
NA
NA
17241
15343
88.99%
88.52%
89.46%
Page 80
Access/Availability of Care
Blue Plus (HMO Minnesota)
Children's and Adolescents' Access to Primary Care Practitioners
Data Last Refreshed:
Jul 6, 2015 1:00 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.
306
287
1367
1207
940
814
1695
1481
93.79%
90.92%
96.66%
88.30%
86.55%
90.04%
86.60%
84.36%
88.83%
87.37%
85.76%
88.99%
2013
A
Page 81
Access/Availability of Care
Blue Plus (HMO Minnesota)
Children's and Adolescents' Access to Primary Care Practitioners
Data Last Refreshed:
Jul 6, 2015 1:00 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.
2573
2514
7399
6669
4566
4212
5001
4629
97.71%
97.11%
98.30%
90.13%
89.45%
90.82%
92.25%
91.46%
93.03%
92.56%
91.82%
93.30%
2013
A
Page 82
Access/Availability of Care
Blue Plus (HMO Minnesota)
Children's and Adolescents' Access to Primary Care Practitioners
Minnesota Health Care Programs - Managed Care (MN Care)
General Measure
Data Elements
Measurement Year
2013
Data collection methodology (Administrative only)
A
Eligible member population
Numerator events by administrative data
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
HEDIS 2014 (Reporting Year 2013)
Data Last Refreshed:
Jul 6, 2015 1:00 PM
12-24 months
25 months -
7-11 yrs.
12-19 yrs.
407
389
95.58%
93.46%
97.70%
3061
2709
88.50%
87.35%
89.65%
2548
2346
92.07%
91.00%
93.14%
4487
4152
92.53%
91.75%
93.31%
Page 83
Access/Availability of Care
Blue Plus (HMO Minnesota)
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
Data Last Refreshed:
Jul 6, 2015 1:00 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
12
191
179
4
2
47
18
51
20
NA
NA
NA
NA
NA
NA
26.26%
19.53%
32.98%
10.06%
5.37%
14.74%
26.70%
20.17%
33.24%
10.47%
5.87%
15.08%
Page 84
Access/Availability of Care
Blue Plus (HMO Minnesota)
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
Data Last Refreshed:
Jul 6, 2015 1:00 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
Blue Plus (HMO Minnesota)
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
Data Last Refreshed:
Jul 6, 2015 1:00 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
80
0
NA
NA
NA
37
46.25%
34.70%
57.80%
80
3
3.75%
0.00%
8.54%
37
46.25%
34.70%
57.80%
3
3.75%
0.00%
8.54%
Page 86
Access/Availability of Care
Blue Plus (HMO Minnesota)
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
Data Last Refreshed:
Jul 6, 2015 1:00 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
Blue Plus (HMO Minnesota)
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
Data Last Refreshed:
Jul 6, 2015 1:00 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
Blue Plus (HMO Minnesota)
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
Data Last Refreshed:
Jul 6, 2015 1:00 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
182
82
45.05%
37.55%
52.56%
Total
Initiation of Engagement
1877
27
14.84%
9.40%
20.27%
670
35.70%
33.50%
37.89%
2059
234
12.47%
10.95%
13.99%
752
36.52%
34.42%
38.63%
261
12.68%
11.21%
14.14%
Page 89
Access/Availability of Care
Blue Plus (HMO Minnesota)
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
Data Last Refreshed:
Jul 6, 2015 1:00 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
53
18
33.96%
20.27%
47.66%
Total
Initiation of Engagement
675
11
20.75%
8.89%
32.62%
227
33.63%
29.99%
37.27%
728
80
11.85%
9.34%
14.36%
245
33.65%
30.15%
37.16%
91
12.50%
10.03%
14.97%
Page 90
Access/Availability of Care
Blue Plus (HMO Minnesota)
Prenatal and Postpartum Care
Data Last Refreshed:
Jul 6, 2015 1:00 PM
Commercial
Timeliness of
Prenatal Care
Postpartum
Care
2013
A
358
2013
A
358
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
248
179
69.27%
64.35%
74.19%
50.00%
44.68%
55.32%
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
Blue Plus (HMO Minnesota)
Prenatal and Postpartum Care
Data Last Refreshed:
Jul 6, 2015 1:00 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
3005
2013
H
3005
Number of numerator events by administrative data in eligible
population (before exclusions)
1554
1387
51.71%
411
10.00%
453
225
46.16%
411
10.00%
453
206
49.67%
45.47%
0
0
0
0
453
225
147
0
0
453
206
82.12%
78.48%
85.76%
45.47%
40.78%
50.17%
Data Elements
Current year's administrative rate (before exclusions)
Minimum required sample size (MRSS) or other sample size
Oversampling rate
Final sample size (FSS)
Number of numerator events by administrative data in FSS
Administrative rate on FSS
Number of original sample records excluded because of valid
data errors
Number of employee/dependent medical records excluded
Records added from the oversample list
Denominator
Numerator events by administrative data
Numerator events by medical record
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
HEDIS 2014 (Reporting Year 2013)
Page 92
Access/Availability of Care
Blue Plus (HMO Minnesota)
Prenatal and Postpartum Care
Data Last Refreshed:
Jul 6, 2015 1:00 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
424
305
71.93%
411
10.00%
424
314
74.06%
0
0
0
424
314
59
87.97%
84.76%
91.19%
Postpartum
2013
H
424
202
47.64%
411
10.00%
424
210
49.53%
0
0
0
424
210
91
70.99%
66.55%
75.43%
Page 93
Use of Services
Blue Plus (HMO Minnesota)
Well Child Visits in the First 15 Months of Life
Data Last Refreshed:
Jul 6, 2015 1:00 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
17
1
1
1
4
21
136
9.39%
4.87%
13.92%
0.55%
0.00%
1.91%
0.55%
0.00%
1.91%
0.55%
0.00%
1.91%
2.21%
0.00%
4.63%
11.60%
6.66%
16.54%
75.14%
68.57%
81.71%
2013
A
181
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
Blue Plus (HMO Minnesota)
Well Child Visits in the First 15 Months of Life
Data Last Refreshed:
Jul 6, 2015 1:00 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
38
1.59%
48
2.01%
99
4.14%
120
5.01%
289
12.07%
540
22.56%
1260
52.63%
5
1.16%
11
2.55%
14
3.24%
25
5.79%
41
9.49%
92
21.30%
244
56.48%
4
0
0.93%
0.00%
1.94%
9
0
2.08%
0.62%
3.55%
12
0
2.78%
1.11%
4.44%
18
0
4.17%
2.17%
6.17%
28
6
7.87%
5.22%
10.53%
55
9
14.81%
11.35%
18.28%
243
48
67.36%
62.82%
71.90%
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
2394
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
432
Page 95
Use of Services
Blue Plus (HMO Minnesota)
Well Child Visits in the First 15 Months of Life
Minnesota Health Care Programs - Managed Care (MN Care)
Data Elements
General
Zero Visits
Measurement Year
2013
Data Collection Methodology
H
Eligible Member Population
354
12
Numerator events by admin data in eligible
3.39%
Currect Year's Administrative Rate
Minimum Required Sample Size
354
Oversampling Rate
0.00%
Final sample size (FSS)
354
12
Numerator events by admin data in FSS
3.39%
Administrative rate on FSS
Number of Records Excluded Because of
0
Number of employee/dependent medical
0
Additional Records Added from the
0
Denominator
354
10
Numerator Events by Admin Data
0
Numerator Events by Medical Record
2.82%
Reported Rate
0.96%
Lower 95% Confidence Interval
4.69%
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
Data Last Refreshed:
Jul 6, 2015 1:00 PM
1 visit
2 visits
3 visits
4 visits
5 visits
6 or more
12
3.39%
12
3.39%
13
3.67%
25
7.06%
57
16.10%
223
62.99%
12
3.39%
12
3.39%
13
3.67%
25
7.06%
57
16.10%
223
62.99%
8
2
2.82%
0.96%
4.69%
10
0
2.82%
0.96%
4.69%
7
2
2.54%
0.76%
4.32%
11
3
3.95%
1.78%
6.13%
35
15
14.12%
10.36%
17.89%
222
29
70.90%
66.03%
75.78%
Page 96
Use of Services
Blue Plus (HMO Minnesota)
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
1101
2013
H
5943
2013
H
2635
3620
1603
NR
60.91%
411
5.00%
432
286
60.83%
411
5.00%
432
276
NR
66.20%
0
63.89%
0
0
0
0
432
286
7
67.82%
63.30%
72.35%
0
432
276
11
66.44%
61.87%
71.00%
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 1:00 PM
780
70.84%
68.11%
73.57%
Page 97
Use of Services
Blue Plus (HMO Minnesota)
Adolescent Well-Care Visits
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Data Last Refreshed:
Jul 6, 2015 1:00 PM
Commercial
MA Expand
F&C
MN Care
2013
A
3036
2013
H
8011
2013
H
6897
2612
2112
NR
32.61%
411
5.00%
432
152
30.62%
411
5.00%
432
140
NR
35.19%
0
32.41%
0
0
0
0
432
152
44
45.37%
40.56%
50.18%
0
432
140
23
37.73%
33.04%
42.42%
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)
983
32.38%
30.70%
34.06%
Page 98
Use of Services
Blue Plus (HMO Minnesota)
Ambulatory Care
Data Last Refreshed:
Jul 6, 2015 1:00 PM
Commercial
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Member Months
4219
38116
46253
108833
104592
3732
199
24
0
305968
Outpatient Visits (Excludes
MH/CD)
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Visits
3361
10673
10225
25598
34937
1824
99
9
0
86726
HEDIS 2014 (Reporting Year 2013)
Visits/ 1,000
Member
Months
796.63
280.01
221.07
235.20
334.03
488.75
497.49
375.00
283.45
Emergency Room Visits
Visits
110
667
602
1417
1204
63
6
1
0
4070
Visits/ 1,000
Member
Months
26.07
17.50
13.02
13.02
11.51
16.88
30.15
41.67
13.30
Page 99
Use of Services
Blue Plus (HMO Minnesota)
Ambulatory Care
Data Last Refreshed:
Jul 6, 2015 1:00 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
Blue Plus (HMO Minnesota)
Ambulatory Care
Data Last Refreshed:
Jul 6, 2015 1:00 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
9
28071
34625
43443
0
106148
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
7
27764
32859
35913
0
96543
HEDIS 2014 (Reporting Year 2013)
Visits/ 1,000
Member
Months
NA
NA
NA
NA
777.78
989.06
949.00
826.67
909.51
Emergency Room Visits
Visits
0
0
0
0
0
1669
2020
2130
0
5819
Visits/ 1,000
Member
Months
NA
NA
NA
NA
0.00
59.46
58.34
49.03
54.82
Page 101
Use of Services
Blue Plus (HMO Minnesota)
Ambulatory Care
Data Last Refreshed:
Jul 6, 2015 1:00 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
Blue Plus (HMO Minnesota)
Ambulatory Care
Data Last Refreshed:
Jul 6, 2015 1:00 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
Blue Plus (HMO Minnesota)
Ambulatory Care
Data Last Refreshed:
Jul 6, 2015 1:00 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
51034
288127
195568
280263
86110
23
0
0
0
901125
Outpatient Visits (Excludes
MH/CD)
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Visits
42091
95978
54190
135328
51394
6
0
0
0
378987
HEDIS 2014 (Reporting Year 2013)
Visits/ 1,000
Member
Months
824.76
333.11
277.09
482.86
596.84
260.87
NA
NA
420.57
Emergency Room Visits
Visits
4827
13663
7147
22432
4292
1
0
0
0
52362
Visits/ 1,000
Member
Months
94.58
47.42
36.54
80.04
49.84
43.48
NA
NA
58.11
Page 104
Use of Services
Blue Plus (HMO Minnesota)
Ambulatory Care
Data Last Refreshed:
Jul 6, 2015 1:00 PM
Minnesota Health Care Programs - Managed Care (MN Care)
Member Months
Age
<1
5236
1-9
86590
10-19
107871
20-44
163094
45-64
139468
65-74
277
75-84
40
85+
20
Unknown
0
502596
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
4308
822.77
26306
303.80
30778
285.32
65873
403.90
74565
534.64
166
599.28
19
475.00
15
750.00
0
202030
401.97
HEDIS 2014 (Reporting Year 2013)
Emergency Room Visits
Visits
Visits/ 1,000
266
50.80
2659
30.71
2717
25.19
6198
38.00
4408
31.61
14
50.54
0
0.00
1
50.00
0
16263
32.36
Page 105
Use of Services
Blue Plus (HMO Minnesota)
Inpatient Utilization - General Hospital/Acute Care
Data Last Refreshed:
Jul 6, 2015 1:00 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
4219
38116
46253
108833
104592
3732
199
24
0
305968
Discharges
Discharges /
1,000 Member
Months
40
56
59
595
525
36
3
0
0
1314
9.48
1.47
1.28
5.47
5.02
9.65
15.08
0.00
35
43
29
87
215
15
1
0
0
425
8.30
1.13
0.63
0.80
2.06
4.02
5.03
0.00
5
13
22
92
310
21
2
0
0
465
1.19
0.34
0.48
0.85
2.96
5.63
10.05
0.00
8
415
0
0
423
0.17
3.81
0.00
HEDIS 2014 (Reporting Year 2013)
4.29
1.39
1.52
1.63
Days
Days / 1,000
Member
Months
267
145
152
1492
1938
114
13
0
0
4121
63.29
3.80
3.29
13.71
18.53
30.55
65.33
0.00
246
114
76
279
819
45
1
0
0
1580
58.31
2.99
1.64
2.56
7.83
12.06
5.03
0.00
21
31
56
202
1119
69
12
0
0
1510
4.98
0.81
1.21
1.86
10.70
18.49
60.30
0.00
20
1010
0
0
1030
0.43
9.28
0.00
13.47
5.16
4.94
3.97
Average
Length of Stay
6.68
2.59
2.58
2.51
3.69
3.17
4.33
NA
NA
3.14
7.03
2.65
2.62
3.21
3.81
3.00
1.00
NA
NA
3.72
4.20
2.38
2.55
2.20
3.61
3.29
6.00
NA
NA
3.25
2.50
2.43
NA
NA
2.43
Page 106
Use of Services
Blue Plus (HMO Minnesota)
Inpatient Utilization - General Hospital/Acute Care
Data Last Refreshed:
Jul 6, 2015 1:00 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
Blue Plus (HMO Minnesota)
Inpatient Utilization - General Hospital/Acute Care
Data Last Refreshed:
Jul 6, 2015 1:00 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
9
28071
34625
43443
0
106148
Discharges
Discharges /
1,000 Member
Months
0
0
0
0
0
1091
1539
1666
0
4296
NA
NA
NA
NA
0.00
38.87
44.45
38.35
0
0
0
0
0
840
1280
1448
0
3568
NA
NA
NA
NA
0.00
29.92
36.97
33.33
0
0
0
0
0
250
256
216
0
722
NA
NA
NA
NA
0.00
8.91
7.39
4.97
0
0
0
0
0
NA
NA
0.00
HEDIS 2014 (Reporting Year 2013)
40.47
33.61
6.80
0.00
Days
Days / 1,000
Member
Months
0
0
0
0
0
5139
7424
7104
0
19667
NA
NA
NA
NA
0.00
183.07
214.41
163.52
0
0
0
0
0
3731
5930
5905
0
15566
NA
NA
NA
NA
0.00
132.91
171.26
135.93
0
0
0
0
0
1405
1480
1192
0
4077
NA
NA
NA
NA
0.00
50.05
42.74
27.44
0
0
0
0
0
NA
NA
0.00
185.28
146.64
38.41
0.00
Average
Length of Stay
NA
NA
NA
NA
NA
4.71
4.82
4.26
NA
4.58
NA
NA
NA
NA
NA
4.44
4.63
4.08
NA
4.36
NA
NA
NA
NA
NA
5.62
5.78
5.52
NA
5.65
NA
NA
NA
NA
NA
Page 108
Use of Services
Blue Plus (HMO Minnesota)
Inpatient Utilization - General Hospital/Acute Care
Data Last Refreshed:
Jul 6, 2015 1:00 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
Blue Plus (HMO Minnesota)
Inpatient Utilization - General Hospital/Acute Care
Data Last Refreshed:
Jul 6, 2015 1:00 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
Blue Plus (HMO Minnesota)
Inpatient Utilization - General Hospital/Acute Care
Data Last Refreshed:
Jul 6, 2015 1:00 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
51034
288127
195568
280263
86110
23
0
0
0
901125
Discharges
Discharges /
1,000 Member
Months
478
467
630
4786
997
0
0
0
0
7358
9.37
1.62
3.22
17.08
11.58
0.00
NA
NA
410
400
169
917
602
0
0
0
0
2498
8.03
1.39
0.86
3.27
6.99
0.00
NA
NA
68
67
95
527
392
0
0
0
0
1149
1.33
0.23
0.49
1.88
4.55
0.00
NA
NA
366
3340
3
0
3709
1.87
11.92
0.03
HEDIS 2014 (Reporting Year 2013)
8.17
2.77
1.28
6.60
Days
Days / 1,000
Member
Months
2230
1230
1860
12871
3712
0
0
0
0
21903
43.70
4.27
9.51
45.92
43.11
0.00
NA
NA
1565
983
511
2893
2075
0
0
0
0
8027
30.67
3.41
2.61
10.32
24.10
0.00
NA
NA
665
247
370
1859
1632
0
0
0
0
4773
13.03
0.86
1.89
6.63
18.95
0.00
NA
NA
979
8117
5
0
9101
5.01
28.96
0.06
24.31
8.91
5.30
16.20
Average
Length of Stay
4.67
2.63
2.95
2.69
3.72
NA
NA
NA
NA
2.98
3.82
2.46
3.02
3.15
3.45
NA
NA
NA
NA
3.21
9.78
3.69
3.89
3.53
4.16
NA
NA
NA
NA
4.15
2.67
2.43
1.67
NA
2.45
Page 111
Use of Services
Blue Plus (HMO Minnesota)
Inpatient Utilization - General Hospital/Acute Care
Data Last Refreshed:
Jul 6, 2015 1:00 PM
Minnesota Health Care Programs - Managed Care (MN Care)
Age
Member Months
<1
5236
1-9
86590
10-19
107871
20-44
163094
45-64
139468
65-74
277
75-84
40
85+
20
Unknown
0
502596
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
40
101
190
771
315
2
0
0
0
1419
7.64
1.17
1.76
4.73
2.26
7.22
0.00
0.00
153
320
586
1890
1043
8
0
0
0
4000
29.22
3.70
5.43
11.59
7.48
28.88
0.00
0.00
3.83
3.17
3.08
2.45
3.31
4.00
NA
NA
NA
2.82
30
71
102
142
163
1
0
0
0
509
5.73
0.82
0.95
0.87
1.17
3.61
0.00
0.00
82
223
304
371
501
1
0
0
0
1482
15.66
2.58
2.82
2.27
3.59
3.61
0.00
0.00
10
30
59
165
152
1
0
0
0
417
1.91
0.35
0.55
1.01
1.09
3.61
0.00
0.00
71
97
210
424
542
7
0
0
0
1351
13.56
1.12
1.95
2.60
3.89
25.27
0.00
0.00
29
464
0
0
493
0.27
2.84
0.00
72
1095
0
0
1167
0.67
6.71
0.00
HEDIS 2014 (Reporting Year 2013)
2.82
1.01
0.83
1.20
7.96
2.95
2.69
2.84
2.73
3.14
2.98
2.61
3.07
1.00
NA
NA
NA
2.91
7.10
3.23
3.56
2.57
3.57
7.00
NA
NA
NA
3.24
2.48
2.36
NA
NA
2.37
Page 112
Use of Services
Blue Plus (HMO Minnesota)
Identification of Alcohol and Other Drug Services
Data Last Refreshed:
Jul 6, 2015 1:00 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
29028
11930
16874
14957
62898
2123
0
137810
26538
11322
17703
23956
86807
1832
0
168158
55566
23252
34577
38913
149705
3955
0
305968
29028
11930
16874
14957
62898
2123
0
137810
26538
11322
17703
23956
86807
1832
0
168158
55566
23252
34577
38913
149705
3955
0
305968
29028
11930
16874
14957
62898
2123
0
137810
26538
11322
17703
23956
86807
1832
0
168158
55566
23252
34577
38913
149705
3955
0
305968
29028
11930
16874
14957
62898
2123
0
137810
26538
11322
17703
23956
86807
1832
0
168158
55566
23252
34577
38913
149705
3955
0
305968
Any Services
Age
0-12
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Member Months
(Inpatient)
Member Months
(Any)
Sex
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
Intensive Outpatient/Partial
Hospitalization
Inpatient
Outpatient/ED
Number
Percent
Number
Percent
Number
Percent
Number
Percent
0
0
0
17
4
21
63
26
89
32
11
43
107
58
165
2
0
2
0
0
0
221
99
320
0.00%
0.00%
0.00%
1.71%
0.42%
1.08%
4.48%
1.76%
3.09%
2.57%
0.55%
1.33%
2.04%
0.80%
1.32%
1.13%
0.00%
0.61%
NA
NA
NA
1.92%
0.71%
1.26%
0
0
0
4
1
5
16
7
23
4
3
7
20
14
34
0
0
0
0
0
0
44
25
69
0.00%
0.00%
0.00%
0.40%
0.11%
0.26%
1.14%
0.47%
0.80%
0.32%
0.15%
0.22%
0.38%
0.19%
0.27%
0.00%
0.00%
0.00%
NA
NA
NA
0.38%
0.18%
0.27%
0
0
0
2
0
2
0
1
1
1
0
1
2
0
2
0
0
0
0
0
0
5
1
6
0.00%
0.00%
0.00%
0.20%
0.00%
0.10%
0.00%
0.07%
0.03%
0.08%
0.00%
0.03%
0.04%
0.00%
0.02%
0.00%
0.00%
0.00%
NA
NA
NA
0.04%
0.01%
0.02%
0
0
0
16
4
20
59
23
82
31
9
40
99
52
151
2
0
2
0
0
0
207
88
295
0.00%
0.00%
0.00%
1.61%
0.42%
1.03%
4.20%
1.56%
2.85%
2.49%
0.45%
1.23%
1.89%
0.72%
1.21%
1.13%
0.00%
0.61%
NA
NA
NA
1.80%
0.63%
1.16%
HEDIS 2014 (Reporting Year 2013)
Page 113
Use of Services
Blue Plus (HMO Minnesota)
Identification of Alcohol and Other Drug Services
Data Last Refreshed:
Jul 6, 2015 1:00 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
Blue Plus (HMO Minnesota)
Identification of Alcohol and Other Drug Services
Data Last Refreshed:
Jul 6, 2015 1:00 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
3
27459
0
27462
0
0
0
0
6
78680
0
78686
0
0
0
0
9
106139
0
106148
0
0
0
0
3
27459
0
27462
0
0
0
0
6
78680
0
78686
0
0
0
0
9
106139
0
106148
0
0
0
0
3
27459
0
27462
0
0
0
0
6
78680
0
78686
0
0
0
0
9
106139
0
106148
0
0
0
0
3
27459
0
27462
0
0
0
0
6
78680
0
78686
0
0
0
0
9
106139
0
106148
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
84
82
166
0
0
0
84
82
166
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00%
0.00%
0.00%
3.67%
1.25%
1.88%
NA
NA
NA
3.67%
1.25%
1.88%
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
34
34
68
0
0
0
34
34
68
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00%
0.00%
0.00%
1.49%
0.52%
0.77%
NA
NA
NA
1.49%
0.52%
0.77%
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
1
0
0
0
1
0
1
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00%
0.00%
0.00%
0.04%
0.00%
0.01%
NA
NA
NA
0.04%
0.00%
0.01%
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
68
64
132
0
0
0
68
64
132
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00%
0.00%
0.00%
2.97%
0.98%
1.49%
NA
NA
NA
2.97%
0.98%
1.49%
HEDIS 2014 (Reporting Year 2013)
Page 115
Use of Services
Blue Plus (HMO Minnesota)
Identification of Alcohol and Other Drug Services
Data Last Refreshed:
Jul 6, 2015 1:00 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
Blue Plus (HMO Minnesota)
Identification of Alcohol and Other Drug Services
Data Last Refreshed:
Jul 6, 2015 1:00 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
Blue Plus (HMO Minnesota)
Identification of Alcohol and Other Drug Services
Data Last Refreshed:
Jul 6, 2015 1:00 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
208869
48655
29761
41980
74400
12
403677
203254
48511
57449
93461
94762
11
497448
412123
97166
87210
135441
169162
23
901125
208869
48655
29761
41980
74400
12
403677
203254
48511
57449
93461
94762
11
497448
412123
97166
87210
135441
169162
23
901125
208869
48655
29761
41980
74400
12
403677
203254
48511
57449
93461
94762
11
497448
412123
97166
87210
135441
169162
23
901125
208869
48655
29761
41980
74400
12
403677
203254
48511
57449
93461
94762
11
497448
412123
97166
87210
135441
169162
23
901125
Any Services
Age
0-12
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Member Months
(Inpatient)
Sex
M
Total
M
Total
M
Total
M
Total
M
Total
M
Total
M
Total
M
F
Total
Intensive Outpatient/Partial
Hospitalization
Inpatient
Outpatient/ED
Number
Percent
Number
Percent
Number
Percent
Number
Percent
15
15
274
274
550
550
1053
1053
1548
1548
0
0
0
0
3440
NR
3440
0.09%
0.04%
6.76%
3.38%
22.18%
7.57%
30.10%
9.33%
24.97%
10.98%
0.00%
0.00%
NR
NR
10.23%
NR
4.58%
3
3
92
92
175
175
353
353
491
491
0
0
0
0
1114
NR
1114
0.02%
0.01%
2.27%
1.14%
7.06%
2.41%
10.09%
3.13%
7.92%
3.48%
0.00%
0.00%
NR
NR
3.31%
NR
1.48%
0
0
21
21
13
13
12
12
17
17
0
0
0
0
63
NR
63
0.00%
0.00%
0.52%
0.26%
0.52%
0.18%
0.34%
0.11%
0.27%
0.12%
0.00%
0.00%
NR
NR
0.19%
NR
0.08%
12
12
260
260
529
529
1020
1020
1467
1467
0
0
0
0
3288
NR
3288
0.07%
0.03%
6.41%
3.21%
21.33%
7.28%
29.16%
9.04%
23.66%
10.41%
0.00%
0.00%
NR
NR
9.77%
NR
4.38%
HEDIS 2014 (Reporting Year 2013)
Page 118
Use of Services
Blue Plus (HMO Minnesota)
Identification of Alcohol and Other Drug Services
Data Last Refreshed:
Jul 6, 2015 1:00 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
63702
26943
23310
28091
82765
169
0
224980
Female
60152
26115
30325
40901
119955
168
0
277616
Total
123854
53058
53635
68992
202720
337
0
502596
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
2
2
4
59
62
121
132
85
217
241
147
388
510
430
940
0
0
0
0
0
0
944
726
1670
HEDIS 2014 (Reporting Year 2013)
Total
123854
53058
53635
68992
202720
337
0
502596
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Male
Female
Total
63702
60152
123854
26943
26115
53058
23310
30325
53635
28091
40901
68992
82765
119955
202720
169
168
337
0
0
0
224980
277616
502596
Percent
0.02%
0.02%
0.02%
0.94%
1.01%
0.97%
1.34%
0.59%
0.92%
1.50%
0.53%
0.92%
1.01%
0.52%
0.72%
0.00%
0.00%
0.00%
NA
NA
NA
0.82%
0.47%
0.62%
Intensive Outpatient/Partial
Hospitalization
Number
Percent
0
0.00%
0
0.00%
0
0.00%
3
0.13%
4
0.18%
7
0.16%
3
0.15%
0
0.00%
3
0.07%
4
0.17%
4
0.12%
8
0.14%
9
0.13%
4
0.04%
13
0.08%
0
0.00%
0
0.00%
0
0.00%
0
NA
0
NA
0
NA
19
0.10%
12
0.05%
31
0.07%
Member Months
(Inpatient)
Male
63702
26943
23310
28091
82765
169
0
224980
Female
60152
26115
30325
40901
119955
168
0
277616
Inpatient
Percent
0.04%
0.04%
0.04%
2.63%
2.85%
2.74%
6.80%
3.36%
4.86%
10.30%
4.31%
6.75%
7.39%
4.30%
5.56%
0.00%
0.00%
0.00%
NA
NA
NA
5.04%
3.14%
3.99%
Number
1
1
2
21
22
43
26
15
41
35
18
53
70
52
122
0
0
0
0
0
0
153
108
261
Member Months
(Outpatient/ED)
Male
63702
26943
23310
28091
82765
169
0
224980
Female
60152
26115
30325
40901
119955
168
0
277616
Total
123854
53058
53635
68992
202720
337
0
502596
Outpatient/ED
Number
1
2
3
58
57
115
124
82
206
239
145
384
498
421
919
0
0
0
0
0
0
920
707
1627
Percent
0.02%
0.04%
0.03%
2.58%
2.62%
2.60%
6.38%
3.24%
4.61%
10.21%
4.25%
6.68%
7.22%
4.21%
5.44%
0.00%
0.00%
0.00%
NA
NA
NA
4.91%
3.06%
3.88%
Page 119
Use of Services
Blue Plus (HMO Minnesota)
Mental Health Utilization - % of Members Receiving Inpatient, Day/Night and Ambulatory Services
Data Last Refreshed:
Jul 6, 2015 1:00 PM
Commercial
Member Months
(Any)
Age
0-12
13-17
18-64
65+
Unknown
Total
Member Months
(Inpatient)
Male
Female
Total
Male
Female
Total
29028
11930
94729
2123
0
137810
26538
11322
128466
1832
0
168158
55566
23252
223195
3955
0
305968
29028
11930
94729
2123
0
137810
26538
11322
128466
1832
0
168158
55566
23252
223195
3955
0
305968
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
29028
11930
94729
2123
0
137810
26538
11322
128466
1832
0
168158
55566
23252
223195
3955
0
305968
Intensive Outpatient/Partial
Hospitalization
Inpatient
Member Months
(Outpatient/ED)
Male
Female
Total
29028
11930
94729
2123
0
137810
26538
11322
128466
1832
0
168158
55566
23252
223195
3955
0
305968
Outpatient/ED
Number
Percent
Number
Percent
Number
Percent
Number
Percent
189
86
275
119
135
254
546
1060
1606
9
4
13
0
0
0
863
1285
2148
7.81%
3.89%
5.94%
11.97%
14.31%
13.11%
6.92%
9.90%
8.63%
5.09%
2.62%
3.94%
NA
NA
NA
7.51%
9.17%
8.42%
3
0
3
13
10
23
21
21
42
0
0
0
0
0
0
37
31
68
0.12%
0.00%
0.06%
1.31%
1.06%
1.19%
0.27%
0.20%
0.23%
0.00%
0.00%
0.00%
NA
NA
NA
0.32%
0.22%
0.27%
6
0
6
9
6
15
10
20
30
0
0
0
0
0
0
25
26
51
0.25%
0.00%
0.13%
0.91%
0.64%
0.77%
0.13%
0.19%
0.16%
0.00%
0.00%
0.00%
NA
NA
NA
0.22%
0.19%
0.20%
189
86
275
119
135
254
543
1059
1602
9
4
13
0
0
0
860
1284
2144
7.81%
3.89%
5.94%
11.97%
14.31%
13.11%
6.88%
9.89%
8.61%
5.09%
2.62%
3.94%
NA
NA
NA
7.49%
9.16%
8.41%
HEDIS 2014 (Reporting Year 2013)
Page 120
Use of Services
Blue Plus (HMO Minnesota)
Mental Health Utilization - % of Members Receiving Inpatient, Day/Night and Ambulatory Services
Data Last Refreshed:
Jul 6, 2015 1:00 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
Blue Plus (HMO Minnesota)
Mental Health Utilization - % of Members Receiving Inpatient, Day/Night and Ambulatory Services
Data Last Refreshed:
Jul 6, 2015 1:00 PM
MSHO
Member Months
(Any)
Age
0-12
13-17
18-64
65+
Unknown
Total
Member Months
(Inpatient)
Male
Female
Total
Male
Female
Total
0
0
3
27459
0
27462
0
0
6
78680
0
78686
0
0
9
106139
0
106148
0
0
3
27459
0
27462
0
0
6
78680
0
78686
0
0
9
106139
0
106148
Any Services
Age
0-12
13-17
18-64
65+
Unknown
Total
Sex
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Male
Female
Total
Male
Female
Total
0
0
3
27459
0
27462
0
0
3
27459
0
27462
0
0
6
78680
0
78686
0
0
9
106139
0
106148
0
0
6
78680
0
78686
0
0
9
106139
0
106148
Intensive Outpatient/Partial
Hospitalization
Inpatient
Member Months
(Outpatient/ED)
Outpatient/ED
Number
Percent
Number
Percent
Number
Percent
Number
Percent
0
0
0
0
0
0
0
0
0
298
802
1100
0
0
0
298
802
1100
NA
NA
NA
NA
NA
NA
0.00%
0.00%
0.00%
13.02%
12.23%
12.44%
NA
NA
NA
13.02%
12.23%
12.44%
0
0
0
0
0
0
0
0
0
79
184
263
0
0
0
79
184
263
NA
NA
NA
NA
NA
NA
0.00%
0.00%
0.00%
3.45%
2.81%
2.97%
NA
NA
NA
3.45%
2.81%
2.97%
0
0
0
0
0
0
0
0
0
5
3
8
0
0
0
5
3
8
NA
NA
NA
NA
NA
NA
0.00%
0.00%
0.00%
0.22%
0.05%
0.09%
NA
NA
NA
0.22%
0.05%
0.09%
0
0
0
0
0
0
0
0
0
244
672
916
0
0
0
244
672
916
NA
NA
NA
NA
NA
NA
0.00%
0.00%
0.00%
10.66%
10.25%
10.36%
NA
NA
NA
10.66%
10.25%
10.36%
HEDIS 2014 (Reporting Year 2013)
Page 122
Use of Services
Blue Plus (HMO Minnesota)
Mental Health Utilization - % of Members Receiving Inpatient, Day/Night and Ambulatory Services
Data Last Refreshed:
Jul 6, 2015 1:00 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
Blue Plus (HMO Minnesota)
Mental Health Utilization - % of Members Receiving Inpatient, Day/Night and Ambulatory Services
Data Last Refreshed:
Jul 6, 2015 1:00 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
Blue Plus (HMO Minnesota)
Mental Health Utilization - % of Members Receiving Inpatient, Day/Night and Ambulatory Services
Data Last Refreshed:
Jul 6, 2015 1:00 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
208869
48655
146141
12
0
403677
203254
48511
245672
11
0
497448
412123
97166
391813
23
0
901125
208869
48655
146141
12
0
403677
203254
48511
245672
11
0
497448
412123
97166
391813
23
0
901125
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
208869
48655
146141
12
0
403677
203254
48511
245672
11
0
497448
412123
97166
391813
23
0
901125
Intensive Outpatient/Partial
Hospitalization
Inpatient
Member Months
(Outpatient/ED)
Male
Female
Total
208869
48655
146141
12
0
403677
203254
48511
245672
11
0
497448
412123
97166
391813
23
0
901125
Outpatient/ED
Number
Percent
Number
Percent
Number
Percent
Number
Percent
2581
1796
4377
1050
1232
2282
3483
6223
9706
0
0
0
0
0
0
7114
9251
16365
14.83%
10.60%
12.74%
25.90%
30.48%
28.18%
28.60%
30.40%
29.73%
0.00%
0.00%
0.00%
NA
NA
NA
21.15%
22.32%
21.79%
67
32
99
70
167
237
306
355
661
0
0
0
0
0
0
443
554
997
0.38%
0.19%
0.29%
1.73%
4.13%
2.93%
2.51%
1.73%
2.02%
0.00%
0.00%
0.00%
NA
NA
NA
1.32%
1.34%
1.33%
166
88
254
81
106
187
138
293
431
0
0
0
0
0
0
385
487
872
0.95%
0.52%
0.74%
2.00%
2.62%
2.31%
1.13%
1.43%
1.32%
0.00%
0.00%
0.00%
NA
NA
NA
1.14%
1.17%
1.16%
2566
1786
4352
1038
1212
2250
3403
6152
9555
0
0
0
0
0
0
7007
9150
16157
14.74%
10.54%
12.67%
25.60%
29.98%
27.79%
27.94%
30.05%
29.26%
0.00%
0.00%
0.00%
NA
NA
NA
20.83%
22.07%
21.52%
HEDIS 2014 (Reporting Year 2013)
Page 125
Use of Services
Blue Plus (HMO Minnesota)
Mental Health Utilization - % of Members Receiving Inpatient, Day/Night and Ambulatory Services
Data Last Refreshed:
Jul 6, 2015 1:00 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
63702
26943
134166
169
0
224980
60152
26115
191181
168
0
277616
123854
53058
325347
337
0
502596
63702
26943
134166
169
0
224980
60152
26115
191181
168
0
277616
123854
53058
325347
337
0
502596
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
63702
26943
134166
169
0
224980
60152
26115
191181
168
0
277616
123854
53058
325347
337
0
502596
Intensive Outpatient/Partial
Hospitalization
Inpatient
Member Months
(Outpatient/ED)
Male
Female
Total
63702
26943
134166
169
0
224980
60152
26115
191181
168
0
277616
123854
53058
325347
337
0
502596
Outpatient/ED
Number
Percent
Number
Percent
Number
Percent
Number
Percent
515
322
837
330
399
729
1355
2874
4229
0
1
1
0
0
0
2200
3596
5796
9.70%
6.42%
8.11%
14.70%
18.33%
16.49%
12.12%
18.04%
15.60%
0.00%
7.14%
3.56%
NA
NA
NA
11.73%
15.54%
13.84%
4
6
10
13
42
55
24
59
83
0
0
0
0
0
0
41
107
148
0.08%
0.12%
0.10%
0.58%
1.93%
1.24%
0.21%
0.37%
0.31%
0.00%
0.00%
0.00%
NA
NA
NA
0.22%
0.46%
0.35%
15
5
20
22
28
50
26
71
97
0
0
0
0
0
0
63
104
167
0.28%
0.10%
0.19%
0.98%
1.29%
1.13%
0.23%
0.45%
0.36%
0.00%
0.00%
0.00%
NA
NA
NA
0.34%
0.45%
0.40%
513
322
835
328
396
724
1348
2854
4202
0
1
1
0
0
0
2189
3573
5762
9.66%
6.42%
8.09%
14.61%
18.20%
16.37%
12.06%
17.91%
15.50%
0.00%
7.14%
3.56%
NA
NA
NA
11.68%
15.44%
13.76%
HEDIS 2014 (Reporting Year 2013)
Page 126
Use of Services
Blue Plus (HMO Minnesota)
Plan All-Cause Readmissions
Data Last Refreshed:
Jul 6, 2015 1:00 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
Blue Plus (HMO Minnesota)
Plan All-Cause Readmissions
Data Last Refreshed:
Jul 6, 2015 1:00 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)
219
438
657
267
637
904
183
792
975
669
1867
2536
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)
37
79
116
54
104
158
23
114
137
114
297
411
Observed
Readmission
(Num/Den)
16.89%
18.04%
17.66%
20.22%
16.33%
17.48%
12.57%
14.39%
14.05%
17.04%
15.91%
16.21%
Average Adjusted
Probability
Total Variance
16.42%
16.58%
16.52%
17.27%
16.15%
16.48%
17.57%
14.84%
15.35%
17.07%
15.69%
16.06%
2893.04%
5754.70%
8647.74%
3677.87%
8322.21%
12000.08%
2555.87%
9745.35%
12301.22%
9126.78%
23822.26%
32949.04%
Page 128
Use of Services
Blue Plus (HMO Minnesota)
Plan All-Cause Readmissions
Data Last Refreshed:
Jul 6, 2015 1:00 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
Blue Plus (HMO Minnesota)
Plan All-Cause Readmissions
Data Last Refreshed:
Jul 6, 2015 1:00 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
Blue Plus (HMO Minnesota)
Data Last Refreshed:
Jul 6, 2015 1:00 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
Blue Plus (HMO Minnesota)
Data Last Refreshed:
Jul 6, 2015 1:00 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
Blue Plus (HMO Minnesota)
Data Last Refreshed:
Jul 6, 2015 1:00 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
Blue Plus (HMO Minnesota)
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Jul 6, 2015 1:00 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
2187
11379
11944
7139
5085
Member Months
Female
2032
8122
10306
10574
6826
4685
Total
4219
8122
21685
22518
13965
9770
37734
29.14%
11789
6538
8419
9024
10652
42545
25.30%
13018
11596
12360
11906
13531
80279
26.97%
46422
35.85%
10312
11417
11136
10357
62411
37.11%
14082
14996
16836
15456
108833
36.56%
43222
33.38%
1647
344
120
0
12
0
61370
36.50%
1519
222
41
38
12
0
104592
35.14%
2123
1.64%
0
1832
1.09%
0
3955
1.33%
129501
168158
HEDIS 2014 (Reporting Year 2013)
24807
18134
20779
20930
24183
24394
26413
27972
25813
3166
566
161
38
24
0
0
297659
Page 134
Health Plan Descriptive Information
Blue Plus (HMO Minnesota)
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Jul 6, 2015 1:00 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
Blue Plus (HMO Minnesota)
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Jul 6, 2015 1:00 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
3
0
0.00%
0
0
0
6
0
0.00%
3
0.01%
4485
5698
5371
4816
4054
3035
6
0.01%
7257
10631
11142
13296
15131
21223
9
0.01%
27459
99.99%
0
78680
99.99%
0
106139
99.99%
27462
78686
HEDIS 2014 (Reporting Year 2013)
0
0
0
0
0
0
0
0
9
11742
16329
16513
18112
19185
24258
0
106148
Page 136
Health Plan Descriptive Information
Blue Plus (HMO Minnesota)
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Jul 6, 2015 1:00 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
Blue Plus (HMO Minnesota)
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Jul 6, 2015 1:00 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
Blue Plus (HMO Minnesota)
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Jul 6, 2015 1:00 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
26219
70586
75549
58082
27088
11206
Member Months
Female
24815
68207
73785
57335
27623
14234
Total
51034
138793
149334
115417
54711
25440
268730
66.57%
18555
20243
21737
16494
15115
265999
53.47%
43215
48924
44537
30271
21172
534729
59.34%
92144
22.83%
14659
14326
9202
4604
188119
37.82%
16678
13575
8755
4311
280263
31.10%
42791
10.60%
12
0
0
0
0
0
43319
8.71%
11
0
0
0
0
0
86110
9.56%
12
0.00%
0
11
0.00%
0
23
0.00%
403677
497448
HEDIS 2014 (Reporting Year 2013)
61770
69167
66274
46765
36287
31337
27901
17957
8915
23
0
0
0
0
0
0
901125
Page 139
Health Plan Descriptive Information
Blue Plus (HMO Minnesota)
Enrollment by Product Line (Age & Sex)
Minnesota Health Care Programs - Managed Care (MN Care)
Member Months
Male
Female
2683
2553
<1
16560
16320
1-4
27928
25782
5-9
27267
25760
10-14
16207
15852
15-17
10986
11799
18-19
101631
98066
0-19 Subtotal
45.17%
35.32%
0-19 Subtotal: %
12324
18526
20-24
12572
19590
25-29
15519
21311
30-34
13385
17672
35-39
13341
18854
40-44
67141
95953
20-44 Subtotal
29.84%
34.56%
20-44 Subtotal: %
14367
22284
45-49
16089
24582
50-54
13852
19722
55-59
11731
16841
60-64
56039
83429
45-64 Subtotal
24.91%
30.05%
45-64 Subtotal: %
115
78
65-69
4
80
70-74
16
3
75-79
21
0
80-84
11
7
85-89
2
0
>=90
169
168
>=65 Subtotal
0.08%
0.06%
>=65 Subtotal: %
0
0
Age Unknown
224980
277616
Total
HEDIS 2014 (Reporting Year 2013)
Data Last Refreshed:
Jul 6, 2015 1:00 PM
Total
5236
32880
53710
53027
32059
22785
199697
39.73%
30850
32162
36830
31057
32195
163094
32.45%
36651
40671
33574
28572
139468
27.75%
193
84
19
21
18
2
337
0.07%
0
502596
Page 140