Medica
General Info
Disclaimers
Code
WCC
Effectiveness of Care Measures
Prevention and Screening
Weight Assessment and Counseling for Nutrition and Physical Activity for
Children/Adolescents
HEDIS 2010 (Reporting Year 2009)
Data Last Refreshed: 1/6/2011
Page
2
Page
28
Page
Adult's Access to Preventive/Ambulatory Health Services
54
CAP
Children's and Adolescents' Access to Primary Care Practitioners
59
IET
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
61
Prenatal and Postpartum Care
66
27 AAP
3
Access / Availability of Care Measures
0 Code
CIS
Childhood Immunization Status
5
29
BCS
Breast Cancer Screening
9
30 PPC
CCS
Cervical Cancer Screening
10
COL
Colorectal Cancer Screening
11
0 Code
CHL
Chlamydia Screening in Women
12
Well Child Visits in the First 15 Months of Life
68
GSO
Glaucoma Screening in Older Adults
14
31 W15
32 W34
Well Child Visits in the 3rd, 4th, 5th and 6th Years of Life
70
LSC
Lead Screening in Children
15
33 AWC
Adolescent Well-Care Visits
71
COA
Care for Older Adults
34 AMB
Ambulatory Care
72
16
Respiratory Conditions
IPU
Inpatient Utilization - General Hospital/Acute Care
77
IAD
Identification of Alcohol and Other Drug Services
82
Pharmacotherapy Management of COPD Exacerbation
17
36
SPR
Use of Spirometry Testing in the Assessment and Diagnosis of COPD
20
37 MPT
ASM
Use of Appropriate Medications for People with Asthma
21
Cardiovascular
0 Code
Cholesterol Management for Patients with Cardiovascular Conditions
23
CBP
Controlling High Blood Pressure
26
Persistence of Beta Blocker Treatment After Hearth Attack
27
PBH
Diabetes
CDC
Comprehensive Diabetes Care
28
Musculoskeletal
OMW
Osteoporosis Management in Women Who had a Fracture
33
Behavioral Health
AMM
Antidepressant Medication Management
34
ADD
Follow-Up Care for Children Prescribed
Attention-Deficit/Hyperactivity Disorder (ADHD) Medication
39
FUH
Follow-up After Hospitalization for Mental Illness
41
Medication Management
Annual Monitoring for Patients on Persistent Medications
44
MRP
Medication Reconciliation Post Discharge
49
DDE
Potentially Harmful Drug-Disease Interactions in the Elderly
50
DAE
Use of High Risk Medications in the Elderly
52
MPM
Page
35
PCE
CMC
Use of Services Measures
38 BCR
39 ENP
Mental Health Utilization - % of Members Receiving Inpatient, Day/Night and Ambulatory Services87
Health Plan Descriptive Information Measures
Page
Board Certification
92
Enrollment by Product Line (Age & Sex)
94
DISCLAIMERS
-1
( this page left blank intentionally )
0. Disclaimer Query located below
HEDIS 2010 (Reporting Year 2009)
Page 2
Effectiveness of Care
Medica
Weight Assessment and Counseling for Nutrition and Physical Activity
Data Last Refreshed:
Jan 6, 2011 10:14 AM
Commercial
BMI Percentile
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
General
Measure
Data
Total
2009
H
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
Ages 3-11 Ages 12-17
Counseling for Nutrition
General
Measure
Data
Ages 3-11 Ages 12-17
Total
2009
H
Counseling for Physical Activity
General
Ages 12Measure
Ages 3-11
Total
17
Data
2009
H
23891
16277
40168
23891
16277
40168
23891
16277
40168
159
0.67%
71
0.44%
230
0.57%
150
0.63%
133
0.82%
283
0.70%
0
0.00%
0
0.00%
0
0.00%
0
0.00%
0
0.00%
0
0.00%
411
10.00%
411
10.00%
453
411
10.00%
453
1
0.22%
0
0.00%
1
0.22%
453
2
0.44%
3
0.66%
5
1.10%
Number of Records Excluded Because of
Valid Data Errors
0
0
0
Number of administrative data records
excluded
51
51
51
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 2010 (Reporting Year 2009)
240
171
411
240
171
411
240
171
411
0
109
45.42%
38.91%
51.92%
0
79
46.20%
38.43%
53.96%
0
188
45.74%
40.80%
50.68%
0
110
45.83%
39.32%
52.35%
1
61
36.26%
28.76%
43.76%
1
171
41.85%
36.96%
46.74%
0
100
41.67%
35.22%
48.11%
0
71
41.52%
33.84%
49.20%
0
171
41.61%
36.72%
46.49%
Page 3
Effectiveness of Care
Medica
Weight Assessment and Counseling for Nutrition and Physical Activity
Data Last Refreshed:
Jan 6, 2011 10:14 AM
Minnesota Health Care Programs - Managed Care (MHCP-MC)
BMI Percentile
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
General
Measure
Data
Number of Records Excluded Because of
Valid Data Errors
Total
2009
H
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
Ages 3-11 Ages 12-17
Counseling for Nutrition
General
Measure
Data
Ages 3-11 Ages 12-17
Total
2009
H
Counseling for Physical Activity
General
Ages 12Measure
Ages 3-11
Total
17
Data
2009
H
19234
9304
28538
19234
9304
28538
19234
9304
28538
185
0.96%
94
1.01%
279
0.98%
274
1.42%
147
1.58%
421
1.48%
3
0.02%
4
0.04%
7
0.02%
0
0.00%
0
0.00%
0
0.00%
411
10.00%
411
10.00%
453
411
10.00%
453
1
0.22%
2
0.44%
3
0.66%
453
5
1.10%
3
0.66%
8
1.77%
0
0
0
150
150
150
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
Number of administrative data records
excluded
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2010 (Reporting Year 2009)
290
121
411
290
121
411
290
121
411
0
167
57.59%
51.73%
63.45%
0
56
46.28%
36.98%
55.58%
0
223
54.26%
49.32%
59.20%
1
167
57.93%
52.08%
63.79%
1
46
38.84%
29.75%
47.94%
2
213
52.31%
47.36%
57.26%
0
136
46.90%
40.98%
52.81%
0
45
37.19%
28.17%
46.22%
0
181
44.04%
39.12%
48.96%
Page 4
Effectiveness of Care
Medica
Childhood Immunization Status
Data Last Refreshed:
Jan 6, 2011 10:14 AM
Commercial
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
General
Measure
Data
HiB
Hepatitis B
VZV
Influenza
1993
71.90%
2134
76.98%
2431
87.70%
2274
82.03%
1999
72.11%
2376
85.71%
2016
72.73%
847
30.56%
1549
55.88%
1696
61.18%
329
72.63%
346
76.38%
399
88.08%
373
82.34%
326
71.96%
388
85.65%
332
73.29%
141
31.13%
248
54.75%
277
61.15%
301
53
86.13%
82.67%
89.59%
316
52
89.54%
86.46%
92.62%
362
9
90.27%
87.28%
93.25%
338
45
93.19%
90.63%
95.74%
297
62
87.35%
84.01%
90.68%
354
8
88.08%
84.82%
91.33%
306
39
83.94%
80.27%
87.61%
126
13
33.82%
29.12%
38.52%
226
37
63.99%
59.23%
68.75%
251
16
64.96%
60.23%
69.70%
453
0
Number of Records Excluded because of
Contraindications by Admin Data
3
Number of Records Excluded because of
Contraindications by Medical Record
Review
0
Number of employee/dependent records
excluded
0
Records Added from the Oversample List
2
HEDIS 2010 (Reporting Year 2009)
MMR
411
10.00%
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
IPV
2009
H
2772
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 5
Effectiveness of Care
Medica
Childhood Immunization Status
Data Last Refreshed:
Jan 6, 2011 10:14 AM
Commercial
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
General
Measure
Data
Combo 5
Combo 6
Combo 7
Combo 8
Combo 9
Combo10
1670
60.25%
1624
58.59%
596
21.50%
1219
43.98%
1191
42.97%
502
18.11%
461
16.63%
943
34.02%
403
14.54%
269
59.38%
257
56.73%
99
21.85%
193
42.60%
191
42.16%
87
19.21%
75
16.56%
146
32.23%
67
14.79%
245
73
77.37%
73.21%
81.54%
237
66
73.72%
69.35%
78.10%
93
30
29.93%
25.38%
34.48%
178
51
55.72%
50.79%
60.64%
173
58
56.20%
51.29%
61.12%
81
24
25.55%
21.21%
29.89%
69
29
23.84%
19.60%
28.09%
132
47
43.55%
38.64%
48.47%
61
24
20.68%
16.64%
24.72%
453
0
Number of Records Excluded because of
Contraindications by Admin Data
3
Number of Records Excluded because of
Contraindications by Medical Record
Review
0
Number of employee/dependent records
excluded
0
Records Added from the Oversample List
2
HEDIS 2010 (Reporting Year 2009)
Combo 4
411
10.00%
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
Combo 3
2009
H
2772
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
Combo 2
411
Page 6
Effectiveness of Care
Medica
Childhood Immunization Status
Data Last Refreshed:
Jan 6, 2011 10:14 AM
Minnesota Health Care Programs - Managed Care (MHCP-MC)
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
General
Measure
Data
HiB
Hepatitis B
VZV
Influenza
2186
76.78%
2474
86.90%
2509
88.13%
2567
90.17%
2468
86.69%
2494
87.60%
2182
76.64%
830
29.15%
1553
54.55%
1513
53.14%
351
77.48%
394
86.98%
393
86.75%
402
88.74%
391
86.31%
388
85.65%
353
77.92%
133
29.36%
250
55.19%
240
52.98%
320
20
82.73%
78.95%
86.50%
358
20
91.97%
89.22%
94.72%
356
11
89.29%
86.18%
92.41%
363
18
92.70%
90.06%
95.34%
358
22
92.46%
89.78%
95.13%
351
12
88.32%
85.09%
91.55%
320
22
83.21%
79.48%
86.95%
121
11
32.12%
27.48%
36.75%
229
15
59.37%
54.50%
64.24%
218
17
57.18%
52.27%
62.08%
453
0
Number of Records Excluded because of
Contraindications by Admin Data
8
Number of Records Excluded because of
Contraindications by Medical Record
Review
0
Number of employee/dependent records
excluded
0
Records Added from the Oversample List
0
HEDIS 2010 (Reporting Year 2009)
MMR
411
0.1
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
IPV
2009
H
2847
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 7
Effectiveness of Care
Medica
Childhood Immunization Status
Data Last Refreshed:
Jan 6, 2011 10:14 AM
Minnesota Health Care Programs - Managed Care (MHC
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
General
Measure
Data
Combo 5
Combo 6
Combo 7
Combo 8
Combo 9
Combo10
1987
69.79%
1894
66.53%
690
24.24%
1290
45.31%
1195
41.97%
521
18.30%
495
17.39%
915
32.14%
395
13.87%
312
68.87%
298
65.78%
108
23.84%
205
45.25%
183
40.40%
82
18.10%
76
16.78%
144
31.79%
61
13.47%
284
33
77.13%
72.95%
81.31%
272
34
74.45%
70.11%
78.79%
100
17
28.47%
23.98%
32.95%
191
24
52.31%
47.36%
57.26%
165
32
47.93%
42.98%
52.88%
75
15
21.90%
17.78%
26.02%
69
14
20.19%
16.19%
24.20%
131
22
37.23%
32.43%
42.02%
55
13
16.55%
12.83%
20.26%
453
0
Number of Records Excluded because of
Contraindications by Admin Data
8
Number of Records Excluded because of
Contraindications by Medical Record
Review
0
Number of employee/dependent records
excluded
0
Records Added from the Oversample List
0
HEDIS 2010 (Reporting Year 2009)
Combo 4
411
0.1
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
Combo 3
2009
H
2847
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
Combo 2
411
Page 8
Effectiveness of Care
Medica
Breast Cancer Screening
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2010 (Reporting Year 2009)
Data Last Refreshed:
Jan 6, 2011 10:14 AM
Commercial
2009
A
37432
26773
71.52%
71.07%
71.98%
Medicare
Advantage
NR
NR
NR
MSHO
SNBC
MHCP-MC
2009
A
315
174
55.24%
49.59%
60.89%
2009
A
1
1
NA
NA
NA
2009
A
3822
2320
60.70%
59.14%
62.26%
Page 9
Effectiveness of Care
Medica
Cervical Cancer Screening
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Data Last Refreshed:
Jan 6, 2011 10:14 AM
Commercial
MHCP-MC
2009
A
42745
2009
A
15633
NR
NR
NR
NR
Numerator Events by Admin Data on Eligible
Population (before exclusions)
Current Year's Admin Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin Rate on FSS
Records Excluded because of Valid Data Errors
Number of administrative data records excluded
Number of medical record data records excluded
Number of employee/dependent medical records
excluded
Records Added from the Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
33791
11716
79.05%
74.94%
Lower 95% Confidence Interval
Upper 95% Confidence Interval
78.67%
79.44%
74.26%
75.63%
HEDIS 2010 (Reporting Year 2009)
Page 10
Effectiveness of Care
Medica
Colorectal Cancer Screening
Data Last Refreshed:
Jan 6, 2011 10:14 AM
Data Elements
Commercial
Medicare
Advantage
MSHO
SNBC
Measurement Year
Data collection methodology (administrative or hybrid)
Eligible population
2009
H
42803
2009
H
1915
2009
H
0
Number of numerator events by administrative data in eligible population
(before exclusions)
22257
825
0
43.08%
383
10.00%
423
189
44.68%
0
15
0
0
14
411
177
27
49.64%
44.68%
54.59%
NR
0
0.00%
0
0
NR
0
0
0
0
0
0
0
0
NA
NA
NA
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 2010 (Reporting Year 2009)
52.00%
411
0.1
453
248
54.75%
0
54
0
0
1
411
230
38
65.21%
60.48%
69.93%
NR
NR
NR
NR
NR
Page 11
Effectiveness of Care
Medica
Chlamydia Screening in Women
Data Last Refreshed:
Jan 6, 2011 10:14 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 2010 (Reporting Year 2009)
General
Measure
Data
Ages 1620
Ages 2124
Total
3802
1547
40.69%
39.11%
42.26%
3977
1933
48.60%
47.04%
50.17%
7779
3480
44.74%
43.62%
45.85%
2009
A
Page 12
Effectiveness of Care
Medica
Chlamydia Screening in Women
Data Last Refreshed:
Jan 6, 2011 10:14 AM
Minnesota Health Care Programs - Managed Care (MHCP-MC)
General
Data Elements
Measure
Data
Measurement Year
2009
Data Collection Methodology
A
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2010 (Reporting Year 2009)
Ages 1620
Ages 2124
Total
2088
1244
59.58%
57.45%
61.71%
1845
1175
63.69%
61.46%
65.91%
3933
2419
61.51%
59.97%
63.04%
Page 13
Effectiveness of Care
Medica
Glaucoma Screening in Older Adults
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2010 (Reporting Year 2009)
Data Last Refreshed:
Jan 6, 2011 10:14 AM
Medicare
Advantage
NR
NR
NR
MSHO
2009
A
5907
4481
75.86%
74.76%
76.96%
Page 14
Effectiveness of Care
Medica
Data Last Refreshed:
Jan 6, 2011 10:14 AM
Lead Screening in Children
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
MHCP-MC
2009
A
2847
Numerator Events by Admin Data on Eligible
Population (before exclusions)
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
2553
Reported Rate
89.67%
Lower 95% Confidence Interval
88.54%
Upper 95% Confidence Interval
90.81%
HEDIS 2010 (Reporting Year 2009)
Page 15
Effectiveness of Care
Medica
Data Last Refreshed:
Jan 6, 2011 10:14 AM
Care for Older Adults
MSHO
Medication Review
Functional
Status
Assessment
Pain
Screening
0
1
4
0
0.00%
0.01%
0.05%
0.00%
0
0.00%
0
0.00%
0
0.00%
0
0.00%
0
119
0
269
0
280
0
291
Reported Rate
28.95%
65.45%
68.13%
70.80%
Lower 95% Confidence Interval
24.45%
60.73%
63.50%
66.29%
Upper 95% Confidence Interval
33.46%
70.17%
72.75%
75.32%
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
General Measure
Data
2009
H
7320
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
398
10.00%
439
Records Excluded because of Valid Data
Errors
0
Number of employee/dependent medical
records excluded
0
Records Added from the Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
HEDIS 2010 (Reporting Year 2009)
Advance Care
Planning
7
411
Page 16
Effectiveness of Care
Medica
Pharmacotherapy Management of COPD Exacerbation
Data Last Refreshed:
Jan 6, 2011 10:14 AM
Medicare Advantage
Data Elements
General
Measure Data
Systemic
corticosteroid
Bronchodilator
NR
NR
NR
NR
NR
NR
Measurement Year
Data Collection Methodology
Eligible Member Population
Exclusions based on direct transfers to
another facility
Exclusions based on readmissions
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2010 (Reporting Year 2009)
Page 17
Effectiveness of Care
Medica
Pharmacotherapy Management of COPD Exacerbation
Data Last Refreshed:
Jan 6, 2011 10:14 AM
MSHO
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
General
Measure Data
Systemic
corticosteroid
Bronchodilator
57
60.00%
49.62%
70.38%
81
85.26%
77.61%
92.92%
2009
A
95
Exclusions based on direct transfers to
another facility
Exclusions based on readmissions
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2010 (Reporting Year 2009)
Page 18
Effectiveness of Care
Medica
Pharmacotherapy Management of COPD Exacerbation
Data Last Refreshed:
Jan 6, 2011 10:14 AM
SNBC
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
General
Measure Data
Systemic
corticosteroid
Bronchodilator
2
NA
NA
NA
2
NA
NA
NA
2009
A
3
Exclusions based on direct transfers to
another facility
Exclusions based on readmissions
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2010 (Reporting Year 2009)
Page 19
Effectiveness of Care
Medica
Use of Spirometry Testing in the Assessment and Diagnosis of COPD
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2010 (Reporting Year 2009)
Medicare
Advantage
NR
NR
NR
Data Last Refreshed:
Jan 6, 2011 10:14 AM
MSHO
SNBC
2009
A
265
35
13.21%
8.94%
17.47%
2009
A
0
0
NA
NA
NA
Page 20
Effectiveness of Care
Medica
Use of Appropriate Medications for People with Asthma
Data Last Refreshed:
Jan 6, 2011 10:14 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 2010 (Reporting Year 2009)
General
Measure Data
Ages 5-11
Ages 12-50
Total
446
433
97.09%
95.41%
98.76%
1894
1726
91.13%
89.82%
92.44%
2340
2159
92.26%
91.16%
93.37%
2009
A
`
Page 21
Effectiveness of Care
Medica
Use of Appropriate Medications for People with Asthma
Data Last Refreshed:
Jan 6, 2011 10:14 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 2010 (Reporting Year 2009)
General
Measure Data
Ages 5-11
Ages 12-50
Total
451
424
94.01%
91.71%
96.31%
842
721
85.63%
83.20%
88.06%
1293
1145
88.55%
86.78%
90.33%
2009
A
Page 22
Effectiveness of Care
Medica
Cholesterol Management for Patients with Cardiovascular Conditions
Data Last Refreshed:
Jan 6, 2011 10:14 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 2010 (Reporting Year 2009)
General
Measure
Data
LDL-C
screening
LDL-C Level of
<100 mg/dL
1392
33
87.77%
2.08%
397
8
87.83%
1.77%
360
8
0
260
89.54%
86.46%
92.62%
63.26%
58.48%
68.04%
2009
H
1586
411
10.00%
452
0
0
0
411
Page 23
Effectiveness of Care
Medica
Cholesterol Management for Patients with Cardiovascular Conditions
Data Last Refreshed:
Jan 6, 2011 10:14 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 2010 (Reporting Year 2009)
General
Measure
Data
LDL-C
screening
LDL-C Level of
<100 mg/dL
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 24
Effectiveness of Care
Medica
Cholesterol Management for Patients with Cardiovascular Conditions
Data Last Refreshed:
Jan 6, 2011 10:14 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 2010 (Reporting Year 2009)
General
Measure
Data
LDL-C
screening
LDL-C Level of
<100 mg/dL
153
5
83.61%
2.73%
153
5
83.61%
2.73%
153
5
4
98
86.34%
81.09%
91.59%
55.74%
48.27%
63.21%
2009
H
183
183
0.00%
183
0
0
0
183
Page 25
Effectiveness of Care
Medica
Controlling High Blood Pressure
Data Last Refreshed:
Jan 6, 2011 10:14 AM
Data Elements
Commercial
Medicare
Advantage
MSHO
SNBC
MHCP-MC
Measurement Year
Data Collection Methodology (Hybrid)
Eligible Member Population
2009
H
14493
2009
H
2064
2009
H
98
2009
H
2919
Numerator Events by Admin Data on
Eligible Population (before exclusions)
0
0
0
0
0.00%
394
14.00%
453
0.00%
98
0.00%
98
0.00%
410
15.00%
472
0
0.00%
0
0.00%
0
0.00%
Current Year's Admin Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin rate on FSS
0.00%
411
15.00%
473
0
0.00%
NR
NR
Records Excluded because of Valid Data
Errors
0
0
0
0
Number of records excluded because of
false positive diagnoses
0
0
0
0
Number of administrative data records
excluded
281
265
1
126
Number of medical record data records
excluded
0
0
0
0
Number of employee/dependent medical
records excluded
0
0
0
0
Records Added from the OverSample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
2
411
0
274
66.67%
61.99%
71.35%
12
411
0
274
66.67%
61.99%
71.35%
0
97
0
74
76.29%
67.31%
85.27%
6
411
0
248
60.34%
55.49%
65.19%
HEDIS 2010 (Reporting Year 2009)
NR
NR
NR
Page 26
Effectiveness of Care
Medica
Persistence of Beta Blocker Treatment After Hearth Attack
Data Elements
Commercial
Data Last Refreshed:
Jan 6, 2011 10:14 AM
Medicare
Advantage
MSHO
SNBC
MHCP-MC
Measurement Year
Data Collection Methodology
Eligible Member Population
2009
A
208
2009
A
45
2009
A
0
2009
A
56
Numerator Events by Admin Data on
Eligible Population
163
40
0
40
88.89%
78.60%
99.18%
NR
NR
NR
71.43%
58.70%
84.15%
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2010 (Reporting Year 2009)
78.37%
72.53%
84.20%
NR
NR
NR
Page 27
Effectiveness of Care
Medica
Comprehensive Diabetes Care
Data Last Refreshed:
Jan 6, 2011 10:14 AM
Commercial
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator events by admin data in eligible
population
Current Year's Administrative Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin rate on FSS
Number of Records Excluded Because of
Valid Data Errors
HbA1c
Testing
Poor HbA1c Good HbA1c
Control
Control
(>9.0%)
(<7.0%)
Adequate
HbA1c
Control
(<8.0%)
Eye Exam
LDL-C
Screening
LDL-C Level
<100 mg/dL
Blood
Blood
Monitoring
Pressure
Pressure
for Diabetic
<140/90 mm <130/80
Nephropathy
Hg
mm Hg
2009
H
7843
2009
H
7843
2009
H
7843
2009
H
7843
2009
H
7843
2009
H
7843
2009
H
7843
2009
H
7843
2009
H
7843
2009
H
7843
6862
87.49%
548
10%
603
545
90.38%
7578
96.62%
548
10%
603
586
97.18%
72
0.92%
548
10%
603
12
1.99%
135
1.72%
548
10%
603
14
2.32%
4034
51.43%
548
10%
603
326
54.06%
6434
82.03%
548
10%
603
514
85.24%
162
2.07%
548
10%
603
17
2.82%
6279
80.06%
548
10%
603
488
80.93%
64
0.82%
548
10%
603
11
1.82%
48
0.61%
548
10%
603
8
1.33%
0
0
0
0
0
0
0
0
0
0
Number of administrative data records
excluded
105
105
103
105
105
105
105
105
105
105
Number of medical record data records
excluded
0
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
4
548
0
366
66.79%
62.75%
70.82%
4
548
2
327
60.04%
55.84%
64.23%
4
548
466
8
86.50%
83.54%
89.45%
4
548
0
260
47.45%
43.17%
51.72%
4
548
3
467
85.77%
82.75%
88.78%
4
548
0
417
76.09%
72.43%
79.76%
4
548
0
282
51.46%
47.18%
55.74%
Number of Administrative required exclusions
1270
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 2010 (Reporting Year 2009)
0
4
548
494
10
91.97%
89.60%
94.34%
4
548
133
0
24.27%
20.59%
27.95%
4
458
0
208
45.41%
40.75%
50.08%
Page 28
Effectiveness of Care
Medica
Comprehensive Diabetes Care
Data Last Refreshed:
Jan 6, 2011 10:14 AM
Medicare Advantage
Data Elements
HbA1c
Testing
Poor HbA1c
Control
Good HbA1c
Control
(<7.0%)
Adequate
HbA1c
Control
(<8.0%)
Eye Exam
LDL-C
Screening
LDL-C Level
<100 mg/dL
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Blood
Blood
Monitoring
Pressure
Pressure
for Diabetic
<140/90 mm <130/80
Nephropathy
Hg
mm Hg
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 2010 (Reporting Year 2009)
Page 29
Effectiveness of Care
Medica
Comprehensive Diabetes Care
Data Last Refreshed:
Jan 6, 2011 10:14 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
2009
H
923
2009
H
923
849
91.98%
395
9%
433
404
93.30%
879
95.23%
395
9%
433
421
97.23%
Good HbA1c
Control
(<7.0%)
NR
NR
Adequate
HbA1c
Control
(<8.0%)
Eye Exam
LDL-C
Screening
LDL-C Level
<100 mg/dL
2009
H
923
2009
H
923
2009
H
923
2009
H
923
2009
H
923
2009
H
923
2009
H
923
39
4.23%
395
9%
433
17
3.93%
626
67.82%
395
9%
433
295
68.13%
737
79.85%
395
9%
433
356
82.22%
55
5.96%
395
9%
433
27
6.24%
824
89.27%
395
9%
433
387
89.38%
46
4.98%
395
9%
433
23
5.31%
42
4.55%
395
9%
433
20
4.62%
Blood
Blood
Monitoring
Pressure
Pressure
for Diabetic
<140/90 mm <130/80
Nephropathy
Hg
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
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
13
411
379
5
93.43%
90.91%
95.95%
13
411
102
0
24.82%
20.52%
29.12%
13
411
0
281
68.37%
63.75%
72.99%
13
411
7
290
72.26%
67.81%
76.71%
13
411
333
6
82.48%
78.69%
86.28%
13
411
0
207
50.36%
45.41%
55.32%
13
411
0
376
91.48%
88.66%
94.30%
13
411
2
310
75.91%
71.66%
80.17%
13
411
3
225
55.47%
50.55%
60.40%
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 2010 (Reporting Year 2009)
NR
NR
NR
Page 30
Effectiveness of Care
Medica
Comprehensive Diabetes Care
Data Last Refreshed:
Jan 6, 2011 10:14 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
2009
H
92
2009
H
92
82
89.13%
92
0%
92
82
89.13%
87
94.57%
92
0%
92
86
93.48%
Good HbA1c
Control
(<7.0%)
NR
NR
Adequate
HbA1c
Control
(<8.0%)
Blood
Blood
Monitoring
Pressure
Pressure
for Diabetic
<140/90 mm <130/80
Nephropathy
Hg
mm Hg
Eye Exam
LDL-C
Screening
LDL-C Level
<100 mg/dL
2009
H
92
2009
H
92
2009
H
92
2009
H
92
2009
H
92
2009
H
92
2009
H
92
5
5.43%
92
0%
92
6
6.52%
60
65.22%
92
0%
92
60
65.22%
71
77.17%
92
0%
92
71
77.17%
4
4.35%
92
0%
92
4
4.35%
80
86.96%
92
0%
92
80
86.96%
3
3.26%
92
0%
92
3
3.26%
3
3.26%
92
0%
92
3
3.26%
0
0
0
0
0
0
0
0
0
Number of administrative data records
excluded
0
0
0
0
0
0
0
0
0
Number of medical record data records
excluded
0
0
0
0
0
0
0
0
0
Number of employee/dependent medical
records excluded
0
0
0
0
0
0
0
0
0
0
92
82
0
89.13%
82.23%
96.03%
0
92
27
0
29.35%
19.50%
39.20%
0
92
0
57
61.96%
51.49%
72.42%
0
92
1
66
72.83%
63.19%
82.46%
0
92
71
2
79.35%
70.53%
88.16%
0
92
0
49
53.26%
42.52%
64.00%
0
92
1
82
90.22%
83.60%
96.83%
0
92
0
75
81.52%
73.05%
90.00%
0
92
0
55
59.78%
49.22%
70.35%
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 2010 (Reporting Year 2009)
NR
NR
NR
Page 31
Effectiveness of Care
Medica
Comprehensive Diabetes Care
Data Last Refreshed:
Jan 6, 2011 10:14 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
2009
H
2174
2009
H
2174
2009
H
2174
2009
H
2174
2009
H
2174
2009
H
2174
2009
H
2174
2009
H
2174
2009
H
2174
2009
H
2174
1839
84.59%
548
10%
603
522
86.57%
2070
95.22%
548
10%
603
588
97.51%
26
1.20%
548
10%
603
7
1.16%
44
2.02%
548
10%
603
13
2.16%
1132
52.07%
548
10%
603
329
54.56%
1623
74.66%
548
10%
603
459
76.12%
57
2.62%
548
10%
603
18
2.99%
1626
74.79%
548
10%
603
449
74.46%
9
0.41%
548
10%
603
4
0.66%
7
0.32%
548
10%
603
3
0.50%
0
0
0
0
0
0
0
0
0
0
53
53
52
53
53
53
53
53
53
53
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
11
548
0
315
57.48%
53.25%
61.71%
11
548
0
322
58.76%
54.55%
62.97%
11
548
427
6
79.01%
75.51%
82.52%
11
548
1
216
39.60%
35.41%
43.78%
11
548
0
436
79.56%
76.09%
83.03%
11
548
0
403
73.54%
69.76%
77.32%
11
548
0
270
49.27%
44.99%
53.55%
Number of Administrative required exclusions
241
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 2010 (Reporting Year 2009)
Blood
Blood
Monitoring
Pressure
Pressure
for Diabetic
<140/90 mm <130/80
Nephropathy
Hg
mm Hg
0
11
548
482
12
90.15%
87.56%
92.73%
11
548
175
0
31.93%
27.94%
35.93%
11
475
0
186
39.16%
34.66%
43.65%
Page 32
Effectiveness of Care
Medica
Osteoporosis Management in Women Who had a Fracture
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2010 (Reporting Year 2009)
Medicare
Advantage
NR
NR
NR
Data Last Refreshed:
Jan 6, 2011 10:14 AM
MSHO
2009
A
299
32
10.70%
7.03%
14.37%
Page 33
Effectiveness of Care
Medica
Antidepressant Medication Management
Data Last Refreshed:
Jan 6, 2011 10:14 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 2010 (Reporting Year 2009)
General Effective Acute
Measure
Phase
Data
Treatment
Effective
Continuation
Phase
Treatment
2009
A
2425
1728
71.26%
69.44%
73.08%
1340
55.26%
53.26%
57.26%
Page 34
Effectiveness of Care
Medica
Antidepressant Medication Management
Data Last Refreshed:
Jan 6, 2011 10:14 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 2010 (Reporting Year 2009)
General Effective Acute
Measure
Phase
Data
Treatment
NR
NR
NR
Effective
Continuation
Phase
Treatment
NR
NR
NR
Page 35
Effectiveness of Care
Medica
Antidepressant Medication Management
Data Last Refreshed:
Jan 6, 2011 10:14 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 2010 (Reporting Year 2009)
General Effective Acute
Measure
Phase
Data
Treatment
Effective
Continuation
Phase
Treatment
2009
A
91
65
71.43%
61.60%
81.26%
56
61.54%
50.99%
72.08%
Page 36
Effectiveness of Care
Medica
Antidepressant Medication Management
Data Last Refreshed:
Jan 6, 2011 10:14 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 2010 (Reporting Year 2009)
General Effective Acute
Measure
Phase
Data
Treatment
Effective
Continuation
Phase
Treatment
2009
A
1
1
NA
NA
NA
0
NA
NA
NA
Page 37
Effectiveness of Care
Medica
Antidepressant Medication Management
Data Last Refreshed:
Jan 6, 2011 10:14 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 2010 (Reporting Year 2009)
General Effective Acute
Measure
Phase
Data
Treatment
Effective
Continuation
Phase
Treatment
2009
A
1040
531
51.06%
47.97%
54.14%
383
36.83%
33.85%
39.81%
Page 38
Effectiveness of Care
Medica
Follow-Up Care for Children Prescribed
Attention-Deficit/Hyperactivity Disorder (ADHD) Medication
Data Last Refreshed:
Jan 6, 2011 10:14 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 Interva
HEDIS 2010 (Reporting Year 2009)
General
Measure
Data
Initiation
Phase
Continuation
and
Maintenance
Phase
692
284
41.04%
37.30%
44.78%
165
84
50.91%
42.98%
58.84%
2009
A
Page 39
Effectiveness of Care
Medica
Follow-Up Care for Children Prescribed
Attention-Deficit/Hyperactivity Disorder (ADHD) Medication
Data Last Refreshed:
Jan 6, 2011 10:14 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 Interva
HEDIS 2010 (Reporting Year 2009)
General
Measure
Data
Initiation
Phase
Continuation
and
Maintenance
Phase
588
286
48.64%
44.51%
52.76%
166
96
57.83%
50.02%
65.64%
2009
A
Page 40
Effectiveness of Care
Medica
Follow-up After Hospitalization for Mental Illness
Data Last Refreshed:
Jan 6, 2011 10:14 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 2010 (Reporting Year 2009)
General
Measure
Data
30 Days
7 Days
NR
NR
NR
NR
NR
NR
Page 41
Effectiveness of Care
Medica
Follow-up After Hospitalization for Mental Illness
Data Last Refreshed:
Jan 6, 2011 10:14 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 2010 (Reporting Year 2009)
General
Measure
Data
30 Days
7 Days
37
69.81%
56.51%
83.11%
28
52.83%
38.45%
67.21%
2009
A
53
Page 42
Effectiveness of Care
Medica
Follow-up After Hospitalization for Mental Illness
Data Last Refreshed:
Jan 6, 2011 10:14 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 2010 (Reporting Year 2009)
General
Measure
Data
30 Days
7 Days
54
79.41%
69.07%
89.76%
44
64.71%
52.61%
76.80%
2009
A
68
Page 43
Effectiveness of Care
Medica
Annual Monitoring for Patients on Persistent Medications
Data Last Refreshed:
Jan 6, 2011 10:14 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 2010 (Reporting Year 2009)
General
Measure
Data
Annual Monitoring for Members on
ACE Inhibitors
or ARBs
Digoxin
Diuretics
Anticonvulsants
Total
11534
9900
85.83%
85.19%
86.47%
140
125
89.29%
83.81%
94.77%
9195
7912
86.05%
85.33%
86.76%
668
537
80.39%
77.30%
83.48%
21537
18474
85.78%
85.31%
86.25%
2009
A
Page 44
Effectiveness of Care
Medica
Annual Monitoring for Patients on Persistent Medications
Data Last Refreshed:
Jan 6, 2011 10:14 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 2010 (Reporting Year 2009)
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 45
Effectiveness of Care
Medica
Annual Monitoring for Patients on Persistent Medications
Data Last Refreshed:
Jan 6, 2011 10:14 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 2010 (Reporting Year 2009)
General
Measure
Data
Annual Monitoring for Members on
ACE Inhibitors
or ARBs
Digoxin
Diuretics
Anticonvulsants
Total
2793
2741
98.14%
97.62%
98.66%
276
270
97.83%
95.92%
99.73%
2953
2906
98.41%
97.94%
98.88%
394
383
97.21%
95.45%
98.96%
6416
6300
98.19%
97.86%
98.53%
2009
A
Page 46
Effectiveness of Care
Medica
Annual Monitoring for Patients on Persistent Medications
Data Last Refreshed:
Jan 6, 2011 10:14 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 2010 (Reporting Year 2009)
General
Measure
Data
Annual Monitoring for Members on
ACE Inhibitors
or ARBs
Digoxin
Diuretics
Anticonvulsants
Total
36
36
100.00%
98.61%
100.00%
1
0
NA
NA
NA
35
34
97.14%
90.19%
100.00%
27
26
NA
NA
NA
99
96
96.97%
93.09%
100.00%
2009
A
Page 47
Effectiveness of Care
Medica
Annual Monitoring for Patients on Persistent Medications
Data Last Refreshed:
Jan 6, 2011 10:14 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 2010 (Reporting Year 2009)
General
Measure
Data
Annual Monitoring for Members on
ACE Inhibitors
or ARBs
Digoxin
Diuretics
Anticonvulsants
Total
1807
1665
92.14%
90.87%
93.41%
20
17
NA
NA
NA
1507
1392
92.37%
91.00%
93.74%
234
208
88.89%
84.65%
93.13%
3568
3282
91.98%
91.08%
92.89%
2009
A
Page 48
Access/Availability of Care
Medica
Medication Reconciliation Post Discharge
Data Elements
Measurement Year
Data collection methodology (Administrative or Hybrid)
Eligible member population
Number of numerator events by administrative data in eligible
population (before exclusions)
Current year's administrative rate (before exclusions)
Minimum required sample size (MRSS) or other sample size
Oversampling rate
Final sample size (FSS)
Number of numerator events by administrative data in FSS
Administrative rate on FSS
Number of original sample records excluded because of valid
data errors
Number of employee/dependent medical records excluded
Records added from the oversample list
Denominator
Numerator events by administrative data
Numerator events by medical record
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
HEDIS 2010 (Reporting Year 2009)
Data Last Refreshed:
Jan 6, 2011 10:14 AM
MSHO
2009
H
3195
0
0.00%
397
10%
438
0
0.00%
0
0
4
411
0
251
61.07%
56.23%
65.91%
Page 49
Effectiveness of Care
Medica
Potentially Harmful Drug-Disease Interactions in the Elderly
Data Last Refreshed:
Jan 6, 2011 10:14 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 2010 (Reporting Year 2009)
General
Measure
Data
History of Falls +
Dementia +
Chronic Renal
Tricyclic
Tricyclic
Failure +
Antidepressants, Antidepressants or Nonaspirin NSAIDs
Antipsychotics or
Anticholinergic or Cox-2 Selective
Sleep Agents
Agents
NSAIDs
NR
NR
NR
NR
NR
NR
NR
NR
NR
Total
NR
NR
NR
Page 50
Effectiveness of Care
Medica
Potentially Harmful Drug-Disease Interactions in the Elderly
Data Last Refreshed:
Jan 6, 2011 10:14 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 2010 (Reporting Year 2009)
General
Measure
Data
History of Falls +
Dementia +
Chronic Renal
Tricyclic
Tricyclic
Failure +
Antidepressants, Antidepressants or Nonaspirin NSAIDs
Antipsychotics or
Anticholinergic or Cox-2 Selective
Sleep Agents
Agents
NSAIDs
Total
2009
A
446
100
22.42%
18.44%
26.40%
1978
523
26.44%
24.47%
28.41%
123
13
10.57%
4.73%
16.41%
2547
636
24.97%
23.27%
26.67%
Page 51
Effectiveness of Care
Medica
Use of High Risk Medications in the Elderly
Data Last Refreshed:
Jan 6, 2011 10:14 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 2010 (Reporting Year 2009)
General
Measure
Data
At least 1
Prescription
At least 2
Prescriptions
NR
NR
NR
NR
NR
NR
Page 52
Effectiveness of Care
Medica
Use of High Risk Medications in the Elderly
Data Last Refreshed:
Jan 6, 2011 10:14 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 2010 (Reporting Year 2009)
General
Measure
Data
2009
A
7221
At least 1
Prescription
At least 2
Prescriptions
1677
23.22%
22.24%
24.20%
348
4.82%
4.32%
5.32%
Page 53
Access/Availability of Care
Medica
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Jan 6, 2011 10:14 AM
Commercial
Data Elements
Measurement Year
Data collection methodology
(Administrative only)
Eligible member population (i.e. members
who meet all denominator criteria)
Numerator events by administrative data
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
HEDIS 2010 (Reporting Year 2009)
General Measure
Data
Ages 20-44
Ages 45-64
Ages 65+
Total
43145
49789
2383
95317
40923
48057
2329
94.85%
94.64%
95.06%
96.52%
96.36%
96.68%
97.73%
97.12%
98.35%
91309
95.80%
95.67%
95.92%
2009
A
Page 54
Access/Availability of Care
Medica
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Jan 6, 2011 10:14 AM
Medicare Advantage
Data Elements
General Measure
Data
Ages 20-44
Ages 45-64
Ages 65+
Total
Measurement Year
Data collection methodology
(Administrative only)
Eligible member population (i.e. members
who meet all denominator criteria)
NR
Numerator events by administrative data
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
NR
NR
NR
NR
HEDIS 2010 (Reporting Year 2009)
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 55
Access/Availability of Care
Medica
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Jan 6, 2011 10:14 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 2010 (Reporting Year 2009)
General Measure
Data
Ages 20-44
Ages 45-64
Ages 65+
Total
0
0
7336
7336
0
0
7149
NA
NA
NA
NA
NA
NA
97.45%
97.08%
97.82%
7149
97.45%
97.08%
97.82%
2009
A
Page 56
Access/Availability of Care
Medica
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Jan 6, 2011 10:14 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 2010 (Reporting Year 2009)
General Measure
Data
Ages 20-44
Ages 45-64
Ages 65+
Total
153
281
5
439
150
275
5
98.04%
95.52%
100.00%
97.86%
96.00%
99.73%
NA
NA
NA
430
97.95%
96.51%
99.39%
2009
A
Page 57
Access/Availability of Care
Medica
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Jan 6, 2011 10:14 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 2010 (Reporting Year 2009)
General Measure
Data
Ages 20-44
Ages 45-64
Ages 65+
Total
18596
8585
22
27203
16862
7838
20
90.68%
90.25%
91.10%
91.30%
90.70%
91.90%
NA
NA
NA
24720
90.87%
90.53%
91.22%
2009
A
Page 58
Access/Availability of Care
Medica
Children's and Adolescents' Access to Primary Care Practitioners
Data Last Refreshed:
Jan 6, 2011 10:14 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 2010 (Reporting Year 2009)
General Measure
Data
12-24 months
25 months 6 yrs.
7-11 yrs.
12-19 yrs.
2986
2956
14841
13783
11860
10955
20599
19092
99.00%
98.62%
99.37%
92.87%
92.45%
93.29%
92.37%
91.89%
92.85%
92.68%
92.33%
93.04%
2009
A
Page 59
Access/Availability of Care
Medica
Children's and Adolescents' Access to Primary Care Practitioners
Data Last Refreshed:
Jan 6, 2011 10:14 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 2010 (Reporting Year 2009)
General Measure
Data
12-24 months
25 months 6 yrs.
7-11 yrs.
12-19 yrs.
4242
4187
12796
11960
6882
6427
8982
8358
98.70%
98.35%
99.06%
93.47%
93.03%
93.90%
93.39%
92.79%
93.98%
93.05%
92.52%
93.58%
2009
A
Page 60
Access/Availability of Care
Medica
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
Data Last Refreshed:
Jan 6, 2011 10:14 AM
Commercial
13-17 Year Olds
Data Elements
Measurement Year
Data collection methodology (Administrative only)
Eligible member population
Numerator events by administrative data
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
HEDIS 2010 (Reporting Year 2009)
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
2009
A
171
2904
2733
89
35
962
357
1051
392
52.05%
44.27%
59.83%
20.47%
14.13%
26.81%
35.20%
33.39%
37.01%
13.06%
11.78%
14.34%
36.19%
34.43%
37.96%
13.50%
12.24%
14.76%
Page 61
Access/Availability of Care
Medica
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
Data Last Refreshed:
Jan 6, 2011 10:14 AM
Medicare Advantage
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 2010 (Reporting Year 2009)
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 62
Access/Availability of Care
Medica
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
Data Last Refreshed:
Jan 6, 2011 10:14 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 2010 (Reporting Year 2009)
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
2009
A
137
0
137
0
0
60
7
60
7
NA
NA
NA
NA
NA
NA
43.80%
35.12%
52.47%
5.11%
1.06%
9.16%
43.80%
35.12%
52.47%
5.11%
1.06%
9.16%
Page 63
Access/Availability of Care
Medica
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
Data Last Refreshed:
Jan 6, 2011 10:14 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 2010 (Reporting Year 2009)
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
2009
A
0
80
80
0
0
19
6
19
6
NA
NA
NA
NA
NA
NA
23.75%
13.80%
33.70%
7.50%
1.10%
13.90%
23.75%
13.80%
33.70%
7.50%
1.10%
13.90%
Page 64
Access/Availability of Care
Medica
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
Data Last Refreshed:
Jan 6, 2011 10:14 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 2010 (Reporting Year 2009)
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
2009
A
323
3451
3774
121
44
1307
441
1428
485
37.46%
32.03%
42.89%
13.62%
9.73%
17.52%
37.87%
36.24%
39.51%
12.78%
11.65%
13.91%
37.84%
36.28%
39.40%
12.85%
11.77%
13.93%
Page 65
Access/Availability of Care
Medica
Prenatal and Postpartum Care
Data Last Refreshed:
Jan 6, 2011 10:14 AM
Commercial
Timeliness of
Prenatal Care
Postpartum
Care
Measurement Year
Data collection methodology (Administrative or Hybrid)
Eligible member population
2008
H
4189
2009
H
3581
Number of numerator events by administrative data in eligible
population (before exclusions)
3004
2156
71.71%
288
5%
303
224
60.21%
411
10%
453
275
73.93%
60.71%
4
0
0
4
288
125
144
0
2
411
191
139
93.40%
90.36%
96.44%
80.29%
76.32%
84.26%
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 2010 (Reporting Year 2009)
Page 66
Access/Availability of Care
Medica
Prenatal and Postpartum Care
Data Last Refreshed:
Jan 6, 2011 10:14 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
2008
H
5102
2009
H
5105
Number of numerator events by administrative data in eligible
population (before exclusions)
3257
2786
63.84%
411
5%
432
293
54.57%
411
10%
453
263
67.82%
58.06%
0
0
1
1
411
166
206
0
2
411
138
140
90.51%
87.56%
93.47%
67.64%
63.00%
72.28%
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 2010 (Reporting Year 2009)
Page 67
Use of Services
Medica
Well Child Visits in the First 15 Months of Life
Data Last Refreshed:
Jan 6, 2011 10:14 AM
Commercial
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
General
Measure
Data
Zero Visits
1 visit
2 visits
3 visits
4 visits
5 visits
6 or more
visits
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
19
19
23
43
97
354
1892
0.78%
0.41%
1.14%
0.78%
0.41%
1.14%
0.94%
0.54%
1.34%
1.76%
1.22%
2.30%
3.96%
3.17%
4.76%
14.47%
13.05%
15.88%
77.32%
75.64%
79.00%
2009
A
2447
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 2010 (Reporting Year 2009)
Page 68
Use of Services
Medica
Well Child Visits in the First 15 Months of Life
Data Last Refreshed:
Jan 6, 2011 10:14 AM
Minnesota Health Care Programs - Managed Care (MHCP-MC)
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
General
Measure
Data
Zero Visits
1 visit
2 visits
3 visits
4 visits
5 visits
6 or more
visits
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
35
56
92
179
330
654
2426
0.93%
0.61%
1.25%
1.48%
1.09%
1.88%
2.44%
1.93%
2.94%
4.75%
4.05%
5.44%
8.75%
7.83%
9.66%
17.34%
16.12%
18.56%
64.32%
62.77%
65.86%
2009
A
3772
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 2010 (Reporting Year 2009)
Page 69
Use of Services
Medica
Well Child Visits in the 3rd, 4th, 5th and 6th Years of Life
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Data Last Refreshed:
Jan 6, 2011 10:14 AM
Commercial
MHCP-MC
2009
A
12168
2009
A
10215
NR
NR
NR
NR
8340
7263
68.54%
67.71%
69.37%
71.10%
70.22%
71.99%
Numerator events by admin data in eligible
population
Current Year's Admin Rate
Minimum Required Sample Size
Oversampling Rate
Final sample size (FSS)
Numerator events by admin data in FSS
Administrative rate on FSS
Records Excluded because of Valid Data Errors
Number of employee/dependent medical records
excluded
Records Added from the Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2010 (Reporting Year 2009)
Page 70
Use of Services
Medica
Adolescent Well-Care Visits
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Data Last Refreshed:
Jan 6, 2011 10:14 AM
Commercial
MHCP-MC
2009
A
32399
2009
A
14582
NR
NR
NR
NR
11166
5696
34.46%
33.94%
34.98%
39.06%
38.27%
39.86%
Numerator events by admin data in eligible
population
Current Year's Admin Rate
Minimum Required Sample Size
Oversampling Rate
Final sample size (FSS)
Numerator events by admin data in FSS
Administrative rate on FSS
Records Excluded because of Valid Data Errors
Number of employee/dependent medical records
excluded
Records Added from the Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2010 (Reporting Year 2009)
Page 71
Use of Services
Medica
Ambulatory Care
Data Last Refreshed:
Jan 6, 2011 10:14 AM
Commercial
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Member Months
41163
402663
476505
1351608
1082703
36967
3666
768
0
3396043
Outpatient Visits (Excludes
MH/CD)
Age
<1
1-9
Visits
34506
120325
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
113281
334993
345901
18017
2334
585
0
969942
HEDIS 2010 (Reporting Year 2009)
Visits/ 1,000
Member
Months
838.28
298.82
237.73
247.85
319.48
487.38
636.66
761.72
285.61
Emergency Room Visits
Visits
1144
6334
5706
16359
10761
506
76
28
0
40914
Visits/ 1,000
Member
Months
27.79
15.73
11.97
12.10
9.94
13.69
20.73
36.46
12.05
Ambulatory
Surgery/Procedures
Procedures
402
1935
1748
10958
21401
1195
167
10
0
37816
Procedures/
1,000 Member
Months
9.77
4.81
3.67
8.11
19.77
32.33
45.55
13.02
11.14
Observation Room Stays
Resulting in Discharge
Stays
37
87
75
522
464
29
6
4
0
1224
Stays/ 1,000
Member
Months
0.90
0.22
0.16
0.39
0.43
0.78
1.64
5.21
0.36
Page 72
Use of Services
Medica
Ambulatory Care
Data Last Refreshed:
Jan 6, 2011 10:14 AM
Medicare Advantage
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Member Months
NR
Total
Outpatient Visits (Excludes
MH/CD)
Age
Visits
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
NR
HEDIS 2010 (Reporting Year 2009)
Visits/ 1,000
Member
Months
NR
NR
NR
NR
NR
NR
NR
NR
NR
Emergency Room Visits
Visits
NR
Visits/ 1,000
Member
Months
NR
NR
NR
NR
NR
NR
NR
NR
NR
Ambulatory
Surgery/Procedures
Procedures
NR
Procedures/
1,000 Member
Months
NR
NR
NR
NR
NR
NR
NR
NR
NR
Observation Room Stays
Resulting in Discharge
Stays
NR
Stays/ 1,000
Member
Months
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 73
Use of Services
Medica
Ambulatory Care
Data Last Refreshed:
Jan 6, 2011 10:14 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
5
34801
34599
34277
0
103682
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
10
29198
27857
24623
0
81688
HEDIS 2010 (Reporting Year 2009)
Visits/ 1,000
Member
Months
NA
NA
NA
NA
2000.00
839.00
805.14
718.35
787.87
Emergency Room Visits
Visits
0
0
0
0
0
1534
1341
1076
0
3951
Visits/ 1,000
Member
Months
NA
NA
NA
NA
0.00
44.08
38.76
31.39
38.11
Ambulatory
Surgery/Procedures
Procedures
0
0
0
0
2
1334
1089
515
0
2940
Procedures/
1,000 Member
Months
NA
NA
NA
NA
400.00
38.33
31.47
15.02
28.36
Observation Room Stays
Resulting in Discharge
Stays
0
0
0
0
0
106
124
102
0
332
Stays/ 1,000
Member
Months
NA
NA
NA
NA
0.00
3.05
3.58
2.98
3.20
Page 74
Use of Services
Medica
Ambulatory Care
Data Last Refreshed:
Jan 6, 2011 10:14 AM
SNBC
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Member Months
0
0
81
4522
5646
45
0
0
0
10294
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
39
3566
5772
30
0
0
0
9407
HEDIS 2010 (Reporting Year 2009)
Visits/ 1,000
Member
Months
NA
NA
481.48
788.59
1022.32
666.67
NA
NA
913.83
Emergency Room Visits
Visits
0
0
12
516
465
0
0
0
0
993
Visits/ 1,000
Member
Months
NA
NA
148.15
114.11
82.36
0.00
NA
NA
96.46
Ambulatory
Surgery/Procedures
Procedures
0
0
0
133
236
1
0
0
0
370
Procedures/
1,000 Member
Months
NA
NA
0.00
29.41
41.80
22.22
NA
NA
35.94
Observation Room Stays
Resulting in Discharge
Stays
0
0
0
17
32
0
0
0
0
49
Stays/ 1,000
Member
Months
NA
NA
0.00
3.76
5.67
0.00
NA
NA
4.76
Page 75
Use of Services
Medica
Ambulatory Care
Data Last Refreshed:
Jan 6, 2011 10:14 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
84103
469549
331931
468945
165640
323
48
0
0
1520539
Outpatient Visits (Excludes
MH/CD)
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Visits
66517
157652
89678
232947
102635
213
39
0
0
649681
HEDIS 2010 (Reporting Year 2009)
Visits/ 1,000
Member
Months
790.90
335.75
270.17
496.75
619.63
659.44
812.50
NA
427.27
Emergency Room Visits
Visits
9205
26761
13660
39548
8765
8
0
0
0
97947
Visits/ 1,000
Member
Months
109.45
56.99
41.15
84.33
52.92
24.77
0.00
NA
64.42
Ambulatory
Surgery/Procedures
Procedures
644
2510
1455
8895
4865
13
5
0
0
18387
Procedures/
1,000 Member
Months
7.66
5.35
4.38
18.97
29.37
40.25
104.17
NA
12.09
Observation Room Stays
Resulting in Discharge
Stays
147
245
179
995
270
0
0
0
0
1836
Stays/ 1,000
Member
Months
1.75
0.52
0.54
2.12
1.63
0.00
0.00
NA
1.21
Page 76
Use of Services
Medica
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:
Jan 6, 2011 10:14 AM
Member Months
41163
402663
476505
1351608
1082703
36967
3666
768
0
3396043
Discharges
Discharges /
1,000 Member
Months
384
653
798
7143
6284
434
76
27
0
15799
9.33
1.62
1.67
5.28
5.80
11.74
20.73
35.16
304
463
379
1313
2550
198
48
15
0
5270
7.39
1.15
0.80
0.97
2.36
5.36
13.09
19.53
79
190
297
1936
3727
236
28
12
0
6505
1.92
0.47
0.62
1.43
3.44
6.38
7.64
15.63
120
3891
7
0
4018
0.25
2.88
0.01
HEDIS 2010 (Reporting Year 2009)
4.65
1.55
1.92
1.38
Days
Days / 1,000
Member
Months
2540
2446
2848
20428
22303
1920
255
95
0
52835
61.71
6.07
5.98
15.11
20.60
51.94
69.56
123.70
1398
1248
1035
3595
8025
826
139
51
0
16317
33.96
3.10
2.17
2.66
7.41
22.34
37.92
66.41
1139
1198
1504
6470
14253
1094
116
44
0
25818
27.67
2.98
3.16
4.79
13.16
29.59
31.64
57.29
295
10351
25
0
10671
0.62
7.66
0.02
15.56
4.80
7.60
3.67
Average
Length of Stay
6.61
3.75
3.57
2.86
3.55
4.42
3.36
3.52
NA
3.34
4.60
2.70
2.73
2.74
3.15
4.17
2.90
3.40
NA
3.10
14.42
6.31
5.06
3.34
3.82
4.64
4.14
3.67
NA
3.97
2.46
2.66
3.57
NA
2.66
Page 77
Use of Services
Medica
Inpatient Utilization - General Hospital/Acute Care
Data Last Refreshed:
Jan 6, 2011 10:14 AM
Medicare Advantage
Age
Member Months
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
NR
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
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 2010 (Reporting Year 2009)
NR
NR
NR
NR
NR
NR
NR
NR
NR
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 78
Use of Services
Medica
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:
Jan 6, 2011 10:14 AM
Member Months
0
0
0
0
5
34801
34599
34277
0
103682
Discharges
Discharges /
1,000 Member
Months
0
0
0
0
0
1358
1311
1139
0
3808
NA
NA
NA
NA
0.00
39.02
37.89
33.23
0
0
0
0
0
974
1012
903
0
2889
NA
NA
NA
NA
0.00
27.99
29.25
26.34
0
0
0
0
0
384
299
236
0
919
NA
NA
NA
NA
0.00
11.03
8.64
6.89
0
0
0
0
0
NA
NA
0.00
HEDIS 2010 (Reporting Year 2009)
36.73
27.86
8.86
0.00
Days
0
0
0
0
0
6747
5811
4763
0
17321
0
0
0
0
0
4077
3913
3521
0
11511
Days / 1,000
Member
Months
NA
NA
NA
NA
0.00
193.87
167.95
138.96
167.06
NA
NA
NA
NA
0.00
117.15
113.10
102.72
111.02
0
0
0
0
0
2670
1898
1242
0
5810
NA
NA
NA
NA
0.00
76.72
54.86
36.23
0
0
0
0
0
NA
NA
0.00
56.04
0.00
Average
Length of Stay
NA
NA
NA
NA
NA
4.97
4.43
4.18
NA
4.55
NA
NA
NA
NA
NA
4.19
3.87
3.90
NA
3.98
NA
NA
NA
NA
NA
6.95
6.35
5.26
NA
6.32
NA
NA
NA
NA
NA
Page 79
Use of Services
Medica
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:
Jan 6, 2011 10:14 AM
Member Months
0
0
81
4522
5646
45
0
0
0
10294
Discharges
Discharges /
1,000 Member
Months
0
0
1
110
204
0
0
0
0
315
NA
NA
12.35
24.33
36.13
0.00
NA
NA
0
0
1
77
131
0
0
0
0
209
NA
NA
12.35
17.03
23.20
0.00
NA
NA
0
0
0
29
73
0
0
0
0
102
NA
NA
0.00
6.41
12.93
0.00
NA
NA
0
4
0
0
4
0.00
0.88
0.00
HEDIS 2010 (Reporting Year 2009)
30.60
20.30
9.91
0.39
Days
0
0
4
430
990
0
0
0
0
1424
Days / 1,000
Member
Months
NA
NA
49.38
95.09
175.35
0.00
NA
NA
138.33
0
0
4
255
549
0
0
0
0
808
NA
NA
49.38
56.39
97.24
0.00
NA
NA
0
0
0
164
441
0
0
0
0
605
NA
NA
0.00
36.27
78.11
0.00
NA
NA
0
11
0
0
11
78.49
58.77
0.00
2.43
0.00
1.07
Average
Length of Stay
NA
NA
4.00
3.91
4.85
NA
NA
NA
NA
4.52
NA
NA
4.00
3.31
4.19
NA
NA
NA
NA
3.87
NA
NA
NA
5.66
6.04
NA
NA
NA
NA
5.93
NA
2.75
NA
NA
2.75
Page 80
Use of Services
Medica
Inpatient Utilization - General Hospital/Acute Care
Data Last Refreshed:
Jan 6, 2011 10:14 AM
Minnesota Health Care Programs - Managed Care (MHCP-MC)
Age
Member Months
<1
84103
1-9
469549
10-19
331931
20-44
468945
45-64
165640
65-74
323
75-84
48
85+
0
Unknown
0
Total
1520539
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
1059
1153
1396
9028
2320
4
1
0
0
14961
12.59
2.46
4.21
19.25
14.01
12.38
20.83
NA
905
893
389
1847
1318
1
0
0
0
5353
10.76
1.90
1.17
3.94
7.96
3.10
0.00
NA
152
260
249
1426
992
3
1
0
0
3083
1.81
0.55
0.75
3.04
5.99
9.29
20.83
NA
758
5754
9
0
6521
2.28
12.27
0.05
HEDIS 2010 (Reporting Year 2009)
9.84
3.52
2.03
6.75
Days
Days / 1,000
Member
Months
5258
3156
3962
24468
8682
33
8
0
0
45567
62.52
6.72
11.94
52.18
52.41
102.17
166.67
NA
3331
2124
981
5147
4179
4
0
0
0
15766
39.61
4.52
2.96
10.98
25.23
12.38
0.00
NA
29.97
10.37
1895
1032
881
4739
4448
29
8
0
0
13032
22.53
2.20
2.65
10.11
26.85
89.78
166.67
NA
2100
14575
39
0
16714
6.33
31.08
0.24
8.57
17.29
Average
Length of Stay
4.97
2.74
2.84
2.71
3.74
8.25
8.00
NA
NA
3.05
3.68
2.38
2.52
2.79
3.17
4.00
NA
NA
NA
2.95
12.47
3.97
3.54
3.32
4.48
9.67
8.00
NA
NA
4.23
2.77
2.53
4.33
NA
2.56
Page 81
Use of Services
Medica
Identification of Alcohol and Other Drug Services
Data Last Refreshed:
Jan 6, 2011 10:14 AM
Commercial
Member Months
(Any)
Age
0-12
13-17
18-24
25-34
35-64
65+
Unknown
Total
Male
297303
123445
166473
275062
839634
22965
0
1724882
Female
286002
117628
161073
260404
827618
18436
0
1671161
Total
583305
241073
327546
535466
1667252
41401
0
3396043
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
3
3
6
214
119
333
471
233
704
555
293
848
1419
747
2166
22
17
39
0
0
0
2684
1412
4096
HEDIS 2010 (Reporting Year 2009)
Male
297303
123445
166473
275062
839634
22965
0
1724882
Female
286002
117628
161073
260404
827618
18436
0
1671161
Total
583305
241073
327546
535466
1667252
41401
0
3396043
Percent
0.01%
0.01%
0.01%
2.08%
1.21%
1.66%
3.40%
1.74%
2.58%
2.42%
1.35%
1.90%
2.03%
1.08%
1.56%
1.15%
1.11%
1.13%
NA
NA
NA
1.87%
1.01%
1.45%
Number
0
0
0
65
48
113
108
56
164
91
71
162
418
205
623
12
6
18
0
0
0
694
386
1080
Male
297303
123445
166473
275062
839634
22965
0
1724882
Female
286002
117628
161073
260404
827618
18436
0
1671161
Total
583305
241073
327546
535466
1667252
41401
0
3396043
Intensive Outpatient/Partial
Hospitalization
Inpatient
Any Services
Age
0-12
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Member Months
(Inpatient)
Percent
0.00%
0.00%
0.00%
0.63%
0.49%
0.56%
0.78%
0.42%
0.60%
0.40%
0.33%
0.36%
0.60%
0.30%
0.45%
0.63%
0.39%
0.52%
NA
NA
NA
0.48%
0.28%
0.38%
Number
0
0
0
44
16
60
53
20
73
64
19
83
118
56
174
2
1
3
0
0
0
281
112
393
Percent
0.00%
0.00%
0.00%
0.43%
0.16%
0.30%
0.38%
0.15%
0.27%
0.28%
0.09%
0.19%
0.17%
0.08%
0.13%
0.10%
0.07%
0.09%
NA
NA
NA
0.20%
0.08%
0.14%
Member Months
(Outpatient/ED)
Male
297303
123445
166473
275062
839634
22965
0
1724882
Female
286002
117628
161073
260404
827618
18436
0
1671161
Total
583305
241073
327546
535466
1667252
41401
0
3396043
Outpatient/ED
Number
3
3
6
185
101
286
410
198
608
508
260
768
1193
659
1852
14
13
27
0
0
0
2313
1234
3547
Percent
0.01%
0.01%
0.01%
1.80%
1.03%
1.42%
2.96%
1.48%
2.23%
2.22%
1.20%
1.72%
1.71%
0.96%
1.33%
0.73%
0.85%
0.78%
NA
NA
NA
1.61%
0.89%
1.25%
Page 82
Use of Services
Medica
Identification of Alcohol and Other Drug Services
Data Last Refreshed:
Jan 6, 2011 10:14 AM
Medicare Advantage
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 2010 (Reporting Year 2009)
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 83
Use of Services
Medica
Identification of Alcohol and Other Drug Services
Data Last Refreshed:
Jan 6, 2011 10:14 AM
MSHO
Member Months
(Any)
Age
0-12
13-17
18-24
25-34
35-64
65+
Unknown
Total
Male
0
0
0
0
0
27577
0
27577
Female
0
0
0
0
5
76100
0
76105
Total
0
0
0
0
5
103677
0
103682
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
129
114
243
0
0
0
129
114
243
HEDIS 2010 (Reporting Year 2009)
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Member Months
(Inpatient)
Male
0
0
0
0
0
27577
0
27577
Female
0
0
0
0
5
76100
0
76105
Total
0
0
0
0
5
103677
0
103682
Inpatient
Percent
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00%
0.00%
5.61%
1.80%
2.81%
NA
NA
NA
5.61%
1.80%
2.81%
Number
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
65
66
131
0
0
0
65
66
131
Percent
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00%
0.00%
2.83%
1.04%
1.52%
NA
NA
NA
2.83%
1.04%
1.52%
Male
0
0
0
0
0
27577
0
27577
Female
0
0
0
0
5
76100
0
76105
Total
0
0
0
0
5
103677
0
103682
Member Months
(Outpatient/ED)
Male
0
0
0
0
0
27577
0
27577
Female
0
0
0
0
5
76100
0
76105
Intensive Outpatient/Partial
Hospitalization
Outpatient/ED
Number
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
4
3
7
0
0
0
4
3
7
Number
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
86
59
145
0
0
0
86
59
145
Percent
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00%
0.00%
0.17%
0.05%
0.08%
NA
NA
NA
0.17%
0.05%
0.08%
Total
0
0
0
0
5
103677
0
103682
Percent
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00%
0.00%
3.74%
0.93%
1.68%
NA
NA
NA
3.74%
0.93%
1.68%
Page 84
Use of Services
Medica
Identification of Alcohol and Other Drug Services
Data Last Refreshed:
Jan 6, 2011 10:14 AM
SNBC
Age
0-12
13-17
18-24
25-34
35-64
65+
Unknown
Total
Male
0
0
394
816
3027
17
0
4254
Female
0
0
444
896
4672
28
0
6040
Total
0
0
838
1712
7699
45
0
10294
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
11
15
26
25
28
53
100
101
201
0
0
0
0
0
0
136
144
280
HEDIS 2010 (Reporting Year 2009)
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Member Months
(Inpatient)
Member Months
(Any)
Male
0
0
394
816
3027
17
0
4254
Female
0
0
444
896
4672
28
0
6040
Total
0
0
838
1712
7699
45
0
10294
Inpatient
Percent
NA
NA
NA
NA
NA
NA
33.50%
40.54%
37.23%
36.76%
37.50%
37.15%
39.64%
25.94%
31.33%
0.00%
0.00%
0.00%
NA
NA
NA
38.36%
28.61%
32.64%
Number
0
0
0
0
0
0
1
6
7
5
7
12
22
31
53
0
0
0
0
0
0
28
44
72
Percent
NA
NA
NA
NA
NA
NA
3.05%
16.22%
10.02%
7.35%
9.38%
8.41%
8.72%
7.96%
8.26%
0.00%
0.00%
0.00%
NA
NA
NA
7.90%
8.74%
8.39%
Male
0
0
394
816
3027
17
0
4254
Female
0
0
444
896
4672
28
0
6040
Total
0
0
838
1712
7699
45
0
10294
Member Months
(Outpatient/ED)
Male
0
0
394
816
3027
17
0
4254
Female
0
0
444
896
4672
28
0
6040
Intensive Outpatient/Partial
Hospitalization
Outpatient/ED
Number
0
0
0
0
0
0
1
3
4
0
2
2
4
10
14
0
0
0
0
0
0
5
15
20
Number
0
0
0
0
0
0
10
13
23
23
27
50
93
92
185
0
0
0
0
0
0
126
132
258
Percent
NA
NA
NA
NA
NA
NA
3.05%
8.11%
5.73%
0.00%
2.68%
1.40%
1.59%
2.57%
2.18%
0.00%
0.00%
0.00%
NA
NA
NA
1.41%
2.98%
2.33%
Total
0
0
838
1712
7699
45
0
10294
Percent
NA
NA
NA
NA
NA
NA
30.46%
35.14%
32.94%
33.82%
36.16%
35.05%
36.87%
23.63%
28.83%
0.00%
0.00%
0.00%
NA
NA
NA
35.54%
26.23%
30.08%
Page 85
Use of Services
Medica
Identification of Alcohol and Other Drug Services
Data Last Refreshed:
Jan 6, 2011 10:14 AM
Minnesota Health Care Programs - Managed Care (MHCP-MC)
Member Months
Member Months
(Any)
(Inpatient)
Age
Male
Female
Male
Female
Total
Total
0-12
335515
330864
666379
335515
330864
666379
13-17
81290
83507
164797
81290
83507
164797
18-24
55833
110275
166108
55833
110275
166108
25-34
62064
146581
208645
62064
146581
208645
35-64
130444
183795
314239
130444
183795
314239
65+
164
207
371
164
207
371
Unknown
0
0
0
0
0
0
Total
665310
855229
1520539
665310
855229
1520539
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
14
21
35
389
290
679
869
792
1661
1329
1529
2858
2660
2006
4666
0
0
0
0
0
0
5261
4638
9899
HEDIS 2010 (Reporting Year 2009)
Inpatient
Percent
0.05%
0.08%
0.06%
5.74%
4.17%
4.94%
18.68%
8.62%
12.00%
25.70%
12.52%
16.44%
24.47%
13.10%
17.82%
0.00%
0.00%
0.00%
NA
NA
NA
9.49%
6.51%
7.81%
Number
5
5
10
102
113
215
229
230
459
380
417
797
823
617
1440
0
0
0
0
0
0
1539
1382
2921
Percent
0.02%
0.02%
0.02%
1.51%
1.62%
1.57%
4.92%
2.50%
3.32%
7.35%
3.41%
4.58%
7.57%
4.03%
5.50%
0.00%
0.00%
0.00%
NA
NA
NA
2.78%
1.94%
2.31%
Member Months
(Intensive Outpatient/Partial
Male
Female
Total
335515
330864
666379
81290
83507
164797
55833
110275
166108
62064
146581
208645
130444
183795
314239
164
207
371
0
0
0
665310
855229
1520539
Male
335515
81290
55833
62064
130444
164
0
665310
Member Months
(Outpatient/ED)
Female
Total
330864
666379
83507
164797
110275
166108
146581
208645
183795
314239
207
371
0
0
855229
1520539
Intensive Outpatient/Partial
Hospitalization
Outpatient/ED
Number
3
1
4
65
64
129
165
118
283
205
249
454
354
250
604
0
0
0
0
0
0
792
682
1474
Number
8
15
23
351
247
598
751
677
1428
1168
1379
2547
2362
1792
4154
0
0
0
0
0
0
4640
4110
8750
Percent
0.01%
0.00%
0.01%
0.96%
0.92%
0.94%
3.55%
1.28%
2.04%
3.96%
2.04%
2.61%
3.26%
1.63%
2.31%
0.00%
0.00%
0.00%
NA
NA
NA
1.43%
0.96%
1.16%
Percent
0.03%
0.05%
0.04%
5.18%
3.55%
4.35%
16.14%
7.37%
10.32%
22.58%
11.29%
14.65%
21.73%
11.70%
15.86%
0.00%
0.00%
0.00%
NA
NA
NA
8.37%
5.77%
6.91%
Page 86
Use of Services
Medica
Mental Health Utilization - % of Members Receiving Inpatient, Day/Night and Ambulatory Services
Data Last Refreshed:
Jan 6, 2011 10:14 AM
Commercial
Member Months
(Any)
Age
0-12
13-17
18-64
65+
Unknown
Total
Male
297303
123445
1281169
22965
0
1724882
Female
286002
117628
1249095
18436
0
1671161
Total
583305
241073
2530264
41401
0
3396043
Any Services
Sex
M
F
Total
M
13-17
F
Total
M
18-64
F
Total
M
65+
F
Total
Unknown M
F
Total
Total
M
F
Total
Age
0-12
Number
1336
802
2138
1019
1041
2060
5377
9203
14580
56
52
108
0
0
0
7788
11098
18886
HEDIS 2010 (Reporting Year 2009)
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Member Months
(Inpatient)
Male
297303
123445
1281169
22965
0
1724882
Female
286002
117628
1249095
18436
0
1671161
Total
583305
241073
2530264
41401
0
3396043
Number
18
7
25
75
112
187
272
333
605
3
1
4
0
0
0
368
453
821
Female
286002
117628
1249095
18436
0
1671161
Total
583305
241073
2530264
41401
0
3396043
Intensive Outpatient/Partial
Hospitalization
Inpatient
Percent
5.39%
3.37%
4.40%
9.91%
10.62%
10.25%
5.04%
8.84%
6.91%
2.93%
3.38%
3.13%
NA
NA
NA
5.42%
7.97%
6.67%
Male
297303
123445
1281169
22965
0
1724882
Percent
0.07%
0.03%
0.05%
0.73%
1.14%
0.93%
0.25%
0.32%
0.29%
0.16%
0.07%
0.12%
NA
NA
NA
0.26%
0.33%
0.29%
Number
77
41
118
85
117
202
196
455
651
1
0
1
0
0
0
359
613
972
Percent
0.31%
0.17%
0.24%
0.83%
1.19%
1.01%
0.18%
0.44%
0.31%
0.05%
0.00%
0.03%
NA
NA
NA
0.25%
0.44%
0.34%
Member Months
(Outpatient/ED)
Male
297303
123445
1281169
22965
0
1724882
Female
286002
117628
1249095
18436
0
1671161
Total
583305
241073
2530264
41401
0
3396043
Outpatient/ED
Number
1315
791
2106
989
1020
2009
5259
9084
14343
54
51
105
0
0
0
7617
10946
18563
Percent
5.31%
3.32%
4.33%
9.61%
10.41%
10.00%
4.93%
8.73%
6.80%
2.82%
3.32%
3.04%
NA
NA
NA
5.30%
7.86%
6.56%
Page 87
Use of Services
Medica
Mental Health Utilization - % of Members Receiving Inpatient, Day/Night and Ambulatory Services
Data Last Refreshed:
Jan 6, 2011 10:14 AM
Medicare Advantage
Member Months
(Any)
Age
Male
Female
0-12
13-17
18-64
65+
Unknown
Total
NR
NR
Total
NR
NR
NR
NR
NR
NR
Sex
M
F
Total
M
13-17
F
Total
M
18-64
F
Total
M
65+
F
Total
Unknown M
F
Total
Total
M
F
Total
Age
Number
NR
NR
NR
NR
NR
NR
NR
NR
HEDIS 2010 (Reporting Year 2009)
Male
Female
NR
NR
Total
NR
NR
NR
NR
NR
NR
Percent
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Number
NR
NR
NR
NR
NR
NR
NR
NR
Male
Female
NR
NR
Total
NR
NR
NR
NR
NR
NR
Intensive Outpatient/Partial
Hospitalization
Inpatient
Any Services
0-12
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Member Months
(Inpatient)
Percent
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Number
NR
NR
NR
NR
NR
NR
NR
NR
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 88
Use of Services
Medica
Mental Health Utilization - % of Members Receiving Inpatient, Day/Night and Ambulatory Services
Data Last Refreshed:
Jan 6, 2011 10:14 AM
MSHO
Member Months
(Any)
Age
0-12
13-17
18-64
65+
Unknown
Total
Male
0
0
0
27577
0
27577
Female
0
0
5
76100
0
76105
Total
0
0
5
103677
0
103682
Any Services
Sex
M
F
Total
M
13-17
F
Total
M
18-64
F
Total
M
65+
F
Total
Unknown M
F
Total
Total
M
F
Total
Age
0-12
Number
0
0
0
0
0
0
0
0
0
268
699
967
0
0
0
268
699
967
HEDIS 2010 (Reporting Year 2009)
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Member Months
(Inpatient)
Male
0
0
0
27577
0
27577
Female
0
0
5
76100
0
76105
Total
0
0
5
103677
0
103682
Number
0
0
0
0
0
0
0
0
0
47
132
179
0
0
0
47
132
179
Female
0
0
5
76100
0
76105
Total
0
0
5
103677
0
103682
Intensive Outpatient/Partial
Hospitalization
Inpatient
Percent
NA
NA
NA
NA
NA
NA
NA
0.00%
0.00%
11.66%
11.02%
11.19%
NA
NA
NA
11.66%
11.02%
11.19%
Male
0
0
0
27577
0
27577
Percent
NA
NA
NA
NA
NA
NA
NA
0.00%
0.00%
2.05%
2.08%
2.07%
NA
NA
NA
2.05%
2.08%
2.07%
Number
0
0
0
0
0
0
0
0
0
28
61
89
0
0
0
28
61
89
Percent
NA
NA
NA
NA
NA
NA
NA
0.00%
0.00%
1.22%
0.96%
1.03%
NA
NA
NA
1.22%
0.96%
1.03%
Member Months
(Outpatient/ED)
Male
0
0
0
27577
0
27577
Female
0
0
5
76100
0
76105
Total
0
0
5
103677
0
103682
Outpatient/ED
Number
0
0
0
0
0
0
0
0
0
234
591
825
0
0
0
234
591
825
Percent
NA
NA
NA
NA
NA
NA
NA
0.00%
0.00%
10.18%
9.32%
9.55%
NA
NA
NA
10.18%
9.32%
9.55%
Page 89
Use of Services
Medica
Mental Health Utilization - % of Members Receiving Inpatient, Day/Night and Ambulatory Services
Data Last Refreshed:
Jan 6, 2011 10:14 AM
SNBC
Member Months
(Any)
Age
0-12
13-17
18-64
65+
Unknown
Total
Male
0
0
4237
17
0
4254
Female
0
0
6012
28
0
6040
Total
0
0
10249
45
0
10294
Any Services
Sex
M
F
Total
M
13-17
F
Total
M
18-64
F
Total
M
65+
F
Total
Unknown M
F
Total
Total
M
F
Total
Age
0-12
Number
0
0
0
0
0
0
416
600
1016
0
0
0
0
0
0
416
600
1016
HEDIS 2010 (Reporting Year 2009)
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Member Months
(Inpatient)
Male
0
0
4237
17
0
4254
Female
0
0
6012
28
0
6040
Total
0
0
10249
45
0
10294
Number
0
0
0
0
0
0
23
55
78
0
0
0
0
0
0
23
55
78
Female
0
0
6012
28
0
6040
Total
0
0
10249
45
0
10294
Intensive Outpatient/Partial
Hospitalization
Inpatient
Percent
NA
NA
NA
NA
NA
NA
117.82%
119.76%
118.96%
0.00%
0.00%
0.00%
NA
NA
NA
117.35%
119.21%
118.44%
Male
0
0
4237
17
0
4254
Percent
NA
NA
NA
NA
NA
NA
6.51%
10.98%
9.13%
0.00%
0.00%
0.00%
NA
NA
NA
6.49%
10.93%
9.09%
Number
0
0
0
0
0
0
27
82
109
0
0
0
0
0
0
27
82
109
Percent
NA
NA
NA
NA
NA
NA
7.65%
16.37%
12.76%
0.00%
0.00%
0.00%
NA
NA
NA
7.62%
16.29%
12.71%
Member Months
(Outpatient/ED)
Male
0
0
4237
17
0
4254
Female
0
0
6012
28
0
6040
Total
0
0
10249
45
0
10294
Outpatient/ED
Number
0
0
0
0
0
0
412
587
999
0
0
0
0
0
0
412
587
999
Percent
NA
NA
NA
NA
NA
NA
116.69%
117.17%
116.97%
0.00%
0.00%
0.00%
NA
NA
NA
116.22%
116.62%
116.46%
Page 90
Use of Services
Medica
Mental Health Utilization - % of Members Receiving Inpatient, Day/Night and Ambulatory Services
Data Last Refreshed:
Jan 6, 2011 10:14 AM
Minnesota Health Care Programs - Managed Care(MHCP-MC
Member Months
(Any)
Age
0-12
13-17
18-64
65+
Unknown
Total
Male
335515
81290
248341
164
0
665310
Female
330864
83507
440651
207
0
855229
Total
666379
164797
688992
371
0
1520539
Any Services
Sex
M
F
Total
M
13-17
F
Total
M
18-64
F
Total
M
65+
F
Total
Unknown M
F
Total
Total
M
F
Total
Age
0-12
Number
3088
2125
5213
1389
1602
2991
5210
10507
15717
1
0
1
0
0
0
9688
14234
23922
HEDIS 2010 (Reporting Year 2009)
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Member Months
(Inpatient)
Male
335515
81290
248341
164
0
665310
Female
330864
83507
440651
207
0
855229
Total
666379
164797
688992
371
0
1520539
Number
51
37
88
89
171
260
490
661
1151
0
0
0
0
0
0
630
869
1499
Female
330864
83507
440651
207
0
855229
Total
666379
164797
688992
371
0
1520539
Intensive Outpatient/Partial
Hospitalization
Inpatient
Percent
11.04%
7.71%
9.39%
20.50%
23.02%
21.78%
25.18%
28.61%
27.37%
7.32%
0.00%
3.23%
NA
NA
NA
17.47%
19.97%
18.88%
Male
335515
81290
248341
164
0
665310
Percent
0.18%
0.13%
0.16%
1.31%
2.46%
1.89%
2.37%
1.80%
2.00%
0.00%
0.00%
0.00%
NA
NA
NA
1.14%
1.22%
1.18%
Number
537
313
850
233
283
516
753
1457
2210
0
0
0
0
0
0
1523
2053
3576
Percent
1.92%
1.14%
1.53%
3.44%
4.07%
3.76%
3.64%
3.97%
3.85%
0.00%
0.00%
0.00%
NA
NA
NA
2.75%
2.88%
2.82%
Member Months
(Outpatient/ED)
Male
335515
81290
248341
164
0
665310
Female
330864
83507
440651
207
0
855229
Total
666379
164797
688992
371
0
1520539
Outpatient/ED
Number
3017
2077
5094
1330
1547
2877
4912
10146
15058
1
0
1
0
0
0
9260
13770
23030
Percent
10.79%
7.53%
9.17%
19.63%
22.23%
20.95%
23.74%
27.63%
26.23%
7.32%
0.00%
3.23%
NA
NA
NA
16.70%
19.32%
18.18%
Page 91
Health Plan Descriptive Information
Medica
Data Last Refreshed:
Jan 6, 2011 10:14 AM
Board Certification
MSHO
Type of Physician
Family Medicine
Internal Medicine
Geriatricians
Other practitioner Specialists
HEDIS 2010 (Reporting Year 2009)
Number of Physicians in Active Board Certification
Each Practice Area
Percent
Number
3353
3146
148
6588
2921
2803
146
5877
87.12%
89.10%
98.65%
89.21%
Page 92
Health Plan Descriptive Information
Medica
Data Last Refreshed:
Jan 6, 2011 10:14 AM
Board Certification
SNBC
Type of Physician
Family Medicine
Internal Medicine
Geriatricians
Other practitioner Specialists
HEDIS 2010 (Reporting Year 2009)
Number of Physicians in Active Board Certification
Each Practice Area
Percent
Number
3353
3146
148
6588
2921
2803
146
5877
87.12%
89.10%
98.65%
89.21%
Page 93
Health Plan Descriptive Information
Medica
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Jan 6, 2011 10:14 AM
Commercial
<1
1-4
5-9
10-14
15-17
18-19
0-19 Subtotal
0-19 Subtotal: %
20-24
25-29
30-34
35-39
40-44
20-44 Subtotal
20-44 Subtotal: %
45-49
50-54
55-59
60-64
45-64 Subtotal
45-64 Subtotal: %
65-69
70-74
75-79
80-84
85-89
>=90
>=65 Subtotal
>=65 Subtotal: %
Age Unknown
Total
Male
21667
88727
115284
120436
74634
48553
Member Months
Female
19496
87643
111009
113710
71772
47400
Total
41163
176370
226293
234146
146406
95953
469301
27.21%
117920
136588
138474
141665
154295
451030
26.99%
113673
132945
127459
137386
151203
920331
27.10%
688942
39.94%
174434
156889
126937
85414
662666
39.65%
169104
156294
126594
87037
1351608
39.80%
543674
31.52%
16446
4141
1551
513
223
91
539029
32.25%
13408
2972
1099
503
358
96
1082703
31.88%
22965
1.33%
0
18436
1.10%
0
41401
1.22%
1724882
1671161
HEDIS 2010 (Reporting Year 2009)
231593
269533
265933
279051
305498
343538
313183
253531
172451
29854
7113
2650
1016
581
187
0
3396043
Page 94
Health Plan Descriptive Information
Medica
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Jan 6, 2011 10:14 AM
Medicare Advantage
Male
<1
1-4
5-9
10-14
15-17
18-19
0-19 Subtotal
0-19 Subtotal: %
20-24
25-29
30-34
35-39
40-44
20-44 Subtotal
20-44 Subtotal: %
45-49
50-54
55-59
60-64
45-64 Subtotal
45-64 Subtotal: %
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
65-69
70-74
75-79
80-84
85-89
>=90
>=65 Subtotal
>=65 Subtotal: %
NR
NR
NR
NR
NR
NR
Age Unknown
Total
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
HEDIS 2010 (Reporting Year 2009)
Page 95
Health Plan Descriptive Information
Medica
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Jan 6, 2011 10:14 AM
MSHO
<1
1-4
5-9
10-14
15-17
18-19
0-19 Subtotal
0-19 Subtotal: %
20-24
25-29
30-34
35-39
40-44
20-44 Subtotal
20-44 Subtotal: %
45-49
50-54
55-59
60-64
45-64 Subtotal
45-64 Subtotal: %
65-69
70-74
75-79
80-84
85-89
>=90
>=65 Subtotal
>=65 Subtotal: %
Age Unknown
Total
Male
0
0
0
0
0
0
Member Months
Female
0
0
0
0
0
0
Total
0
0
0
0
0
0
0
0.00%
0
0
0
0
0
0
0.00%
0
0
0
0
0
0
0.00%
0
0.00%
0
0
0
0
0
0.00%
0
0
0
5
0
0.00%
0
0.00%
5586
6703
5507
4196
3418
2167
5
0.01%
10242
12270
12034
12862
13598
15094
5
0.00%
27577
100.00%
0
76100
99.99%
0
103677
100.00%
27577
76105
HEDIS 2010 (Reporting Year 2009)
0
0
0
0
0
0
0
0
5
15828
18973
17541
17058
17016
17261
0
103682
Page 96
Health Plan Descriptive Information
Medica
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Jan 6, 2011 10:14 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
39
Member Months
Female
0
0
0
0
0
42
Total
0
0
0
0
0
81
39
0.92%
355
471
345
374
425
42
0.70%
402
391
505
438
816
81
0.79%
1970
46.31%
750
688
521
269
2552
42.25%
879
1081
792
666
4522
43.93%
2228
52.37%
17
0
0
0
0
0
3418
56.59%
28
0
0
0
0
0
5646
54.85%
17
0.40%
0
28
0.46%
0
45
0.44%
4254
6040
HEDIS 2010 (Reporting Year 2009)
757
862
850
812
1241
1629
1769
1313
935
45
0
0
0
0
0
0
10294
Page 97
Health Plan Descriptive Information
Medica
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Jan 6, 2011 10:14 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
42330
123799
114220
88465
47991
24025
Member Months
Female
41773
117601
113929
91138
49930
30382
Total
84103
241400
228149
179603
97921
54407
440830
66.26%
31808
32527
29537
29064
27391
444753
52.00%
79893
82675
63906
52631
39513
885583
58.24%
150327
22.60%
29123
22390
14299
8177
318618
37.26%
35809
25839
17589
12414
468945
30.84%
73989
11.12%
130
9
6
19
0
0
91651
10.72%
155
29
20
3
0
0
165640
10.89%
164
0.02%
0
207
0.02%
0
371
0.02%
665310
855229
HEDIS 2010 (Reporting Year 2009)
111701
115202
93443
81695
66904
64932
48229
31888
20591
285
38
26
22
0
0
0
1520539
Page 98