UCare of Minnesota
Plan Name
2005
Reporting Year
Submission #
Title
General Info
Plan ID
Last Refreshed:
10/7/2009 12:48:45 PM
Page
Disclaimers
Effectiveness of
Care Measures
1
17
2
Measure
Page
Use of Services
Measures
Page
Measure
Childhood Immunization Status
3
Well-Child Visits In The First 15 Months of Life
28
Adolescent Immunization Status
5
Well-Child Visits In The Third, Fourth, Fifth And Sixth Year of Life
30
Appropriate Treatment of Children w/ Upper Respiratory Infection
7
Adolescent Well-Care Visits
31
Colorectal Cancer Screening
9
Frequency of Selected Procedures
32
Breast Cancer Screening
10
Inpatient Utilization - General Hospital/Acute Care
34
Cervical Cancer Screening
11
Ambulatory Care
37
Chlamydia Screening in Women
12
Inpatient Utilization - Nonacute Care
39
Controlling High Blood Pressure
13
Mental Health Utilization - Inpatient Discharges and Average Length of Stay
42
Beta Blocker Treatment after a Heart Attack
14
Mental Health Utilization - % of Members Receiving Inpatient and Ambulatory Services
45
Persistence of Beta Blocker Treatment after a Heart Attack
14
Chemical Dependency Utilization - Inpatient Discharges and Average Length of Stay
49
Cholesterol Management for Patients with Cardiovascular Conditions
15
Identification of Alcohol and Other Drug Services
52
Comprehensive Diabetes Care
16
Outpatient Drug Utilization
56
Use of Appropriate Medications for People with Asthma
20
Antidepressant Medication Management
26
Osteoporosis Management in Women who had a Fracture
27
Glaucoma Screening in Older Adults
27
Access /
Availability of
Care
Measure
Measure
Page
Practitioner Turnover
69
Years in Business / Total Membership
70
Page
Adults' Access to Preventive/Ambulatory Health Services
58
Children's Access to Primary Care Practitioners
62
Prenatal and Postpartum Care
64
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
66
HEDIS 2006 (Reporting Year 2005)
Health Plan
Stability
Health Plan
Descriptive
Information
Measure
Enrollment by Product Line (Age & Sex)
Page
71
DISCLAIMERS
-1
0. Disclaimer Query located below
1. In October 2009, it was discoverd that the formulas in the Inpatient Utilization: General
Hospital/Acute Care measure contained error. The formula was fixed and the data displayed now
correctly reflects the rest of the data on the sheet.
HEDIS 2006 (Reporting Year 2005)
Page 2
Effectiveness of Care
UCare of Minnesota
Childhood Immunization Status
Data Last Refreshed:
Oct 7, 2009 12:48 PM
Commercial
Data Elements
General
Measure
Data
Pneumococcal
Combo 2
Conjugate
DTaP/DT
IPV
MMR
HiB
Hepatitis B
VZV
Combo 3
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Measurement Year
Data Collection Methodology
Sampling Method Used
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 Records Excluded because of
Contraindications by Admin Data
Number of Records Excluded because of
Contraindications by Medical Record
Review
Number of employee/dependent records
excluded
Records Added from the Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2006 (Reporting Year 2005)
Page 3
Effectiveness of Care
UCare of Minnesota
Childhood Immunization Status
Data Last Refreshed:
Oct 7, 2009 12:48 PM
Medicaid
Data Elements
Measurement Year
Data Collection Methodology
Sampling Method Used
Eligible Member Population
General
Measure
Data
HiB
Hepatitis B
VZV
Combo 3
1188
63.63%
1294
69.31%
1612
86.34%
1280
68.56%
1223
65.51%
1510
80.88%
697
37.33%
857
45.90%
507
27.16%
275
63.66%
302
69.91%
368
85.19%
291
67.36%
273
63.19%
343
79.40%
166
38.43%
196
45.37%
125
28.94%
259
56
76.64%
72.43%
80.85%
286
74
87.59%
84.28%
90.90%
351
17
89.54%
86.46%
92.62%
275
75
85.16%
81.60%
88.72%
259
94
85.89%
82.40%
89.38%
326
22
84.67%
81.07%
88.28%
159
31
46.23%
41.29%
51.17%
184
104
70.07%
65.52%
74.62%
119
59
43.31%
38.40%
48.22%
432
0
Number of Records Excluded because of
Contraindications by Admin Data
0
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 2006 (Reporting Year 2005)
MMR
411
5.00%
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
2005
HO
S
1867
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
Combo 2
Conjugate
DTaP/DT
411
Page 4
Effectiveness of Care
UCare of Minnesota
Adolescent Immunization Status
Data Last Refreshed:
Oct 7, 2009 12:48 PM
Commercial
Data Elements
General
Measure
Data
MMR
Hepatitis B
VZV
Combo 2
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Measurement Year
Data Collection Methodology
Sampling Method Used
Eligible Member Population
Numerator events by admin data in eligible
population
Currect Year's Administrative Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin rate on FSS
Number of Records Excluded Because of
Valid Data Errors
Number of Records Excluded because of
Contraindications by Admin Data
Number of Records Excluded because of
Contraindications by Medical Record Review
Number of employee/dependent records
excluded
Records Added from the Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2006 (Reporting Year 2005)
Page 5
Effectiveness of Care
UCare of Minnesota
Adolescent Immunization Status
Data Last Refreshed:
Oct 7, 2009 12:48 PM
Medicaid
Data Elements
Measurement Year
Data Collection Methodology
Sampling Method Used
Eligible Member Population
General
Measure
Data
Combo 2
794
53.40%
173
11.63%
353
23.74%
43
2.89%
223
51.62%
55
12.73%
94
21.76%
12
2.78%
212
123
81.51%
77.63%
85.38%
52
215
64.96%
60.23%
69.70%
86
120
50.12%
45.17%
55.08%
10
156
40.39%
35.52%
45.25%
432
0
Number of Records Excluded because of
Contraindications by Admin Data
0
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 2006 (Reporting Year 2005)
VZV
411
5.00%
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
Hepatitis B
2005
HO
S
1487
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
Admin rate on FSS
MMR
411
Page 6
Effectiveness of Care
UCare of Minnesota
Appropriate Treatment for Children with Upper
Respiratory Infection
Data Last Refreshed:
Oct 7, 2009 12:48 PM
Commercial
Data Elements
General
Measure
Data
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
NR
Lower 95% Confidence Interval
NR
Upper 95% Confidence Interval
NR
HEDIS 2006 (Reporting Year 2005)
Page 7
Effectiveness of Care
UCare of Minnesota
Colorectal Cancer Screening
Data Last Refreshed:
Oct 7, 2009 12:48 PM
Medicare
Advantage
MSHO
2005
2005
HO
HO
S
S
Eligible population
13817
1462
Number of numerator events by administrative data in eligible
population (before exclusions)
6130
364
44.37%
24.90%
Minimum required sample size (MRSS) or other sample size
411
411
Oversampling rate
0.05
0.05
Final sample size (FSS)
432
432
Number of numerator events by administrative data in FSS
195
109
45.14%
25.23%
0
0
0
0
1
1
Number of employee/dependent medical records excluded
0
0
Records added from the oversample list
1
1
Denominator
411
411
Numerator events by administrative data
185
106
FOBT by administrative data*
33
9
DCBE by administrative data*
0
1
Numerator events by medical records
66
25
Flexible sigmoidoscopy by medical records*
19
4
DCBE by medical records*
0
0
Colonoscopy by medical records*
44
19
Data Elements
Commercial
Measurement Year
Data collection methodology (administrative or hybrid)
Sampling method used (see User's Guide for entry descriptions)
Current year's administrative rate (before exclusions)
Administrative rate on FSS
NR
NR
Number of original sample records excluded because of valid data
errors
Records Excluded because of contraindications through Admin
Data
Records Excluded because of contraindications through Medical
Record Review
Reported rate
NR
61.07%
31.87%
Lower 95% confidence interval
NR
56.23%
27.25%
Upper 95% confidence interval
NR
65.91%
36.50%
Data Elements with an Asterisk(*) are OPTIONAL and are not used in any calculation or total
HEDIS 2006 (Reporting Year 2005)
Page 8
Effectiveness of Care
UCare of Minnesota
Breast Cancer Screening
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2006 (Reporting Year 2005)
Data Last Refreshed:
Oct 7, 2009 12:48 PM
Commercial
NR
NR
NR
Medicare
Advantage
Medicaid
2005
A
1854
1398
75.40%
73.42%
77.39%
2005
A
1311
746
56.90%
54.18%
59.62%
Page 9
Effectiveness of Care
UCare of Minnesota
Cervical Cancer Screening
Data Elements
Data Last Refreshed:
Oct 7, 2009 12:48 PM
Commercial
Measurement Year
Data Collection Methodology
Sampling Method Used
2005
HO
S
10940
Eligible Member Population
Numerator Events by Admin Data on Eligible
Population (before exclusions)
Current Year's Admin Rate
Minimum Required Sample Size
Oversampling Rate
6940
NR
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin Rate on FSS
Records Excluded because of Valid Data Errors
Medicaid
NR
63.44%
411
5.00%
432
282
65.28%
0
Records Excluded because of contraindications
through Admin Data
0
Records Excluded because of contraindications
through Medical Record Review
4
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
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2006 (Reporting Year 2005)
NR
NR
NR
4
411
275
39
76.40%
72.17%
80.63%
Page 10
Effectiveness of Care
UCare of Minnesota
Chlamydia Screening in Women
Data Last Refreshed:
Oct 7, 2009 12:48 PM
Commercial
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2006 (Reporting Year 2005)
General
Measure Ages 16-20 Ages 21-25
Data
Medicaid
Total
General
Measure Ages 16-20 Ages 21-25
Data
Total
2005
A
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
1530
701
45.82%
43.29%
48.35%
1889
801
42.40%
40.15%
44.66%
3419
1502
43.93%
42.25%
45.61%
Page 11
Effectiveness of Care
UCare of Minnesota
Controlling High Blood Pressure
Data Last Refreshed:
Oct 7, 2009 12:48 PM
Data Elements
Commercial
Measurement Year
2005
Data Collection Methodology (Hybrid)
HO
Sampling Method Used
S
Eligible Member Population
7605
Numerator Events by Admin Data on
Eligible Population (before exclusions)
Current Year's Admin Rate
0
NR
Minimum Required Sample Size
0.00%
411
Oversampling Rate
5.00%
Final Sample Size (FSS)
432
Numerator events by admin data in FSS
Admin rate on FSS
Medicare Advantage
0
NR
0.00%
Records Excluded because of Valid Data
Errors
0
Records Excluded because of
contraindications through Admin Data
0
Records Excluded because of
contraindications through Medical Record
Review
0
Number of employee/dependent medical
records excluded
23
Records Added from the OverSample List
21
Denominator
409
Numerator Events by Admin Data
0
Numerator Events by Medical Record
227
Reported Rate
NR
55.50%
Lower 95% Confidence Interval
NR
50.56%
Upper 95% Confidence Interval
NR
60.44%
HEDIS 2006 (Reporting Year 2005)
Page 12
Effectiveness of Care
UCare of Minnesota
Beta Blocker Treatment after Heart Attack
Data Elements
Data Last Refreshed:
Oct 7, 2009 12:48 PM
Commercial
Medicare Advantage
MSHO
2005
2005
HO
HO
S
S
Eligible Member Population
229
21
Numerator Events by Admin Data on
Eligible Population
137
14
59.83%
66.67%
180
15
Measurement Year
Data Collection Methodology
Sampling Method Used
Current Year's Admin Rate
NR
Minimum Required Sample Size
Oversampling Rate
0.00%
0.00%
Final Sample Size (FSS)
180
15
Numerator events by admin data in FSS
137
14
Admin rate on FSS
76.11%
93.33%
Records Excluded because of Valid Data
Errors
NR
0
0
Records Excluded because of
contraindications through Admin Data
0
0
Records Excluded because of
contraindications through Medical Record
Review
0
0
Number of employee/dependent medical
records excluded
1
0
Records Added from the Oversample List
0
0
Denominator
179
15
Numerator Events by Admin Data
137
14
Numerator Events by Medical Record
17
1
Reported Rate
NR
86.03%
NA
Lower 95% Confidence Interval
NR
80.68%
NA
Upper 95% Confidence Interval
NR
91.39%
NA
HEDIS 2006 (Reporting Year 2005)
Page 13
Effectiveness of Care
UCare of Minnesota
Persistence of Beta Blocker Treatment After Hearth Attack
Data Elements
Commercial
Data Last Refreshed:
Oct 7, 2009 12:48 PM
Medicare Advantage
MSHO
2005
2005
A
A
Eligible Member Population
129
129
Numerator Events by Admin Data on
Eligible Population
75
75
Measurement Year
Data Collection Methodology
Reported Rate
NR
58.14%
58.14%
Lower 95% Confidence Interval
NR
49.24%
49.24%
Upper 95% Confidence Interval
NR
67.04%
67.04%
HEDIS 2006 (Reporting Year 2005)
Page 14
Effectiveness of Care
UCare of Minnesota
Cholesterol Management for
Patients with Cardiovascular
Data Last Refreshed:
Oct 7, 2009 12:48 PM
Commercial
Data Elements
General
Measure
Data
LDL-C
screening
Medicare Advantage
General
LDL-C Level of LDL-C Level of
Measure
<100 mg/dL
<130 mg/dL
Data
Numerator Events by Admin Data on Eligible
Population
NR
NR
NR
NR
NR
NR
0
Records Excluded because of contraindications
through Admin Data
0
Records Excluded because of contraindications
through Medical Record Review
0
Number of employee/dependent medical
records excluded
0
HEDIS 2006 (Reporting Year 2005)
860
1
1
80.00%
0.09%
0.09%
337
0
0
78.01%
0.00%
0.00%
321
14
0
179
0
246
81.51%
77.63%
85.38%
43.55%
38.64%
48.47%
59.85%
54.99%
64.71%
411
5.00%
432
Records Excluded because of Valid Data Errors
Records Added from the Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
LDL-C Level of LDL-C Level of
<100 mg/dL
<130 mg/dL
2005
HO
S
1075
Measurement Year
Data Collection Methodology
Sampling Method Used
Eligible Member Population
Current Year's Admin Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin rate on FSS
LDL-C
screening
0
411
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 15
Effectiveness of Care
UCare of Minnesota
Comprehensive Diabetes Care
Data Last Refreshed:
Oct 7, 2009 12:48 PM
Commercial
Data Elements
HbA1c
Testing
Poor HbA1c
Control
Eye Exam
LDL-C
Screening
LDL-C Level
<130 mg/dL
LDL-C Level
<100 mg/dL
Monitoring for
Diabetic
Nephropathy
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Measurement Year
Data Collection Methodology
Sampling Method Used
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
Records Excluded because of
contraindications through Admin Data
Records Excluded because of
contraindications through Medical Record
Review
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 2006 (Reporting Year 2005)
Page 16
Effectiveness of Care
UCare of Minnesota
Comprehensive Diabetes Care
Data Last Refreshed:
Oct 7, 2009 12:48 PM
Medicare Advantage
HbA1c
Testing
Poor HbA1c
Control
Eye Exam
LDL-C
Screening
LDL-C Level
<130 mg/dL
LDL-C Level
<100 mg/dL
Monitoring for
Diabetic
Nephropathy
2005
HO
S
1834
HO
S
1834
HO
S
1834
HO
S
1834
HO
S
1834
HO
S
1834
HO
S
1834
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
1677
91.44%
411
10%
453
413
91.17%
1832
99.89%
411
10%
453
453
100.00%
1414
77.10%
411
10%
453
349
77.04%
1715
93.51%
411
10%
453
418
92.27%
20
1.09%
411
10%
453
2
0.44%
11
0.60%
411
10%
453
1
0.22%
1298
70.77%
411
10%
453
326
71.96%
Number of Records Excluded Because of
Valid Data Errors
0
0
0
0
0
0
0
Records Excluded because of
contraindications through Admin Data
0
0
0
0
0
0
0
Records Excluded because of
contraindications through Medical Record
Review
1
1
1
1
1
1
1
Number of employee/dependent medical
records excluded
0
0
0
0
0
0
0
1
411
374
6
92.46%
89.78%
95.13%
1
411
33
86
28.95%
24.45%
33.46%
1
411
317
8
79.08%
75.02%
83.13%
1
411
378
8
93.92%
91.48%
96.35%
1
411
2
270
66.18%
61.48%
70.88%
1
411
1
189
46.23%
41.29%
51.17%
1
411
294
11
74.21%
69.86%
78.56%
Data Elements
Measurement Year
Data Collection Methodology
Sampling Method Used
Eligible Member Population
Numerator events by admin data in eligible
population
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 2006 (Reporting Year 2005)
Page 17
Effectiveness of Care
UCare of Minnesota
Comprehensive Diabetes Care
Data Last Refreshed:
Oct 7, 2009 12:48 PM
MSHO
HbA1c
Testing
Poor HbA1c
Control
Eye Exam
LDL-C
Screening
LDL-C Level
<130 mg/dL
LDL-C Level
<100 mg/dL
Monitoring for
Diabetic
Nephropathy
2005
HO
S
392
HO
S
392
HO
S
392
HO
S
392
HO
S
392
HO
S
392
HO
S
392
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
349
89.03%
387
0%
387
349
90.18%
390
99.49%
387
0%
387
387
100.00%
271
69.13%
387
0%
387
270
69.77%
327
83.42%
387
0%
387
326
84.24%
19
4.85%
387
0%
387
19
4.91%
13
3.32%
387
0%
387
13
3.36%
242
61.73%
387
0%
387
242
62.53%
Number of Records Excluded Because of
Valid Data Errors
0
0
0
0
0
0
0
Records Excluded because of
contraindications through Admin Data
0
0
0
0
0
0
0
Records Excluded because of
contraindications through Medical Record
Review
1
1
1
1
1
1
1
Number of employee/dependent medical
records excluded
0
0
0
0
0
0
0
0
386
349
5
91.71%
88.83%
94.59%
0
386
23
102
32.38%
27.59%
37.18%
0
386
270
15
73.83%
69.32%
78.35%
0
386
326
13
87.82%
84.43%
91.22%
0
386
19
241
67.36%
62.55%
72.16%
0
386
13
177
49.22%
44.11%
54.34%
0
386
242
19
67.62%
62.82%
72.41%
Data Elements
Measurement Year
Data Collection Methodology
Sampling Method Used
Eligible Member Population
Numerator events by admin data in eligible
population
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 2006 (Reporting Year 2005)
Page 18
Effectiveness of Care
UCare of Minnesota
Comprehensive Diabetes Care
Data Last Refreshed:
Oct 7, 2009 12:48 PM
Medicaid
HbA1c
Testing
Poor HbA1c
Control
Eye Exam
LDL-C
Screening
LDL-C Level
<130 mg/dL
LDL-C Level
<100 mg/dL
Monitoring for
Diabetic
Nephropathy
2005
HO
S
1498
2005
HO
S
1498
2005
HO
S
1498
2005
HO
S
1498
2005
HO
S
1498
2005
HO
S
1498
2005
HO
S
1498
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
1189
79.37%
411
10%
453
371
81.90%
1438
95.99%
411
10%
453
453
100.00%
768
51.27%
411
10%
453
244
53.86%
1150
76.77%
411
10%
453
357
78.81%
33
2.20%
411
10%
453
8
1.77%
21
1.40%
411
10%
453
7
1.55%
821
54.81%
411
10%
453
262
57.84%
Number of Records Excluded Because of
Valid Data Errors
0
0
0
0
0
0
0
Records Excluded because of
contraindications through Admin Data
0
0
0
0
0
0
0
Records Excluded because of
contraindications through Medical Record
Review
4
4
4
4
4
4
4
Number of employee/dependent medical
records excluded
0
0
0
0
0
0
0
4
411
343
11
86.13%
82.67%
89.59%
4
411
22
155
43.07%
38.16%
47.97%
4
411
224
28
61.31%
56.48%
66.14%
4
411
326
11
82.00%
78.16%
85.83%
4
411
7
199
50.12%
45.17%
55.08%
4
411
6
137
34.79%
30.07%
39.52%
4
411
245
20
64.48%
59.73%
69.23%
Data Elements
Measurement Year
Data Collection Methodology
Sampling Method Used
Eligible Member Population
Numerator events by admin data in eligible
population
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 2006 (Reporting Year 2005)
Page 19
Effectiveness of Care
UCare of Minnesota
Use of Appropriate Medications for People with Asthma
Data Last Refreshed:
Oct 7, 2009 12:48 PM
Commercial
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2006 (Reporting Year 2005)
General
Measure Data
Ages 5-9
NR
NR
NR
Ages 10-17
NR
NR
NR
Ages 18-56
Total
NR
NR
NR
NR
NR
NR
NR
NR
Page 20
Effectiveness of Care
UCare of Minnesota
Use of Appropriate Medications for People with Asthma
Data Last Refreshed:
Oct 7, 2009 12:48 PM
Medicaid
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 2006 (Reporting Year 2005)
General
Measure Data
Ages 5-9
Ages 10-17
Ages 18-56
Total
135
128
94.81%
90.70%
98.93%
224
208
92.86%
89.26%
96.45%
363
308
84.85%
81.02%
88.67%
722
644
89.20%
86.86%
91.53%
2005
A
Page 21
Effectiveness of Care
UCare of Minnesota
Antidepressant Medication Management
Data Last Refreshed:
Oct 7, 2009 12:48 PM
Commercial
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2006 (Reporting Year 2005)
General
Measure
Data
Optimal
Practitioner
Contacts for
Medication
Management
Effective Acute
Phase
Treatment
Effective
Continuation
Phase
Treatment
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 22
Effectiveness of Care
UCare of Minnesota
Antidepressant Medication Management
Data Last Refreshed:
Oct 7, 2009 12:48 PM
Medicare Advantage
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2006 (Reporting Year 2005)
General
Measure
Data
Optimal
Practitioner
Contacts for
Medication
Management
Effective Acute
Phase
Treatment
Effective
Continuation
Phase
Treatment
9
5.49%
1.70%
9.28%
89
54.27%
46.34%
62.20%
77
46.95%
39.01%
54.89%
2005
A
164
Page 23
Effectiveness of Care
UCare of Minnesota
Antidepressant Medication Management
Data Last Refreshed:
Oct 7, 2009 12:48 PM
MSHO
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2006 (Reporting Year 2005)
General
Measure
Data
Optimal
Practitioner
Contacts for
Medication
Management
Effective Acute
Phase
Treatment
Effective
Continuation
Phase
Treatment
2
5.71%
0.00%
14.83%
20
57.14%
39.32%
74.97%
17
48.57%
30.58%
66.56%
2005
A
35
Page 24
Effectiveness of Care
UCare of Minnesota
Antidepressant Medication Management
Data Last Refreshed:
Oct 7, 2009 12:48 PM
Medicaid
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 2006 (Reporting Year 2005)
General
Measure
Data
Optimal
Practitioner
Contacts for
Medication
Management
Effective Acute
Phase
Treatment
Effective
Continuation
Phase
Treatment
120
21.35%
17.88%
24.83%
290
51.60%
47.38%
55.82%
185
32.92%
28.94%
36.89%
2005
A
562
Page 25
Effectiveness of Care
UCare of Minnesota
Osteoporosis Management in
Women Who had a Fracture
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interva
HEDIS 2006 (Reporting Year 2005)
Data Last Refreshed:
Oct 7, 2009 12:48 PM
Medicare
Advantage
MSHO
2005
A
646
170
26.32%
22.84%
29.79%
2005
A
88
16
18.18%
9.56%
26.81%
Page 26
Effectiveness of Care
UCare of Minnesota
Glaucoma Screening in Older Adults
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Total Exclusions
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interva
HEDIS 2006 (Reporting Year 2005)
Data Last Refreshed:
Oct 7, 2009 12:48 PM
Medicare
Advantage
MSHO
2005
A
22083
38
17604
79.72%
79.18%
80.25%
2005
A
2623
7
1791
68.28%
66.48%
70.08%
Page 27
Use of Services
UCare of Minnesota
Well Child Visits in the First 15 Months of Life
Data Last Refreshed:
Oct 7, 2009 12:48 PM
Commercial
Data Elements
General
Measure
Data
Zero Visits
1 visit
2 visits
3 visits
4 visits
5 visits
6 or more
visits
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Measurement Year
Data Collection Methodology
Sampling Method Used
Eligible Member Population
Numerator events by admin data in eligible
population
Currect Year's Administrative Rate
Minimum Required Sample Size
Oversampling Rate
Final sample size (FSS)
Numerator events by admin data in FSS
Administrative rate on FSS
Number of Records Excluded Because of
Valid Data Errors
Number of records excluded because of
contraindications identified through
administrative data
Number of records excluded because of
contraindications identified through medical
record review
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 2006 (Reporting Year 2005)
Page 28
Use of Services
UCare of Minnesota
Well Child Visits in the First 15 Months of Life
Data Last Refreshed:
Oct 7, 2009 12:48 PM
Medicaid
Data Elements
Measurement Year
Data Collection Methodology
Sampling Method Used
Eligible Member Population
General
Measure
Data
0
Number of records excluded because of
contraindications identified through
administrative data
0
Number of records excluded because of
contraindications identified through medical
record review
0
Number of employee/dependent medical
records excluded
0
Additional Records Added from the
Oversample List
0
HEDIS 2006 (Reporting Year 2005)
2 visits
3 visits
4 visits
5 visits
6 or more
visits
32
1.90%
46
2.73%
84
4.99%
219
13.02%
407
24.20%
671
39.89%
223
13.26%
7
1.62%
12
2.78%
24
5.56%
67
15.51%
98
22.69%
168
38.89%
56
12.96%
5
0
1.22%
0.04%
2.40%
3
0
0.73%
0.00%
1.67%
11
3
3.41%
1.53%
5.28%
20
12
7.79%
5.07%
10.50%
32
24
13.63%
10.19%
17.06%
47
57
25.30%
20.98%
29.63%
52
145
47.93%
42.98%
52.88%
411
5.00%
432
Number of Records Excluded Because of
Valid Data Errors
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
1 visit
2005
HO
S
1682
Numerator events by admin data in eligible
population
Currect Year's Administrative Rate
Minimum Required Sample Size
Oversampling Rate
Final sample size (FSS)
Numerator events by admin data in FSS
Administrative rate on FSS
Zero Visits
411
Page 29
Use of Services
UCare of Minnesota
Well Child Visits in the 3rd, 4th,
5th and 6th Years of Life
Data Elements
Data Last Refreshed:
Oct 7, 2009 12:48 PM
Commercial
Medicaid
Measurement Year
Data Collection Methodology
Sampling Method Used
Eligible Member Population
2005
HO
S
6112
Numerator events by admin data in eligible
population
3819
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
NR
NR
411
5.00%
432
271
NR
62.73%
0
Records Excluded - Contraindications/Admin Data
0
Records Excluded - Contraindications/Medical
Record Review
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
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2006 (Reporting Year 2005)
NR
NR
NR
0
411
259
18
67.40%
62.74%
72.05%
Page 30
Use of Services
UCare of Minnesota
Adolescent Well-Care Visits
Data Elements
Data Last Refreshed:
Oct 7, 2009 12:48 PM
Commercial
Medicaid
Measurement Year
Data Collection Methodology
Sampling Method Used
Eligible Member Population
2005
HO
S
11901
Numerator events by admin data in eligible
population
4082
Current Year's Admin Rate
NR
NR
411
5.00%
432
159
NR
36.81%
0
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
Records Excluded - Contraindications/Admin Data
0
Records Excluded - Contraindications/Medical
Record Review
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
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2006 (Reporting Year 2005)
NR
NR
NR
0
411
153
19
41.85%
36.96%
46.74%
Page 31
Use of Services
UCare of Minnesota
Frequency of Selected Procedures
Data Last Refreshed:
Oct 7, 2009 12:48 PM
Commercial
Measurement Year
Member Months
Total
Age
0-4
0-9
5-19
10-19
Total
Procedure
Myringotomy
Tonsillectomy
Age
15-44
20-44
30-64
45-64
65+
Age
0-4
5-19
0-9
10-19
Number of
Procedures
Procedures /
1,000 Member
Months
NR
NR
NR
NR
Member Months
Male
Female
Male
Procedure
Age
Dilation & Curettage 15-44
45-64
Hysterectomy,
15-44
Abdominal
45-64
65+
Hysterectomy,
15-44
Vaginal
45-64
65+
Cholecystectomy,
30-64
Open
15-44
45-64
65+
Cholecystectomy,
30-64
Closed
15-44
45-64
65+
Back Surgery
20-44
45-64
Angioplasty (PTCA) 45-64
65+
Cardiac
45-64
Catheterization
65+
CABG
45-64
65+
Prostatectomy
45-64
65+
Mastectomy
15-44
45-64
65+
Lumpectomy
15-44
45-64
65+
HEDIS 2006 (Reporting Year 2005)
Number of
Procedures
Female
Procedures /
1,000 Member
Months
Number of
Procedures
Procedures /
1,000 Member
Months
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
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 32
Use of Services
UCare of Minnesota
Frequency of Selected Procedures
Data Last Refreshed:
Oct 7, 2009 12:48 PM
Medicare Advantage
Measurement Year
2005
Age
< 65
65-74
75-84
85+
Member Months
Male
Female
3229
4253
58567
81011
48186
82843
17951
46224
Male
Procedure
CABG
Angioplasty
(PTCA)
Cardiac
Catheterization
Carotid
Endarterectomy
Reduction of
Fracture of Femur
Total Hip
Replacement
Total Knee
Replacement
Partial Excision of
Large Inestine
Cholecystectomy,
Open
Cholecystectomy,
Closed
(laparoscopic)
Hysterectomy
Abdominal
Hysterectomy,
Vaginal
Prostatectomy
Mastectomy
Lumpectomy
Age
<65
65-74
75-84
85+
<65
65-74
75-84
85+
<65
65-74
75-84
85+
<65
65-74
75-84
85+
<65
65-74
75-84
85+
<65
65-74
75-84
85+
<65
65-74
75-84
85+
<65
65-74
75-84
85+
<65
65-74
75-84
85+
<65
65-74
75-84
85+
<65
65-74
75-84
85+
<65
65-74
75-84
85+
<65
65-74
75-84
85+
<65
65-74
75-84
85+
<65
65-74
75-84
85+
HEDIS 2006 (Reporting Year 2005)
Number of
Procedures
1
35
30
5
3
86
64
17
7
89
114
27
0
19
17
5
1
9
29
25
0
24
31
4
4
52
49
11
0
17
15
6
1
3
6
5
3
23
15
8
0
52
54
18
Female
Procedures /
1,000 Member
Months
0.31
0.60
0.62
0.28
0.93
1.47
1.33
0.95
2.17
1.52
2.37
1.50
0.00
0.32
0.35
0.28
0.31
0.15
0.60
1.39
0.00
0.41
0.64
0.22
1.24
0.89
1.02
0.61
0.00
0.29
0.31
0.33
0.31
0.05
0.12
0.28
0.93
0.39
0.31
0.45
Number of
Procedures
1
13
23
3
1
55
89
29
7
87
116
25
0
10
26
5
3
22
51
95
6
43
44
23
5
85
103
20
0
27
25
15
0
4
12
3
4
30
31
12
2
16
8
2
2
9
5
1
Procedures /
1,000 Member
Months
0.24
0.16
0.28
0.06
0.24
0.68
1.07
0.63
1.65
1.07
1.40
0.54
0.00
0.12
0.31
0.11
0.71
0.27
0.62
2.06
1.41
0.53
0.53
0.50
1.18
1.05
1.24
0.43
0.00
0.33
0.30
0.32
0.00
0.05
0.14
0.06
0.94
0.37
0.37
0.26
0.47
0.20
0.10
0.04
0.47
0.11
0.06
0.02
0
15
22
3
4
48
35
11
0.00
0.19
0.27
0.06
0.94
0.59
0.42
0.24
0.00
0.89
1.12
1.00
Page 33
Use of Services
UCare of Minnesota
Inpatient Utilization - General Hospital/Acute Care
Data Last Refreshed:
Oct 7, 2009 12:48 PM
Commercial
Measurement
Year
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
65-74
Unknown
Total
Member Months
NR
Discharges
Discharges /
1,000 Member
Months
Days
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
HEDIS 2006 (Reporting Year 2005)
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
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
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
NR
Page 34
Use of Services
UCare of Minnesota
Inpatient Utilization - General Hospital/Acute Care
Medicare Advantage
Measurement
Year
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
65-74
Unknown
Total
Data Last Refreshed:
Oct 7, 2009 12:48 PM
2005
Member Months
0
0
0
430
7052
139578
131029
64175
0
342264
Discharges
Discharges /
1,000 Member
Months
0
0
0
12
197
2421
3839
2801
0
9270
NA
NA
NA
27.91
27.94
17.35
29.30
43.65
0
0
0
8
142
1676
2819
2161
0
6806
NA
NA
NA
18.60
20.14
12.01
21.51
33.67
0
0
0
4
49
681
877
513
0
2124
NA
NA
NA
9.30
6.95
4.88
6.69
7.99
0
0
0
0
0
0
HEDIS 2006 (Reporting Year 2005)
27.08
19.89
6.21
NA
0.00
0.00
0.00
0.00
Days
Days / 1,000
Member
Months
0
0
0
49
1039
10272
18584
14032
0
43976
NA
NA
NA
113.95
147.33
73.59
141.83
218.65
0
0
0
41
772
7054
13267
10947
0
32081
NA
NA
NA
95.35
109.47
50.54
101.25
170.58
0
0
0
8
199
2985
4707
2583
0
10482
NA
NA
NA
18.60
28.22
21.39
35.92
40.25
0
0
0
0
0
0
128.49
93.73
30.63
NA
0.00
0.00
0.00
0.00
Average
Length of Stay
NA
NA
NA
4.08
5.27
4.24
4.84
5.01
NA
4.74
NA
NA
NA
5.13
5.44
4.21
4.71
5.07
NA
4.71
NA
NA
NA
2.00
4.06
4.38
5.37
5.04
NA
4.94
NA
NA
NA
NA
NA
NA
Page 35
Use of Services
UCare of Minnesota
Inpatient Utilization - General Hospital/Acute Care
MSHO
Measurement
Year
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
65-74
Unknown
Total
Data Last Refreshed:
Oct 7, 2009 12:48 PM
2005
Member Months
0
0
0
0
0
12709
11497
11327
0
35533
Discharges
Discharges /
1,000 Member
Months
0
0
0
0
0
303
360
267
0
930
NA
NA
NA
NA
NA
23.84
31.31
23.57
0
0
0
0
0
234
296
220
0
750
NA
NA
NA
NA
NA
18.41
25.75
19.42
0
0
0
0
0
61
57
39
0
157
NA
NA
NA
NA
NA
4.80
4.96
3.44
0
0
0
0
0
0
HEDIS 2006 (Reporting Year 2005)
26.17
21.11
4.42
NA
NA
NA
0.00
0.00
Days
Days / 1,000
Member
Months
0
0
0
0
0
1803
2248
1374
0
5425
NA
NA
NA
NA
NA
141.87
195.53
121.30
0
0
0
0
0
1445
1835
1135
0
4415
NA
NA
NA
NA
NA
113.70
159.61
100.20
0
0
0
0
0
320
393
203
0
916
NA
NA
NA
NA
NA
25.18
34.18
17.92
0
0
0
0
0
0
152.67
124.25
25.78
NA
NA
NA
0.00
0.00
Average
Length of Stay
NA
NA
NA
NA
NA
5.95
6.24
5.15
NA
5.83
NA
NA
NA
NA
NA
6.18
6.20
5.16
NA
5.89
NA
NA
NA
NA
NA
5.25
6.89
5.21
NA
5.83
NA
NA
NA
NA
NA
NA
Page 36
Use of Services
UCare of Minnesota
Ambulatory Care
Data Last Refreshed:
Oct 7, 2009 12:48 PM
Commercial
Measurement
Year
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Member
Months
NR
Outpatient Visits
(Excludes MH/CD)
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Visits
NR
HEDIS 2006 (Reporting Year 2005)
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 37
Use of Services
UCare of Minnesota
Ambulatory Care
Data Last Refreshed:
Oct 7, 2009 12:48 PM
Medicare Advantage
Measurement
Year
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
2005
Member
Months
0
0
0
430
7052
139578
131029
64175
0
342264
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
226
5328
75605
89964
43816
0
214939
HEDIS 2006 (Reporting Year 2005)
Visits/ 1,000
Member
Months
NA
NA
NA
525.58
755.53
541.67
686.60
682.76
627.99
Emergency Room Visits
Visits
0
0
0
26
179
1744
2403
1482
0
5834
Visits/ 1,000
Member
Months
NA
NA
NA
60.47
25.38
12.49
18.34
23.09
17.05
Ambulatory
Surgery/Procedures
Procedures
0
0
0
9
285
4429
4505
1431
0
10659
Procedures/
1,000 Member
Months
NA
NA
NA
20.93
40.41
31.73
34.38
22.30
31.14
Observation Room Stays
Resulting in Discharge
Stays
0
0
0
2
20
190
311
231
0
754
Stays/ 1,000
Member
Months
NA
NA
NA
4.65
2.84
1.36
2.37
3.60
2.20
Page 38
Use of Services
UCare of Minnesota
Inpatient Utilization - Nonacute Care
Data Last Refreshed:
Oct 7, 2009 12:48 PM
Commercial
Measurement
Year
Age
Member
Months
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Age
NR
Discharges
Discharges /
1,000 Member
Months
Days
Days / 1,000
Member
Months
Average Length
of Stay
<1
NR
NR
NR
1-9
NR
NR
NR
10-19
NR
NR
NR
20-44
NR
NR
NR
45-64
NR
NR
NR
65-74
NR
NR
NR
75-84
NR
NR
NR
85+
NR
NR
NR
NR
NR
NR
Unknown
Total
NR
HEDIS 2006 (Reporting Year 2005)
NR
NR
Page 39
Use of Services
UCare of Minnesota
Inpatient Utilization - Nonacute Care
Medicare Advantage
Measurement
Year
Age
Data Last Refreshed:
Oct 7, 2009 12:48 PM
2005
Member
Months
<1
0
1-9
0
10-19
0
20-44
430
45-64
7052
65-74
139578
75-84
131029
85+
64175
Unknown
Total
0
342264
Discharges
Discharges /
1,000 Member
Months
<1
0
1-9
0
10-19
0
NA
0
NA
NA
20-44
0
0.00
0
0.00
NA
45-64
26
3.69
373
52.89
14.35
65-74
343
2.46
4489
32.16
13.09
75-84
1117
8.52
19091
145.70
17.09
85+
1381
21.52
22808
355.40
16.52
Unknown
Total
0
2867
8.38
0
46761
136.62
NA
16.31
Age
HEDIS 2006 (Reporting Year 2005)
Days
Days / 1,000
Member
Months
Average Length
of Stay
NA
0
NA
NA
NA
0
NA
NA
Page 40
Use of Services
UCare of Minnesota
Inpatient Utilization - Nonacute Care
MSHO
Measurement
Year
Age
Data Last Refreshed:
Oct 7, 2009 12:48 PM
2005
Member
Months
<1
0
1-9
0
10-19
0
20-44
0
45-64
0
65-74
12709
75-84
11497
85+
11327
Unknown
Total
0
35533
Discharges
Discharges /
1,000 Member
Months
<1
0
1-9
Days
Days / 1,000
Member
Months
Average Length
of Stay
NA
0
NA
NA
0
NA
0
NA
NA
10-19
0
NA
0
NA
NA
20-44
0
NA
0
NA
NA
45-64
0
NA
0
NA
NA
65-74
90
7.08
2204
173.42
24.49
75-84
157
13.66
4073
354.27
25.94
85+
216
19.07
4499
397.19
20.83
Unknown
Total
0
463
13.03
0
10776
303.27
NA
23.27
Age
HEDIS 2006 (Reporting Year 2005)
Page 41
Use of Services
UCare of Minnesota
Mental Health Utilization Inpatient Discharges and Average Length of Stay, by Age and Sex
Data Last Refreshed:
Oct 7, 2009 12:48 PM
Commercial
Measurement
Year
Age
0-12
13-17
18-64
65+
Unknown
Total
Male
Member Months
Female
Total
NR
NR
NR
NR
NR
NR
NR
NR
Discharges
Age
0-12
Discharges /
1,000 Member
Months
Days*
Average
Length of Stay
Gender
M
NR
NR
F
NR
NR
Total
NR
NR
NR
NR
M
13-17
NR
NR
F
NR
NR
Total
NR
NR
NR
NR
M
18-64
NR
NR
F
NR
NR
Total
NR
NR
NR
NR
65+
M
NR
NR
F
NR
NR
Total
NR
NR
NR
NR
Unknown
M
NR
F
NR
Total
NR
NR
NR
Total
M
NR
NR
NR
NR
F
NR
NR
NR
NR
TOTAL
NR
NR
NR
NR
* This table should reflect inpatient days only. Days associated with day/night or partial hospitalization
should not be included in this table.
HEDIS 2006 (Reporting Year 2005)
Page 42
Use of Services
UCare of Minnesota
Mental Health Utilization Inpatient Discharges and Average Length of Stay, by Age and Sex
Medicare Advantage
Measurement
Year
Age
0-12
13-17
18-64
65+
Unknown
Total
Data Last Refreshed:
Oct 7, 2009 12:48 PM
2005
Male
Member Months
Female
Total
0
0
3229
124704
0
127933
0
0
4253
210078
0
214331
0
0
7482
334782
0
342264
Discharges
Discharges /
1,000 Member
Months
Age
0-12
Days*
Average
Length of Stay
Gender
M
0
NA
0
NA
F
0
NA
0
NA
Total
0
NA
0
NA
M
13-17
0
NA
0
NA
F
0
NA
0
NA
Total
0
NA
0
NA
M
18-64
5
1.55
104
20.80
F
16
3.76
317
19.81
Total
21
2.81
421
20.05
M
65+
62
0.50
783
12.63
F
108
0.51
1183
10.95
Total
170
0.51
1966
11.56
M
Unknown
0
0
NA
F
0
0
NA
Total
0
0
NA
Total
M
67
0.52
887
13.24
F
124
0.58
1500
12.10
TOTAL
191
0.56
2387
12.50
* This table should reflect inpatient days only. Days associated with day/night or partial hospitalization
should not be included in this table.
HEDIS 2006 (Reporting Year 2005)
Page 43
Use of Services
UCare of Minnesota
Mental Health Utilization Inpatient Discharges and Average Length of Stay, by Age and Sex
MSHO
Measurement
Year
Age
0-12
13-17
18-64
65+
Unknown
Total
Data Last Refreshed:
Oct 7, 2009 12:48 PM
2005
Male
Member Months
Female
Total
0
0
0
9276
0
9276
0
0
0
26257
0
26257
0
0
0
35533
0
35533
Discharges
Discharges /
1,000 Member
Months
Age
0-12
Days*
Average
Length of Stay
Gender
M
0
NA
0
NA
F
0
NA
0
NA
Total
0
NA
0
NA
M
13-17
0
NA
0
NA
F
0
NA
0
NA
Total
0
NA
0
NA
M
18-64
0
NA
0
NA
F
0
NA
0
NA
Total
0
NA
0
NA
M
65+
13
1.40
183
14.08
F
30
1.14
406
13.53
Total
43
1.21
589
13.70
Unknown
M
0
0
NA
F
0
0
NA
Total
0
0
NA
Total
M
13
1.40
183
14.08
F
30
1.14
406
13.53
TOTAL
43
1.21
589
13.70
* This table should reflect inpatient days only. Days associated with day/night or partial hospitalization
should not be included in this table.
HEDIS 2006 (Reporting Year 2005)
Page 44
Use of Services
UCare of Minnesota
Mental Health Utilization -Percent of Members Receiving Inpatient, Day/Night and Ambulatory Services
Data Last Refreshed:
Oct 7, 2009 12:48 PM
Commercial
Measurement Year
Member Months (Any)
Age
0-12
13-17
18-64
65+
Unknown
Total
Male
NR
Female
NR
Member Months (Inpatient)
Total
0-12
Sex
M
F
Total
Number
NR
13-17
M
F
Total
NR
18-64
M
F
Total
NR
65+
M
F
Total
NR
Unknown
M
F
Total
M
F
Total
NR
NR
NR
NR
Total
HEDIS 2006 (Reporting Year 2005)
Female
Total
Member Months (Day/Night)
Male
Female
Total
Member Months (Ambulatory)
Male
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
Any Mental Health Services
Age
Male
Percent
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Inpatient Mental Health Services
Percent
Number
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Day/Night Mental Health Services
Percent
Number
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Ambulatory Mental Health Services
Percent
Number
NR
NR
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 45
Use of Services
UCare of Minnesota
Mental Health Utilization -Percent of Members Receiving Inpatient, Day/Night and Ambulatory Services
Data Last Refreshed:
Oct 7, 2009 12:48 PM
Medicare Advantage
Measurement Year
2005
Member Months (Any)
Age
0-12
13-17
18-64
65+
Unknown
Total
Member Months (Inpatient)
0-12
Female
Total
Male
Female
Total
Male
Female
Total
Male
Female
Total
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3229
124704
0
127933
4253
210078
0
214331
7482
334782
0
342264
3229
124704
0
127933
4253
210078
0
214331
7482
334782
0
342264
3229
124704
0
127933
4253
210078
0
214331
7482
334782
0
342264
3229
124704
0
127933
4253
210078
0
214331
7482
334782
0
342264
Sex
M
F
Total
13-17
M
F
Total
18-64
M
F
Total
65+
M
F
Total
Unknown
M
F
Total
M
F
Total
Total
Member Months (Ambulatory)
Male
Any Mental Health Services
Age
Member Months (Day/Night)
Inpatient Mental Health Services
Day/Night Mental Health Services
Number
Percent
Number
Percent
Number
Percent
Ambulatory Mental Health Services
Percent
Number
0
0
0
0
0
0
38
96
134
229
528
757
0
0
0
267
624
891
NA
NA
NA
NA
NA
NA
14.12%
27.09%
21.49%
2.20%
3.02%
2.71%
NA
NA
NA
2.50%
3.49%
3.12%
0
0
0
0
0
0
3
8
11
48
93
141
0
0
0
51
101
152
NA
NA
NA
NA
NA
NA
1.11%
2.26%
1.76%
0.46%
0.53%
0.51%
NA
NA
NA
0.48%
0.57%
0.53%
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
NA
NA
NA
NA
NA
NA
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
NA
NA
NA
0.00%
0.00%
0.00%
0
0
0
0
0
0
37
95
132
188
466
654
0
0
0
225
561
786
HEDIS 2006 (Reporting Year 2005)
NA
NA
NA
NA
NA
NA
13.75%
26.80%
21.17%
1.81%
2.66%
2.34%
NA
NA
NA
2.11%
3.14%
2.76%
Page 46
Use of Services
UCare of Minnesota
Mental Health Utilization -Percent of Members Receiving Inpatient, Day/Night and Ambulatory Services
Data Last Refreshed:
Oct 7, 2009 12:48 PM
MSHO
Measurement Year
2005
Member Months (Any)
Age
0-12
13-17
18-64
65+
Unknown
Total
Member Months (Inpatient)
0-12
Female
Total
Male
Female
Total
Male
Female
Total
Male
Female
Total
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
9276
0
9276
0
26257
0
26257
0
35533
0
35533
0
9276
0
9276
0
26257
0
26257
0
35533
0
35533
0
9276
0
9276
0
26257
0
26257
0
35533
0
35533
0
9276
0
9276
0
26257
0
26257
0
35533
0
35533
Sex
M
F
Total
13-17
M
F
Total
18-64
M
F
Total
65+
M
F
Total
Unknown
M
F
Total
M
F
Total
Total
Member Months (Ambulatory)
Male
Any Mental Health Services
Age
Member Months (Day/Night)
Number
Percent
Inpatient Mental Health Services
Percent
Number
Day/Night Mental Health Services
Percent
Number
Ambulatory Mental Health Services
Percent
Number
0
0
0
0
0
0
0
0
0
65
174
239
0
0
0
65
174
239
NA
NA
NA
NA
NA
NA
NA
NA
NA
8.41%
7.95%
8.07%
NA
NA
NA
8.41%
7.95%
8.07%
0
0
0
0
0
0
0
0
0
8
24
32
0
0
0
8
24
32
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
58
155
213
0
0
0
58
155
213
HEDIS 2006 (Reporting Year 2005)
NA
NA
NA
NA
NA
NA
NA
NA
NA
1.03%
1.10%
1.08%
NA
NA
NA
1.03%
1.10%
1.08%
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00%
0.00%
0.00%
NA
NA
NA
0.00%
0.00%
0.00%
NA
NA
NA
NA
NA
NA
NA
NA
NA
7.50%
7.08%
7.19%
NA
NA
NA
7.50%
7.08%
7.19%
Page 47
Use of Services
UCare of Minnesota
Mental Health Utilization -Percent of Members Receiving Inpatient, Day/Night and Ambulatory Services
Data Last Refreshed:
Oct 7, 2009 12:48 PM
Medicaid
Measurement Year
2005
Member Months (Any)
Age
0-12
13-17
18-64
65+
Unknown
Total
0-12
Member Months (Ambulatory)
Male
Female
Total
Male
Female
Total
Male
Female
Total
Male
Female
Total
202911
65060
411912
129765
209001
64705
202911
65060
411912
129765
209001
64705
202911
65060
411912
129765
209001
64705
202911
65060
411912
129765
153551
18531
0
445788
268092
45232
0
581295
421643
63763
0
1027083
153551
18531
0
445788
268092
45232
0
581295
421643
63763
0
1027083
153551
18531
0
445788
268092
45232
0
581295
421643
63763
0
1027083
153551
18531
0
445788
268092
45232
0
581295
421643
63763
0
1027083
Sex
M
F
Total
13-17
M
F
Total
18-64
M
F
Total
65+
M
F
Total
Unknown
M
F
Total
M
F
Total
Total
Member Months (Day/Night)
209001
64705
Any Mental Health Services
Age
Member Months (Inpatient)
Number
Percent
Inpatient Mental Health Services
Percent
Number
Day/Night Mental Health Services
Percent
Number
Ambulatory Mental Health Services
Percent
Number
1441
916
2357
738
780
1518
2187
4534
6721
125
344
469
0
0
0
4491
6574
11065
8.27%
5.42%
6.87%
13.69%
14.39%
14.04%
17.09%
20.29%
19.13%
8.09%
9.13%
8.83%
NA
NA
NA
12.09%
13.57%
12.93%
25
13
38
50
82
132
226
234
460
12
43
55
0
0
0
313
372
685
1
1
2
1
2
3
1
5
6
0
0
0
0
0
0
3
8
11
1440
914
2354
720
760
1480
2098
4475
6573
116
310
426
0
0
0
4374
6459
10833
HEDIS 2006 (Reporting Year 2005)
0.14%
0.08%
0.11%
0.93%
1.51%
1.22%
1.77%
1.05%
1.31%
0.78%
1.14%
1.04%
NA
NA
NA
0.84%
0.77%
0.80%
0.01%
0.01%
0.01%
0.02%
0.04%
0.03%
0.01%
0.02%
0.02%
0.00%
0.00%
0.00%
NA
NA
NA
0.01%
0.02%
0.01%
8.27%
5.41%
6.86%
13.35%
14.02%
13.69%
16.40%
20.03%
18.71%
7.51%
8.22%
8.02%
NA
NA
NA
11.77%
13.33%
12.66%
Page 48
Use of Services
UCare of Minnesota
Chemical Dependency Utilization Inpatient Discharges and Average Length of Stay
Data Last Refreshed:
Oct 7, 2009 12:48 PM
Commercial
Measurement
Year
Age
0-12
13-17
18-64
65+
Unknown
Total
Male
Member Months
Female
Total
NR
NR
NR
NR
NR
NR
NR
NR
Discharges
Age
0-12
Discharges /
1,000 Member
Months
Days
Average
Length of Stay
M
NR
NR
F
NR
NR
Total
NR
NR
NR
NR
13-17
M
NR
NR
F
NR
NR
Total
NR
NR
NR
NR
18-64
M
NR
NR
F
NR
NR
Total
NR
NR
NR
NR
65+
M
NR
NR
F
NR
NR
Total
NR
NR
NR
NR
Unknown
M
NR
F
NR
Total
NR
NR
NR
M
Total
NR
NR
NR
NR
F
NR
NR
NR
NR
TOTAL
NR
NR
NR
NR
* This table should reflect inpatient days only. Days associated with day/night or partial hospitalization
should not be included in this table.
HEDIS 2006 (Reporting Year 2005)
Page 49
Use of Services
UCare of Minnesota
Chemical Dependency Utilization Inpatient Discharges and Average Length of Stay
Medicare Advantage
Measurement
Year
Age
0-12
13-17
18-64
65+
Unknown
Total
Data Last Refreshed:
Oct 7, 2009 12:48 PM
2005
Male
Member Months
Female
Total
0
0
3229
124704
0
127933
0
0
4253
210078
0
214331
0
0
7482
334782
0
342264
Discharges
Discharges /
1,000 Member
Months
Age
0-12
Days
Average
Length of Stay
M
0
NA
0
NA
F
0
NA
0
NA
Total
0
NA
0
NA
M
13-17
0
NA
0
NA
F
0
NA
0
NA
Total
0
NA
0
NA
M
18-64
0
0.00
0
NA
F
4
0.94
35
8.75
Total
4
0.53
35
8.75
M
65+
16
0.13
69
4.31
F
22
0.10
115
5.23
Total
38
0.11
184
4.84
M
Unknown
0
0
NA
F
0
0
NA
Total
0
0
NA
Total
M
16
0.13
69
4.31
F
26
0.12
150
5.77
TOTAL
42
0.12
219
5.21
* This table should reflect inpatient days only. Days associated with day/night or partial hospitalization
should not be included in this table.
HEDIS 2006 (Reporting Year 2005)
Page 50
Use of Services
UCare of Minnesota
Chemical Dependency Utilization Inpatient Discharges and Average Length of Stay
MSHO
Measurement
Year
Age
0-12
13-17
18-64
65+
Unknown
Total
Data Last Refreshed:
Oct 7, 2009 12:48 PM
2005
Male
Member Months
Female
Total
0
0
0
9276
0
9276
0
0
0
26257
0
26257
0
0
0
35533
0
35533
Discharges
Discharges /
1,000 Member
Months
Age
0-12
Days
Average
Length of Stay
M
0
NA
0
NA
F
0
NA
0
NA
Total
0
NA
0
NA
M
13-17
0
NA
0
NA
F
0
NA
0
NA
Total
0
NA
0
NA
M
18-64
0
NA
0
NA
F
0
NA
0
NA
Total
0
NA
0
NA
M
65+
5
0.54
22
4.40
F
3
0.11
172
57.33
Total
8
0.23
194
24.25
Unknown
M
0
0
NA
F
0
0
NA
Total
0
0
NA
Total
M
5
0.54
22
4.40
F
3
0.11
172
57.33
TOTAL
8
0.23
194
24.25
* This table should reflect inpatient days only. Days associated with day/night or partial hospitalization
should not be included in this table.
HEDIS 2006 (Reporting Year 2005)
Page 51
Use of Services
UCare of Minnesota
Identification of Alcohol and Other Drug Services
Data Last Refreshed:
Oct 7, 2009 12:48 PM
Commercial
Measurement Year
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 Chemical Dependency
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 2006 (Reporting Year 2005)
Percent
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Member Months (Inpatient)
Male
Female
NR
NR
Total
NR
NR
NR
NR
NR
NR
NR
NR
Member Months (Day/Night)
Member Months (Ambulatory)
Male
Female
Male
Female
NR
NR
NR
NR
Total
NR
NR
NR
NR
NR
NR
NR
NR
Total
NR
NR
NR
NR
NR
NR
NR
NR
Inpatient Chemical Dependency
Services
Day/Night Chemical Dependency
Services
Ambulatory Chemical Dependency
Services
Number
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
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
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 52
Use of Services
UCare of Minnesota
Identification of Alcohol and Other Drug Services
Data Last Refreshed:
Oct 7, 2009 12:48 PM
Medicare Advantage
Measurement Year
2005
Member Months (Any)
Age
0-12
13-17
18-24
25-34
35-64
65+
Unknown
Total
Male
0
0
0
30
3199
124704
0
127933
Female
0
0
0
31
4222
210078
0
214331
Total
0
0
0
61
7421
334782
0
342264
Any Chemical Dependency
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
16
12
28
140
134
274
0
0
0
156
146
302
HEDIS 2006 (Reporting Year 2005)
Percent
NA
NA
NA
NA
NA
NA
NR
NR
NA
NA
NA
NA
6.00%
3.41%
4.53%
1.35%
0.77%
0.98%
NA
NA
NA
1.46%
0.82%
1.06%
Member Months (Inpatient)
Male
0
0
0
30
3199
124704
0
127933
Female
0
0
0
31
4222
210078
0
214331
Total
0
0
0
61
7421
334782
0
342264
Member Months (Day/Night)
Male
0
0
0
30
3199
124704
0
127933
Female
0
0
0
31
4222
210078
0
214331
Total
0
0
0
61
7421
334782
0
342264
Member Months (Ambulatory)
Male
0
0
0
30
3199
124704
0
127933
Female
0
0
0
31
4222
210078
0
214331
Total
0
0
0
61
7421
334782
0
342264
Inpatient Chemical Dependency
Services
Day/Night Chemical Dependency
Services
Ambulatory Chemical Dependency
Services
Number
0
0
0
0
0
0
0
0
0
0
0
0
5
8
13
83
89
172
0
0
0
88
97
185
Number
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Number
0
0
0
0
0
0
0
0
0
0
0
0
12
9
21
71
59
130
0
0
0
83
68
151
Percent
NA
NA
NA
NA
NA
NA
NR
NR
NA
NA
NA
NA
1.88%
2.27%
2.10%
0.80%
0.51%
0.62%
NA
NA
NA
0.83%
0.54%
0.65%
Percent
NA
NA
NA
NA
NA
NA
NR
NR
NA
NA
NA
NA
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
NA
NA
NA
0.00%
0.00%
0.00%
Percent
NA
NA
NA
NA
NA
NA
NR
NR
NA
NA
NA
NA
4.50%
2.56%
3.40%
0.68%
0.34%
0.47%
NA
NA
NA
0.78%
0.38%
0.53%
Page 53
Use of Services
UCare of Minnesota
Identification of Alcohol and Other Drug Services
Data Last Refreshed:
Oct 7, 2009 12:48 PM
MSHO
Measurement Year
2005
Member Months (Any)
Age
0-12
13-17
18-24
25-34
35-64
65+
Unknown
Total
Male
0
0
0
0
0
9276
0
9276
Female
0
0
0
0
0
26257
0
26257
Total
0
0
0
0
0
35533
0
35533
Any Chemical Dependency
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
26
19
45
0
0
0
26
19
45
HEDIS 2006 (Reporting Year 2005)
Percent
NA
NA
NA
NA
NA
NA
NR
NR
NA
NA
NA
NA
NA
NA
NA
3.36%
0.87%
1.52%
NA
NA
NA
3.36%
0.87%
1.52%
Member Months (Inpatient)
Male
0
0
0
0
0
9276
0
9276
Female
0
0
0
0
0
26257
0
26257
Total
0
0
0
0
0
35533
0
35533
Member Months (Day/Night)
Member Months (Ambulatory)
Male
0
0
0
0
0
9276
0
9276
Male
0
0
0
0
0
9276
0
9276
Female
0
0
0
0
0
26257
0
26257
Total
0
0
0
0
0
35533
0
35533
Female
0
0
0
0
0
26257
0
26257
Total
0
0
0
0
0
35533
0
35533
Inpatient Chemical Dependency
Services
Day/Night Chemical Dependency
Services
Ambulatory Chemical Dependency
Services
Number
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
14
12
26
0
0
0
14
12
26
Number
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Number
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
18
8
26
0
0
0
18
8
26
Percent
NA
NA
NA
NA
NA
NA
NR
NR
NA
NA
NA
NA
NA
NA
NA
1.81%
0.55%
0.88%
NA
NA
NA
1.81%
0.55%
0.88%
Percent
NA
NA
NA
NA
NA
NA
NR
NR
NA
NA
NA
NA
NA
NA
NA
0.00%
0.00%
0.00%
NA
NA
NA
0.00%
0.00%
0.00%
Percent
NA
NA
NA
NA
NA
NA
NR
NR
NA
NA
NA
NA
NA
NA
NA
2.33%
0.37%
0.88%
NA
NA
NA
2.33%
0.37%
0.88%
Page 54
Use of Services
UCare of Minnesota
Identification of Alcohol and Other Drug Services
Data Last Refreshed:
Oct 7, 2009 12:48 PM
Medicaid
Measurement Year
2005
Member Months (Any)
Age
0-12
13-17
18-24
25-34
35-64
65+
Unknown
Total
Male
209001
64705
40491
34793
78267
18531
0
445788
Female
202911
65060
82027
78435
107630
45232
0
581295
Total
411912
129765
122518
113228
185897
63763
0
1027083
Any Chemical Dependency
Services
Age
0-12
13-17
18-24
25-34
35-64
65+
Unknown
Total
Sex
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
Number
8
9
17
185
143
328
292
355
647
413
470
883
1044
772
1816
48
41
89
0
0
0
1990
1790
3780
HEDIS 2006 (Reporting Year 2005)
Percent
0.05%
0.05%
0.05%
3.43%
2.64%
3.03%
NR
NR
NA
2.37%
2.78%
2.57%
16.01%
8.61%
11.72%
3.11%
1.09%
1.67%
NA
NA
NA
5.36%
3.70%
4.42%
Member Months (Inpatient)
Male
209001
64705
40491
34793
78267
18531
0
445788
Female
202911
65060
82027
78435
107630
45232
0
581295
Total
411912
129765
122518
113228
185897
63763
0
1027083
Member Months (Day/Night)
Male
209001
64705
40491
34793
78267
18531
0
445788
Female
202911
65060
82027
78435
107630
45232
0
581295
Total
411912
129765
122518
113228
185897
63763
0
1027083
Member Months (Ambulatory)
Male
209001
64705
40491
34793
78267
18531
0
445788
Female
202911
65060
82027
78435
107630
45232
0
581295
Total
411912
129765
122518
113228
185897
63763
0
1027083
Inpatient Chemical Dependency
Services
Day/Night Chemical Dependency
Services
Ambulatory Chemical Dependency
Services
Number
1
0
1
22
24
46
70
90
160
108
115
223
291
219
510
31
26
57
0
0
0
523
474
997
Number
0
0
0
0
0
0
0
1
1
0
2
2
2
1
3
0
0
0
0
0
0
2
4
6
Number
7
9
16
175
130
305
249
298
547
370
423
793
934
691
1625
27
20
47
0
0
0
1762
1571
3333
Percent
0.01%
0.00%
0.00%
0.41%
0.44%
0.43%
NR
NR
NA
0.62%
0.68%
0.65%
4.46%
2.44%
3.29%
2.01%
0.69%
1.07%
NA
NA
NA
1.41%
0.98%
1.16%
Percent
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
NR
NR
NA
0.00%
0.01%
0.01%
0.03%
0.01%
0.02%
0.00%
0.00%
0.00%
NA
NA
NA
0.01%
0.01%
0.01%
Percent
0.04%
0.05%
0.05%
3.25%
2.40%
2.82%
NR
NR
NA
2.12%
2.50%
2.31%
14.32%
7.70%
10.49%
1.75%
0.53%
0.88%
NA
NA
NA
4.74%
3.24%
3.89%
Page 55
Use of Services
UCare of Minnesota
Outpatient Drug Utilization
Data Last Refreshed:
Oct 7, 2009 12:48 PM
Commercial
Measurement
Year
Age
0-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Age
Member Months
NR
Total Cost of
Prescriptions
0-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Avg. Cost of
Prescriptions /
Per Member Per
Month
Total Number of
Prescriptions
NR
NR
NR
NR
NR
NR
NR
NR
HEDIS 2006 (Reporting Year 2005)
NR
Avg. Num. Of
Prescriptions /
Per Member Per
Year
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 56
Use of Services
UCare of Minnesota
Outpatient Drug Utilization
Data Last Refreshed:
Oct 7, 2009 12:48 PM
Medicare Advantage
Measurement
Year
Age
0-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Age
2005
Member Months
0
0
430
7052
139578
131029
64175
0
342264
Total Cost of
Prescriptions
0-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
$0.00
$0.00
$32,713.19
$769,125.07
$7,408,181.04
$10,362,613.17
$6,101,313.82
$0.00
$24,673,946.29
HEDIS 2006 (Reporting Year 2005)
Avg. Cost of
Prescriptions /
Per Member Per
Month
NA
NA
$76.08
$109.06
$53.08
$79.09
$95.07
$72.09
Total Number of
Prescriptions
0
0
727
15306
171251
253811
161112
0
602207
Avg. Num. Of
Prescriptions /
Per Member Per
Year
NA
NA
20.29
26.05
14.72
23.24
30.13
21.11
Page 57
Access/Availability of Care
UCare of Minnesota
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Oct 7, 2009 12:48 PM
Commercial
Data Elements
General Measure
Data
Ages 20-44
Ages 45-64
Ages 65+
NR
NR
NR
NR
NR
NR
NR
NR
NR
Measurement Year
Data collection methodology (Administrativ
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 2006 (Reporting Year 2005)
Page 58
Access/Availability of Care
UCare of Minnesota
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Oct 7, 2009 12:48 PM
Medicare Advantage
Data Elements
General Measure
Data
Measurement Year
Data collection methodology (Administrativ
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 2006 (Reporting Year 2005)
Ages 20-44
Ages 45-64
Ages 65+
25
449
25400
2005
A
19
431
24389
NA
NA
NA
95.99%
94.07%
97.92%
96.02%
95.78%
96.26%
Page 59
Access/Availability of Care
UCare of Minnesota
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Oct 7, 2009 12:48 PM
MSHO
Data Elements
General Measure
Data
Measurement Year
Data collection methodology (Administrativ
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 2006 (Reporting Year 2005)
Ages 20-44
Ages 45-64
Ages 65+
0
0
3452
2005
A
0
0
3263
NA
NA
NA
NA
NA
NA
94.52%
93.75%
95.30%
Page 60
Access/Availability of Care
UCare of Minnesota
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Oct 7, 2009 12:48 PM
Medicaid
Data Elements
General Measure
Data
Measurement Year
Data collection methodology (Administrativ
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 2006 (Reporting Year 2005)
Ages 20-44
Ages 45-64
Ages 65+
12018
5190
3215
2005
A
10315
4502
2990
85.83%
85.20%
86.46%
86.74%
85.81%
87.68%
93.00%
92.10%
93.90%
Page 61
Access/Availability of Care
UCare of Minnesota
Children's and Adolescents' Access to Primary Care Practitioners
Data Last Refreshed:
Oct 7, 2009 12:48 PM
Commercial
Data Elements
General Measure
Data
12-24 months
25 months - 6
yrs.
7-11 yrs.
12-19 yrs.
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Measurement Year
Data collection methodology (Administrativ
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 2006 (Reporting Year 2005)
Page 62
Access/Availability of Care
UCare of Minnesota
Children's and Adolescents' Access to Primary Care Practitioners
Data Last Refreshed:
Oct 7, 2009 12:48 PM
Medicaid
Data Elements
Measurement Year
Data collection methodology (Administrativ
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 2006 (Reporting Year 2005)
General Measure
Data
12-24 months
25 months - 6
yrs.
7-11 yrs.
12-19 yrs.
2469
7680
4858
7875
2005
A
2414
6802
4151
6826
97.77%
97.17%
98.37%
88.57%
87.85%
89.29%
85.45%
84.44%
86.45%
86.68%
85.92%
87.44%
Page 63
Access/Availability of Care
UCare of Minnesota
Prenatal and Postpartum Care
Data Last Refreshed:
Oct 7, 2009 12:48 PM
Commercial
Timeliness of
Prenatal Care
Postpartum
Care
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Measurement Year
Data collection methodology (Administrative or Hybrid)
Sampling method used (see User's Guide for entry
descriptions)
Eligible member population (i.e. members who meet all
denominator criteria)
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 2006 (Reporting Year 2005)
Page 64
Access/Availability of Care
UCare of Minnesota
Prenatal and Postpartum Care
Data Last Refreshed:
Oct 7, 2009 12:48 PM
Medicaid
Timeliness of
Prenatal Care
Postpartum
Care
2005
HO
2005
HO
S
S
Eligible member population (i.e. members who meet all
denominator criteria)
3117
3117
Number of numerator events by administrative data in
eligible population (before exclusions)
1802
1698
Current year's administrative rate (before exclusions)
Measurement Year
Data collection methodology (Administrative or Hybrid)
Sampling method used (see User's Guide for entry
descriptions)
57.81%
54.48%
Minimum required sample size (MRSS) or other sample
size
411
411
Oversampling rate
Final sample size (FSS)
5%
432
5%
432
Number of numerator events by administrative data in FSS
251
229
58.10%
53.01%
Number of original sample records excluded because of
valid data errors
0
0
Number of employee/dependent medical records
excluded
4
4
4
411
244
81
4
411
222
28
79.08%
75.02%
83.13%
60.83%
55.99%
65.67%
Administrative rate on FSS
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 2006 (Reporting Year 2005)
Page 65
Access/Availability of Care
UCare of Minnesota
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
Data Last Refreshed:
Oct 7, 2009 12:48 PM
Commercial
13-17 Year Olds
Data Elements
General
Measure
Data
Initiation of
AOD
Treatment
18-25 Year Olds
Engagement Initiation of
of AOD
AOD
Treatment
Treatment
26-34 Year Olds
Engagement Initiation of
of AOD
AOD
Treatment
Treatment
35-64 Year Olds
Engagement Initiation of
of AOD
AOD
Treatment
Treatment
65+ Year Olds
Engagement Initiation of
of AOD
AOD
Treatment
Treatment
Overall Rate
Engagement Initiation of
of AOD
AOD
Treatment
Treatment
Engagement
of AOD
Treatment
Measurement Year
Data collection methodology
(Administrative only)
Eligible member population (i.e. members
who meet all denominator criteria)
NR
Numerator events by administrative data
NR
NR
Reported rate
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Lower 95% confidence interval
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Upper 95% confidence interval
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
HEDIS 2006 (Reporting Year 2005)
Page 66
Access/Availability of Care
UCare of Minnesota
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
Data Last Refreshed:
Oct 7, 2009 12:48 PM
Medicare Advantage
13-17 Year Olds
Data Elements
Measurement Year
Data collection methodology
(Administrative only)
General
Measure
Data
Initiation of
AOD
Treatment
18-25 Year Olds
26-34 Year Olds
35-64 Year Olds
Engagement Initiation of
of AOD
AOD
Treatment
Treatment
Engagement Initiation of
of AOD
AOD
Treatment
Treatment
Engagement Initiation of
of AOD
AOD
Treatment
Treatment
0
0
0
65+ Year Olds
Engagement Initiation of
of AOD
AOD
Treatment
Treatment
Overall Rate
Engagement Initiation of
of AOD
AOD
Treatment
Treatment
Engagement
of AOD
Treatment
2005
A
Eligible member population (i.e. members
who meet all denominator criteria)
16
212
228
0
0
0
0
0
0
4
1
78
6
82
7
Reported rate
NA
NA
NA
NA
NA
NA
NA
NA
36.79%
2.83%
35.96%
3.07%
Lower 95% confidence interval
Upper 95% confidence interval
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
30.07%
43.52%
0.36%
5.30%
29.52%
42.41%
0.61%
5.53%
Numerator events by administrative data
HEDIS 2006 (Reporting Year 2005)
Page 67
Access/Availability of Care
UCare of Minnesota
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
Data Last Refreshed:
Oct 7, 2009 12:48 PM
MSHO
13-17 Year Olds
Data Elements
Measurement Year
Data collection methodology
(Administrative only)
General
Measure
Data
Initiation of
AOD
Treatment
26-34 Year Olds
35-64 Year Olds
65+ Year Olds
Engagement Initiation of
of AOD
AOD
Treatment
Treatment
Engagement Initiation of
of AOD
AOD
Treatment
Treatment
Engagement Initiation of
of AOD
AOD
Treatment
Treatment
Engagement Initiation of
of AOD
AOD
Treatment
Treatment
0
0
0
0
Overall Rate
Engagement Initiation of
of AOD
AOD
Treatment
Treatment
Engagement
of AOD
Treatment
2005
A
Eligible member population (i.e. members
who meet all denominator criteria)
Numerator events by administrative data
18-25 Year Olds
34
34
0
0
0
0
0
0
0
0
12
1
12
1
Reported rate
NA
NA
NA
NA
NA
NA
NA
NA
35.29%
2.94%
35.29%
2.94%
Lower 95% confidence interval
Upper 95% confidence interval
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
17.76%
52.83%
0.00%
10.09%
17.76%
52.83%
0.00%
10.09%
HEDIS 2006 (Reporting Year 2005)
Page 68
Health Plan Stability
UCare of Minnesota
Practitioner Turnover
Medicare Advantage
Measurement Year
Practitioner Types
Data Last Refreshed:
Oct 7, 2009 12:48 PM
2005
Number of
Practitioners
as of
12/31/2004
Number of
Practitioners who
were not affiliated
with the plan as of
12/31/2005
Practitioner
Turnover Rate
Practitioner
Retention Rate
Primary Care
Physicians
2002
82
4.10%
95.90%
Non-Physician Primary
Care Practitioners
785
29
3.69%
96.31%
HEDIS 2006 (Reporting Year 2005)
Page 69
Health Plan Stability
UCare of Minnesota
Years in Business / Total Membership
Medicare Advantage
Measurement Year
Product/Product Line
Data Last Refreshed:
Oct 7, 2009 12:48 PM
2005
Years in Business
Members*
18.00
18.00
0.00
7.50
0.00
10.00
117368
83586
0
29582
0
4200
0.00
0.00
0.00
0.00
0.00
0
0
0
0
0
0.00
0.00
0.00
0.00
0.00
0
0
0
0
0
117368
HMO (Total)
Medicaid
Commercial
Medicare (cost or risk)
Self-insured
Other
PPO (Total)
Commercial
Medicare (cost or risk)
Self-insured
Other
POS (Total)
Commercial
Medicare (cost or risk)
Self-insured
Other
Total
* Total number of members in each category as of December 31, 2005
HEDIS 2006 (Reporting Year 2005)
Page 70
Health Plan Descriptive InformationUCare of Minnesota
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Oct 7, 2009 12:48 PM
Commercial
Measurement Year
Male
<1
1-4
5-9
10-14
15-17
18-19
0-19 Subtotal
0-19 Subtotal: %
20-24
25-29
30-34
35-39
40-44
20-44 Subtotal
20-44 Subtotal: %
45-49
50-54
55-59
60-64
45-64 Subtotal
45-64 Subtotal: %
65-69
70-74
75-79
80-84
85-89
>=90
>=65 Subtotal
>=65 Subtotal: %
Age Unknown
Total
Member Months
Female
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
HEDIS 2006 (Reporting Year 2005)
Total
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 71
Health Plan Descriptive InformationUCare of Minnesota
Enrollment by Product Line (Age & Sex)
Medicare Advantage
Measurement Year
<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
Data Last Refreshed:
Oct 7, 2009 12:48 PM
2005
Male
0
0
0
0
0
0
Member Months
Female
0
0
0
0
0
0
0
0.00%
0
12
24
48
120
0
0.00%
0
12
24
60
144
204
0.16%
276
396
984
1380
240
0.11%
372
612
1008
2028
3036
2.37%
30576
27984
26232
21948
12420
5532
4020
1.88%
42000
39012
43596
39252
28824
17400
124692
97.47%
0
210084
98.01%
0
127932
214344
HEDIS 2006 (Reporting Year 2005)
Total
0
0
0
0
0
0
0
0.00%
0
24
48
108
264
444
0.13%
648
1008
1992
3408
7056
2.06%
72576
66996
69828
61200
41244
22932
334776
97.81%
0
342276
Page 72
Health Plan Descriptive InformationUCare of Minnesota
Enrollment by Product Line (Age & Sex)
MSHO
Measurement Year
<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
Data Last Refreshed:
Oct 7, 2009 12:48 PM
2005
Male
0
0
0
0
0
0
Member Months
Female
0
0
0
0
0
0
0
0.00%
0
0
0
0
0
0
0.00%
0
0
0
0
0
0
0.00%
0
0
0
0
0
0.00%
0
0
0
0
0
0.00%
2232
2172
1680
1476
1044
672
0
0.00%
3648
4656
4224
4128
4356
5256
9276
100.00%
0
26268
100.00%
0
9276
26268
HEDIS 2006 (Reporting Year 2005)
Total
0
0
0
0
0
0
0
0.00%
0
0
0
0
0
0
0.00%
0
0
0
0
0
0.00%
5880
6828
5904
5604
5400
5928
35544
100.00%
0
35544
Page 73
Health Plan Descriptive InformationUCare of Minnesota
Enrollment by Product Line (Age & Sex)
Medicaid
Measurement Year
<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
Data Last Refreshed:
Oct 7, 2009 12:48 PM
2005
Male
25964
72335
70386
68263
36758
17545
Member Months
Female
25425
68708
69495
65792
38551
23086
291251
65.33%
22946
18269
16524
17082
18886
291057
50.07%
58941
45170
33265
29383
26257
93707
21.02%
16058
12461
8514
5266
193016
33.20%
20219
13914
9599
8258
42299
9.49%
4773
3925
3484
2804
2033
1512
51990
8.94%
7470
6822
6970
7980
7315
8675
18531
4.16%
0
45232
7.78%
0
445788
581295
HEDIS 2006 (Reporting Year 2005)
Total
51389
141043
139881
134055
75309
40631
582308
56.70%
81887
63439
49789
46465
45143
286723
27.92%
36277
26375
18113
13524
94289
9.18%
12243
10747
10454
10784
9348
10187
63763
6.21%
0
1027083
Page 74