UCare Minnesota
General Info
Disclaimers
HEDIS 2011 (Reporting Year 2010)
Data Last Refreshed: 10/24/2011
Page
2
Effectiveness of Care Measures
Code
Code
Effectiveness of Care Measures
Prevention and Screening
Medication Management
Page
ABA
Adult BMI Assessment
3
WCC
Weight Assessment and Counseling for Nutrition and Physical Activity for
Children/Adolescents
4
26 MPM
Annual Monitoring for Patients on Persistent Medications
48
27 MRP
Medication Reconciliation Post Discharge
53
Potentially Harmful Drug-Disease Interactions in the Elderly
54
Use of High Risk Medications in the Elderly
56
28
DDE
CIS
Childhood Immunization Status
6
IMA
Immunizations for Adolescents
10
BCS
Breast Cancer Screening
12
0 Code
CCS
Cervical Cancer Screening
13
COL
Colorectal Cancer Screening
14
30 AAP
31 CAP
29 DAE
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
ASM
Use of Appropriate Medications for People with Asthma
24
Page
IET
Access / Availability of Care Measures
Page
Adult's Access to Preventive/Ambulatory Health Services
58
Children's and Adolescents' Access to Primary Care Practitioners
63
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
72
35 W34
Well Child Visits in the 3rd, 4th, 5th and 6th Years of Life
74
Adolescent Well-Care Visits
75
Ambulatory Care
76
36
AWC
37 AMB
38
IPU
Inpatient Utilization - General Hospital/Acute Care
81
CMC
Cholesterol Management for Patients with Cardiovascular Conditions
26
39
IAD
Identification of Alcohol and Other Drug Services
86
CBP
Controlling High Blood Pressure
29
40 MPT
Mental Health Utilization - % of Members Receiving Inpatient, Day/Night and Ambulatory Services
91
PBH
Persistence of Beta Blocker Treatment After Heart Attack
30
41
31
41 BCR
Board Certification
96
42 ENP
Enrollment by Product Line (Age & Sex)
98
Cardiovascular
Diabetes
CDC
Comprehensive Diabetes Care
0 Code
Musculoskeletal
ART
OMW
Disease Modifying Anti-Rheumatic Drug Therapy in Rheumatoid Arthritis
36
Osteoporosis Management in Women Who had a Fracture
37
Behavioral Health
AMM
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
43
Health Plan Descriptive Information Measures
Page
DISCLAIMERS
-1
( this page left blank intentionally )
0. Disclaimer Query located below
HEDIS 2011 (Reporting Year 2010)
Page 2
Effectiveness of Care
UCare Minnesota
Adult BMI Assessment
Data Elements
Data Last Refreshed:
Oct 24, 2011 9:03 AM
Commercial
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data on Eligible
Population (before exclusions)
Medicare
Advantage
2010
H
25925
MHCP-MC
2010
H
10871
544
408
2.10%
411
5.00%
432
14
3.24%
3.75%
411
5.00%
432
17
3.94%
Number of Records Excluded Because of Valid
Data Errors
0
1
Number of administrative data records excluded
51
1687
Number of medical record data records excluded
0
0
Number of employee/dependent medical records
excluded
0
0
0
411
13
309
78.35%
74.24%
82.45%
1
411
17
253
65.69%
60.98%
70.40%
Current Year's Admin Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin Rate on FSS
Records Added from the Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2011 (Reporting Year 2010)
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:
Oct 24, 2011 9:03 AM
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
Total
Counseling for Physical Activity
General
Ages 12Measure Ages 3-11
Total
17
Data
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
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
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 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 2011 (Reporting Year 2010)
Page 4
Effectiveness of Care
UCare Minnesota
Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents
Data Last Refreshed:
Oct 24, 2011 9:03 AM
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
2010
H
General
Measure
Data
Ages 3-11 Ages 12-17
Total
2010
H
Counseling for Physical Activity
General
Ages 12Measure Ages 3-11
Total
17
Data
2010
H
14172
7204
21376
14172
7204
21376
14172
7204
21376
224
1.58%
119
1.65%
343
1.60%
201
1.42%
130
1.80%
331
1.55%
2
0.01%
7
0.10%
9
0.04%
0
0.00%
0
0.00%
0
0.00%
411
5.00%
411
5.00%
432
411
5.00%
432
3
0.69%
2
0.46%
5
1.16%
432
0
0.00%
2
0.46%
2
0.46%
0
0
0
Number of administrative data records
excluded
102
102
102
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
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2011 (Reporting Year 2010)
279
132
411
279
132
411
279
132
411
3
131
48.03%
41.99%
54.07%
0
66
50.00%
41.09%
58.91%
3
197
48.66%
43.71%
53.62%
0
153
54.84%
48.82%
60.86%
1
64
49.24%
40.33%
58.15%
1
217
53.04%
48.09%
57.99%
0
120
43.01%
37.02%
49.00%
0
65
49.24%
40.33%
58.15%
0
185
45.01%
40.08%
49.94%
Page 5
Effectiveness of Care
UCare Minnesota
Childhood Immunization Status
Data Last Refreshed:
Oct 24, 2011 9:03 AM
Commercial
Data Elements
General
Measure
Data
Pneumococcal
Hepatitis A Rotavirus
Conjugate
DTaP
IPV
MMR
HiB
Hepatitis B
VZV
Influenza
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
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 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 2011 (Reporting Year 2010)
Page 6
Effectiveness of Care
UCare Minnesota
Childhood Immunization Status
Data Last Refreshed:
Oct 24, 2011 9:03 AM
Commercial
Data Elements
General
Measure
Data
DTaP
Combo 2
Combo 3
Combo 4
Combo 5
Combo 6
Combo 7
Combo 8
Combo 9
Combo10
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
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 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 2011 (Reporting Year 2010)
Page 7
Effectiveness of Care
UCare Minnesota
Childhood Immunization Status
Data Last Refreshed:
Oct 24, 2011 9:03 AM
Minnesota Health Care Programs - Managed Care (MHCP-MC)
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
General
Measure
Data
Number of administrative data records
excluded
0
Number of medical data records excluded
0
Number of employee/dependent records
excluded
0
Records Added from the Oversample List
0
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2011 (Reporting Year 2010)
HiB
Hepatitis B
VZV
Influenza
1791
74.16%
2053
85.01%
2080
86.13%
1965
81.37%
1583
65.55%
2156
89.28%
1810
74.95%
607
25.13%
1404
58.14%
1218
50.43%
334
77.31%
377
87.27%
385
89.12%
361
83.56%
289
66.90%
397
91.90%
331
76.62%
118
27.31%
269
62.27%
228
52.78%
321
24
83.94%
80.27%
87.61%
363
21
93.43%
90.91%
95.95%
370
6
91.48%
88.66%
94.30%
346
28
91.00%
88.11%
93.89%
280
79
87.35%
84.01%
90.68%
378
2
92.46%
89.78%
95.13%
318
27
83.94%
80.27%
87.61%
115
12
30.90%
26.31%
35.49%
259
22
68.37%
63.75%
72.99%
219
26
59.61%
54.75%
64.48%
432
0
Numerator Events by administrative Data
MMR
411
0.05
Number of Records Excluded Because of
Valid Data Errors
Denominator
IPV
2010
H
2415
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
Pneumococcal
Hepatitis A Rotavirus
Conjugate
DTaP
411
Page 8
Effectiveness of Care
UCare Minnesota
Childhood Immunization Status
Data Last Refreshed:
Oct 24, 2011 9:03 AM
Minnesota Health Care Programs - Managed Care (MHCP-MC)
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
General
Measure
Data
Number of administrative data records
excluded
0
Number of medical data records excluded
0
Number of employee/dependent records
excluded
0
Records Added from the Oversample List
0
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2011 (Reporting Year 2010)
Combo 4
Combo 5
Combo 6
Combo 7
Combo 8
Combo 9
Combo10
1791
74.16%
1190
49.28%
1130
46.79%
360
14.91%
842
34.87%
702
29.07%
298
12.34%
245
10.14%
555
22.98%
212
8.78%
334
77.31%
227
52.55%
213
49.31%
71
16.44%
163
37.73%
136
31.48%
57
13.19%
51
11.81%
108
25.00%
46
10.65%
321
24
83.94%
80.27%
87.61%
220
70
70.56%
66.03%
75.09%
207
71
67.64%
63.00%
72.28%
69
39
26.28%
21.90%
30.65%
159
58
52.80%
47.85%
57.75%
134
63
47.93%
42.98%
52.88%
56
28
20.44%
16.42%
24.46%
49
28
18.73%
14.84%
22.63%
107
57
39.90%
35.05%
44.76%
45
22
16.30%
12.61%
19.99%
432
0
Numerator Events by administrative Data
Combo 3
411
0.05
Number of Records Excluded Because of
Valid Data Errors
Denominator
Combo 2
2010
H
2415
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
DTaP
411
Page 9
Effectiveness of Care
UCare Minnesota
Immunizations for Adolescents
Data Last Refreshed:
Oct 24, 2011 9:03 AM
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 2011 (Reporting Year 2010)
Page 10
Effectiveness of Care
UCare Minnesota
Immunizations for Adolescents
Data Last Refreshed:
Oct 24, 2011 9:03 AM
Minnesota Health Care Programs - Managed Care (MHCP-MC)
General
Data Elements
Measure Data
2010
Measurement Year
H
Data Collection Methodology
1507
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
0
Number of administrative data records excluded
0
Number of medical data records excluded
0
Number of employee/dependent medical records
excluded
0
HEDIS 2011 (Reporting Year 2010)
Tdap
Combo 1
709
950
602
47.05%
63.04%
39.95%
211
48.84%
289
66.90%
179
41.44%
201
28
55.72%
50.79%
60.64%
276
50
79.32%
75.28%
83.36%
172
38
51.09%
46.14%
56.05%
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 2011 (Reporting Year 2010)
Data Last Refreshed:
Oct 24, 2011 9:03 AM
Commercial
NR
NR
NR
Medicare
Advantage
MSHO
SNBC
MHCP-MC
2010
A
7171
5573
77.72%
76.75%
78.69%
2010
A
547
273
49.91%
45.63%
54.19%
2010
A
170
97
57.06%
49.32%
64.79%
2010
A
2775
1573
56.68%
54.82%
58.55%
Page 12
Effectiveness of Care
UCare Minnesota
Cervical Cancer Screening
Data Elements
Data Last Refreshed:
Oct 24, 2011 9:03 AM
Commercial
MHCP-MC
Measurement Year
Data Collection Methodology
Eligible Member Population
2010
H
12288
Numerator Events by Admin Data on Eligible
Population (before exclusions)
8159
Current Year's Admin Rate
NR
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin Rate on FSS
NR
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 2011 (Reporting Year 2010)
66.40%
411
5.00%
432
300
69.44%
0
99
5
0
NR
5
411
290
22
75.91%
NR
NR
71.66%
80.17%
Page 13
Effectiveness of Care
UCare Minnesota
Colorectal Cancer Screening
Data Last Refreshed:
Oct 24, 2011 9:03 AM
Data Elements
Commercial
Measurement Year
Data collection methodology (administrative or hybrid)
Eligible population
Number of numerator events by administrative data in eligible population
(before exclusions)
Current year's administrative rate (before exclusions)
Minimum required sample size (MRSS) or other sample size
Oversampling rate
Final sample size (FSS)
Number of numerator events by administrative data in FSS
Administrative rate on FSS
Number of original sample records excluded because of valid data errors
Number of administrative data records excluded
Number of medical record data records excluded
Number of employee/dependent medical records excluded
Records added from the oversample list
Denominator
Numerator events by administrative data
Numerator events by medical records
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
HEDIS 2011 (Reporting Year 2010)
NR
NR
NR
NR
NR
Medicare
Advantage
2010
H
28801
MSHO
SNBC
2010
H
2436
2010
H
186
12623
969
74
43.83%
411
0.05
432
209
48.38%
0
87
0
0
0
411
204
94
72.51%
68.07%
76.94%
39.78%
411
5.00%
432
162
37.50%
0
5
0
0
0
411
153
36
45.99%
41.05%
50.93%
39.78%
186
0.00%
186
74
39.78%
0
0
0
0
0
186
74
10
45.16%
37.74%
52.58%
Page 14
Effectiveness of Care
UCare Minnesota
Chlamydia Screening in Women
Data Last Refreshed:
Oct 24, 2011 9:03 AM
Commercial
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2011 (Reporting Year 2010)
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:
Oct 24, 2011 9:03 AM
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 2011 (Reporting Year 2010)
General
Measure Data
Ages 16-20
Ages 21-24
Total
1588
925
58.25%
55.79%
60.71%
1529
958
62.66%
60.20%
65.11%
3117
1883
60.41%
58.68%
62.14%
2010
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 2011 (Reporting Year 2010)
Data Last Refreshed:
Oct 24, 2011 9:03 AM
Medicare
Advantage
MSHO
2010
A
49704
38656
77.77%
77.41%
78.14%
2010
A
6177
4534
73.40%
72.29%
74.51%
Page 17
Effectiveness of Care
UCare Minnesota
Data Last Refreshed:
Oct 24, 2011 9:03 AM
Lead Screening in Children
Data Elements
Commercial
Measurement Year
Data Collection Methodology
Eligible Member Population
MHCP-MC
2010
A
2415
Numerator Events by Admin Data on
Eligible Population (before exclusions)
Current Year's Admin Rate
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
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
2112
Reported Rate
NR
87.45%
Lower 95% Confidence Interval
NR
86.11%
Upper 95% Confidence Interval
NR
88.80%
HEDIS 2011 (Reporting Year 2010)
Page 18
Effectiveness of Care
UCare Minnesota
Data Last Refreshed:
Oct 24, 2011 9:03 AM
Care for Older Adults
MSHO
Medication Review
Functional
Status
Assessment
Pain
Screening
NR
NR
NR
NR
NR
NR
NR
NR
Reported Rate
NR
NR
NR
NR
Lower 95% Confidence Interval
NR
NR
NR
NR
Upper 95% Confidence Interval
NR
NR
NR
NR
Advance Care
Planning
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
Data Elements
General Measure
Data
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 employee/dependent medical
records excluded
Records Added from the Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
HEDIS 2011 (Reporting Year 2010)
Page 19
Effectiveness of Care
UCare Minnesota
Pharmacotherapy Management of COPD Exacerbation
Data Last Refreshed:
Oct 24, 2011 9:03 AM
Medicare Advantage
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2011 (Reporting Year 2010)
General
Measure Data
Systemic
corticosteroid
Bronchodilator
153
65.67%
59.35%
71.98%
199
85.41%
80.66%
90.16%
2010
A
233
Page 20
Effectiveness of Care
UCare Minnesota
Pharmacotherapy Management of COPD Exacerbation
Data Last Refreshed:
Oct 24, 2011 9:03 AM
MSHO
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2011 (Reporting Year 2010)
General
Measure Data
Systemic
corticosteroid
Bronchodilator
66
64.71%
54.94%
74.47%
92
90.20%
83.93%
96.46%
2010
A
102
Page 21
Effectiveness of Care
UCare Minnesota
Pharmacotherapy Management of COPD Exacerbation
Data Last Refreshed:
Oct 24, 2011 9:03 AM
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 2011 (Reporting Year 2010)
General
Measure Data
Systemic
corticosteroid
Bronchodilator
2
NA
NA
NA
4
NA
NA
NA
2010
A
6
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 2011 (Reporting Year 2010)
Data Last Refreshed:
Oct 24, 2011 9:03 AM
Medicare
Advantage
MSHO
SNBC
2010
A
925
363
39.24%
36.04%
42.44%
2010
A
222
63
28.38%
22.22%
34.53%
2010
A
1
0
NA
NA
NA
Page 23
Effectiveness of Care
UCare Minnesota
Use of Appropriate Medications for People with Asthma
Data Last Refreshed:
Oct 24, 2011 9:03 AM
Commercial
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2011 (Reporting Year 2010)
General
Measure Data
Ages 5-11
NR
NR
NR
Ages 12-50
Total
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:
Oct 24, 2011 9:03 AM
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 2011 (Reporting Year 2010)
General
Measure Data
Ages 5-11
Ages 12-50
Total
271
261
96.31%
93.88%
98.74%
546
467
85.53%
82.49%
88.57%
817
728
89.11%
86.91%
91.30%
2010
A
Page 25
Effectiveness of Care
UCare Minnesota
Cholesterol Management for Patients with Cardiovascular Conditions
Data Last Refreshed:
Oct 24, 2011 9:03 AM
Commercial
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data on Eligible Population
Current Year's Admin Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin rate on FSS
Records Excluded because of Valid Data Errors
Number of employee/dependent medical records excluded
Records Added from the Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2011 (Reporting Year 2010)
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:
Oct 24, 2011 9:03 AM
Medicare Advantage
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data on Eligible Population
Current Year's Admin Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin rate on FSS
Records Excluded because of Valid Data Errors
Number of employee/dependent medical records excluded
Records Added from the Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2011 (Reporting Year 2010)
General
Measure
Data
LDL-C
screening
LDL-C Level of
<100 mg/dL
2321
9
88.79%
0.34%
384
1
88.89%
0.23%
364
7
1
255
90.27%
87.28%
93.25%
62.29%
57.48%
67.09%
2010
H
2614
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:
Oct 24, 2011 9:03 AM
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 2011 (Reporting Year 2010)
General
Measure
Data
LDL-C
screening
LDL-C Level of
<100 mg/dL
109
0
83.21%
0.00%
109
0
83.21%
0.00%
109
7
0
69
88.55%
82.72%
94.38%
52.67%
43.74%
61.60%
2010
H
131
131
0.00%
131
0
0
0
131
Page 28
Effectiveness of Care
UCare Minnesota
Controlling High Blood Pressure
Data Last Refreshed:
Oct 24, 2011 9:03 AM
Medicare
Advantage
MSHO
SNBC
MHCP-MC
Measurement Year
Data Collection Methodology (Hybrid)
Eligible Member Population
2010
H
23105
2010
H
2329
2010
H
183
2010
H
2040
Numerator Events by Admin Data on
Eligible Population (before exclusions)
0
0
0
0
0.00%
411
10.00%
453
0.00%
411
10.00%
453
0.00%
163
0.00%
163
0.00%
411
15.00%
473
0
0.00%
0
0.00%
0
0.00%
0
0.00%
Records Excluded because of Valid Data
Errors
5
2
3
5
Number of records excluded because of
false positive diagnoses
0
0
0
0
Number of administrative data records
excluded
1254
302
19
77
Number of medical record data records
excluded
0
0
0
0
Number of employee/dependent medical
records excluded
0
0
0
0
5
411
0
279
67.88%
63.25%
72.52%
2
411
0
283
68.86%
64.26%
73.46%
0
160
0
119
74.38%
67.30%
81.45%
5
411
0
279
67.88%
63.25%
72.52%
Data Elements
Current Year's Admin Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin rate on FSS
Records 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 2011 (Reporting Year 2010)
Commercial
NR
NR
NR
NR
NR
Page 29
Effectiveness of Care
UCare Minnesota
Persistence of Beta Blocker Treatment After Heart Attack
Data Elements
Commercial
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 2011 (Reporting Year 2010)
NR
NR
NR
Data Last Refreshed:
Oct 24, 2011 9:03 AM
Medicare
Advantage
MSHO
SNBC
MHCP-MC
2010
A
291
2010
A
46
2010
A
1
2010
A
27
242
39
1
22
83.16%
78.69%
87.63%
84.78%
73.32%
96.25%
NA
NA
NA
NA
NA
NA
Page 30
Effectiveness of Care
UCare Minnesota
Comprehensive Diabetes Care
Data Last Refreshed:
Oct 24, 2011 9:03 AM
Commercial
Data Elements
HbA1c
Testing
Poor HbA1c
Control
(>9.0%)
Good HbA1c
Control
(<7.0%)
Adequate
HbA1c
Control
(<8.0%)
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Blood
Monitoring
Pressure
for Diabetic
<140/90 mm
Nephropathy
Hg
Blood
Pressure
<130/80
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 2011 (Reporting Year 2010)
Page 31
Effectiveness of Care
UCare Minnesota
Comprehensive Diabetes Care
Data Last Refreshed:
Oct 24, 2011 9:03 AM
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
2010
H
7566
2010
H
7566
7076
93.52%
411
5%
432
396
91.67%
7476
98.81%
411
5%
432
428
99.07%
Good HbA1c
Control
(<7.0%)
NR
NR
Adequate
HbA1c
Control
(<8.0%)
Eye Exam
LDL-C
Screening
LDL-C Level
<100 mg/dL
2010
H
7566
2010
H
7566
2010
H
7566
2010
H
7566
2010
H
7566
2010
H
7566
2010
H
7566
66
0.87%
411
5%
432
4
0.93%
5161
68.21%
411
5%
432
290
67.13%
6787
89.70%
411
5%
432
370
85.65%
83
1.10%
411
5%
432
4
0.93%
6691
88.44%
411
5%
432
383
88.66%
108
1.43%
411
5%
432
6
1.39%
99
1.31%
411
5%
432
6
1.39%
Blood
Monitoring
Pressure
for Diabetic
<140/90 mm
Nephropathy
Hg
Blood
Pressure
<130/80
mm Hg
0
0
0
0
0
0
0
0
0
Number of administrative data records
excluded
2
2
2
2
2
2
2
2
2
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
375
5
92.46%
89.78%
95.13%
0
411
78
0
18.98%
15.07%
22.89%
0
411
0
305
74.21%
69.86%
78.56%
0
411
148
156
73.97%
69.60%
78.33%
0
411
351
7
87.10%
83.74%
90.47%
0
411
1
250
61.07%
56.23%
65.91%
0
411
130
246
91.48%
88.66%
94.30%
0
411
5
306
75.67%
71.40%
79.94%
0
411
5
267
66.18%
61.48%
70.88%
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 2011 (Reporting Year 2010)
NR
NR
NR
Page 32
Effectiveness of Care
UCare Minnesota
Comprehensive Diabetes Care
Data Last Refreshed:
Oct 24, 2011 9:03 AM
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
2010
H
1092
2010
H
1092
979
89.65%
411
5%
432
391
90.51%
1076
98.53%
411
5%
432
423
97.92%
Good HbA1c
Control
(<7.0%)
NR
NR
Adequate
HbA1c
Control
(<8.0%)
Eye Exam
LDL-C
Screening
LDL-C Level
<100 mg/dL
2010
H
1092
2010
H
1092
2010
H
1092
2010
H
1092
2010
H
1092
2010
H
1092
2010
H
1092
11
1.01%
411
5%
432
6
1.39%
737
67.49%
411
5%
432
294
68.06%
896
82.05%
411
5%
432
356
82.41%
18
1.65%
411
5%
432
12
2.78%
951
87.09%
411
5%
432
386
89.35%
19
1.74%
411
5%
432
9
2.08%
17
1.56%
411
5%
432
7
1.62%
Blood
Monitoring
Pressure
for Diabetic
<140/90 mm
Nephropathy
Hg
Blood
Pressure
<130/80
mm Hg
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
1
1
1
1
1
1
1
1
1
Number of employee/dependent medical
records excluded
0
0
0
0
0
0
0
0
0
1
411
374
12
93.92%
91.48%
96.35%
1
411
96
0
23.36%
19.15%
27.57%
1
411
3
284
69.83%
65.27%
74.39%
1
411
161
144
74.21%
69.86%
78.56%
1
411
342
8
85.16%
81.60%
88.72%
1
411
4
231
57.18%
52.27%
62.08%
1
411
146
225
90.27%
87.28%
93.25%
1
411
0
311
75.67%
71.40%
79.94%
1
411
0
279
67.88%
63.25%
72.52%
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 2011 (Reporting Year 2010)
NR
NR
NR
Page 33
Effectiveness of Care
UCare Minnesota
Comprehensive Diabetes Care
Data Last Refreshed:
Oct 24, 2011 9:03 AM
SNBC
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
2010
H
188
2010
H
188
163
86.70%
186
0%
186
163
87.63%
178
94.68%
186
0%
186
178
95.70%
Good HbA1c
Control
(<7.0%)
NR
NR
Adequate
HbA1c
Control
(<8.0%)
Blood
Monitoring
Pressure
for Diabetic
<140/90 mm
Nephropathy
Hg
Blood
Pressure
<130/80
mm Hg
Eye Exam
LDL-C
Screening
LDL-C Level
<100 mg/dL
2010
H
188
2010
H
188
2010
H
188
2010
H
188
2010
H
188
2010
H
188
2010
H
188
5
2.66%
186
0%
186
5
2.69%
120
63.83%
186
0%
186
120
64.52%
155
82.45%
186
0%
186
155
83.33%
8
4.26%
186
0%
186
8
4.30%
151
80.32%
186
0%
186
151
81.18%
11
5.85%
186
0%
186
11
5.91%
11
5.85%
186
0%
186
11
5.91%
0
0
0
0
0
0
0
0
0
Number of administrative data records
excluded
2
2
2
2
2
2
2
2
2
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
186
163
7
91.40%
87.10%
95.70%
0
186
51
0
27.42%
20.74%
34.10%
0
186
1
111
60.22%
52.91%
67.52%
0
186
74
59
71.51%
64.75%
78.26%
0
186
155
4
85.48%
80.15%
90.82%
0
186
6
87
50.00%
42.55%
57.45%
0
186
56
104
86.02%
80.77%
91.27%
0
186
0
147
79.03%
72.91%
85.15%
0
186
11
109
64.52%
57.37%
71.66%
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 2011 (Reporting Year 2010)
NR
NR
NR
Page 34
Effectiveness of Care
UCare Minnesota
Comprehensive Diabetes Care
Data Last Refreshed:
Oct 24, 2011 9:03 AM
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%)
Eye Exam
LDL-C
Screening
LDL-C Level
<100 mg/dL
2010
H
1644
2010
H
1644
2010
H
1644
2010
H
1644
2010
H
1644
2010
H
1644
2010
H
1644
2010
H
1644
2010
H
1644
2010
H
1644
1416
86.13%
548
5%
576
505
87.67%
1595
97.02%
548
5%
576
572
99.31%
5
0.30%
548
5%
576
3
0.52%
5
0.30%
548
5%
576
3
0.52%
891
54.20%
548
5%
576
327
56.77%
1268
77.13%
548
5%
576
459
79.69%
5
0.30%
548
5%
576
1
0.17%
1278
77.74%
548
5%
576
455
78.99%
7
0.43%
548
5%
576
1
0.17%
6
0.36%
548
5%
576
1
0.17%
0
0
0
0
0
0
0
0
0
0
41
41
41
41
41
41
41
41
41
41
2
2
2
2
2
2
2
2
2
2
0
0
0
0
0
0
0
0
0
0
2
548
1
323
59.12%
54.92%
63.33%
2
548
195
155
63.87%
59.76%
67.98%
2
548
438
13
82.30%
79.01%
85.59%
2
548
0
265
48.36%
44.08%
52.63%
2
548
192
257
81.93%
78.62%
85.25%
2
548
0
427
77.92%
74.36%
81.48%
2
548
0
336
61.31%
57.14%
65.48%
Number of Administrative required exclusions
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2011 (Reporting Year 2010)
Blood
Pressure
<130/80
mm Hg
196
Number of Hybrid required exclusions
Additional Records Added from the
Oversample List
Blood
Monitoring
Pressure
for Diabetic
<140/90 mm
Nephropathy
Hg
32
2
548
482
19
91.42%
88.99%
93.86%
2
548
156
0
28.47%
24.60%
32.34%
2
466
1
179
38.63%
34.10%
43.15%
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 2011 (Reporting Year 2010)
Data Last Refreshed:
Oct 24, 2011 9:03 AM
Medicare
Advantage
2010
A
732
637
87.02%
84.52%
89.52%
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 2011 (Reporting Year 2010)
Data Last Refreshed:
Oct 24, 2011 9:03 AM
Medicare
Advantage
MSHO
2010
A
922
180
19.52%
16.91%
22.14%
2010
A
292
26
8.90%
5.47%
12.34%
Page 37
Effectiveness of Care
UCare Minnesota
Antidepressant Medication Management
Data Last Refreshed:
Oct 24, 2011 9:03 AM
Commercial
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2011 (Reporting Year 2010)
General
Measure Data
Effective
Acute Phase
Treatment
Effective
Continuation
Phase
Treatment
NR
NR
NR
NR
NR
NR
Page 38
Effectiveness of Care
UCare Minnesota
Antidepressant Medication Management
Data Last Refreshed:
Oct 24, 2011 9:03 AM
Medicare Advantage
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2011 (Reporting Year 2010)
General
Measure Data
Effective
Acute Phase
Treatment
Effective
Continuation
Phase
Treatment
559
76.58%
73.43%
79.72%
472
64.66%
61.12%
68.19%
2010
A
730
Page 39
Effectiveness of Care
UCare Minnesota
Antidepressant Medication Management
Data Last Refreshed:
Oct 24, 2011 9:03 AM
MSHO
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2011 (Reporting Year 2010)
General
Measure Data
Effective
Acute Phase
Treatment
Effective
Continuation
Phase
Treatment
82
68.91%
60.17%
77.64%
65
54.62%
45.26%
63.99%
2010
A
119
Page 40
Effectiveness of Care
UCare Minnesota
Antidepressant Medication Management
Data Last Refreshed:
Oct 24, 2011 9:03 AM
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 2011 (Reporting Year 2010)
General
Measure Data
Effective
Acute Phase
Treatment
Effective
Continuation
Phase
Treatment
2
NA
NA
NA
1
NA
NA
NA
2010
A
6
Page 41
Effectiveness of Care
UCare Minnesota
Antidepressant Medication Management
Data Last Refreshed:
Oct 24, 2011 9:03 AM
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 2011 (Reporting Year 2010)
General
Measure Data
Effective
Acute Phase
Treatment
Effective
Continuation
Phase
Treatment
392
51.11%
47.51%
54.71%
285
37.16%
33.67%
40.64%
2010
A
767
Page 42
Effectiveness of Care
UCare Minnesota
Follow-Up Care for Children Prescribed
Attention-Deficit/Hyperactivity Disorder (ADHD) Medication
Data Last Refreshed:
Oct 24, 2011 9:03 AM
Commercial
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2011 (Reporting Year 2010)
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:
Oct 24, 2011 9:03 AM
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 2011 (Reporting Year 2010)
General
Measure
Data
Initiation
Phase
Continuation
and
Maintenance
Phase
375
127
33.87%
28.94%
38.79%
105
41
39.05%
29.24%
48.86%
2010
A
Page 44
Effectiveness of Care
UCare Minnesota
Follow-up After Hospitalization for Mental Illness
Data Last Refreshed:
Oct 24, 2011 9:03 AM
Medicare Advantage
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2011 (Reporting Year 2010)
General
Measure
Data
30 Days
7 Days
86
66.67%
58.14%
75.19%
72
55.81%
46.86%
64.77%
2010
A
129
Page 45
Effectiveness of Care
UCare Minnesota
Follow-up After Hospitalization for Mental Illness
Data Last Refreshed:
Oct 24, 2011 9:03 AM
MSHO
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2011 (Reporting Year 2010)
General
Measure
Data
30 Days
7 Days
21
56.76%
39.44%
74.07%
15
40.54%
23.37%
57.71%
2010
A
37
Page 46
Effectiveness of Care
UCare Minnesota
Follow-up After Hospitalization for Mental Illness
Data Last Refreshed:
Oct 24, 2011 9:03 AM
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 2011 (Reporting Year 2010)
General
Measure
Data
30 Days
7 Days
18
NA
NA
NA
13
NA
NA
NA
2010
A
24
Page 47
Effectiveness of Care
UCare Minnesota
Annual Monitoring for Patients on Persistent Medications
Data Last Refreshed:
Oct 24, 2011 9:03 AM
Commercial
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2011 (Reporting Year 2010)
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:
Oct 24, 2011 9:03 AM
Medicare Advantage
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2011 (Reporting Year 2010)
General
Measure
Data
Annual Monitoring for Members on
ACE Inhibitors
or ARBs
Digoxin
Diuretics
Anticonvulsants
Total
22338
20207
90.46%
90.07%
90.85%
1149
1052
91.56%
89.91%
93.21%
21110
19220
91.05%
90.66%
91.43%
649
471
72.57%
69.06%
76.08%
45246
40950
90.51%
90.23%
90.78%
2010
A
Page 49
Effectiveness of Care
UCare Minnesota
Annual Monitoring for Patients on Persistent Medications
Data Last Refreshed:
Oct 24, 2011 9:03 AM
MSHO
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2011 (Reporting Year 2010)
General
Measure
Data
Annual Monitoring for Members on
ACE Inhibitors
or ARBs
Digoxin
Diuretics
Anticonvulsants
Total
2914
2714
93.14%
92.20%
94.07%
289
273
94.46%
91.65%
97.27%
2926
2741
93.68%
92.78%
94.58%
351
299
85.19%
81.33%
89.04%
6480
6027
93.01%
92.38%
93.64%
2010
A
Page 50
Effectiveness of Care
UCare Minnesota
Annual Monitoring for Patients on Persistent Medications
Data Last Refreshed:
Oct 24, 2011 9:03 AM
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 2011 (Reporting Year 2010)
General
Measure
Data
Annual Monitoring for Members on
ACE Inhibitors
or ARBs
Digoxin
Diuretics
Anticonvulsants
Total
101
95
94.06%
88.95%
99.16%
1
1
NA
NA
NA
73
68
93.15%
86.67%
99.63%
38
32
84.21%
71.30%
97.12%
213
196
92.02%
88.14%
95.89%
2010
A
Page 51
Effectiveness of Care
UCare Minnesota
Annual Monitoring for Patients on Persistent Medications
Data Last Refreshed:
Oct 24, 2011 9:03 AM
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 2011 (Reporting Year 2010)
General
Measure
Data
Annual Monitoring for Members on
ACE Inhibitors
or ARBs
Digoxin
Diuretics
Anticonvulsants
Total
1511
1257
83.19%
81.27%
85.11%
19
15
NA
NA
NA
1171
998
85.23%
83.15%
87.30%
120
81
67.50%
58.70%
76.30%
2821
2351
83.34%
81.95%
84.73%
2010
A
Page 52
Access/Availability of Care
UCare Minnesota
Medication Reconciliation Post Discharge
Data Elements
Data Last Refreshed:
Oct 24, 2011 9:03 AM
MSHO
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)
NR
Minimum required sample size (MRSS) or other sample size
Oversampling rate
Final sample size (FSS)
Number of numerator events by administrative data in FSS
Administrative rate on FSS
NR
Number of original sample records excluded because of valid
data errors
Number of employee/dependent medical records excluded
Records added from the oversample list
Denominator
Numerator events by administrative data
Numerator events by medical record
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
HEDIS 2011 (Reporting Year 2010)
NR
NR
NR
Page 53
Effectiveness of Care
UCare Minnesota
Potentially Harmful Drug-Disease Interactions in the Elderly
Data Last Refreshed:
Oct 24, 2011 9:03 AM
Medicare Advantage
Drug-Disease Interactions
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2011 (Reporting Year 2010)
General
Measure
Data
History of Falls +
Tricyclic
Antidepressants,
Antipsychotics or
Sleep Agents
Chronic Renal
Dementia +
Failure +
Tricyclic
Antidepressants Nonaspirin NSAIDs
or Anticholinergic or Cox-2 Selective
NSAIDs
Agents
Total
2010
A
2244
241
10.74%
9.44%
12.04%
3206
616
19.21%
17.83%
20.59%
312
10
3.21%
1.09%
5.32%
5762
867
15.05%
14.12%
15.98%
Page 54
Effectiveness of Care
UCare Minnesota
Potentially Harmful Drug-Disease Interactions in the Elderly
Data Last Refreshed:
Oct 24, 2011 9:03 AM
MSHO
Drug-Disease Interactions
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2011 (Reporting Year 2010)
General
Measure
Data
History of Falls +
Tricyclic
Antidepressants,
Antipsychotics or
Sleep Agents
Chronic Renal
Dementia +
Failure +
Tricyclic
Antidepressants Nonaspirin NSAIDs
or Anticholinergic or Cox-2 Selective
NSAIDs
Agents
Total
2010
A
510
113
22.16%
18.45%
25.86%
1857
471
25.36%
23.36%
27.37%
114
13
11.40%
5.13%
17.68%
2481
597
24.06%
22.36%
25.77%
Page 55
Effectiveness of Care
UCare Minnesota
Use of High Risk Medications in the Elderly
Data Last Refreshed:
Oct 24, 2011 9:03 AM
Medicare Advantage
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2011 (Reporting Year 2010)
General
Measure
Data
2010
A
62285
At least 1
Prescription
At least 2
Prescriptions
9170
14.72%
14.44%
15.00%
1446
2.32%
2.20%
2.44%
Page 56
Effectiveness of Care
UCare Minnesota
Use of High Risk Medications in the Elderly
Data Last Refreshed:
Oct 24, 2011 9:03 AM
MSHO
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2011 (Reporting Year 2010)
General
Measure
Data
2010
A
7801
At least 1
Prescription
At least 2
Prescriptions
1782
22.84%
21.91%
23.78%
350
4.49%
4.02%
4.95%
Page 57
Access/Availability of Care
UCare Minnesota
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Oct 24, 2011 9:03 AM
Commercial
Data Elements
General
Measure Data
Ages 20-44
Ages 45-64
Ages 65+
Total
Measurement Year
Data collection methodology
(Administrative only)
Eligible member population (i.e. members
who meet all denominator criteria)
NR
Numerator events by administrative data
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
NR
NR
NR
NR
HEDIS 2011 (Reporting Year 2010)
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:
Oct 24, 2011 9:03 AM
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 2011 (Reporting Year 2010)
General
Measure Data
Ages 20-44
Ages 45-64
Ages 65+
Total
203
2051
66482
68736
192
1975
63779
94.58%
91.22%
97.94%
96.29%
95.45%
97.14%
95.93%
95.78%
96.09%
65946
95.94%
95.79%
96.09%
2010
A
Page 59
Access/Availability of Care
UCare Minnesota
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Oct 24, 2011 9:03 AM
MSHO
Data Elements
Measurement Year
Data collection methodology
(Administrative only)
Eligible member population (i.e. members
who meet all denominator criteria)
Numerator events by administrative data
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
HEDIS 2011 (Reporting Year 2010)
General
Measure Data
Ages 20-44
Ages 45-64
Ages 65+
Total
0
0
7801
7801
0
0
7636
NA
NA
NA
NA
NA
NA
97.88%
97.56%
98.21%
7636
97.88%
97.56%
98.21%
2010
A
Page 60
Access/Availability of Care
UCare Minnesota
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Oct 24, 2011 9:03 AM
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 2011 (Reporting Year 2010)
General
Measure Data
Ages 20-44
Ages 45-64
Ages 65+
Total
236
438
4
678
228
429
4
96.61%
94.09%
99.13%
97.95%
96.50%
99.39%
NA
NA
NA
661
97.49%
96.24%
98.74%
2010
A
Page 61
Access/Availability of Care
UCare Minnesota
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Oct 24, 2011 9:03 AM
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 2011 (Reporting Year 2010)
General
Measure Data
Ages 20-44
Ages 45-64
Ages 65+
Total
14911
6572
20
21503
13114
5936
17
87.95%
87.42%
88.47%
90.32%
89.60%
91.04%
NA
NA
NA
19067
88.67%
88.25%
89.10%
2010
A
Page 62
Access/Availability of Care
UCare Minnesota
Children's and Adolescents' Access to Primary Care Practitioners
Data Last Refreshed:
Oct 24, 2011 9:03 AM
Commercial
Data Elements
Measurement Year
Data collection methodology (Administrative only)
Eligible member population
Numerator events by administrative data
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
HEDIS 2011 (Reporting Year 2010)
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:
Oct 24, 2011 9:03 AM
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 2011 (Reporting Year 2010)
General Measure
Data
12-24 months
25 months 6 yrs.
7-11 yrs.
12-19 yrs.
3645
3575
10593
9516
5751
5172
8184
7294
98.08%
97.62%
98.54%
89.83%
89.25%
90.41%
89.93%
89.15%
90.72%
89.13%
88.44%
89.81%
2010
A
Page 64
Access/Availability of Care
UCare Minnesota
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
Data Last Refreshed:
Oct 24, 2011 9:03 AM
Commercial
13-17 Year Olds
Data Elements
General
Measure
Data
Initiation of
AOD
Treatment
Engagement
of AOD
Treatment
18+ Year Olds
Initiation of
AOD
Treatment
Engagement
of AOD
Treatment
Total
Initiation of
AOD
Treatment
Engagement
of AOD
Treatment
Measurement Year
Data collection methodology (Administrative only)
Eligible member population
Numerator events by administrative data
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
HEDIS 2011 (Reporting Year 2010)
NR
NR
NR
NR
NR
NR
NR
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:
Oct 24, 2011 9:03 AM
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 2011 (Reporting Year 2010)
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
2010
A
0
551
551
0
0
229
29
229
29
NA
NA
NA
NA
NA
NA
41.56%
37.36%
45.77%
5.26%
3.31%
7.22%
41.56%
37.36%
45.77%
5.26%
3.31%
7.22%
Page 66
Access/Availability of Care
UCare Minnesota
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
Data Last Refreshed:
Oct 24, 2011 9:03 AM
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 2011 (Reporting Year 2010)
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
2010
A
0
117
117
0
0
40
2
40
2
NA
NA
NA
NA
NA
NA
34.19%
25.17%
43.21%
1.71%
0.00%
4.49%
34.19%
25.17%
43.21%
1.71%
0.00%
4.49%
Page 67
Access/Availability of Care
UCare Minnesota
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
Data Last Refreshed:
Oct 24, 2011 9:03 AM
SNBC
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 2011 (Reporting Year 2010)
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
2010
A
0
31
31
0
0
11
2
11
2
NA
NA
NA
NA
NA
NA
35.48%
17.03%
53.94%
6.45%
0.00%
16.71%
35.48%
17.03%
53.94%
6.45%
0.00%
16.71%
Page 68
Access/Availability of Care
UCare Minnesota
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
Data Last Refreshed:
Oct 24, 2011 9:03 AM
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 2011 (Reporting Year 2010)
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
2010
A
185
1668
1853
95
52
575
251
670
303
51.35%
43.88%
58.82%
28.11%
21.36%
34.86%
34.47%
32.16%
36.78%
15.05%
13.30%
16.79%
36.16%
33.94%
38.37%
16.35%
14.64%
18.06%
Page 69
Access/Availability of Care
UCare Minnesota
Prenatal and Postpartum Care
Data Last Refreshed:
Oct 24, 2011 9:03 AM
Commercial
Timeliness of
Prenatal Care
Postpartum
Care
Current year's administrative rate (before exclusions)
NR
NR
Minimum required sample size (MRSS) or other sample size
Oversampling rate
Final sample size (FSS)
Number of numerator events by administrative data in FSS
Administrative rate on FSS
NR
NR
NR
NR
NR
NR
NR
NR
Data Elements
Measurement Year
Data collection methodology (Administrative or Hybrid)
Eligible member population
Number of numerator events by administrative data in eligible
population (before exclusions)
Number of original sample records excluded because of valid
data errors
Number of employee/dependent medical records excluded
Records added from the oversample list
Denominator
Numerator events by administrative data
Numerator events by medical record
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
HEDIS 2011 (Reporting Year 2010)
Page 70
Access/Availability of Care
UCare Minnesota
Prenatal and Postpartum Care
Data Last Refreshed:
Oct 24, 2011 9:03 AM
Minnesota Health Care Programs - Managed Care (MHCP-MC)
Timeliness of
Prenatal Care
Postpartum
Care
Measurement Year
Data collection methodology (Administrative or Hybrid)
Eligible member population
2010
H
4122
2010
H
4122
Number of numerator events by administrative data in eligible
population (before exclusions)
2064
2099
50.07%
411
5%
432
229
50.92%
411
5%
432
216
53.01%
50.00%
1
1
0
1
411
175
122
0
1
411
164
108
72.26%
67.81%
76.71%
66.18%
61.48%
70.88%
Data Elements
Current year's administrative rate (before exclusions)
Minimum required sample size (MRSS) or other sample size
Oversampling rate
Final sample size (FSS)
Number of numerator events by administrative data in FSS
Administrative rate on FSS
Number of original sample records excluded because of valid
data errors
Number of employee/dependent medical records excluded
Records added from the oversample list
Denominator
Numerator events by administrative data
Numerator events by medical record
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
HEDIS 2011 (Reporting Year 2010)
Page 71
Use of Services
UCare Minnesota
Well Child Visits in the First 15 Months of Life
Data Last Refreshed:
Oct 24, 2011 9:03 AM
Commercial
Data Elements
General
Measure
Data
Zero Visits
1 visit
2 visits
3 visits
4 visits
5 visits
6 or more
visits
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator events by admin data in eligible
population
Currect Year's Administrative Rate
Minimum Required Sample Size
Oversampling Rate
Final sample size (FSS)
Numerator events by admin data in FSS
Administrative rate on FSS
Number of Records Excluded Because of
Valid Data Errors
Number of employee/dependent medical
records excluded
Additional Records Added from the
Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2011 (Reporting Year 2010)
Page 72
Use of Services
UCare Minnesota
Well Child Visits in the First 15 Months of Life
Data Last Refreshed:
Oct 24, 2011 9:03 AM
Minnesota Health Care Programs - Managed Care (MHCP-MC)
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
General
Measure
Data
0
Number of employee/dependent medical
records excluded
0
Additional Records Added from the
Oversample List
0
HEDIS 2011 (Reporting Year 2010)
2 visits
3 visits
4 visits
5 visits
6 or more
visits
55
1.78%
85
2.76%
114
3.70%
186
6.03%
409
13.26%
702
22.76%
1533
49.71%
6
1.39%
15
3.47%
12
2.78%
23
5.32%
56
12.96%
100
23.15%
220
50.93%
2
0
0.49%
0.00%
1.28%
5
1
1.46%
0.18%
2.74%
7
4
2.68%
0.99%
4.36%
13
3
3.89%
1.90%
5.88%
33
12
10.95%
7.81%
14.09%
58
17
18.25%
14.39%
22.10%
208
48
62.29%
57.48%
67.09%
411
5.00%
432
Number of Records Excluded Because of
Valid Data Errors
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
1 visit
2010
H
3084
Numerator events by admin data in eligible
population
Currect Year's Administrative Rate
Minimum Required Sample Size
Oversampling Rate
Final sample size (FSS)
Numerator events by admin data in FSS
Administrative rate on FSS
Zero Visits
411
Page 73
Use of Services
UCare Minnesota
Well Child Visits in the 3rd, 4th, 5th and 6th Years of Life
Data Elements
Commercial
Measurement Year
Data Collection Methodology
Numerator events by admin data in eligible
population
5527
NR
65.63%
411
5.00%
432
272
NR
62.96%
0
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 2011 (Reporting Year 2010)
MHCP-MC
2010
H
8422
Eligible Member 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
Data Last Refreshed:
Oct 24, 2011 9:03 AM
0
NR
NR
NR
0
411
260
17
67.40%
62.74%
72.05%
Page 74
Use of Services
UCare Minnesota
Adolescent Well-Care Visits
Data Elements
Data Last Refreshed:
Oct 24, 2011 9:03 AM
Commercial
Measurement Year
Data Collection Methodology
Eligible Member Population
2010
H
13555
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
4813
NR
35.51%
411
5.00%
432
166
NR
38.43%
0
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 2011 (Reporting Year 2010)
MHCP-MC
0
NR
NR
NR
0
411
156
30
45.26%
40.32%
50.19%
Page 75
Use of Services
UCare Minnesota
Ambulatory Care
Data Last Refreshed:
Oct 24, 2011 9:03 AM
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
Visits
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Visits/ 1,000
Member
Months
NR
NR
Emergency Room Visits
Visits
NR
NR
NR
NR
NR
NR
NR
HEDIS 2011 (Reporting Year 2010)
NR
Visits/ 1,000
Member
Months
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 76
Use of Services
UCare Minnesota
Ambulatory Care
Data Last Refreshed:
Oct 24, 2011 9:03 AM
Medicare Advantage
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Member Months
0
0
0
2553
28549
488913
254925
100628
0
875568
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
1710
22863
259553
172658
70587
0
527371
HEDIS 2011 (Reporting Year 2010)
Visits/ 1,000
Member
Months
NA
NA
NA
669.80
800.83
530.88
677.29
701.46
602.32
Emergency Room Visits
Visits
0
0
0
193
1066
7603
5638
3144
0
17644
Visits/ 1,000
Member
Months
NA
NA
NA
75.60
37.34
15.55
22.12
31.24
20.15
Page 77
Use of Services
UCare Minnesota
Ambulatory Care
Data Last Refreshed:
Oct 24, 2011 9:03 AM
MSHO
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Member Months
0
0
0
0
0
38352
35424
32241
0
106017
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
5
30940
27716
20347
0
79008
HEDIS 2011 (Reporting Year 2010)
Visits/ 1,000
Member
Months
NA
NA
NA
NA
NA
806.74
782.41
631.09
745.24
Emergency Room Visits
Visits
0
0
0
0
0
1655
1425
1074
0
4154
Visits/ 1,000
Member
Months
NA
NA
NA
NA
NA
43.15
40.23
33.31
39.18
Page 78
Use of Services
UCare Minnesota
Ambulatory Care
Data Last Refreshed:
Oct 24, 2011 9:03 AM
SNBC
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Member Months
0
0
30
2673
4175
48
0
0
0
6926
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
14
1828
3568
49
0
0
0
5459
HEDIS 2011 (Reporting Year 2010)
Visits/ 1,000
Member
Months
NA
NA
466.67
683.88
854.61
1020.83
NA
NA
788.19
Emergency Room Visits
Visits
0
0
1
264
271
3
0
0
0
539
Visits/ 1,000
Member
Months
NA
NA
33.33
98.77
64.91
62.50
NA
NA
77.82
Page 79
Use of Services
UCare Minnesota
Ambulatory Care
Data Last Refreshed:
Oct 24, 2011 9:03 AM
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
69820
380585
293141
369112
126396
363
26
0
0
1239443
Outpatient Visits (Excludes
MH/CD)
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Visits
51486
114508
67784
162083
67968
161
26
0
0
464016
HEDIS 2011 (Reporting Year 2010)
Visits/ 1,000
Member
Months
737.41
300.87
231.23
439.12
537.74
443.53
1000.00
NA
374.37
Emergency Room Visits
Visits
6632
18100
8897
24427
4610
8
0
0
0
62674
Visits/ 1,000
Member
Months
94.99
47.56
30.35
66.18
36.47
22.04
0.00
NA
50.57
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:
Oct 24, 2011 9:03 AM
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 2011 (Reporting Year 2010)
NR
NR
NR
NR
NR
NR
NR
NR
NR
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:
Oct 24, 2011 9:03 AM
Medicare Advantage
Age
Member Months
<1
0
1-9
0
10-19
0
20-44
2553
45-64
28549
65-74
488913
75-84
254925
85+
100628
Unknown
0
Total
875568
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
0
0
0
39
782
6928
6024
3533
0
17306
0
0
0
23
448
3448
3747
2687
0
10353
Discharges /
1,000 Member
Months
NA
NA
NA
15.28
27.39
14.17
23.63
35.11
19.77
NA
NA
NA
9.01
15.69
7.05
14.70
26.70
11.82
0
0
0
11
333
3480
2277
846
0
6947
NA
NA
NA
4.31
11.66
7.12
8.93
8.41
0
5
1
0
6
NA
1.96
0.04
HEDIS 2011 (Reporting Year 2010)
7.93
0.19
Days
Days / 1,000
Member
Months
0
0
0
184
3450
29088
25957
14335
0
73014
NA
NA
NA
72.07
120.84
59.50
101.82
142.46
0
0
0
88
1745
12244
13812
9699
0
37588
NA
NA
NA
34.47
61.12
25.04
54.18
96.38
0
0
0
80
1703
16844
12145
4636
0
35408
0
16
2
0
18
83.39
42.93
NA
NA
NA
31.34
59.65
34.45
47.64
46.07
40.44
NA
6.27
0.07
0.58
Average
Length of Stay
NA
NA
NA
4.72
4.41
4.20
4.31
4.06
NA
4.22
NA
NA
NA
3.83
3.90
3.55
3.69
3.61
NA
3.63
NA
NA
NA
7.27
5.11
4.84
5.33
5.48
NA
5.10
NA
3.20
2.00
NA
3.00
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:
Oct 24, 2011 9:03 AM
Member Months
0
0
0
0
0
38352
35424
32241
0
106017
Discharges
0
0
0
0
0
1272
1388
1095
0
3755
Discharges /
1,000 Member
Months
NA
NA
NA
NA
NA
33.17
39.18
33.96
35.42
0
0
0
0
0
923
1091
903
0
2917
NA
NA
NA
NA
NA
24.07
30.80
28.01
0
0
0
0
0
349
297
192
0
838
NA
NA
NA
NA
NA
9.10
8.38
5.96
0
0
0
0
0
HEDIS 2011 (Reporting Year 2010)
27.51
7.90
NA
NA
NA
NA
Days
0
0
0
0
0
5602
6361
4767
0
16730
0
0
0
0
0
3527
4338
3551
0
11416
0
0
0
0
0
2075
2023
1216
0
5314
0
0
0
0
0
Days / 1,000
Member
Months
NA
NA
NA
NA
NA
146.07
179.57
147.86
157.80
NA
NA
NA
NA
NA
91.96
122.46
110.14
107.68
NA
NA
NA
NA
NA
54.10
57.11
37.72
50.12
NA
NA
NA
NA
Average
Length of Stay
NA
NA
NA
NA
NA
4.40
4.58
4.35
NA
4.46
NA
NA
NA
NA
NA
3.82
3.98
3.93
NA
3.91
NA
NA
NA
NA
NA
5.95
6.81
6.33
NA
6.34
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:
Oct 24, 2011 9:03 AM
Member Months
0
0
30
2673
4175
48
0
0
0
6926
Discharges
0
0
0
39
104
2
0
0
0
145
Discharges /
1,000 Member
Months
NA
NA
0.00
14.59
24.91
41.67
NA
NA
20.94
0
0
0
20
64
1
0
0
0
85
NA
NA
0.00
7.48
15.33
20.83
NA
NA
0
0
0
8
40
1
0
0
0
49
NA
NA
0.00
2.99
9.58
20.83
NA
NA
0
11
0
0
11
0.00
4.12
0.00
HEDIS 2011 (Reporting Year 2010)
12.27
7.07
1.60
Days
Days / 1,000
Member
Months
0
0
0
159
399
27
0
0
0
585
NA
NA
0.00
59.48
95.57
562.50
NA
NA
0
0
0
94
208
6
0
0
0
308
NA
NA
0.00
35.17
49.82
125.00
NA
NA
0
0
0
34
191
21
0
0
0
246
NA
NA
0.00
12.72
45.75
437.50
NA
NA
0
31
0
0
31
0.00
11.60
0.00
84.46
44.47
35.52
4.51
Average
Length of Stay
NA
NA
NA
4.08
3.84
13.50
NA
NA
NA
4.03
NA
NA
NA
4.70
3.25
6.00
NA
NA
NA
3.62
NA
NA
NA
4.25
4.78
21.00
NA
NA
NA
5.02
NA
2.82
NA
NA
2.82
Page 84
Use of Services
UCare Minnesota
Inpatient Utilization - General Hospital/Acute Care
Data Last Refreshed:
Oct 24, 2011 9:03 AM
Minnesota Health Care Programs - Managed Care (MHCP-MC)
Age
Member Months
<1
69820
1-9
380585
10-19
293141
20-44
369112
45-64
126396
65-74
363
75-84
26
85+
0
Unknown
0
Total
1239443
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
975
722
1038
6019
1355
2
0
0
0
10111
13.96
1.90
3.54
16.31
10.72
5.51
0.00
NA
859
558
244
908
745
1
0
0
0
3315
12.30
1.47
0.83
2.46
5.89
2.75
0.00
NA
116
164
172
765
594
1
0
0
0
1812
1.66
0.43
0.59
2.07
4.70
2.75
0.00
NA
622
4346
16
0
4984
HEDIS 2011 (Reporting Year 2010)
8.16
2.67
1.46
2.12
11.77
0.13
6.32
Days
5175
2095
2813
15877
4824
9
0
0
0
30793
Days / 1,000
Member
Months
74.12
5.50
9.60
43.01
38.17
24.79
0.00
NA
24.84
3450
1334
589
2579
2572
5
0
0
0
10529
49.41
3.51
2.01
6.99
20.35
13.77
0.00
NA
1725
761
697
2315
2215
4
0
0
0
7717
24.71
2.00
2.38
6.27
17.52
11.02
0.00
NA
1527
10983
37
0
12547
5.21
29.76
0.29
8.49
6.23
15.91
Average
Length of Stay
5.31
2.90
2.71
2.64
3.56
4.50
NA
NA
NA
3.05
4.02
2.39
2.41
2.84
3.45
5.00
NA
NA
NA
3.18
14.87
4.64
4.05
3.03
3.73
4.00
NA
NA
NA
4.26
2.45
2.53
2.31
NA
2.52
Page 85
Use of Services
UCare Minnesota
Identification of Alcohol and Other Drug Services
Data Last Refreshed:
Oct 24, 2011 9:03 AM
Commercial
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 2011 (Reporting Year 2010)
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Member Months
(Inpatient)
Male
Female
NR
NR
Total
NR
NR
NR
NR
NR
NR
NR
NR
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
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
Male
Female
NR
NR
Total
NR
NR
NR
NR
NR
NR
NR
NR
Member Months
(Outpatient/ED)
Male
Female
NR
NR
Intensive Outpatient/Partial
Hospitalization
Outpatient/ED
Number
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
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
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
NR
NR
NR
NR
NR
NR
Page 86
Use of Services
UCare Minnesota
Identification of Alcohol and Other Drug Services
Data Last Refreshed:
Oct 24, 2011 9:03 AM
Medicare Advantage
Age
0-12
13-17
18-24
25-34
35-64
65+
Unknown
Total
Male
0
0
78
323
13935
357381
0
371717
Female
0
0
53
439
16274
487085
0
503851
Total
0
0
131
762
30209
844466
0
875568
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
1
0
1
3
8
11
103
100
203
336
324
660
0
0
0
443
432
875
HEDIS 2011 (Reporting Year 2010)
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Member Months
(Inpatient)
Member Months
(Any)
Male
0
0
78
323
13935
357381
0
371717
Female
0
0
53
439
16274
487085
0
503851
Total
0
0
131
762
30209
844466
0
875568
Inpatient
Percent
NA
NA
NA
NA
NA
NA
15.38%
0.00%
9.16%
11.15%
21.87%
17.32%
8.87%
7.37%
8.06%
1.13%
0.80%
0.94%
NA
NA
NA
1.43%
1.03%
1.20%
Number
0
0
0
0
0
0
0
0
0
0
2
2
31
40
71
147
175
322
0
0
0
178
217
395
Percent
NA
NA
NA
NA
NA
NA
0.00%
0.00%
0.00%
0.00%
5.47%
3.15%
2.67%
2.95%
2.82%
0.49%
0.43%
0.46%
NA
NA
NA
0.57%
0.52%
0.54%
Male
0
0
78
323
13935
357381
0
371717
Female
0
0
53
439
16274
487085
0
503851
Total
0
0
131
762
30209
844466
0
875568
Member Months
(Outpatient/ED)
Male
0
0
78
323
13935
357381
0
371717
Female
0
0
53
439
16274
487085
0
503851
Intensive Outpatient/Partial
Hospitalization
Outpatient/ED
Number
0
0
0
0
0
0
0
0
0
0
0
0
1
2
3
1
2
3
0
0
0
2
4
6
Number
0
0
0
0
0
0
1
0
1
3
7
10
86
78
164
229
182
411
0
0
0
319
267
586
Percent
NA
NA
NA
NA
NA
NA
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.09%
0.15%
0.12%
0.00%
0.00%
0.00%
NA
NA
NA
0.01%
0.01%
0.01%
Total
0
0
131
762
30209
844466
0
875568
Percent
NA
NA
NA
NA
NA
NA
15.38%
0.00%
9.16%
11.15%
19.13%
15.75%
7.41%
5.75%
6.51%
0.77%
0.45%
0.58%
NA
NA
NA
1.03%
0.64%
0.80%
Page 87
Use of Services
UCare Minnesota
Identification of Alcohol and Other Drug Services
Data Last Refreshed:
Oct 24, 2011 9:03 AM
MSHO
Age
0-12
13-17
18-24
25-34
35-64
65+
Unknown
Total
Male
0
0
0
0
0
30440
0
30440
Female
0
0
0
0
0
75577
0
75577
Total
0
0
0
0
0
106017
0
106017
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
111
98
209
0
0
0
111
98
209
HEDIS 2011 (Reporting Year 2010)
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Member Months
(Inpatient)
Member Months
(Any)
Male
0
0
0
0
0
30440
0
30440
Female
0
0
0
0
0
75577
0
75577
Total
0
0
0
0
0
106017
0
106017
Number
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
44
47
91
0
0
0
44
47
91
Female
0
0
0
0
0
75577
0
75577
Total
0
0
0
0
0
106017
0
106017
Intensive Outpatient/Partial
Hospitalization
Inpatient
Percent
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
4.38%
1.56%
2.37%
NA
NA
NA
4.38%
1.56%
2.37%
Male
0
0
0
0
0
30440
0
30440
Percent
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1.73%
0.75%
1.03%
NA
NA
NA
1.73%
0.75%
1.03%
Number
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
1
0
0
0
0
1
1
Percent
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00%
0.02%
0.01%
NA
NA
NA
0.00%
0.02%
0.01%
Member Months
(Outpatient/ED)
Male
0
0
0
0
0
30440
0
30440
Female
0
0
0
0
0
75577
0
75577
Total
0
0
0
0
0
106017
0
106017
Outpatient/ED
Number
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
89
63
152
0
0
0
89
63
152
Percent
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
3.51%
1.00%
1.72%
NA
NA
NA
3.51%
1.00%
1.72%
Page 88
Use of Services
UCare Minnesota
Identification of Alcohol and Other Drug Services
Data Last Refreshed:
Oct 24, 2011 9:03 AM
SNBC
Member Months
(Any)
Age
0-12
13-17
18-24
25-34
35-64
65+
Unknown
Total
Male
0
0
191
396
1950
30
0
2567
Female
0
0
189
548
3604
18
0
4359
Total
0
0
380
944
5554
48
0
6926
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
1
1
2
5
10
15
29
31
60
0
1
1
0
0
0
35
43
78
HEDIS 2011 (Reporting Year 2010)
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Member Months
(Inpatient)
Male
0
0
191
396
1950
30
0
2567
Female
0
0
189
548
3604
18
0
4359
Total
0
0
380
944
5554
48
0
6926
Inpatient
Percent
NA
NA
NA
NA
NA
NA
6.28%
6.35%
6.32%
15.15%
21.90%
19.07%
17.85%
10.32%
12.96%
0.00%
66.67%
25.00%
NA
NA
NA
16.36%
11.84%
13.51%
Number
0
0
0
0
0
0
0
0
0
0
3
3
6
7
13
0
0
0
0
0
0
6
10
16
Percent
NA
NA
NA
NA
NA
NA
0.00%
0.00%
0.00%
0.00%
6.57%
3.81%
3.69%
2.33%
2.81%
0.00%
0.00%
0.00%
NA
NA
NA
2.80%
2.75%
2.77%
Male
0
0
191
396
1950
30
0
2567
Female
0
0
189
548
3604
18
0
4359
Total
0
0
380
944
5554
48
0
6926
Member Months
(Outpatient/ED)
Male
0
0
191
396
1950
30
0
2567
Female
0
0
189
548
3604
18
0
4359
Intensive Outpatient/Partial
Hospitalization
Outpatient/ED
Number
0
0
0
0
0
0
0
0
0
0
3
3
0
1
1
0
0
0
0
0
0
0
4
4
Number
0
0
0
0
0
0
1
1
2
5
9
14
28
30
58
0
1
1
0
0
0
34
41
75
Percent
NA
NA
NA
NA
NA
NA
0.00%
0.00%
0.00%
0.00%
6.57%
3.81%
0.00%
0.33%
0.22%
0.00%
0.00%
0.00%
NA
NA
NA
0.00%
1.10%
0.69%
Total
0
0
380
944
5554
48
0
6926
Percent
NA
NA
NA
NA
NA
NA
6.28%
6.35%
6.32%
15.15%
19.71%
17.80%
17.23%
9.99%
12.53%
0.00%
66.67%
25.00%
NA
NA
NA
15.89%
11.29%
12.99%
Page 89
Use of Services
UCare Minnesota
Identification of Alcohol and Other Drug Services
Data Last Refreshed:
Oct 24, 2011 9:03 AM
Minnesota Health Care Programs - Managed Care (MHCP-MC)
Age
0-12
13-17
18-24
25-34
35-64
65+
Unknown
Total
Male
276243
72346
55373
50231
97389
165
0
551747
Female
268194
73561
97886
113050
134781
224
0
687696
Total
544437
145907
153259
163281
232170
389
0
1239443
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
8
19
27
241
149
390
500
491
991
639
858
1497
1051
927
1978
1
0
1
0
0
0
2440
2444
4884
HEDIS 2011 (Reporting Year 2010)
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Member Months
(Inpatient)
Member Months
(Any)
Male
276243
72346
55373
50231
97389
165
0
551747
Female
268194
73561
97886
113050
134781
224
0
687696
Total
544437
145907
153259
163281
232170
389
0
1239443
Inpatient
Percent
0.03%
0.09%
0.06%
4.00%
2.43%
3.21%
10.84%
6.02%
7.76%
15.27%
9.11%
11.00%
12.95%
8.25%
10.22%
7.27%
0.00%
3.08%
NA
NA
NA
5.31%
4.26%
4.73%
Number
4
7
11
42
41
83
72
92
164
74
173
247
200
209
409
0
0
0
0
0
0
392
522
914
Percent
0.02%
0.03%
0.02%
0.70%
0.67%
0.68%
1.56%
1.13%
1.28%
1.77%
1.84%
1.82%
2.46%
1.86%
2.11%
0.00%
0.00%
0.00%
NA
NA
NA
0.85%
0.91%
0.88%
Male
276243
72346
55373
50231
97389
165
0
551747
Female
268194
73561
97886
113050
134781
224
0
687696
Total
544437
145907
153259
163281
232170
389
0
1239443
Member Months
(Outpatient/ED)
Male
276243
72346
55373
50231
97389
165
0
551747
Female
268194
73561
97886
113050
134781
224
0
687696
Intensive Outpatient/Partial
Hospitalization
Outpatient/ED
Number
0
0
0
2
7
9
8
14
22
17
29
46
25
26
51
0
0
0
0
0
0
52
76
128
Number
6
14
20
224
128
352
466
442
908
606
779
1385
964
842
1806
1
0
1
0
0
0
2267
2205
4472
Percent
0.00%
0.00%
0.00%
0.03%
0.11%
0.07%
0.17%
0.17%
0.17%
0.41%
0.31%
0.34%
0.31%
0.23%
0.26%
0.00%
0.00%
0.00%
NA
NA
NA
0.11%
0.13%
0.12%
Total
544437
145907
153259
163281
232170
389
0
1239443
Percent
0.03%
0.06%
0.04%
3.72%
2.09%
2.89%
10.10%
5.42%
7.11%
14.48%
8.27%
10.18%
11.88%
7.50%
9.33%
7.27%
0.00%
3.08%
NA
NA
NA
4.93%
3.85%
4.33%
Page 90
Use of Services
UCare Minnesota
Mental Health Utilization - % of Members Receiving Inpatient, Day/Night and Ambulatory Services
Data Last Refreshed:
Oct 24, 2011 9:03 AM
Commercial
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 2011 (Reporting Year 2010)
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Member Months
(Inpatient)
Male
Female
NR
NR
Total
NR
NR
NR
NR
NR
NR
Number
NR
NR
NR
NR
NR
NR
NR
NR
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
Male
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:
Oct 24, 2011 9:03 AM
Medicare Advantage
Member Months
(Any)
Age
0-12
13-17
18-64
65+
Unknown
Total
Male
0
0
14336
357381
0
371717
Female
0
0
16766
487085
0
503851
Total
0
0
31102
844466
0
875568
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
258
485
743
712
1538
2250
0
0
0
970
2023
2993
HEDIS 2011 (Reporting Year 2010)
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Member Months
(Inpatient)
Male
0
0
14336
357381
0
371717
Female
0
0
16766
487085
0
503851
Total
0
0
31102
844466
0
875568
Number
0
0
0
0
0
0
21
38
59
83
155
238
0
0
0
104
193
297
Female
0
0
16766
487085
0
503851
Total
0
0
31102
844466
0
875568
Intensive Outpatient/Partial
Hospitalization
Inpatient
Percent
NA
NA
NA
NA
NA
NA
21.60%
34.71%
28.67%
2.39%
3.79%
3.20%
NA
NA
NA
3.13%
4.82%
4.10%
Male
0
0
14336
357381
0
371717
Percent
NA
NA
NA
NA
NA
NA
1.76%
2.72%
2.28%
0.28%
0.38%
0.34%
NA
NA
NA
0.34%
0.46%
0.41%
Number
0
0
0
0
0
0
40
76
116
30
71
101
0
0
0
70
147
217
Percent
NA
NA
NA
NA
NA
NA
3.35%
5.44%
4.48%
0.10%
0.17%
0.14%
NA
NA
NA
0.23%
0.35%
0.30%
Member Months
(Outpatient/ED)
Male
0
0
14336
357381
0
371717
Female
0
0
16766
487085
0
503851
Total
0
0
31102
844466
0
875568
Outpatient/ED
Number
0
0
0
0
0
0
240
460
700
643
1410
2053
0
0
0
883
1870
2753
Percent
NA
NA
NA
NA
NA
NA
20.09%
32.92%
27.01%
2.16%
3.47%
2.92%
NA
NA
NA
2.85%
4.45%
3.77%
Page 92
Use of Services
UCare Minnesota
Mental Health Utilization - % of Members Receiving Inpatient, Day/Night and Ambulatory Services
Data Last Refreshed:
Oct 24, 2011 9:03 AM
MSHO
Member Months
(Any)
Age
0-12
13-17
18-64
65+
Unknown
Total
Male
0
0
0
30440
0
30440
Female
0
0
0
75577
0
75577
Total
0
0
0
106017
0
106017
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
0
0
260
708
968
0
0
0
260
708
968
HEDIS 2011 (Reporting Year 2010)
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Member Months
(Inpatient)
Male
0
0
0
30440
0
30440
Female
0
0
0
75577
0
75577
Total
0
0
0
106017
0
106017
Number
0
0
0
0
0
0
0
0
0
42
114
156
0
0
0
42
114
156
Female
0
0
0
75577
0
75577
Total
0
0
0
106017
0
106017
Intensive Outpatient/Partial
Hospitalization
Inpatient
Percent
NA
NA
NA
NA
NA
NA
NA
NA
NA
10.25%
11.24%
10.96%
NA
NA
NA
10.25%
11.24%
10.96%
Male
0
0
0
30440
0
30440
Percent
NA
NA
NA
NA
NA
NA
NA
NA
NA
1.66%
1.81%
1.77%
NA
NA
NA
1.66%
1.81%
1.77%
Number
0
0
0
0
0
0
0
0
0
22
67
89
0
0
0
22
67
89
Percent
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.87%
1.06%
1.01%
NA
NA
NA
0.87%
1.06%
1.01%
Member Months
(Outpatient/ED)
Male
0
0
0
30440
0
30440
Female
0
0
0
75577
0
75577
Total
0
0
0
106017
0
106017
Outpatient/ED
Number
0
0
0
0
0
0
0
0
0
219
614
833
0
0
0
219
614
833
Percent
NA
NA
NA
NA
NA
NA
NA
NA
NA
8.63%
9.75%
9.43%
NA
NA
NA
8.63%
9.75%
9.43%
Page 93
Use of Services
UCare Minnesota
Mental Health Utilization - % of Members Receiving Inpatient, Day/Night and Ambulatory Services
Data Last Refreshed:
Oct 24, 2011 9:03 AM
SNBC
Member Months
(Any)
Age
0-12
13-17
18-64
65+
Unknown
Total
Male
0
0
2537
30
0
2567
Female
0
0
4341
18
0
4359
Total
0
0
6878
48
0
6926
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
132
250
382
1
1
2
0
0
0
133
251
384
HEDIS 2011 (Reporting Year 2010)
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Member Months
(Inpatient)
Male
0
0
2537
30
0
2567
Female
0
0
4341
18
0
4359
Total
0
0
6878
48
0
6926
Number
0
0
0
0
0
0
3
17
20
0
1
1
0
0
0
3
18
21
Female
0
0
4341
18
0
4359
Total
0
0
6878
48
0
6926
Intensive Outpatient/Partial
Hospitalization
Inpatient
Percent
NA
NA
NA
NA
NA
NA
62.44%
69.11%
66.65%
40.00%
66.67%
50.00%
NA
NA
NA
62.17%
69.10%
66.53%
Male
0
0
2537
30
0
2567
Percent
NA
NA
NA
NA
NA
NA
1.42%
4.70%
3.49%
0.00%
66.67%
25.00%
NA
NA
NA
1.40%
4.96%
3.64%
Number
0
0
0
0
0
0
24
58
82
0
1
1
0
0
0
24
59
83
Percent
NA
NA
NA
NA
NA
NA
11.35%
16.03%
14.31%
0.00%
66.67%
25.00%
NA
NA
NA
11.22%
16.24%
14.38%
Member Months
(Outpatient/ED)
Male
0
0
2537
30
0
2567
Female
0
0
4341
18
0
4359
Total
0
0
6878
48
0
6926
Outpatient/ED
Number
0
0
0
0
0
0
127
238
365
1
1
2
0
0
0
128
239
367
Percent
NA
NA
NA
NA
NA
NA
60.07%
65.79%
63.68%
40.00%
66.67%
50.00%
NA
NA
NA
59.84%
65.79%
63.59%
Page 94
Use of Services
UCare Minnesota
Mental Health Utilization - % of Members Receiving Inpatient, Day/Night and Ambulatory Services
Data Last Refreshed:
Oct 24, 2011 9:03 AM
Minnesota Health Care Programs - Managed Care(MHCP-MC)
Member Months
(Any)
Age
0-12
13-17
18-64
65+
Unknown
Total
Male
276243
72346
202993
165
0
551747
Female
268194
73561
345717
224
0
687696
Total
544437
145907
548710
389
0
1239443
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
2058
1414
3472
941
1063
2004
3030
6907
9937
0
0
0
0
0
0
6029
9384
15413
HEDIS 2011 (Reporting Year 2010)
Male
276243
72346
202993
165
0
551747
Female
268194
73561
345717
224
0
687696
Total
544437
145907
548710
389
0
1239443
Percent
8.94%
6.33%
7.65%
15.61%
17.34%
16.48%
17.91%
23.97%
21.73%
0.00%
0.00%
0.00%
NA
NA
NA
13.11%
16.37%
14.92%
Number
31
29
60
61
96
157
198
298
496
0
0
0
0
0
0
290
423
713
Male
276243
72346
202993
165
0
551747
Female
268194
73561
345717
224
0
687696
Total
544437
145907
548710
389
0
1239443
Intensive Outpatient/Partial
Hospitalization
Inpatient
Any Services
Age
0-12
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Member Months
(Inpatient)
Percent
0.13%
0.13%
0.13%
1.01%
1.57%
1.29%
1.17%
1.03%
1.08%
0.00%
0.00%
0.00%
NA
NA
NA
0.63%
0.74%
0.69%
Number
220
150
370
128
145
273
450
840
1290
0
0
0
0
0
0
798
1135
1933
Percent
0.96%
0.67%
0.82%
2.12%
2.37%
2.25%
2.66%
2.92%
2.82%
0.00%
0.00%
0.00%
NA
NA
NA
1.74%
1.98%
1.87%
Member Months
(Outpatient/ED)
Male
276243
72346
202993
165
0
551747
Female
268194
73561
345717
224
0
687696
Total
544437
145907
548710
389
0
1239443
Outpatient/ED
Number
2008
1371
3379
905
1018
1923
2826
6644
9470
0
0
0
0
0
0
5739
9033
14772
Percent
8.72%
6.13%
7.45%
15.01%
16.61%
15.82%
16.71%
23.06%
20.71%
0.00%
0.00%
0.00%
NA
NA
NA
12.48%
15.76%
14.30%
Page 95
Health Plan Descriptive Information
UCare Minnesota
Data Last Refreshed:
Oct 24, 2011 9:03 AM
Board Certification
MSHO
Type of Physician
Family Medicine
Internal Medicine
Geriatricians
Other practitioner Specialists
HEDIS 2011 (Reporting Year 2010)
Number of Physicians in Active Board Certification
Each Practice Area
Percent
Number
1164
548
37
1579
751
402
15
1148
64.52%
73.36%
40.54%
72.70%
Page 96
Health Plan Descriptive Information
UCare Minnesota
Data Last Refreshed:
Oct 24, 2011 9:03 AM
Board Certification
SNBC
Type of Physician
Family Medicine
Internal Medicine
Geriatricians
Other practitioner Specialists
HEDIS 2011 (Reporting Year 2010)
Number of Physicians in Active Board Certification
Each Practice Area
Percent
Number
1164
548
37
1579
751
402
15
1148
64.52%
73.36%
40.54%
72.70%
Page 97
Health Plan Descriptive Information
UCare Minnesota
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Oct 24, 2011 9:03 AM
Commercial
Male
<1
1-4
5-9
10-14
15-17
18-19
0-19 Subtotal
0-19 Subtotal: %
20-24
25-29
30-34
35-39
40-44
20-44 Subtotal
20-44 Subtotal: %
45-49
50-54
55-59
60-64
45-64 Subtotal
45-64 Subtotal: %
65-69
70-74
75-79
80-84
85-89
>=90
>=65 Subtotal
>=65 Subtotal: %
Age Unknown
Total
Member Months
Female
Total
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
HEDIS 2011 (Reporting Year 2010)
NR
NR
NR
NR
NR
NR
NR
Page 98
Health Plan Descriptive Information
UCare Minnesota
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Oct 24, 2011 9:03 AM
Medicare Advantage
<1
1-4
5-9
10-14
15-17
18-19
0-19 Subtotal
0-19 Subtotal: %
20-24
25-29
30-34
35-39
40-44
20-44 Subtotal
20-44 Subtotal: %
45-49
50-54
55-59
60-64
45-64 Subtotal
45-64 Subtotal: %
65-69
70-74
75-79
80-84
85-89
>=90
>=65 Subtotal
>=65 Subtotal: %
Age Unknown
Total
Male
0
0
0
0
0
0
Member Months
Female
0
0
0
0
0
0
Total
0
0
0
0
0
0
0
0.00%
78
148
175
351
488
0
0.00%
53
168
271
277
544
0
0.00%
1240
0.33%
1166
2165
3669
6096
1313
0.26%
1182
2367
4268
7636
2553
0.29%
13096
3.52%
118684
97927
66583
42743
22511
8933
15453
3.07%
155316
116986
82443
63156
41593
27591
28549
3.26%
357381
96.14%
0
487085
96.67%
0
371717
503851
HEDIS 2011 (Reporting Year 2010)
131
316
446
628
1032
2348
4532
7937
13732
274000
214913
149026
105899
64104
36524
844466
96.45%
0
875568
Page 99
Health Plan Descriptive Information
UCare Minnesota
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Oct 24, 2011 9:03 AM
MSHO
Member Months
Female
0
0
0
0
0
0
<1
1-4
5-9
10-14
15-17
18-19
Male
0
0
0
0
0
0
0-19 Subtotal
0-19 Subtotal: %
20-24
25-29
30-34
35-39
40-44
0
0.00%
0
0
0
0
0
0
0.00%
0
0
0
0
0
0
0.00%
20-44 Subtotal
20-44 Subtotal: %
45-49
50-54
55-59
60-64
0
0.00%
0
0
0
0
0
0.00%
0
0
0
0
0
0.00%
45-64 Subtotal
45-64 Subtotal: %
65-69
70-74
75-79
80-84
85-89
>=90
0
0.00%
6752
7341
5801
4696
3474
2376
0
0.00%
11824
12435
12646
12281
12188
14203
0
0.00%
>=65 Subtotal
>=65 Subtotal: %
Age Unknown
Total
30440
100.00%
0
75577
100.00%
0
106017
100.00%
30440
75577
HEDIS 2011 (Reporting Year 2010)
Total
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
18576
19776
18447
16977
15662
16579
0
106017
Page 100
Health Plan Descriptive Information
UCare Minnesota
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Oct 24, 2011 9:03 AM
SNBC
<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
20
Member Months
Female
0
0
0
0
0
10
Total
0
0
0
0
0
30
20
0.78%
171
181
215
235
279
10
0.23%
179
290
258
343
522
30
0.43%
1081
42.11%
393
330
398
315
1592
36.52%
567
756
751
665
2673
38.59%
1436
55.94%
30
0
0
0
0
0
2739
62.84%
18
0
0
0
0
0
4175
60.28%
30
1.17%
0
18
0.41%
0
48
0.69%
2567
4359
HEDIS 2011 (Reporting Year 2010)
350
471
473
578
801
960
1086
1149
980
48
0
0
0
0
0
0
6926
Page 101
Health Plan Descriptive Information
UCare Minnesota
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Oct 24, 2011 9:03 AM
Minnesota Health Care Programs - Managed Care (MHCP-MC)
<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
36071
100452
92529
75677
43860
24645
Member Months
Female
33749
96849
90755
76517
43885
28557
Total
69820
197301
183284
152194
87745
53202
373234
67.65%
30728
26743
23488
20757
20478
370312
53.85%
69329
65883
47167
35073
29466
743546
59.99%
122194
22.15%
19736
17162
11367
7889
246918
35.91%
25323
20149
13844
10926
369112
29.78%
56154
10.18%
111
41
13
0
0
0
70242
10.21%
164
47
13
0
0
0
126396
10.20%
165
0.03%
0
224
0.03%
0
389
0.03%
551747
687696
HEDIS 2011 (Reporting Year 2010)
100057
92626
70655
55830
49944
45059
37311
25211
18815
275
88
26
0
0
0
0
1239443
Page 102