UCare Minnesota
General Info
Disclaimers
HEDIS 2013 (Reporting Year 2012)
Page
Data Last Refreshed: 11/15/2013
2
Effectiveness of Care Measures
Code
Effectiveness of Care Measures
Code
Prevention and Screening
Page
Medication Management
Page
26 MPM
Annual Monitoring for Patients on Persistent Medications
48
ABA
Adult BMI Assessment
3
27 MRP
Medication Reconciliation Post Discharge
53
WCC
Weight Assessment and Counseling for Nutrition and Physical Activity for
Children/Adolescents
4
DDE
Potentially Harmful Drug-Disease Interactions in the Elderly
54
CIS
Childhood Immunization Status
6
Use of High Risk Medications in the Elderly
56
IMA
Immunizations for Adolescents
10
28
29 DAE
Access / Availability of Care Measures
BCS
Breast Cancer Screening
12
0 Code
CCS
Cervical Cancer Screening
13
30 AAP
Adult's Access to Preventive/Ambulatory Health Services
58
COL
Colorectal Cancer Screening
14
31 CAP
Children's and Adolescents' Access to Primary Care Practitioners
63
CHL
Chlamydia Screening in Women
15
32
GSO
Glaucoma Screening in Older Adults
17
33 PPC
LSC
Lead Screening in Children
18
34
COA
Care for Older Adults
19
Respiratory Conditions
PCE
Pharmacotherapy Management of COPD Exacerbation
20
SPR
Use of Spirometry Testing in the Assessment and Diagnosis of COPD
23
Use of Appropriate Medications for People with Asthma
24
ASM
Cardiovascular
IET
Page
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
65
Prenatal and Postpartum Care
70
Use of Services Measures
0 Code
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
74
Adolescent Well-Care Visits
75
36
AWC
72
Ambulatory Care
76
38
IPU
Inpatient Utilization - General Hospital/Acute Care
81
IAD
Identification of Alcohol and Other Drug Services
86
37 AMB
CMC
Cholesterol Management for Patients with Cardiovascular Conditions
26
39
CBP
Controlling High Blood Pressure
29
40 MPT
Mental Health Utilization - % of Members Receiving Inpatient, Day/Night and Ambulatory Services 91
Persistence of Beta Blocker Treatment After Heart Attack
30
41 PCR
Plan All-Cause Readmissions
PBH
Diabetes
CDC
Comprehensive Diabetes Care
31
Musculoskeletal
ART
OMW
0 Code
99
Enrollment by Product Line (Age & Sex)
101
43 ENP
Osteoporosis Management in Women Who had a Fracture
37
43
Behavioral Health
Antidepressant Medication Management
38
ADD
Follow-Up Care for Children Prescribed
Attention-Deficit/Hyperactivity Disorder (ADHD) Medication
43
FUH
Follow-up After Hospitalization for Mental Illness
45
Page
Board Certification
36
AMM
Health Plan Descriptive Information Measures
42 BCR
Disease Modifying Anti-Rheumatic Drug Therapy in Rheumatoid Arthritis
HEDIS 2013 (Reporting Year 2012)
96
41
DISCLAIMERS
-1
( this page left blank intentionally )
0. Disclaimer Query located below
HEDIS 2013 (Reporting Year 2012)
Page 2
Effectiveness of Care
UCare Minnesota
Adult BMI Assessment
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data on Eligible
Population (before exclusions)
Current Year's Admin Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin Rate on FSS
Number of Records Excluded Because of Valid
Data Errors
Data Last Refreshed:
Nov 15, 2013 1:06 PM
Commercial
Medicare
Advantage
2012
H
36551
MHCP-MC
2012
H
14289
2617
924
7.16%
411
5.00%
432
26
6.02%
6.47%
411
5.00%
432
27
6.25%
0
0
Number of administrative data records excluded
28
2483
Number of medical record data records excluded
0
0
0
0
0
411
26
337
88.32%
85.09%
91.55%
0
411
25
314
82.48%
78.69%
86.28%
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 2013 (Reporting Year 2012)
NR
NR
NR
NR
NR
Page 3
Effectiveness of Care
UCare Minnesota
Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents
Data Last Refreshed:
Nov 15, 2013 1:06 PM
Commercial
Counseling for Nutrition
BMI Percentile
Data Elements
General
Measure
Data
Ages 3-11 Ages 12-17
Total
General
Measure
Data
Ages 3-11 Ages 12-17
Counseling for Physical Activity
Total
General
Measure
Data
Ages 3-11
Ages 1217
Total
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator events by admin data in eligible
population
Current Year's Administrative Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin rate on FSS
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Number of Records Excluded Because of
Valid Data Errors
Number of administrative data records
excluded
Number of medical records excluded
Number of employee/dependent records
excluded
Records Added from the Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2013 (Reporting Year 2012)
Page 4
Effectiveness of Care
UCare Minnesota
Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents
Data Last Refreshed:
Nov 15, 2013 1:06 PM
Minnesota Health Care Programs - Managed Care (MHCP-MC)
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
Number of Records Excluded Because of
Valid Data Errors
General
Measure
Data
Ages 3-11 Ages 12-17
Counseling for Nutrition
Total
2012
H
General
Measure
Data
Ages 3-11 Ages 12-17
Counseling for Physical Activity
Total
2012
H
General
Measure
Data
11342
34455
23113
11342
34455
23113
11342
34455
868
3.76%
385
3.39%
1253
3.64%
436
1.89%
243
2.14%
679
1.97%
145
0.63%
87
0.77%
232
0.67%
0
0.00%
0
0.00%
0
0.00%
272
0
119
43.75%
37.67%
49.83%
139
0
71
51.08%
42.41%
59.75%
411
0
190
46.23%
41.29%
51.17%
411
5.00%
432
411
5.00%
432
15
3.47%
8
1.85%
23
5.32%
411
5.00%
432
4
0.93%
2
0.46%
6
1.39%
0
133
133
133
Number of medical records excluded
0
0
0
Number of employee/dependent records
excluded
0
0
0
Records Added from the Oversample List
0
0
0
HEDIS 2013 (Reporting Year 2012)
Total
23113
0
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
Ages 1217
2012
H
0
Number of administrative data records
excluded
Ages 3-11
272
15
122
50.37%
44.24%
56.49%
139
7
56
45.32%
36.69%
53.96%
411
22
178
48.66%
43.71%
53.62%
272
4
156
58.82%
52.79%
64.86%
139
2
71
52.52%
43.86%
61.18%
411
6
227
56.69%
51.78%
61.60%
Page 5
Effectiveness of Care
UCare Minnesota
Childhood Immunization Status
Data Last Refreshed:
Nov 15, 2013 1:06 PM
Commercial
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator events by admin data in eligible
population
Current Year's Administrative Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin rate on FSS
Number of Records Excluded Because of
Valid Data Errors
General
Measure
Data
Pneumococcal
Hepatitis A Rotavirus
Conjugate
DTaP
IPV
MMR
HiB
Hepatitis B
VZV
Influenza
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Number of 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
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2013 (Reporting Year 2012)
Page 6
Effectiveness of Care
UCare Minnesota
Childhood Immunization Status
Data Last Refreshed:
Nov 15, 2013 1:06 PM
Commercial
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator events by admin data in eligible
population
Current Year's Administrative Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin rate on FSS
Number of Records Excluded Because of
Valid Data Errors
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
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Number of 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
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2013 (Reporting Year 2012)
Page 7
Effectiveness of Care
UCare Minnesota
Childhood Immunization Status
Data Last Refreshed:
Nov 15, 2013 1:06 PM
Minnesota Health Care Programs - Managed Care (MHCP-MC)
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator events by admin data in eligible
population
Current Year's Administrative Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin rate on FSS
Number of Records Excluded Because of
Valid Data Errors
General
Measure
Data
0
Number of employee/dependent records
excluded
0
Records Added from the Oversample List
0
HEDIS 2013 (Reporting Year 2012)
HiB
Hepatitis B
VZV
Influenza
2023
76.83%
2364
89.78%
2254
85.61%
2396
91.00%
1398
53.10%
2299
87.31%
1977
75.09%
2061
78.28%
1742
66.16%
1383
52.53%
327
75.69%
385
89.12%
364
84.26%
397
91.90%
211
48.84%
376
87.04%
315
72.92%
332
76.85%
291
67.36%
226
52.31%
314
21
81.51%
77.63%
85.38%
369
13
92.94%
90.35%
95.54%
347
19
89.05%
85.91%
92.19%
379
6
93.67%
91.20%
96.15%
198
158
86.62%
83.20%
90.03%
360
0
87.59%
84.28%
90.90%
303
23
79.32%
75.28%
83.36%
317
5
78.35%
74.24%
82.45%
282
3
69.34%
64.76%
73.92%
220
16
57.42%
52.52%
62.32%
0
Number of medical data records excluded
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
MMR
411
0.05
432
1
Numerator Events by administrative Data
IPV
2012
H
2633
Number of administrative data records
excluded
Denominator
Pneumococcal
Hepatitis A Rotavirus
Conjugate
DTaP
411
Page 8
Effectiveness of Care
UCare Minnesota
Childhood Immunization Status
Data Last Refreshed:
Nov 15, 2013 1:06 PM
Minnesota Health Care Programs - Managed Care (MHCP-MC)
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator events by admin data in eligible
population
Current Year's Administrative Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin rate on FSS
Number of Records Excluded Because of
Valid Data Errors
General
Measure
Data
0
Number of employee/dependent records
excluded
0
Records Added from the Oversample List
0
HEDIS 2013 (Reporting Year 2012)
Combo 4
Combo 5
Combo 6
Combo 7
Combo 8
Combo 9
Combo10
2023
76.83%
1119
42.50%
1035
39.31%
932
35.40%
807
30.65%
653
24.80%
744
28.26%
618
23.47%
543
20.62%
518
19.67%
327
75.69%
160
37.04%
143
33.10%
128
29.63%
117
27.08%
90
20.83%
108
25.00%
85
19.68%
80
18.52%
76
17.59%
314
21
81.51%
77.63%
85.38%
150
148
72.51%
68.07%
76.94%
134
145
67.88%
63.25%
72.52%
119
131
60.83%
55.99%
65.67%
110
115
54.74%
49.81%
59.68%
86
98
44.77%
39.84%
49.70%
101
103
49.64%
44.68%
54.59%
81
92
42.09%
37.20%
46.99%
76
82
38.44%
33.62%
43.27%
72
78
36.50%
31.72%
41.27%
0
Number of medical data records excluded
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
Combo 3
411
0.05
432
1
Numerator Events by administrative Data
Combo 2
2012
H
2633
Number of administrative data records
excluded
Denominator
DTaP
411
Page 9
Effectiveness of Care
UCare Minnesota
Data Last Refreshed:
Nov 15, 2013 1:06 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
Records Added from the Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
NR
NR
NR
Lower 95% Confidence Interval
NR
NR
NR
Upper 95% Confidence Interval
NR
NR
NR
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data on Eligible
Population (before exclusions)
Records Excluded because of Valid Data Errors
Number of administrative data records excluded
Number of medical data records excluded
Number of employee/dependent medical records
excluded
HEDIS 2013 (Reporting Year 2012)
Page 10
Effectiveness of Care
UCare Minnesota
Data Last Refreshed:
Nov 15, 2013 1:06 PM
Immunizations for Adolescents
Commercial
Minnesota Health Care Programs - Managed Care (MHCP-MC)
General
Data Elements
Measure Data
Measurement Year
2012
Data Collection Methodology
H
Eligible Member Population
1833
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 2013 (Reporting Year 2012)
Tdap
Combo 1
1064
1489
1007
58.05%
81.23%
54.94%
262
60.65%
360
83.33%
248
57.41%
246
7
61.56%
56.73%
66.38%
342
13
86.37%
82.94%
89.81%
232
11
59.12%
54.25%
64.00%
411
5.00%
432
Records Excluded because of Valid Data Errors
Records Added from the Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
Meningococcal
0
411
Page 11
Effectiveness of Care
UCare Minnesota
Breast Cancer Screening
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2013 (Reporting Year 2012)
Data Last Refreshed:
Nov 15, 2013 1:06 PM
Commercial
NR
NR
NR
Medicare
Advantage
2012
A
9287
7288
78.48%
77.63%
79.32%
MSHO
2012
A
700
422
60.29%
56.59%
63.98%
SNBC
MHCP-MC
NR
NR
NR
2012
A
3636
2035
55.97%
54.34%
57.60%
Page 12
Effectiveness of Care
UCare Minnesota
Cervical Cancer Screening
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data on Eligible
Population (before exclusions)
Current Year's Admin Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin Rate on FSS
Records 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 Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2013 (Reporting Year 2012)
Data Last Refreshed:
Nov 15, 2013 1:06 PM
Commercial
MHCP-MC
2012
H
20747
11627
NR
NR
56.04%
411
5.00%
432
243
56.25%
0
340
9
0
NR
NR
NR
9
411
235
53
70.07%
65.52%
74.62%
Page 13
Effectiveness of Care
UCare Minnesota
Colorectal Cancer Screening
Data Last Refreshed:
Nov 15, 2013 1:06 PM
Data Elements
Measurement Year
Data collection methodology (administrative or hybrid)
Eligible population
Number of numerator events by administrative data in eligible population
(before exclusions)
Current year's administrative rate (before exclusions)
Minimum required sample size (MRSS) or other sample size
Oversampling rate
Final sample size (FSS)
Number of numerator events by administrative data in FSS
Administrative rate on FSS
Number of original sample records excluded because of valid data errors
Number of administrative data records excluded
Number of medical record data records excluded
Number of employee/dependent medical records excluded
Records added from the oversample list
Denominator
Numerator events by administrative data
Numerator events by medical records
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
HEDIS 2013 (Reporting Year 2012)
Commercial
NR
NR
NR
NR
NR
Medicare
Advantage
2012
H
40888
MSHO
SNBC
2012
H
2900
26207
1379
64.09%
411
0.05
432
297
68.75%
0
94
0
0
0
411
283
33
76.89%
72.69%
81.08%
47.55%
411
5.00%
432
197
45.60%
0
14
0
0
0
411
189
20
50.85%
45.90%
55.81%
NR
NR
NR
NR
NR
Page 14
Effectiveness of Care
UCare Minnesota
Chlamydia Screening in Women
Data Last Refreshed:
Nov 15, 2013 1:06 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 2013 (Reporting Year 2012)
General
Measure Data
Ages 16-20
NR
NR
NR
Ages 21-24
Total
NR
NR
NR
NR
NR
NR
NR
NR
Page 15
Effectiveness of Care
UCare Minnesota
Chlamydia Screening in Women
Data Last Refreshed:
Nov 15, 2013 1:06 PM
Minnesota Health Care Programs - Managed Care (MHCP-MC)
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 2013 (Reporting Year 2012)
General
Measure Data
Ages 16-20
Ages 21-24
Total
2378
1325
55.72%
53.70%
57.74%
2097
1396
66.57%
64.53%
68.61%
4475
2721
60.80%
59.36%
62.25%
2012
A
Page 16
Effectiveness of Care
UCare Minnesota
Glaucoma Screening in Older Adults
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2013 (Reporting Year 2012)
Data Last Refreshed:
Nov 15, 2013 1:06 PM
Medicare
Advantage
MSHO
2012
A
67202
52414
77.99%
77.68%
78.31%
2012
A
6701
4965
74.09%
73.04%
75.15%
Page 17
Effectiveness of Care
UCare Minnesota
Data Last Refreshed:
Nov 15, 2013 1:06 PM
Lead Screening in Children
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data on
Eligible Population (before exclusions)
Current Year's Admin Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin Rate on FSS
Records Excluded because of Valid Data
Errors
Commercial
MHCP-MC
2012
A
2633
NR
NR
NR
NR
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 Admin Data
Numerator Events by Medical Record
Reported Rate
NR
86.40%
Lower 95% Confidence Interval
NR
85.08%
Upper 95% Confidence Interval
NR
87.73%
HEDIS 2013 (Reporting Year 2012)
2275
Page 18
Effectiveness of Care
UCare Minnesota
Data Last Refreshed:
Nov 15, 2013 1:06 PM
Care for Older Adults
MSHO
Advance Care
Planning
Medication Review
Functional
Status
Assessment
Pain
Screening
422
2407
359
357
5.18%
29.55%
4.41%
4.38%
315
72.92%
95
21.99%
0
0.00%
0
0.00%
297
81
91.97%
93
212
74.21%
0
399
97.08%
0
352
85.64%
Lower 95% Confidence Interval
89.22%
69.86%
95.33%
82.13%
Upper 95% Confidence Interval
94.72%
78.56%
98.83%
89.16%
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data on
Eligible Population (before exclusions)
General Measure
Data
2012
H
8145
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
HEDIS 2013 (Reporting Year 2012)
411
5.00%
432
0
0
0
411
Page 19
Effectiveness of Care
UCare Minnesota
Pharmacotherapy Management of COPD Exacerbation
Data Last Refreshed:
Nov 15, 2013 1:06 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 2013 (Reporting Year 2012)
General
Measure Data
Systemic
corticosteroid
Bronchodilator
425
80.95%
77.50%
84.41%
472
89.90%
87.23%
92.58%
2012
A
525
Page 20
Effectiveness of Care
UCare Minnesota
Pharmacotherapy Management of COPD Exacerbation
Data Last Refreshed:
Nov 15, 2013 1:06 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 2013 (Reporting Year 2012)
General
Measure Data
Systemic
corticosteroid
Bronchodilator
118
72.84%
65.68%
80.00%
145
89.51%
84.48%
94.53%
2012
A
162
Page 21
Effectiveness of Care
UCare Minnesota
Pharmacotherapy Management of COPD Exacerbation
Data Last Refreshed:
Nov 15, 2013 1:06 PM
SNBC
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 2013 (Reporting Year 2012)
General
Measure Data
Systemic
corticosteroid
Bronchodilator
NR
NR
NR
NR
NR
NR
Page 22
Effectiveness of Care
UCare Minnesota
Use of Spirometry Testing in the Assessment and Diagnosis of COPD
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2013 (Reporting Year 2012)
Data Last Refreshed:
Nov 15, 2013 1:06 PM
Medicare
Advantage
MSHO
SNBC
2012
A
1488
544
36.56%
34.08%
39.04%
2012
A
221
41
18.55%
13.20%
23.90%
NR
NR
NR
Page 23
Effectiveness of Care
UCare Minnesota
Use of Appropriate Medications for People with Asthma
Data Last Refreshed:
Nov 15, 2013 1:06 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 2013 (Reporting Year 2012)
General
Measure Data
Ages 5-11
NR
NR
NR
Ages 12-18
NR
NR
NR
Ages 19-50
NR
NR
NR
Ages 51-64
Total
NR
NR
NR
NR
NR
NR
NR
NR
NR
`
Page 24
Effectiveness of Care
UCare Minnesota
Use of Appropriate Medications for People with Asthma
Data Last Refreshed:
Nov 15, 2013 1:06 PM
Minnesota Health Care Programs - Managed Care (MHCP-MC)
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 2013 (Reporting Year 2012)
General
Measure Data
Ages 5-11
Ages 12-18
Ages 19-50
Ages 51-64
Total
384
352
18
91.67%
88.77%
94.56%
247
221
7
89.47%
85.44%
93.50%
400
338
77
84.50%
80.83%
88.17%
109
92
116
84.40%
77.13%
91.67%
1140
1003
218
87.98%
86.05%
89.91%
2012
A
Page 25
Effectiveness of Care
UCare Minnesota
Cholesterol Management for Patients with Cardiovascular Conditions
Data Last Refreshed:
Nov 15, 2013 1:06 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 2013 (Reporting Year 2012)
General
Measure
Data
LDL-C
screening
LDL-C Level of
<100 mg/dL
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 26
Effectiveness of Care
UCare Minnesota
Cholesterol Management for Patients with Cardiovascular Conditions
Data Last Refreshed:
Nov 15, 2013 1:06 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 2013 (Reporting Year 2012)
General
Measure
Data
LDL-C
screening
LDL-C Level of
<100 mg/dL
3674
90.40%
1007
24.78%
387
89.58%
271
62.73%
367
8
91.24%
88.39%
94.10%
256
0
62.29%
57.48%
67.09%
2012
H
4064
411
5.00%
432
0
0
0
411
Page 27
Effectiveness of Care
UCare Minnesota
Cholesterol Management for Patients with Cardiovascular Conditions
Data Last Refreshed:
Nov 15, 2013 1:06 PM
Minnesota Health Care Programs - Managed Care (MHCP-MC)
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 2013 (Reporting Year 2012)
General
Measure
Data
LDL-C
screening
LDL-C Level of
<100 mg/dL
141
87.58%
76
47.20%
138
86.25%
76
47.50%
138
2
87.50%
82.06%
92.94%
76
0
47.50%
39.45%
55.55%
2012
H
161
160
0.00%
160
0
0
0
160
Page 28
Effectiveness of Care
UCare Minnesota
Controlling High Blood Pressure
Data Last Refreshed:
Nov 15, 2013 1:06 PM
Data Elements
Measurement Year
Data Collection Methodology (Hybrid)
Eligible Member Population
Numerator Events by Admin Data on
Eligible Population (before exclusions)
Current Year's Admin Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin rate on FSS
Records Excluded because of Valid Data
Errors
Commercial
Medicare
Advantage
2012
H
26800
MSHO
SNBC
MHCP-MC
2012
H
2606
2012
H
3936
0
0
0
0.00%
411
10.00%
453
0
0.00%
0.00%
411
10.00%
453
0
0.00%
0
0
0
14
32
27
Number of administrative data records
excluded
1667
304
189
Number of medical record data records
excluded
0
1
1
0
0
0
14
411
0
302
73.48%
69.09%
77.87%
33
411
0
274
66.67%
61.99%
71.35%
28
411
0
290
70.56%
66.03%
75.09%
NR
NR
Number of records excluded because of
false positive diagnoses
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 2013 (Reporting Year 2012)
NR
NR
NR
NR
NR
NR
NR
NR
0.00%
411
10.00%
453
0
0.00%
Page 29
Effectiveness of Care
UCare 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 2013 (Reporting Year 2012)
Commercial
NR
NR
NR
Data Last Refreshed:
Nov 15, 2013 1:06 PM
Medicare
Advantage
2012
A
327
MSHO
SNBC
MHCP-MC
2012
A
47
2012
A
42
296
41
30
90.52%
87.19%
93.85%
87.23%
76.63%
97.84%
NR
NR
NR
71.43%
56.58%
86.28%
Page 30
Effectiveness of Care
UCare Minnesota
Comprehensive Diabetes Care
Data Last Refreshed:
Nov 15, 2013 1:06 PM
Commercial
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator events by admin data in eligible
population
Current Year's Administrative Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin rate on FSS
Number of Records Excluded Because of
Valid Data Errors
HbA1c
Testing
Poor HbA1c
Control
(>9.0%)
Good HbA1c
Control
(<7.0%)
Adequate
HbA1c
Control
(<8.0%)
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Blood
Monitoring for
Pressure
Diabetic
<140/90 mm
Nephropathy
Hg
Blood
Pressure
<140/80
mm Hg
Eye Exam
LDL-C
Screening
LDL-C Level
<100 mg/dL
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
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 2013 (Reporting Year 2012)
Page 31
Effectiveness of Care
UCare Minnesota
Comprehensive Diabetes Care
Data Last Refreshed:
Nov 15, 2013 1:06 PM
Medicare Advantage
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator events by admin data in eligible
population
Current Year's Administrative Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin rate on FSS
Number of Records Excluded Because of
Valid Data Errors
HbA1c
Testing
Poor HbA1c
Control
2012
H
9350
2012
H
9350
8808
94.20%
411
5%
432
414
95.83%
7467
79.86%
411
5%
432
100
23.15%
Good HbA1c
Control
(<7.0%)
NR
NR
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
2012
H
9350
2012
H
9350
2012
H
9350
2012
H
9350
2012
H
9350
2012
H
9350
2012
H
9350
1740
18.61%
411
5%
432
74
17.13%
6524
69.78%
411
5%
432
299
69.21%
8502
90.93%
411
5%
432
399
92.36%
1759
18.81%
411
5%
432
75
17.36%
8453
90.41%
411
5%
432
389
90.05%
394
4.21%
411
5%
432
2
0.46%
351
3.75%
411
5%
432
2
0.46%
0
0
0
0
0
0
0
0
0
Number of administrative data records
excluded
1
1
1
1
1
1
1
1
1
Number of medical record data records
excluded
0
0
0
0
0
0
0
0
0
Number of employee/dependent medical
records excluded
0
0
0
0
0
0
0
0
0
0
411
394
2
96.35%
94.42%
98.28%
0
411
96
1
23.60%
19.37%
27.83%
0
411
70
223
71.29%
66.79%
75.79%
0
411
284
27
75.67%
71.40%
79.94%
0
411
380
6
93.92%
91.48%
96.35%
0
411
70
187
62.53%
57.73%
67.33%
0
411
372
11
93.19%
90.63%
95.74%
0
411
2
318
77.86%
73.72%
81.99%
0
411
2
284
69.59%
65.02%
74.16%
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 2013 (Reporting Year 2012)
NR
NR
NR
Page 32
Effectiveness of Care
UCare Minnesota
Comprehensive Diabetes Care
Data Last Refreshed:
Nov 15, 2013 1:06 PM
MSHO
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator events by admin data in eligible
population
Current Year's Administrative Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin rate on FSS
Number of Records Excluded Because of
Valid Data Errors
HbA1c
Testing
Poor HbA1c
Control
2012
H
1303
2012
H
1303
1211
92.94%
411
5%
432
388
89.81%
922
70.76%
411
5%
432
129
29.86%
Good HbA1c
Control
(<7.0%)
NR
NR
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
2012
H
1303
2012
H
1303
2012
H
1303
2012
H
1303
2012
H
1303
2012
H
1303
2012
H
1303
332
25.48%
411
5%
432
35
8.10%
903
69.30%
411
5%
432
292
67.59%
1123
86.19%
411
5%
432
357
82.64%
358
27.48%
411
5%
432
40
9.26%
1155
88.64%
411
5%
432
394
91.20%
328
25.17%
411
5%
432
1
0.23%
285
21.87%
411
5%
432
0
0.00%
0
0
0
0
0
0
0
0
0
Number of administrative data records
excluded
0
0
0
0
0
0
0
0
0
Number of medical record data records
excluded
0
0
0
0
0
0
0
0
0
Number of employee/dependent medical
records excluded
0
0
0
0
0
0
0
0
0
0
411
368
8
91.48%
88.66%
94.30%
0
411
127
0
30.90%
26.31%
35.49%
0
411
33
214
60.10%
55.24%
64.95%
0
411
279
42
78.10%
73.98%
82.22%
0
411
336
6
83.21%
79.48%
86.95%
0
411
36
174
51.09%
46.14%
56.05%
0
411
375
5
92.46%
89.78%
95.13%
0
411
0
307
74.70%
70.37%
79.02%
0
411
0
265
64.48%
59.73%
69.23%
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 2013 (Reporting Year 2012)
NR
NR
NR
Page 33
Effectiveness of Care
UCare Minnesota
Comprehensive Diabetes Care
Data Last Refreshed:
Nov 15, 2013 1:06 PM
SNBC
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 2013 (Reporting Year 2012)
Page 34
Effectiveness of Care
UCare Minnesota
Comprehensive Diabetes Care
Data Last Refreshed:
Nov 15, 2013 1:06 PM
Minnesota Health Care Programs - Managed Care (MHCP-MC)
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator events by admin data in eligible
population
Current Year's Administrative Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin rate on FSS
Number of Records Excluded Because of
Valid Data Errors
Number of administrative data records
excluded
Number of medical record data records
excluded
Number of employee/dependent medical
records excluded
HbA1c
Testing
Poor HbA1c
Control
Good HbA1c
Control
(<7.0%)
Adequate
HbA1c
Control
(<8.0%)
2012
H
3008
2012
H
3008
2012
H
2686
2695
89.59%
548
5%
576
526
91.32%
2363
78.56%
548
5%
576
191
33.16%
4
Eye Exam
2012
H
3008
2012
H
3008
2012
H
3008
2012
H
3008
2012
H
3008
2012
H
3008
2012
H
3008
363
13.51%
480
5%
506
31
6.13%
536
17.82%
548
5%
576
56
9.72%
1715
57.01%
548
5%
576
338
58.68%
2422
80.52%
548
5%
576
477
82.81%
480
15.96%
548
5%
576
50
8.68%
2366
78.66%
548
5%
576
474
82.29%
465
15.46%
548
5%
576
6
1.04%
329
10.94%
548
5%
576
4
0.69%
4
4
4
4
4
4
4
4
4
100
100
100
100
100
100
100
100
100
100
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
4
548
55
249
55.47%
51.22%
59.73%
4
548
325
40
66.61%
62.57%
70.65%
4
548
458
6
84.67%
81.56%
87.78%
4
548
48
183
42.15%
37.93%
46.38%
4
548
456
13
85.58%
82.55%
88.62%
4
548
5
430
79.38%
75.90%
82.86%
4
548
3
304
56.02%
51.77%
60.27%
68
Number of Hybrid required exclusions
HEDIS 2013 (Reporting Year 2012)
Blood
Pressure
<140/80
mm Hg
LDL-C Level
<100 mg/dL
Number of Administrative 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
Blood
Monitoring for
Pressure
Diabetic
<140/90 mm
Nephropathy
Hg
LDL-C
Screening
0
4
548
507
8
93.98%
91.90%
96.06%
4
548
178
0
32.48%
28.47%
36.49%
4
480
31
140
35.63%
31.24%
40.01%
Page 35
Effectiveness of Care
UCare Minnesota
Disease Modifying Anti-Rheumatic Drug Therapy in Rheumatoid Arthritis
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2013 (Reporting Year 2012)
Data Last Refreshed:
Nov 15, 2013 1:06 PM
Medicare
Advantage
2012
A
929
804
86.54%
84.30%
88.79%
Page 36
Effectiveness of Care
UCare Minnesota
Osteoporosis Management in Women Who had a Fracture
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2013 (Reporting Year 2012)
Data Last Refreshed:
Nov 15, 2013 1:06 PM
Medicare
Advantage
MSHO
2012
A
1188
180
15.15%
13.07%
17.23%
2012
A
237
28
11.81%
7.49%
16.13%
Page 37
Effectiveness of Care
UCare Minnesota
Antidepressant Medication Management
Data Last Refreshed:
Nov 15, 2013 1:06 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 2013 (Reporting Year 2012)
General
Measure Data
Effective
Effective Acute
Continuation
Phase
Phase
Treatment
Treatment
NR
NR
NR
NR
NR
NR
Page 38
Effectiveness of Care
UCare Minnesota
Antidepressant Medication Management
Data Last Refreshed:
Nov 15, 2013 1:06 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 2013 (Reporting Year 2012)
General
Measure Data
Effective
Effective Acute
Continuation
Phase
Phase
Treatment
Treatment
2012
A
1147
967
84.31%
82.16%
86.46%
827
72.10%
69.46%
74.74%
Page 39
Effectiveness of Care
UCare Minnesota
Antidepressant Medication Management
Data Last Refreshed:
Nov 15, 2013 1:06 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 2013 (Reporting Year 2012)
General
Measure Data
Effective
Effective Acute
Continuation
Phase
Phase
Treatment
Treatment
2012
A
152
104
68.42%
60.70%
76.14%
86
56.58%
48.37%
64.79%
Page 40
Effectiveness of Care
UCare Minnesota
Antidepressant Medication Management
Data Last Refreshed:
Nov 15, 2013 1:06 PM
SNBC
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 2013 (Reporting Year 2012)
General
Measure Data
Effective
Effective Acute
Continuation
Phase
Phase
Treatment
Treatment
NR
NR
NR
NR
NR
NR
Page 41
Effectiveness of Care
UCare Minnesota
Antidepressant Medication Management
Data Last Refreshed:
Nov 15, 2013 1:06 PM
Minnesota Health Care Programs - Managed Care (MHCP-MC)
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 2013 (Reporting Year 2012)
General
Measure Data
Effective
Effective Acute
Continuation
Phase
Phase
Treatment
Treatment
2012
A
1313
733
55.83%
53.10%
58.55%
526
40.06%
37.37%
42.75%
Page 42
Effectiveness of Care
UCare Minnesota
Follow-Up Care for Children Prescribed
Attention-Deficit/Hyperactivity Disorder (ADHD) Medication
Data Last Refreshed:
Nov 15, 2013 1:06 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 2013 (Reporting Year 2012)
General
Measure
Data
Initiation
Phase
Continuation
and
Maintenance
Phase
NR
NR
NR
NR
NR
NR
Page 43
Effectiveness of Care
UCare Minnesota
Follow-Up Care for Children Prescribed
Attention-Deficit/Hyperactivity Disorder (ADHD) Medication
Data Last Refreshed:
Nov 15, 2013 1:06 PM
Minnesota Health Care Programs - Managed Care (MHCP-MC)
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 2013 (Reporting Year 2012)
General
Measure
Data
Initiation
Phase
Continuation
and
Maintenance
Phase
458
192
41.92%
37.29%
46.55%
95
41
43.16%
32.67%
53.64%
2012
A
Page 44
Effectiveness of Care
UCare Minnesota
Follow-up After Hospitalization for Mental Illness
Data Last Refreshed:
Nov 15, 2013 1:06 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 2013 (Reporting Year 2012)
General
Measure
Data
30 Days
7 Days
130
71.82%
64.99%
78.65%
89
49.17%
41.61%
56.73%
2012
A
181
Page 45
Effectiveness of Care
UCare Minnesota
Follow-up After Hospitalization for Mental Illness
Data Last Refreshed:
Nov 15, 2013 1:06 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 2013 (Reporting Year 2012)
General
Measure
Data
30 Days
7 Days
27
61.36%
45.84%
76.89%
15
34.09%
18.95%
49.23%
2012
A
44
Page 46
Effectiveness of Care
UCare Minnesota
Follow-up After Hospitalization for Mental Illness
Data Last Refreshed:
Nov 15, 2013 1:06 PM
SNBC
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 2013 (Reporting Year 2012)
General
Measure
Data
30 Days
7 Days
NR
NR
NR
NR
NR
NR
Page 47
Effectiveness of Care
UCare Minnesota
Annual Monitoring for Patients on Persistent Medications
Data Last Refreshed:
Nov 15, 2013 1:06 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 2013 (Reporting Year 2012)
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 48
Effectiveness of Care
UCare Minnesota
Annual Monitoring for Patients on Persistent Medications
Data Last Refreshed:
Nov 15, 2013 1:06 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 2013 (Reporting Year 2012)
General
Measure
Data
Annual Monitoring for Members on
ACE Inhibitors
or ARBs
Digoxin
Diuretics
Anticonvulsants
Total
27866
25275
90.70%
90.36%
91.04%
1169
1073
91.79%
90.17%
93.40%
24702
22709
91.93%
91.59%
92.27%
808
531
65.72%
62.38%
69.05%
54545
49588
90.91%
90.67%
91.15%
2012
A
Page 49
Effectiveness of Care
UCare Minnesota
Annual Monitoring for Patients on Persistent Medications
Data Last Refreshed:
Nov 15, 2013 1:06 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 2013 (Reporting Year 2012)
General
Measure
Data
Annual Monitoring for Members on
ACE Inhibitors
or ARBs
Digoxin
Diuretics
Anticonvulsants
Total
3207
2913
90.83%
89.82%
91.85%
199
187
93.97%
90.41%
97.53%
2999
2787
92.93%
92.00%
93.86%
387
273
70.54%
65.87%
75.21%
6792
6160
90.69%
90.00%
91.39%
2012
A
Page 50
Effectiveness of Care
UCare Minnesota
Annual Monitoring for Patients on Persistent Medications
Data Last Refreshed:
Nov 15, 2013 1:06 PM
SNBC
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 2013 (Reporting Year 2012)
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 51
Effectiveness of Care
UCare Minnesota
Annual Monitoring for Patients on Persistent Medications
Data Last Refreshed:
Nov 15, 2013 1:06 PM
Minnesota Health Care Programs - Managed Care (MHCP-MC)
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 2013 (Reporting Year 2012)
General
Measure
Data
Annual Monitoring for Members on
ACE Inhibitors
or ARBs
Digoxin
Diuretics
Anticonvulsants
Total
2939
2528
86.02%
84.74%
87.29%
31
30
96.77%
88.94%
100.00%
2181
1896
86.93%
85.50%
88.37%
272
177
65.07%
59.22%
70.92%
5423
4631
85.40%
84.45%
86.34%
2012
A
Page 52
Access/Availability of Care
UCare Minnesota
Medication Reconciliation Post Discharge
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)
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 2013 (Reporting Year 2012)
Data Last Refreshed:
Nov 15, 2013 1:06 PM
MSHO
2012
H
2834
62
2.19%
411
25.00%
514
0
0.00%
103
0
103
411
0
62
15.09%
11.50%
18.67%
Page 53
Effectiveness of Care
UCare Minnesota
Potentially Harmful Drug-Disease Interactions in the Elderly
Data Last Refreshed:
Nov 15, 2013 1:06 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 2013 (Reporting Year 2012)
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
393
16
4.07%
1.99%
6.15%
8699
1003
11.53%
10.85%
12.21%
2012
A
4597
497
10.81%
9.90%
11.72%
3709
490
13.21%
12.11%
14.31%
Page 54
Effectiveness of Care
UCare Minnesota
Potentially Harmful Drug-Disease Interactions in the Elderly
Data Last Refreshed:
Nov 15, 2013 1:06 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 2013 (Reporting Year 2012)
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
140
14
10.00%
4.67%
15.33%
2642
530
20.06%
18.51%
21.61%
2012
A
732
146
19.95%
16.98%
22.91%
1770
370
20.90%
18.98%
22.83%
Page 55
Effectiveness of Care
UCare Minnesota
Use of High Risk Medications in the Elderly
Data Last Refreshed:
Nov 15, 2013 1:06 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 2013 (Reporting Year 2012)
General
Measure
Data
2012
A
72844
At least 1
Prescription
At least 2
Prescriptions
9139
12.55%
12.30%
12.79%
2421
3.32%
3.19%
3.45%
Page 56
Effectiveness of Care
UCare Minnesota
Use of High Risk Medications in the Elderly
Data Last Refreshed:
Nov 15, 2013 1:06 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 2013 (Reporting Year 2012)
General
Measure
Data
2012
A
8145
At least 1
Prescription
At least 2
Prescriptions
1526
18.74%
17.88%
19.59%
484
5.94%
5.42%
6.46%
Page 57
Access/Availability of Care
UCare Minnesota
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Nov 15, 2013 1:06 PM
Commercial
Data Elements
General Measure
Data
Ages 20-44
Ages 45-64
Ages 65+
Total
Measurement Year
Data collection methodology
(Administrative only)
Eligible member population (i.e. members
who meet all denominator criteria)
Numerator events by administrative data
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
HEDIS 2013 (Reporting Year 2012)
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 58
Access/Availability of Care
UCare Minnesota
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Nov 15, 2013 1:06 PM
Medicare Advantage
Data Elements
Measurement Year
Data collection methodology
(Administrative only)
Eligible member population (i.e. members
who meet all denominator criteria)
Numerator events by administrative data
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
HEDIS 2013 (Reporting Year 2012)
General Measure
Data
Ages 20-44
Ages 45-64
Ages 65+
Total
97
2287
78686
81070
90
92.78%
87.12%
98.45%
2220
97.07%
96.36%
97.78%
75880
96.43%
96.30%
96.56%
78190
96.45%
96.32%
96.58%
2012
A
Page 59
Access/Availability of Care
UCare Minnesota
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Nov 15, 2013 1:06 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 2013 (Reporting Year 2012)
General Measure
Data
Ages 20-44
Ages 45-64
Ages 65+
Total
0
0
8189
8189
0
NA
NA
NA
0
NA
NA
NA
8057
98.39%
98.11%
98.67%
8057
98.39%
98.11%
98.67%
2012
A
Page 60
Access/Availability of Care
UCare Minnesota
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Nov 15, 2013 1:06 PM
SNBC
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 2013 (Reporting Year 2012)
General Measure
Data
Ages 20-44
Ages 45-64
Ages 65+
Total
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 61
Access/Availability of Care
UCare Minnesota
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Nov 15, 2013 1:06 PM
Minnesota Health Care Programs - Managed Care (MHCP-MC)
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 2013 (Reporting Year 2012)
General Measure
Data
Ages 20-44
Ages 45-64
Ages 65+
Total
24173
12507
59
36739
21410
88.57%
88.17%
88.97%
11312
90.45%
89.93%
90.96%
56
94.92%
88.46%
100.00%
32778
89.22%
88.90%
89.54%
2012
A
Page 62
Access/Availability of Care
UCare Minnesota
Children's and Adolescents' Access to Primary Care Practitioners
Data Last Refreshed:
Nov 15, 2013 1:06 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 2013 (Reporting Year 2012)
General Measure
Data
12-24 months
25 months 6 yrs.
7-11 yrs.
12-19 yrs.
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 63
Access/Availability of Care
UCare Minnesota
Children's and Adolescents' Access to Primary Care Practitioners
Data Last Refreshed:
Nov 15, 2013 1:06 PM
Minnesota Health Care Programs - Managed Care (MHCP-MC)
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 2013 (Reporting Year 2012)
General Measure
Data
12-24 months
25 months 6 yrs.
7-11 yrs.
12-19 yrs.
5226
5075
97.11%
96.65%
97.57%
16392
14835
90.50%
90.05%
90.95%
6976
6283
90.07%
89.36%
90.78%
9459
8362
88.40%
87.75%
89.05%
2012
A
Page 64
Access/Availability of Care
UCare Minnesota
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
Data Last Refreshed:
Nov 15, 2013 1:06 PM
Commercial
13-17 Year Olds
Data Elements
General
Measure
Data
Initiation of
AOD
Treatment
Engagement
of AOD
Treatment
18+ Year Olds
Initiation of
AOD
Treatment
Total
Engagement
of AOD
Treatment
Initiation of
AOD
Treatment
NR
NR
NR
NR
NR
NR
NR
Engagement
of AOD
Treatment
Measurement Year
Data collection methodology (Administrative only)
Eligible member population
Numerator events by administrative data
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
HEDIS 2013 (Reporting Year 2012)
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 65
Access/Availability of Care
UCare Minnesota
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
Data Last Refreshed:
Nov 15, 2013 1:06 PM
Medicare Advantage
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 2013 (Reporting Year 2012)
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
2012
A
0
993
993
0
0
414
29
NA
NA
NA
NA
NA
NA
41.69%
38.57%
44.81%
2.92%
1.82%
4.02%
414
41.69%
38.57%
44.81%
29
2.92%
1.82%
4.02%
Page 66
Access/Availability of Care
UCare Minnesota
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
Data Last Refreshed:
Nov 15, 2013 1:06 PM
MSHO
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 2013 (Reporting Year 2012)
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
2012
A
167
0
167
0
0
81
2
NA
NA
NA
NA
NA
NA
48.50%
40.62%
56.38%
1.20%
0.00%
3.15%
81
48.50%
40.62%
56.38%
2
1.20%
0.00%
3.15%
Page 67
Access/Availability of Care
UCare Minnesota
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
Data Last Refreshed:
Nov 15, 2013 1:06 PM
SNBC
13-17 Year Olds
Data Elements
General
Measure
Data
Initiation of
AOD
Treatment
Engagement
of AOD
Treatment
18+ Year Olds
Initiation of
AOD
Treatment
Total
Engagement
of AOD
Treatment
Initiation of
AOD
Treatment
NR
NR
NR
NR
NR
NR
NR
Engagement
of AOD
Treatment
Measurement Year
Data collection methodology (Administrative only)
Eligible member population
Numerator events by administrative data
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
HEDIS 2013 (Reporting Year 2012)
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 68
Access/Availability of Care
UCare Minnesota
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
Data Last Refreshed:
Nov 15, 2013 1:06 PM
Minnesota Health Care Programs - Managed Care (MHCP-MC)
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 2013 (Reporting Year 2012)
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
2012
A
288
3829
4117
126
73
1360
566
43.75%
37.85%
49.65%
25.35%
20.15%
30.54%
35.52%
33.99%
37.05%
14.78%
13.64%
15.92%
1486
36.09%
34.62%
37.57%
639
15.52%
14.40%
16.64%
Page 69
Access/Availability of Care
UCare Minnesota
Prenatal and Postpartum Care
Data Last Refreshed:
Nov 15, 2013 1:06 PM
Commercial
Data Elements
Timeliness of
Prenatal Care
Postpartum
Care
Measurement Year
Data collection methodology (Administrative or Hybrid)
Eligible member population
Number of numerator events by administrative data in eligible
population (before exclusions)
Current year's administrative rate (before exclusions)
Minimum required sample size (MRSS) or other sample size
Oversampling rate
Final sample size (FSS)
Number of numerator events by administrative data in FSS
Administrative rate on FSS
NR
NR
NR
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
NR
NR
NR
NR
NR
NR
HEDIS 2013 (Reporting Year 2012)
Page 70
Access/Availability of Care
UCare Minnesota
Prenatal and Postpartum Care
Data Last Refreshed:
Nov 15, 2013 1:06 PM
Minnesota Health Care Programs - Managed Care (MHCP-MC)
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)
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 2013 (Reporting Year 2012)
Timeliness of
Prenatal Care
2012
H
5853
Postpartum
Care
2012
H
5853
2827
2982
48.30%
411
5.00%
432
212
49.07%
50.95%
411
5.00%
432
207
47.92%
1
1
0
1
411
199
118
77.13%
72.95%
81.31%
0
1
411
200
46
59.85%
54.99%
64.71%
Page 71
Use of Services
UCare Minnesota
Well Child Visits in the First 15 Months of Life
Data Last Refreshed:
Nov 15, 2013 1:06 PM
Commercial
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator events by admin data in eligible
population
Currect Year's Administrative Rate
Minimum Required Sample Size
Oversampling Rate
Final sample size (FSS)
Numerator events by admin data in FSS
Administrative rate on FSS
Number of Records Excluded Because of
Valid Data Errors
General
Measure
Data
Zero Visits
1 visit
2 visits
3 visits
4 visits
5 visits
6 or more
visits
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
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 2013 (Reporting Year 2012)
Page 72
Use of Services
UCare Minnesota
Well Child Visits in the First 15 Months of Life
Data Last Refreshed:
Nov 15, 2013 1:06 PM
Minnesota Health Care Programs - Managed Care (MHCP-MC)
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator events by admin data in eligible
population
Currect Year's Administrative Rate
Minimum Required Sample Size
Oversampling Rate
Final sample size (FSS)
Numerator events by admin data in FSS
Administrative rate on FSS
Number of Records Excluded Because of
Valid Data Errors
Number of employee/dependent medical
records excluded
Additional Records Added from the
Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2013 (Reporting Year 2012)
General
Measure
Data
Zero Visits
1 visit
2 visits
3 visits
4 visits
5 visits
6 or more
visits
81
2.39%
87
2.57%
125
3.69%
225
6.65%
411
12.15%
701
20.72%
1753
51.82%
6
1.39%
6
1.39%
10
2.31%
18
4.17%
34
7.87%
58
13.43%
210
48.61%
6
0
1.46%
0.18%
2.74%
6
1
1.70%
0.33%
3.08%
10
1
2.68%
0.99%
4.36%
16
7
5.60%
3.25%
7.94%
33
8
9.98%
6.96%
12.99%
54
19
17.76%
13.94%
21.58%
197
53
60.83%
55.99%
65.67%
2012
H
3383
411
5.00%
432
0
0
0
411
Page 73
Use of Services
UCare 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
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
HEDIS 2013 (Reporting Year 2012)
MHCP-MC
2012
H
13419
9073
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
Data Last Refreshed:
Nov 15, 2013 1:06 PM
67.61%
411
5.00%
432
296
68.52%
0
0
NR
NR
NR
0
411
283
12
71.78%
67.30%
76.25%
Page 74
Use of Services
UCare Minnesota
Adolescent Well-Care Visits
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
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 2013 (Reporting Year 2012)
Data Last Refreshed:
Nov 15, 2013 1:06 PM
Commercial
MHCP-MC
2012
H
20374
7286
NR
NR
35.76%
411
5.00%
432
165
38.19%
0
0
NR
NR
NR
0
411
156
36
46.72%
41.77%
51.66%
Page 75
Use of Services
UCare Minnesota
Ambulatory Care
Data Last Refreshed:
Nov 15, 2013 1:06 PM
Commercial
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Member Months
NR
Outpatient Visits (Excludes
MH/CD)
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Visits
NR
HEDIS 2013 (Reporting Year 2012)
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 76
Use of Services
UCare Minnesota
Ambulatory Care
Data Last Refreshed:
Nov 15, 2013 1:06 PM
Medicare Advantage
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Member Months
0
0
0
1429
33664
576815
297060
113937
0
1022905
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
948
26426
334179
223531
93109
0
678193
HEDIS 2013 (Reporting Year 2012)
Visits/ 1,000
Member
Months
NA
NA
NA
663.40
784.99
579.35
752.48
817.20
663.01
Emergency Room Visits
Visits
0
0
0
95
1217
9135
6994
3972
0
21413
Visits/ 1,000
Member
Months
NA
NA
NA
66.48
36.15
15.84
23.54
34.86
20.93
Page 77
Use of Services
UCare Minnesota
Ambulatory Care
Data Last Refreshed:
Nov 15, 2013 1:06 PM
MSHO
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Member Months
0
0
0
0
4
43239
37905
29722
0
110870
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
2
39168
35372
25212
0
99754
HEDIS 2013 (Reporting Year 2012)
Visits/ 1,000
Member
Months
NA
NA
NA
NA
500.00
905.85
933.18
848.26
899.74
Emergency Room Visits
Visits
0
0
0
0
0
2063
1580
1120
0
4763
Visits/ 1,000
Member
Months
NA
NA
NA
NA
0.00
47.71
41.68
37.68
42.96
Page 78
Use of Services
UCare Minnesota
Ambulatory Care
Data Last Refreshed:
Nov 15, 2013 1:06 PM
SNBC
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 2013 (Reporting Year 2012)
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 79
Use of Services
UCare Minnesota
Ambulatory Care
Data Last Refreshed:
Nov 15, 2013 1:06 PM
Minnesota Health Care Programs - Managed Care (MHCP-MC)
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Member Months
103719
610951
455979
639612
254444
725
156
28
0
2065614
Outpatient Visits (Excludes
MH/CD)
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Visits
83226
204428
119224
301147
151763
471
154
21
0
860434
HEDIS 2013 (Reporting Year 2012)
Visits/ 1,000
Member
Months
802.42
334.61
261.47
470.83
596.45
649.66
987.18
750.00
416.55
Emergency Room Visits
Visits
10995
32586
16069
51894
12369
21
13
1
0
123948
Visits/ 1,000
Member
Months
106.01
53.34
35.24
81.13
48.61
28.97
83.33
35.71
60.01
Page 80
Use of Services
UCare Minnesota
Inpatient Utilization - General Hospital/Acute Care
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
Data Last Refreshed:
Nov 15, 2013 1:06 PM
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 2013 (Reporting Year 2012)
NR
NR
NR
NR
NR
NR
NR
NR
NR
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 81
Use of Services
UCare Minnesota
Inpatient Utilization - General Hospital/Acute Care
Data Last Refreshed:
Nov 15, 2013 1:06 PM
Medicare Advantage
Age
Member Months
<1
0
1-9
0
10-19
0
20-44
1429
45-64
33664
65-74
576815
75-84
297060
85+
113937
Unknown
0
1022905
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 /
1,000 Member
Months
0
0
0
29
787
8219
6933
4094
0
20062
NA
NA
NA
20.29
23.38
14.25
23.34
35.93
0
0
0
19
487
4274
4370
3233
0
12383
NA
NA
NA
13.30
14.47
7.41
14.71
28.38
0
0
0
10
300
3944
2563
861
0
7678
NA
NA
NA
7.00
8.91
6.84
8.63
7.56
0
0
0
0
0
NA
0.00
0.00
HEDIS 2013 (Reporting Year 2012)
19.61
12.11
7.51
0.00
Days
Days / 1,000
Member
Months
0
0
0
118
3726
32535
28408
16324
0
81111
NA
NA
NA
82.58
110.68
56.40
95.63
143.27
0
0
0
52
2258
15930
16187
12004
0
46431
NA
NA
NA
36.39
67.07
27.62
54.49
105.36
0
0
0
66
1468
16600
12221
4320
0
34675
NA
NA
NA
46.19
43.61
28.78
41.14
37.92
0
0
0
0
0
NA
0.00
0.00
79.29
45.39
33.90
0.00
Average
Length of Stay
NA
NA
NA
4.07
4.73
3.96
4.10
3.99
NA
4.04
NA
NA
NA
2.74
4.64
3.73
3.70
3.71
NA
3.75
NA
NA
NA
6.60
4.89
4.21
4.77
5.02
NA
4.52
NA
NA
NA
NA
NA
Page 82
Use of Services
UCare Minnesota
Inpatient Utilization - General Hospital/Acute Care
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
Data Last Refreshed:
Nov 15, 2013 1:06 PM
Member Months
0
0
0
0
4
43239
37905
29722
0
110870
Discharges
0
0
0
0
0
1452
1447
1081
0
3980
Discharges /
1,000 Member
Months
NA
NA
NA
NA
0.00
33.58
38.17
36.37
35.90
0
0
0
0
0
1138
1187
937
0
3262
NA
NA
NA
NA
0.00
26.32
31.32
31.53
0
0
0
0
0
314
260
143
0
717
NA
NA
NA
NA
0.00
7.26
6.86
4.81
0
0
0
0
0
NA
NA
0.00
HEDIS 2013 (Reporting Year 2012)
29.42
6.47
0.00
Days
0
0
0
0
0
6457
6508
4512
0
17477
Days / 1,000
Member
Months
NA
NA
NA
NA
0.00
149.33
171.69
151.81
157.64
0
0
0
0
0
4767
5044
3703
0
13514
NA
NA
NA
NA
0.00
110.25
133.07
124.59
0
0
0
0
0
1690
1464
808
0
3962
NA
NA
NA
NA
0.00
39.09
38.62
27.19
0
0
0
0
0
NA
NA
0.00
121.89
35.74
0.00
Average
Length of Stay
NA
NA
NA
NA
NA
4.45
4.50
4.17
NA
4.39
NA
NA
NA
NA
NA
4.19
4.25
3.95
NA
4.14
NA
NA
NA
NA
NA
5.38
5.63
5.65
NA
5.53
NA
NA
NA
NA
NA
Page 83
Use of Services
UCare Minnesota
Inpatient Utilization - General Hospital/Acute Care
SNBC
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
Data Last Refreshed:
Nov 15, 2013 1:06 PM
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 2013 (Reporting Year 2012)
NR
NR
NR
NR
NR
NR
NR
NR
NR
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 84
Use of Services
UCare Minnesota
Inpatient Utilization - General Hospital/Acute Care
Data Last Refreshed:
Nov 15, 2013 1:06 PM
Minnesota Health Care Programs - Managed Care (MHCP-MC)
Age
Member Months
<1
103719
1-9
610951
10-19
455979
20-44
639612
45-64
254444
65-74
725
75-84
156
85+
28
Unknown
0
2065614
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 /
1,000 Member
Months
1117
1131
1381
10536
2681
3
2
3
0
16854
10.77
1.85
3.03
16.47
10.54
4.14
12.82
107.14
971
951
457
2184
1632
3
1
2
0
6201
9.36
1.56
1.00
3.41
6.41
4.14
6.41
71.43
144
180
222
1250
1025
0
1
1
0
2823
1.39
0.29
0.49
1.95
4.03
0.00
6.41
35.71
702
7102
24
0
7828
1.54
11.10
0.09
HEDIS 2013 (Reporting Year 2012)
8.16
3.00
1.37
5.80
Days
Days / 1,000
Member
Months
5231
3288
4268
28660
9883
13
6
10
0
51359
50.43
5.38
9.36
44.81
38.84
17.93
38.46
357.14
4096
2416
1366
6363
5668
13
3
4
0
19929
39.49
3.95
3.00
9.95
22.28
17.93
19.23
142.86
1131
872
1116
4629
4164
0
3
6
0
11921
10.90
1.43
2.45
7.24
16.37
0.00
19.23
214.29
1786
17668
51
0
19505
3.92
27.62
0.20
24.86
9.65
5.77
14.45
Average
Length of Stay
4.68
2.91
3.09
2.72
3.69
4.33
3.00
3.33
NA
3.05
4.22
2.54
2.99
2.91
3.47
4.33
3.00
2.00
NA
3.21
7.85
4.84
5.03
3.70
4.06
NA
3.00
6.00
NA
4.22
2.54
2.49
2.13
NA
2.49
Page 85
Use of Services
UCare Minnesota
Identification of Alcohol and Other Drug Services
Data Last Refreshed:
Nov 15, 2013 1:06 PM
Commercial
Member Months
(Inpatient)
Member Months
(Any)
Age
0-12
13-17
18-24
25-34
35-64
65+
Unknown
Total
Male
Female
NR
NR
Total
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 2013 (Reporting Year 2012)
Male
Female
NR
NR
Total
NR
NR
NR
NR
NR
NR
NR
NR
Intensive Outpatient/Partial
Hospitalization
Inpatient
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
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Total
Male
Female
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
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
Female
NR
NR
Total
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 86
Use of Services
UCare Minnesota
Identification of Alcohol and Other Drug Services
Data Last Refreshed:
Nov 15, 2013 1:06 PM
Medicare Advantage
Member Months
(Inpatient)
Member Months
(Any)
Age
0-12
13-17
18-24
25-34
35-64
65+
Unknown
Total
Male
0
0
18
159
16512
423688
0
440377
Female
0
0
11
108
18285
564124
0
582528
Total
0
0
29
267
34797
987812
0
1022905
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
0
0
0
0
0
0
1
0
1
2
2
4
149
109
258
661
560
1221
0
0
0
813
671
1484
HEDIS 2013 (Reporting Year 2012)
Female
0
0
11
108
18285
564124
0
582528
Total
0
0
29
267
34797
987812
0
1022905
Intensive Outpatient/Partial
Hospitalization
Inpatient
Any Services
Age
0-12
Male
0
0
18
159
16512
423688
0
440377
Percent
NA
NA
NA
NA
NA
NA
66.67%
0.00%
41.38%
15.09%
22.22%
17.98%
10.83%
7.15%
8.90%
1.87%
1.19%
1.48%
NA
NA
NA
2.22%
1.38%
1.74%
Number
0
0
0
0
0
0
1
0
1
0
0
0
53
34
87
335
284
619
0
0
0
389
318
707
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Total
Male
Female
0
0
0
0
0
0
18
11
29
159
108
267
16512
18285
34797
423688
564124
987812
0
0
0
440377
582528
1022905
Percent
NA
NA
NA
NA
NA
NA
66.67%
0.00%
41.38%
0.00%
0.00%
0.00%
3.85%
2.23%
3.00%
0.95%
0.60%
0.75%
NA
NA
NA
1.06%
0.66%
0.83%
Number
0
0
0
0
0
0
0
0
0
0
0
0
4
2
6
10
4
14
0
0
0
14
6
20
Percent
NA
NA
NA
NA
NA
NA
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.29%
0.13%
0.21%
0.03%
0.01%
0.02%
NA
NA
NA
0.04%
0.01%
0.02%
Member Months
(Outpatient/ED)
Male
0
0
18
159
16512
423688
0
440377
Female
0
0
11
108
18285
564124
0
582528
Total
0
0
29
267
34797
987812
0
1022905
Outpatient/ED
Number
0
0
0
0
0
0
1
0
1
2
2
4
125
89
214
426
346
772
0
0
0
554
437
991
Percent
NA
NA
NA
NA
NA
NA
66.67%
0.00%
41.38%
15.09%
22.22%
17.98%
9.08%
5.84%
7.38%
1.21%
0.74%
0.94%
NA
NA
NA
1.51%
0.90%
1.16%
Page 87
Use of Services
UCare Minnesota
Identification of Alcohol and Other Drug Services
Data Last Refreshed:
Nov 15, 2013 1:06 PM
MSHO
Member Months
(Any)
Age
0-12
13-17
18-24
25-34
35-64
65+
Unknown
Total
Male
0
0
0
0
1
33070
0
33071
Female
0
0
0
0
3
77796
0
77799
Member Months
(Inpatient)
Total
0
0
0
0
4
110866
0
110870
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
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
168
163
331
0
0
0
168
163
331
HEDIS 2013 (Reporting Year 2012)
Male
0
0
0
0
1
33070
0
33071
Female
0
0
0
0
3
77796
0
77799
Total
0
0
0
0
4
110866
0
110870
Intensive Outpatient/Partial
Hospitalization
Inpatient
Percent
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00%
0.00%
0.00%
6.10%
2.51%
3.58%
NA
NA
NA
6.10%
2.51%
3.58%
Number
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
86
82
168
0
0
0
86
82
168
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Total
Male
Female
0
0
0
0
0
0
0
0
0
0
0
0
1
3
4
33070
77796
110866
0
0
0
33071
77799
110870
Percent
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00%
0.00%
0.00%
3.12%
1.26%
1.82%
NA
NA
NA
3.12%
1.26%
1.82%
Number
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Percent
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
NA
NA
NA
0.00%
0.00%
0.00%
Member Months
(Outpatient/ED)
Male
0
0
0
0
1
33070
0
33071
Female
0
0
0
0
3
77796
0
77799
Total
0
0
0
0
4
110866
0
110870
Outpatient/ED
Number
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
115
96
211
0
0
0
115
96
211
Percent
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00%
0.00%
0.00%
4.17%
1.48%
2.28%
NA
NA
NA
4.17%
1.48%
2.28%
Page 88
Use of Services
UCare Minnesota
Identification of Alcohol and Other Drug Services
Data Last Refreshed:
Nov 15, 2013 1:06 PM
SNBC
Member Months
(Any)
Age
0-12
13-17
18-24
25-34
35-64
65+
Unknown
Total
Male
Female
NR
NR
Member Months
(Inpatient)
Total
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 2013 (Reporting Year 2012)
Male
Female
NR
NR
Total
NR
NR
NR
NR
NR
NR
NR
NR
Intensive Outpatient/Partial
Hospitalization
Inpatient
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
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Total
Male
Female
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
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
Female
NR
NR
Total
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 89
Use of Services
UCare Minnesota
Identification of Alcohol and Other Drug Services
Data Last Refreshed:
Nov 15, 2013 1:06 PM
Minnesota Health Care Programs - Managed Care (MHCP-MC)
Member Months
(Any)
Age
0-12
13-17
18-24
25-34
35-64
65+
Unknown
Total
Male
440901
110524
86076
97675
198253
320
0
933749
Female
430047
114394
141027
194198
251610
589
0
1131865
Total
870948
224918
227103
291873
449863
909
0
2065614
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
25
24
49
507
305
812
1146
1007
2153
1945
1998
3943
3498
2412
5910
2
0
2
0
0
0
7123
5746
12869
HEDIS 2013 (Reporting Year 2012)
Total
870948
224918
227103
291873
449863
909
0
2065614
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Total
Male
Female
440901
430047
870948
110524
114394
224918
86076
141027
227103
97675
194198
291873
198253
251610
449863
320
589
909
0
0
0
933749
1131865
2065614
Percent
0.02%
0.03%
0.02%
1.66%
1.29%
1.47%
5.03%
3.21%
3.90%
7.05%
3.92%
4.97%
6.68%
3.13%
4.70%
0.00%
0.00%
0.00%
NA
NA
NA
2.83%
1.91%
2.32%
Intensive Outpatient/Partial
Hospitalization
Percent
Number
0
0.00%
0
0.00%
0
0.00%
30
0.33%
27
0.28%
57
0.30%
40
0.56%
45
0.38%
85
0.45%
83
1.02%
79
0.49%
162
0.67%
111
0.67%
76
0.36%
187
0.50%
0
0.00%
0
0.00%
0
0.00%
0
NA
0
NA
0
NA
264
0.34%
227
0.24%
491
0.29%
Member Months
(Inpatient)
Male
440901
110524
86076
97675
198253
320
0
933749
Female
430047
114394
141027
194198
251610
589
0
1131865
Inpatient
Percent
0.07%
0.07%
0.07%
5.50%
3.20%
4.33%
15.98%
8.57%
11.38%
23.90%
12.35%
16.21%
21.17%
11.50%
15.76%
7.50%
0.00%
2.64%
NA
NA
NA
9.15%
6.09%
7.48%
Number
9
9
18
153
123
276
361
377
738
574
635
1209
1104
657
1761
0
0
0
0
0
0
2201
1801
4002
Member Months
(Outpatient/ED)
Male
440901
110524
86076
97675
198253
320
0
933749
Female
430047
114394
141027
194198
251610
589
0
1131865
Total
870948
224918
227103
291873
449863
909
0
2065614
Outpatient/ED
Number
18
16
34
472
264
736
1014
859
1873
1760
1817
3577
3137
2220
5357
2
0
2
0
0
0
6403
5176
11579
Percent
0.05%
0.04%
0.05%
5.12%
2.77%
3.93%
14.14%
7.31%
9.90%
21.62%
11.23%
14.71%
18.99%
10.59%
14.29%
7.50%
0.00%
2.64%
NA
NA
NA
8.23%
5.49%
6.73%
Page 90
Use of Services
UCare Minnesota
Mental Health Utilization - % of Members Receiving Inpatient, Day/Night and Ambulatory Services
Data Last Refreshed:
Nov 15, 2013 1:06 PM
Commercial
Member Months
(Inpatient)
Member Months
(Any)
Age
0-12
13-17
18-64
65+
Unknown
Total
Male
Female
NR
NR
Total
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 2013 (Reporting Year 2012)
Male
Female
NR
NR
Total
NR
NR
NR
NR
NR
NR
Intensive Outpatient/Partial
Hospitalization
Inpatient
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
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Total
Male
Female
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
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
Female
NR
NR
Total
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 91
Use of Services
UCare Minnesota
Mental Health Utilization - % of Members Receiving Inpatient, Day/Night and Ambulatory Services
Data Last Refreshed:
Nov 15, 2013 1:06 PM
Medicare Advantage
Member Months
(Any)
Age
0-12
13-17
18-64
65+
Unknown
Total
Male
0
0
16689
423688
0
440377
Female
0
0
18404
564124
0
582528
Member Months
(Inpatient)
Total
0
0
35093
987812
0
1022905
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
0
0
0
0
0
0
266
471
737
967
2021
2988
0
0
0
1233
2492
3725
HEDIS 2013 (Reporting Year 2012)
Male
0
0
16689
423688
0
440377
Female
0
0
18404
564124
0
582528
Total
0
0
35093
987812
0
1022905
Intensive Outpatient/Partial
Hospitalization
Inpatient
Percent
NA
NA
NA
NA
NA
NA
19.13%
30.71%
25.20%
2.74%
4.30%
3.63%
NA
NA
NA
3.36%
5.13%
4.37%
Number
0
0
0
0
0
0
27
40
67
104
198
302
0
0
0
131
238
369
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Total
Male
Female
0
0
0
0
0
0
16689
18404
35093
423688
564124
987812
0
0
0
440377
582528
1022905
Percent
NA
NA
NA
NA
NA
NA
1.94%
2.61%
2.29%
0.29%
0.42%
0.37%
NA
NA
NA
0.36%
0.49%
0.43%
Number
0
0
0
0
0
0
38
51
89
45
90
135
0
0
0
83
141
224
Percent
NA
NA
NA
NA
NA
NA
2.73%
3.33%
3.04%
0.13%
0.19%
0.16%
NA
NA
NA
0.23%
0.29%
0.26%
Member Months
(Outpatient/ED)
Male
0
0
16689
423688
0
440377
Total
0
0
35093
987812
0
1022905
Female
0
0
18404
564124
0
582528
Outpatient/ED
Number
0
0
0
0
0
0
259
465
724
907
1905
2812
0
0
0
1166
2370
3536
Percent
NA
NA
NA
NA
NA
NA
18.62%
30.32%
24.76%
2.57%
4.05%
3.42%
NA
NA
NA
3.18%
4.88%
4.15%
Page 92
Use of Services
UCare Minnesota
Mental Health Utilization - % of Members Receiving Inpatient, Day/Night and Ambulatory Services
Data Last Refreshed:
Nov 15, 2013 1:06 PM
MSHO
Member Months
(Any)
Age
0-12
13-17
18-64
65+
Unknown
Total
Male
0
0
1
33070
0
33071
Female
0
0
3
77796
0
77799
Member Months
(Inpatient)
Total
0
0
4
110866
0
110870
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
0
0
0
0
0
0
0
1
1
430
926
1356
0
0
0
430
927
1357
HEDIS 2013 (Reporting Year 2012)
Male
0
0
1
33070
0
33071
Female
0
0
3
77796
0
77799
Total
0
0
4
110866
0
110870
Intensive Outpatient/Partial
Hospitalization
Inpatient
Percent
NA
NA
NA
NA
NA
NA
0.00%
400.00%
300.00%
15.60%
14.28%
14.68%
NA
NA
NA
15.60%
14.30%
14.69%
Number
0
0
0
0
0
0
0
0
0
51
152
203
0
0
0
51
152
203
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Total
Male
Female
0
0
0
0
0
0
1
3
4
33070
77796
110866
0
0
0
33071
77799
110870
Percent
NA
NA
NA
NA
NA
NA
0.00%
0.00%
0.00%
1.85%
2.34%
2.20%
NA
NA
NA
1.85%
2.34%
2.20%
Number
0
0
0
0
0
0
0
1
1
27
50
77
0
0
0
27
51
78
Percent
NA
NA
NA
NA
NA
NA
0.00%
400.00%
300.00%
0.98%
0.77%
0.83%
NA
NA
NA
0.98%
0.79%
0.84%
Member Months
(Outpatient/ED)
Male
0
0
1
33070
0
33071
Total
0
0
4
110866
0
110870
Female
0
0
3
77796
0
77799
Outpatient/ED
Number
0
0
0
0
0
0
0
1
1
393
818
1211
0
0
0
393
819
1212
Percent
NA
NA
NA
NA
NA
NA
0.00%
400.00%
300.00%
14.26%
12.62%
13.11%
NA
NA
NA
14.26%
12.63%
13.12%
Page 93
Use of Services
UCare Minnesota
Mental Health Utilization - % of Members Receiving Inpatient, Day/Night and Ambulatory Services
Data Last Refreshed:
Nov 15, 2013 1:06 PM
SNBC
Member Months
(Any)
Age
0-12
13-17
18-64
65+
Unknown
Total
Male
Female
NR
NR
Member Months
(Inpatient)
Total
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 2013 (Reporting Year 2012)
Male
Female
NR
NR
Total
NR
NR
NR
NR
NR
NR
Intensive Outpatient/Partial
Hospitalization
Inpatient
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
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Male
Female
Total
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
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
Female
NR
NR
Total
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 94
Use of Services
UCare Minnesota
Mental Health Utilization - % of Members Receiving Inpatient, Day/Night and Ambulatory Services
Data Last Refreshed:
Nov 15, 2013 1:06 PM
Minnesota Health Care Programs - Managed Care(MHCP-MC)
Member Months
(Inpatient)
Member Months
(Any)
Age
0-12
13-17
18-64
65+
Unknown
Total
Male
440901
110524
382004
320
0
933749
Female
430047
114394
586835
589
0
1131865
Total
870948
224918
968839
909
0
2065614
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
4006
2721
6727
1694
1937
3631
7419
13543
20962
2
10
12
0
0
0
13121
18211
31332
HEDIS 2013 (Reporting Year 2012)
Male
440901
110524
382004
320
0
933749
Female
430047
114394
586835
589
0
1131865
Total
870948
224918
968839
909
0
2065614
Intensive Outpatient/Partial
Hospitalization
Inpatient
Percent
10.90%
7.59%
9.27%
18.39%
20.32%
19.37%
23.31%
27.69%
25.96%
7.50%
20.37%
15.84%
NA
NA
NA
16.86%
19.31%
18.20%
Number
88
54
142
136
232
368
581
684
1265
0
0
0
0
0
0
805
970
1775
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Male
Female
Total
440901
430047
870948
110524
114394
224918
382004
586835
968839
320
589
909
0
0
0
933749
1131865
2065614
Percent
0.24%
0.15%
0.20%
1.48%
2.43%
1.96%
1.83%
1.40%
1.57%
0.00%
0.00%
0.00%
NA
NA
NA
1.03%
1.03%
1.03%
Number
492
274
766
220
315
535
865
1324
2189
0
0
0
0
0
0
1577
1913
3490
Percent
1.34%
0.76%
1.06%
2.39%
3.30%
2.85%
2.72%
2.71%
2.71%
0.00%
0.00%
0.00%
NA
NA
NA
2.03%
2.03%
2.03%
Member Months
(Outpatient/ED)
Male
440901
110524
382004
320
0
933749
Female
430047
114394
586835
589
0
1131865
Total
870948
224918
968839
909
0
2065614
Outpatient/ED
Number
3993
2717
6710
1669
1912
3581
7261
13409
20670
2
10
12
0
0
0
12925
18048
30973
Percent
10.87%
7.58%
9.25%
18.12%
20.06%
19.11%
22.81%
27.42%
25.60%
7.50%
20.37%
15.84%
NA
NA
NA
16.61%
19.13%
17.99%
Page 95
Use of Services
UCare Minnesota
Plan All-Cause Readmissions
Data Last Refreshed:
Nov 15, 2013 1:06 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 2013 (Reporting Year 2012)
Page 96
Use of Services
UCare Minnesota
Plan All-Cause Readmissions
Data Last Refreshed:
Nov 15, 2013 1:06 PM
MSHO
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 2013 (Reporting Year 2012)
Page 97
Use of Services
UCare Minnesota
Plan All-Cause Readmissions
Data Last Refreshed:
Nov 15, 2013 1:06 PM
SNBC
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 2013 (Reporting Year 2012)
Page 98
Health Plan Descriptive Information
UCare Minnesota
Data Last Refreshed:
Nov 15, 2013 1:06 PM
Board Certification
MSHO
MSHO
Type of Physician
Family Medicine
Internal Medicine
Geriatricians
Other practitioner Specialists
HEDIS 2013 (Reporting Year 2012)
SNBC
Number of Physicians in Active Board Certification
Each Practice Area
Percent
Number
NR
NR
NR
NR
Page 99
Health Plan Descriptive Information
UCare Minnesota
Data Last Refreshed:
Nov 15, 2013 1:06 PM
Board Certification
MSHO
SNBC
Type of Physician
Family Medicine
Internal Medicine
Geriatricians
Other practitioner Specialists
HEDIS 2013 (Reporting Year 2012)
SNBC
Number of Physicians in Active Board Certification
Each Practice Area
Percent
Number
NR
NR
NR
NR
Page 100
Health Plan Descriptive Information
UCare Minnesota
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Nov 15, 2013 1:06 PM
Commercial
Male
<1
1-4
5-9
10-14
15-17
18-19
0-19 Subtotal
0-19 Subtotal: %
20-24
25-29
30-34
35-39
40-44
20-44 Subtotal
20-44 Subtotal: %
45-49
50-54
55-59
60-64
45-64 Subtotal
45-64 Subtotal: %
65-69
70-74
75-79
80-84
85-89
>=90
>=65 Subtotal
>=65 Subtotal: %
Age Unknown
Total
Member Months
Female
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
HEDIS 2013 (Reporting Year 2012)
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
Page 101
Health Plan Descriptive Information
UCare Minnesota
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Nov 15, 2013 1:06 PM
Medicare Advantage
<1
1-4
5-9
10-14
15-17
18-19
0-19 Subtotal
0-19 Subtotal: %
20-24
25-29
30-34
35-39
40-44
20-44 Subtotal
20-44 Subtotal: %
45-49
50-54
55-59
60-64
45-64 Subtotal
45-64 Subtotal: %
65-69
70-74
75-79
80-84
85-89
>=90
>=65 Subtotal
>=65 Subtotal: %
Age Unknown
Total
Male
0
0
0
0
0
0
Member Months
Female
0
0
0
0
0
0
0
0.00%
18
46
113
203
376
0
0.00%
11
4
104
171
383
756
0.17%
955
2319
4528
8131
673
0.12%
955
2176
4673
9927
15933
3.62%
133531
121724
81020
49269
27171
10973
17731
3.04%
177197
144363
97338
69433
46444
29349
423688
96.21%
0
440377
564124
96.84%
0
582528
HEDIS 2013 (Reporting Year 2012)
Total
0
0
0
0
0
0
0
0.00%
29
50
217
374
759
1429
0.14%
1910
4495
9201
18058
33664
3.29%
310728
266087
178358
118702
73615
40322
987812
96.57%
0
1022905
Page 102
Health Plan Descriptive Information
UCare Minnesota
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Nov 15, 2013 1:06 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
0
0.00%
0
0
0
0
0
0
0.00%
0
0
0
0
0
0
0.00%
0
0
0
1
0
0.00%
0
0
0
3
1
0.00%
7980
7563
6682
5270
3295
2280
3
0.00%
13584
14112
13332
12621
11359
12788
33070
100.00%
0
33071
77796
100.00%
0
77799
HEDIS 2013 (Reporting Year 2012)
Total
0
0
0
0
0
0
0
0.00%
0
0
0
0
0
0
0.00%
0
0
0
4
4
0.00%
21564
21675
20014
17891
14654
15068
110866
100.00%
0
110870
Page 103
Health Plan Descriptive Information
UCare Minnesota
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Nov 15, 2013 1:06 PM
SNBC
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
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
HEDIS 2013 (Reporting Year 2012)
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
Page 104
Health Plan Descriptive Information
UCare Minnesota
Enrollment by Product Line (Age & Sex)
Minnesota Health Care Programs - Managed Care (MHCP-MC)
Member Months
Male
Female
52792
50927
<1
151990
147878
1-4
157213
153870
5-9
124885
124521
10-14
64545
67245
15-17
34694
40089
18-19
0-19 Subtotal
586119
584530
0-19 Subtotal: %
62.77%
51.64%
51382
100938
20-24
48649
105775
25-29
49026
88423
30-34
37974
63325
35-39
40491
53629
40-44
20-44 Subtotal
227522
412090
20-44 Subtotal: %
24.37%
36.41%
39803
45211
45-49
37222
39883
50-54
26028
27566
55-59
16735
21996
60-64
45-64 Subtotal
119788
134656
45-64 Subtotal: %
12.83%
11.90%
204
335
65-69
59
127
70-74
38
85
75-79
4
29
80-84
15
10
85-89
0
3
>=90
>=65 Subtotal
320
589
>=65 Subtotal: %
0.03%
0.05%
0
0
Age Unknown
Total
933749
1131865
HEDIS 2013 (Reporting Year 2012)
Data Last Refreshed:
Nov 15, 2013 1:06 PM
Total
103719
299868
311083
249406
131790
74783
1170649
56.67%
152320
154424
137449
101299
94120
639612
30.96%
85014
77105
53594
38731
254444
12.32%
539
186
123
33
25
3
909
0.04%
0
2065614
Page 105