UCare Minnesota
Plan Name
2002
Reporting Year
General Info
Submission #
1
Last Refreshed:
17
9/23/2003 1:44:35 PM
Page
Title
Disclaimers
Effectiveness of
Care Measures
Plan ID
2
Access / Availability
of Care
Page
Measure
Page
Childhood Immunization Rate
3
Adults' Access to Preventive/Ambulatory Health Services
62
Adolescent Immunization Rate
6
Children's Access to Primary Care Practitioners
68
Breast Cancer Screening
9
Prenatal and Postpartum Care
71
Cervical Cancer Screening
10
Availability of Language Interpretation Services
74
Chlamydia Screening in Women
11
Controlling High Blood Pressure
12
Beta Blocker Treatment after a Heart Attack
13
Cholesterol Management
14
Comprehensive Diabetes Care
15
Practitioner Turnover
75
Appropriate Medications for People with Asthma
21
Years in Business / Total Membership
77
Follow-up After Hospitalization For Mental Illness
25
Antidepressant Medication Management
26
Measure
Use of Services
Measures
Measure
Health Plan Stability
Measure
Page
Health Plan
Descriptive
Information
Measure
Page
Page
Well-Child Visits In The First 15 Months of Life
32
Board Certification / Residency Completion
79
Well-Child Visits In The Third, Fourth, Fifth And Sixth Year of Life
34
Total Enrollment by Percentage
80
Adolescent Well-Care Visits
35
Enrollment by Product Line (Age & Sex)
81
Inpatient Utilization - General Hospital/Acute Care
36
Ambulatory Care
42
Inpatient Utilization - Nonacute Care
45
Mental Health Utilization - Inpatient Discharges and Average Length of Stay
48
Mental Health Utilization - Percentage of Members Receiving Inpatient and Ambulatory Services
51
Chemical Dependency Utilization - Inpatient Discharges and Average Length of Stay
54
Chemical Dependency Utilization - Percentage of Members Receiving Inpatient and Ambulatory Services
57
Outpatient Drug Utilization
60
HEDIS 2003 (Reporting Year 2002)
DISCLAIMERS
-1
( this page left blank intentionally )
0. Disclaimer Query located below
HEDIS 2003 (Reporting Year 2002)
Page 2
Effectiveness of Care
UCare Minnesota
Childhood Immunization Rate
Data Last Refreshed:
Sep 23, 2003 1:44 PM
Commercial
Data Elements
General
Measure
Data
DTaP/DT
IPV/OPV
MMR
HiB
Hepatitis B
VZV
Combo 1
Combo 2
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
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
Additional Records Added from the
Auxiliary List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2003 (Reporting Year 2002)
Page 3
Effectiveness of Care
UCare Minnesota
Childhood Immunization Rate
Data Last Refreshed:
Sep 23, 2003 1:44 PM
PMAP
Data Elements
Data Collection Methodology
Sampling Method Used
Eligible Member Population
General
Measure
Data
HiB
Hepatitis B
VZV
Combo 1
Combo 2
829
33.52%
1069
43.23%
1719
69.51%
959
38.78%
911
36.84%
1413
57.14%
496
20.06%
418
16.90%
142
31.28%
190
41.85%
324
71.37%
174
38.33%
159
35.02%
272
59.91%
84
18.50%
76
16.74%
129
179
74.94%
70.63%
79.25%
171
186
86.86%
83.47%
90.25%
293
63
86.62%
83.20%
90.03%
157
154
75.67%
71.40%
79.94%
148
196
83.70%
80.01%
87.39%
248
49
72.26%
67.81%
76.71%
79
166
59.61%
54.75%
64.48%
71
136
50.36%
45.41%
55.32%
454
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
Additional Records Added from the
Auxiliary List
0
HEDIS 2003 (Reporting Year 2002)
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/OPV
HO
S
2473
Numerator events by admin data in eligible
population
Current Year's Administrative Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin rate on FSS
DTaP/DT
411
Page 4
Effectiveness of Care
UCare Minnesota
Childhood Immunization Rate
Data Last Refreshed:
Sep 23, 2003 1:44 PM
MinnesotaCare
Data Elements
Data Collection Methodology
Sampling Method Used
Eligible Member Population
General
Measure
Data
HiB
Hepatitis B
VZV
Combo 1
Combo 2
148
47.59%
165
53.05%
238
76.53%
157
50.48%
143
45.98%
181
58.20%
97
31.19%
76
24.44%
148
47.59%
165
53.05%
238
76.53%
157
50.48%
143
45.98%
181
58.20%
97
31.19%
76
24.44%
148
98
79.10%
74.42%
83.78%
165
104
86.50%
82.54%
90.45%
238
28
85.53%
81.46%
89.60%
157
85
77.81%
73.03%
82.59%
143
115
82.96%
78.62%
87.30%
181
21
64.95%
59.49%
70.42%
97
108
65.92%
60.49%
71.35%
76
84
51.45%
45.73%
57.16%
311
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
Additional Records Added from the
Auxiliary List
0
HEDIS 2003 (Reporting Year 2002)
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/OPV
HO
S
311
Numerator events by admin data in eligible
population
Current Year's Administrative Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin rate on FSS
DTaP/DT
311
Page 5
Effectiveness of Care
UCare Minnesota
Adolescent Immunization Status
Data Last Refreshed:
Sep 23, 2003 1:44 PM
Commercial
Data Elements
General
Measure
Data
MMR
Hepatitis B
VZV
Combo 1
Combo 2
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
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
Additional Records Added from the
Auxiliary List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2003 (Reporting Year 2002)
Page 6
Effectiveness of Care
UCare Minnesota
Adolescent Immunization Status
Data Last Refreshed:
Sep 23, 2003 1:44 PM
PMAP
Data Elements
Data Collection Methodology
Sampling Method Used
Eligible Member Population
General
Measure
Data
Combo 1
Combo 2
378
38.22%
64
6.47%
60
6.07%
48
4.85%
2
0.20%
180
39.74%
33
7.28%
27
5.96%
24
5.30%
0
0.00%
157
149
74.45%
70.11%
78.79%
33
178
51.34%
46.38%
56.29%
25
73
23.84%
19.60%
28.09%
24
170
47.20%
42.25%
52.15%
0
63
15.33%
11.72%
18.93%
453
1
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
Additional Records Added from the
Auxiliary List
1
HEDIS 2003 (Reporting Year 2002)
VZV
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
Hepatitis B
HO
S
989
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 7
Effectiveness of Care
UCare Minnesota
Adolescent Immunization Status
Data Last Refreshed:
Sep 23, 2003 1:44 PM
MinnesotaCare
Data Elements
Data Collection Methodology
Sampling Method Used
Eligible Member Population
General
Measure
Data
Combo 1
Combo 2
251
49.12%
78
15.26%
25
4.89%
67
13.11%
3
0.59%
221
48.79%
71
15.67%
23
5.08%
60
13.25%
3
0.66%
197
143
82.73%
78.95%
86.50%
66
188
61.80%
56.98%
66.62%
22
93
27.98%
23.52%
32.44%
56
180
57.42%
52.52%
62.32%
3
84
21.17%
17.10%
25.24%
453
1
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
Additional Records Added from the
Auxiliary List
1
HEDIS 2003 (Reporting Year 2002)
VZV
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
Hepatitis B
HO
S
511
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 8
Effectiveness of Care
UCare Minnesota
Breast Cancer Screening
Data Elements
Data Collection Methodology
Sampling Method Used
Eligible Member Population
Data Last Refreshed:
Sep 23, 2003 1:44 PM
Commercial
Medicare + Choice
A
1203
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
NR
NR
NR
NR
Records Excluded because of contraindications
through Admin data
0
Records Excluded because of contraindications
through Medical Record Review
Number of employee/dependent medical records
excluded
Records Added from Auxiliary List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2003 (Reporting Year 2002)
1203
961
NR
NR
NR
79.88%
77.58%
82.19%
Page 9
Effectiveness of Care
UCare Minnesota
Cervical Cancer Screening
Data Elements
Data Collection Methodology
Sampling Method Used
Eligible Member Population
Data Last Refreshed:
Sep 23, 2003 1:44 PM
Commercial
PMAP
HO
S
4405
MNCare
HO
S
5748
GAMC
HO
S
626
2847
3834
295
64.63%
411
10.00%
453
303
90.73%
0
66.70%
411
10.00%
453
302
90.73%
10
47.12%
411
10.00%
453
214
90.73%
19
Records Excluded because of contraindications
through Admin data
0
0
0
Records Excluded because of contraindications
through Medical Record Review
0
0
0
Number of employee/dependent medical records
excluded
0
0
0
0
411
274
46
77.86%
73.72%
81.99%
10
411
281
37
77.37%
73.21%
81.54%
19
411
204
48
61.31%
56.48%
66.14%
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
Records Added from Auxiliary List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2003 (Reporting Year 2002)
NR
NR
NR
NR
NR
Page 10
Effectiveness of Care
UCare Minnesota
Chlamydia Screening in Women
Data Last Refreshed:
Sep 23, 2003 1:44 PM
Commercial
Data Elements
General
Measure Ages 16-20 Ages 21-26
Data
Data Collection Methodology
Eligible Member Population
Current Year's Admin Rate
PMAP
Total
General
Measure Ages 16-20 Ages 21-26
Data
Total
A
NR
NR
927
53.18%
1290
49.92%
2217
51.29%
Records Excluded because of contraindications
through Admin data
NR
0
0
0
Denominator
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
NR
NR
NR
NR
NR
927
493
53.18%
49.92%
56.45%
1290
644
49.92%
47.16%
52.69%
2217
1137
51.29%
49.18%
53.39%
NR
NR
NR
NR
NR
NR
NR
NR
GAMC
Data Elements
Data Collection Methodology
Eligible Member Population
Current Year's Admin Rate
Records Excluded because of contraindications
through Admin data
Denominator
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2003 (Reporting Year 2002)
MNCare
General
Measure Ages 16-20 Ages 21-26
Data
Total
A
General
Measure Ages 16-20 Ages 21-26
Data
Total
A
2
50.00%
48
31.25%
50
32.00%
584
39.21%
696
28.74%
1280
33.52%
0
0
0
0
0
0
2
1
NA
NA
NA
48
15
31.25%
17.10%
45.40%
50
16
32.00%
18.07%
45.93%
584
229
39.21%
35.17%
43.26%
696
200
28.74%
25.30%
32.17%
1280
429
33.52%
30.89%
36.14%
Page 11
Effectiveness of Care
UCare Minnesota
Controlling High Blood Pressure
Data Last Refreshed:
Sep 23, 2003 1:44 PM
Data Elements
Data Collection Methodology (Hybrid)
Sampling Method Used
Eligible Member Population
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Records Excluded because of Valid Data Errors
Records Excluded - False positive diagnosis
PMAP
HO
S
804
411
10.00%
451
5
0
Medicare + Choice
HO
S
5581
411
10.00%
453
7
0
MSHO
HO
S
288
411
10.00%
292
2
0
Records Excluded because of ESRD identified by
Admin Data
0
0
2
Records Excluded because of ESRD identified by
Medical Record
1
1
0
Number of employee/dependent medical records
excluded
0
0
0
5
410
249
60.73%
55.88%
65.58%
7
410
220
53.66%
48.71%
58.61%
0
288
176
61.11%
55.31%
66.92%
Records Added from Auxiliary List
Denominator
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2003 (Reporting Year 2002)
Commercial
NR
NR
NR
Page 12
Effectiveness of Care
UCare Minnesota
Beta Blocker Treatment after Heart Attack
Data Elements
Data Collection Methodology
Sampling Method Used
Data Last Refreshed:
Sep 23, 2003 1:44 PM
Medicare + Choice
HO
S
Eligible Member Population
150
Numerator Events by Admin Data on
Eligible Population
128
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
85.33%
411
10.00%
148
128
86.49%
Records Excluded because of Valid Data
Errors
4
Records Excluded Contraindications/Admin Data
0
Records Excluded Contraindications/Medical Record Review
0
Number of employee/dependent medical
records excluded
0
Records Added from Auxiliary List
0
Denominator
144
Numerator Events by Admin Data
128
Numerator Events by Medical Record
10
Reported Rate
95.83%
Lower 95% Confidence Interval
Upper 95% Confidence Interval
92.22%
HEDIS 2003 (Reporting Year 2002)
99.44%
Page 13
Effectiveness of Care
UCare Minnesota
Cholesterol Management After Acute Cardiovascular Events
Data Last Refreshed:
Sep 23, 2003 1:44 PM
Medicare + Choice
Data Elements
Data Collection Methodology
Sampling Method Used
Eligible Member Population
General
Measure
Data
HO
S
137
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
0
Number of employee/dependent medical
records excluded
0
HEDIS 2003 (Reporting Year 2002)
88
4
64.23%
2.92%
88
4
64.23%
2.92%
88
7
4
78
69.34%
61.26%
77.43%
59.85%
51.28%
68.43%
411
10.00%
137
Records Excluded because of Valid Data
Errors
Records Added from Auxiliary List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
LDL-C
LDL-C Level of
screening 60- <130 mg/dL 60365 Days
365 Days
0
137
Page 14
Effectiveness of Care
UCare Minnesota
Comprehensive Diabetes Care
Data Last Refreshed:
Sep 23, 2003 1:44 PM
Commercial
Data Elements
General
Measure Data
HbA1c
Testing
Poor HbA1c
Control
Eye Exam
LDL-C
Screening
LDL-C Level
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
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 employee/dependent records
excluded
Additional Records Added from the
Auxiliary List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2003 (Reporting Year 2002)
Page 15
Effectiveness of Care
UCare Minnesota
Comprehensive Diabetes Care
Data Last Refreshed:
Sep 23, 2003 1:44 PM
Medicare + Choice
Data Elements
Data Collection Methodology
Sampling Method Used
Eligible Member Population
General
Measure Data
LDL-C
Screening
LDL-C Level
Monitoring
for Diabetic
Nephropathy
1174
87.68%
0
0.00%
888
66.32%
1132
84.54%
157
11.73%
670
50.04%
398
87.86%
0
0.00%
287
63.36%
389
85.87%
58
12.80%
224
49.45%
365
12
91.73%
88.94%
94.51%
0
67
16.30%
12.61%
19.99%
261
35
72.02%
67.56%
76.48%
355
12
89.29%
86.18%
92.41%
52
225
67.40%
62.74%
72.05%
206
82
70.07%
65.52%
74.62%
453
1
Number of employee/dependent records
excluded
0
Additional Records Added from the
Auxiliary List
1
HEDIS 2003 (Reporting Year 2002)
Eye Exam
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
Poor HbA1c
Control
HO
S
1339
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
HbA1c
Testing
411
Page 16
Effectiveness of Care
UCare Minnesota
Comprehensive Diabetes Care
Data Last Refreshed:
Sep 23, 2003 1:44 PM
MSHO
Data Elements
Data Collection Methodology
Sampling Method Used
Eligible Member Population
General
Measure Data
LDL-C
Screening
LDL-C Level
Monitoring
for Diabetic
Nephropathy
132
83.54%
0
0.00%
100
63.29%
96
60.76%
21
13.29%
74
46.84%
131
83.44%
0
0.00%
99
63.06%
96
61.15%
21
13.38%
74
47.13%
131
7
87.90%
82.48%
93.32%
0
61
38.85%
30.91%
46.80%
99
5
66.24%
58.53%
73.96%
96
12
68.79%
61.22%
76.36%
21
53
47.13%
39.01%
55.26%
74
20
59.87%
51.89%
67.86%
157
0
Number of employee/dependent records
excluded
0
Additional Records Added from the
Auxiliary List
0
HEDIS 2003 (Reporting Year 2002)
Eye Exam
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
Poor HbA1c
Control
HO
S
158
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
HbA1c
Testing
157
Page 17
Effectiveness of Care
UCare Minnesota
Comprehensive Diabetes Care
Data Last Refreshed:
Sep 23, 2003 1:44 PM
PMAP
Data Elements
Data Collection Methodology
Sampling Method Used
Eligible Member Population
General
Measure Data
LDL-C
Screening
LDL-C Level
Monitoring
for Diabetic
Nephropathy
328
52.90%
1
0.16%
296
47.74%
290
46.77%
20
3.23%
238
38.39%
241
53.20%
1
0.22%
215
47.46%
216
47.68%
15
3.31%
178
39.29%
220
103
78.59%
74.50%
82.68%
0
150
36.50%
31.72%
41.27%
197
29
54.99%
50.06%
59.92%
197
87
69.10%
64.51%
73.69%
15
180
47.45%
42.50%
52.39%
164
74
57.91%
53.01%
62.80%
453
3
Number of employee/dependent records
excluded
0
Additional Records Added from the
Auxiliary List
3
HEDIS 2003 (Reporting Year 2002)
Eye Exam
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
Poor HbA1c
Control
HO
S
620
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
HbA1c
Testing
411
Page 18
Effectiveness of Care
UCare Minnesota
Comprehensive Diabetes Care
Data Last Refreshed:
Sep 23, 2003 1:44 PM
GAMC
Data Elements
Data Collection Methodology
Sampling Method Used
Eligible Member Population
General
Measure Data
LDL-C
Screening
LDL-C Level
Monitoring
for Diabetic
Nephropathy
131
82.39%
0
0.00%
88
55.35%
123
77.36%
24
15.09%
84
52.83%
131
82.39%
0
0.00%
88
55.35%
123
77.36%
24
15.09%
84
52.83%
131
5
85.53%
79.75%
91.32%
0
54
33.96%
26.29%
41.64%
88
10
61.64%
53.76%
69.51%
123
8
82.39%
76.15%
88.63%
24
65
55.97%
47.94%
64.01%
84
24
67.92%
60.35%
75.49%
159
0
Number of employee/dependent records
excluded
0
Additional Records Added from the
Auxiliary List
0
HEDIS 2003 (Reporting Year 2002)
Eye Exam
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
Poor HbA1c
Control
HO
S
159
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
HbA1c
Testing
159
Page 19
Effectiveness of Care
UCare Minnesota
Comprehensive Diabetes Care
Data Last Refreshed:
Sep 23, 2003 1:44 PM
MinnesotaCare
Data Elements
Data Collection Methodology
Sampling Method Used
Eligible Member Population
General
Measure Data
LDL-C
Screening
LDL-C Level
Monitoring
for Diabetic
Nephropathy
485
81.24%
0
0.00%
300
50.25%
463
77.55%
20
3.35%
266
44.56%
367
81.02%
0
0.00%
220
48.57%
352
77.70%
17
3.75%
201
44.37%
335
18
85.89%
82.40%
89.38%
0
136
33.09%
28.42%
37.76%
200
40
58.39%
53.51%
63.28%
320
16
81.75%
77.90%
85.61%
15
192
50.36%
45.41%
55.32%
185
63
60.34%
55.49%
65.19%
453
1
Number of employee/dependent records
excluded
0
Additional Records Added from the
Auxiliary List
1
HEDIS 2003 (Reporting Year 2002)
Eye Exam
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
Poor HbA1c
Control
HO
S
597
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
HbA1c
Testing
411
Page 20
Effectiveness of Care
UCare Minnesota
Appropriate Medications for People with Asthma
Data Last Refreshed:
Sep 23, 2003 1:44 PM
Commercial
Data Elements
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2003 (Reporting Year 2002)
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 21
Effectiveness of Care
UCare Minnesota
Appropriate Medications for People with Asthma
Data Last Refreshed:
Sep 23, 2003 1:44 PM
PMAP
Data Elements
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2003 (Reporting Year 2002)
General
Measure Data
Ages 5-9
Ages 10-17
Ages 18-56
Total
118
66
55.93%
46.55%
65.31%
154
88
57.14%
49.00%
65.28%
188
109
57.98%
50.66%
65.30%
460
263
57.17%
52.54%
61.80%
A
Page 22
Effectiveness of Care
UCare Minnesota
Appropriate Medications for People with Asthma
Data Last Refreshed:
Sep 23, 2003 1:44 PM
GAMC
Data Elements
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2003 (Reporting Year 2002)
General
Measure Data
Ages 5-9
Ages 10-17
Ages 18-56
Total
0
0
NA
NA
NA
0
0
NA
NA
NA
46
28
60.87%
45.68%
76.06%
46
28
60.87%
45.68%
76.06%
A
Page 23
Effectiveness of Care
UCare Minnesota
Appropriate Medications for People with Asthma
Data Last Refreshed:
Sep 23, 2003 1:44 PM
MNCare
Data Elements
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2003 (Reporting Year 2002)
General
Measure Data
Ages 5-9
Ages 10-17
Ages 18-56
Total
48
35
72.92%
59.30%
86.53%
143
111
77.62%
70.44%
84.80%
273
206
75.46%
70.17%
80.75%
464
352
75.86%
71.86%
79.86%
A
Page 24
Effectiveness of Care
UCare Minnesota
Follow-Up After Hospitalization for Mental Illness
Data Last Refreshed:
Sep 23, 2003 1:44 PM
Commercial
Data Elements
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2003 (Reporting Year 2002)
General
Measure
Data
Medicare + Choice
General
W/in 7 Days of W/in 30 Days of
Measure
Discharge
Discharge
Data
MSHO
General
W/in 7 Days of W/in 30 Days of
Measure
Discharge
Discharge
Data
A
66
NR
NR
NR
NR
NR
NR
W/in 7 Days of W/in 30 Days of
Discharge
Discharge
A
10
43
65.15%
52.90%
77.40%
46
69.70%
57.85%
81.54%
8
NA
NA
NA
8
NA
NA
NA
Page 25
Effectiveness of Care
UCare Minnesota
Antidepressant Medication Management
Data Last Refreshed:
Sep 23, 2003 1:44 PM
Commercial
Data Elements
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2003 (Reporting Year 2002)
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 26
Effectiveness of Care
UCare Minnesota
Antidepressant Medication Management
Data Last Refreshed:
Sep 23, 2003 1:44 PM
Medicare + Choice
Data Elements
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2003 (Reporting Year 2002)
General
Measure
Data
Optimal
Practitioner
Contacts for
Medication
Management
Effective Acute
Phase
Treatment
Effective
Continuation
Phase
Treatment
3
2.14%
0.00%
4.90%
69
49.29%
40.65%
57.92%
60
42.86%
34.30%
51.41%
A
140
Page 27
Effectiveness of Care
UCare Minnesota
Antidepressant Medication Management
Data Last Refreshed:
Sep 23, 2003 1:44 PM
MSHO
Data Elements
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2003 (Reporting Year 2002)
General
Measure
Data
Optimal
Practitioner
Contacts for
Medication
Management
Effective Acute
Phase
Treatment
Effective
Continuation
Phase
Treatment
0
NA
NA
NA
15
NA
NA
NA
13
NA
NA
NA
A
23
Page 28
Effectiveness of Care
UCare Minnesota
Antidepressant Medication Management
Data Last Refreshed:
Sep 23, 2003 1:44 PM
PMAP
Data Elements
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2003 (Reporting Year 2002)
General
Measure
Data
Optimal
Practitioner
Contacts for
Medication
Management
Effective Acute
Phase
Treatment
Effective
Continuation
Phase
Treatment
23
8.98%
5.29%
12.68%
119
46.48%
40.18%
52.79%
83
32.42%
26.49%
38.35%
A
256
Page 29
Effectiveness of Care
UCare Minnesota
Antidepressant Medication Management
Data Last Refreshed:
Sep 23, 2003 1:44 PM
GAMC
Data Elements
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2003 (Reporting Year 2002)
General
Measure
Data
Optimal
Practitioner
Contacts for
Medication
Management
Effective Acute
Phase
Treatment
Effective
Continuation
Phase
Treatment
8
20.51%
6.56%
34.47%
26
66.67%
50.59%
82.74%
21
53.85%
36.92%
70.77%
A
39
Page 30
Effectiveness of Care
UCare Minnesota
Antidepressant Medication Management
Data Last Refreshed:
Sep 23, 2003 1:44 PM
MNCare
Data Elements
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2003 (Reporting Year 2002)
General
Measure
Data
Optimal
Practitioner
Contacts for
Medication
Management
Effective Acute
Phase
Treatment
Effective
Continuation
Phase
Treatment
23
11.62%
6.90%
16.33%
115
58.08%
50.96%
65.21%
90
45.45%
38.27%
52.64%
A
198
Page 31
Use of Services
UCare Minnesota
Well Child Visits in the First 15 Months of Life
Data Last Refreshed:
Sep 23, 2003 1:44 PM
PMAP
Data Elements
Data Collection Methodology
Sampling Method Used
Eligible Member Population
General
Measure
Data
1
Number of employee/dependent medical
records excluded
0
Additional Records Added from the
Auxiliary List
1
HEDIS 2003 (Reporting Year 2002)
2 visits
3 visits
4 visits
5 visits
6 or more
visits
76
3.62%
84
4.00%
130
6.19%
210
10.00%
353
16.80%
520
24.75%
728
34.65%
19
4.19%
18
3.97%
27
5.96%
53
11.70%
78
17.22%
108
23.84%
150
33.11%
2
0
0.49%
0.00%
1.28%
5
1
1.46%
0.18%
2.74%
13
5
4.38%
2.28%
6.48%
19
8
6.57%
4.05%
9.09%
32
24
13.63%
10.19%
17.06%
70
37
26.03%
21.67%
30.40%
139
56
47.45%
42.50%
52.39%
411
10.00%
453
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
HO
S
2101
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 32
Use of Services
UCare Minnesota
Well Child Visits in the First 15 Months of Life
Data Last Refreshed:
Sep 23, 2003 1:44 PM
MinnesotaCare
Data Elements
Data Collection Methodology
Sampling Method Used
Eligible Member Population
General
Measure
Data
0
Number of employee/dependent medical
records excluded
0
Additional Records Added from the
Auxiliary List
0
HEDIS 2003 (Reporting Year 2002)
2 visits
3 visits
4 visits
5 visits
6 or more
visits
11
4.14%
4
1.50%
13
4.89%
13
4.89%
36
13.53%
64
24.06%
125
46.99%
11
4.14%
4
1.50%
13
4.89%
13
4.89%
36
13.53%
64
24.06%
125
46.99%
8
0
3.01%
0.77%
5.25%
3
0
1.13%
0.00%
2.58%
7
0
2.63%
0.52%
4.74%
5
5
3.76%
1.29%
6.23%
30
5
13.16%
8.91%
17.41%
39
9
18.05%
13.24%
22.85%
125
30
58.27%
52.16%
64.38%
411
10.00%
266
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
HO
S
266
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
266
Page 33
Use of Services
UCare Minnesota
Well Child Visits in the 3rd, 4th, 5th and 6th Years of Life
Data Elements
Data Collection Methodology
Sampling Method Used
Eligible Member Population
Numerator events by admin data in eligible
population
Current Year's Admin Rate
Minimum Required Sample Size
Oversampling Rate
Final sample size (FSS)
Numerator events by admin data in FSS
Administrative rate on FSS
Records Excluded because of Valid Data Errors
Number of employee/dependent medical records
excluded
Records Added from Auxiliary List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2003 (Reporting Year 2002)
Data Last Refreshed:
Sep 23, 2003 1:44 PM
PMAP
HO
S
4441
MNCare
HO
S
1388
2389
742
53.79%
411
10.00%
453
244
53.46%
411
10.00%
453
238
53.86%
0
52.54%
1
0
0
0
411
220
21
58.64%
53.75%
63.52%
1
411
216
28
59.37%
54.50%
64.24%
Page 34
Use of Services
UCare Minnesota
Adolescent Well-Care Visits
Data Elements
Data Collection Methodology
Sampling Method Used
Eligible Member Population
Numerator events by admin data in eligible
population
Current Year's Admin Rate
Minimum Required Sample Size
Oversampling Rate
Final sample size (FSS)
Numerator events by admin data in FSS
Administrative rate on FSS
Records Excluded because of Valid Data Errors
Number of employee/dependent medical records
excluded
Records Added from Auxiliary List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2003 (Reporting Year 2002)
Data Last Refreshed:
Sep 23, 2003 1:44 PM
PMAP
HO
S
7275
MNCare
HO
S
4525
2285
1363
31.41%
411
10.00%
453
137
30.12%
411
10.00%
453
125
30.24%
0
27.59%
0
0
0
0
411
120
42
39.42%
34.57%
44.26%
0
411
115
42
38.20%
33.38%
43.02%
Page 35
Use of Services
UCare Minnesota
Inpatient Utilization - General Hospital/Acute Care
Data Last Refreshed:
Sep 23, 2003 1:44 PM
Commercial
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Age
Total Inpatient
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Medicine
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Surgery
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Maternity
<1
1-9
10-19
20-44
45-64
65+
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 2003 (Reporting Year 2002)
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
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
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
NR
NR
Page 36
Use of Services
UCare Minnesota
Inpatient Utilization - General Hospital/Acute Care
Data Last Refreshed:
Sep 23, 2003 1:44 PM
Medicare + Choice
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
Member Months
0
0
0
564
4732
107067
129815
58289
0
300467
Discharges
0
0
0
12
153
1932
3764
2378
0
8239
0
0
0
10
105
1362
2766
1841
0
6084
0
0
0
2
48
570
998
537
0
2155
HEDIS 2003 (Reporting Year 2002)
Discharges /
1,000 Member
Months
NA
NA
NA
21.28
32.33
18.04
29.00
40.80
27.42
NA
NA
NA
17.73
22.19
12.72
21.31
31.58
20.25
NA
NA
NA
3.55
10.14
5.32
7.69
9.21
7.17
Days
0
0
0
106
765
8693
17518
10865
0
37947
Days / 1,000
Member
Months
NA
NA
NA
187.94
161.67
81.19
134.95
186.40
126.29
0
0
0
29
467
6085
12562
8094
0
27237
NA
NA
NA
51.42
98.69
56.83
96.77
138.86
0
0
0
77
298
2608
4956
2771
0
10710
NA
NA
NA
136.52
62.98
24.36
38.18
47.54
90.65
35.64
Average Length
of Stay
NA
NA
NA
8.83
5.00
4.50
4.65
4.57
NA
4.61
NA
NA
NA
2.90
4.45
4.47
4.54
4.40
NA
4.48
NA
NA
NA
38.50
6.21
4.58
4.97
5.16
NA
4.97
Page 37
Use of Services
UCare Minnesota
Inpatient Utilization - General Hospital/Acute Care
Data Last Refreshed:
Sep 23, 2003 1:44 PM
Minnesota Senior Health Options
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
Member Months
0
0
0
0
0
7172
8061
8099
0
23332
Discharges
Discharges /
1,000 Member
Months
0
0
0
0
0
221
295
187
0
703
NA
NA
NA
NA
NA
30.81
36.60
23.09
0
0
0
0
0
151
218
148
0
517
NA
NA
NA
NA
NA
21.05
27.04
18.27
0
0
0
0
0
70
77
39
0
186
NA
NA
NA
NA
NA
9.76
9.55
4.82
HEDIS 2003 (Reporting Year 2002)
30.13
22.16
7.97
Days
Days / 1,000
Member
Months
0
0
0
0
0
1155
1805
1174
0
4134
NA
NA
NA
NA
NA
161.04
223.92
144.96
0
0
0
0
0
751
1391
959
0
3101
NA
NA
NA
NA
NA
104.71
172.56
118.41
0
0
0
0
0
404
414
215
0
1033
NA
NA
NA
NA
NA
56.33
51.36
26.55
177.18
132.91
44.27
Average Length
of Stay
NA
NA
NA
NA
NA
5.23
6.12
6.28
NA
5.88
NA
NA
NA
NA
NA
4.97
6.38
6.48
NA
6.00
NA
NA
NA
NA
NA
5.77
5.38
5.51
NA
5.55
Page 38
Use of Services
UCare Minnesota
Inpatient Utilization - General Hospital/Acute Care
Data Last Refreshed:
Sep 23, 2003 1:44 PM
PMAP
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
<1
1-9
10-19
20-44
45-64
65+
Unknown
Total
Member Months
34051
190706
141531
109445
9928
20725
18595
17023
0
542004
Discharges
552
479
699
2738
124
453
472
446
0
5963
Discharges /
1,000 Member
Months
16.21
2.51
4.94
25.02
12.49
21.86
25.38
26.20
11.00
472
384
166
545
76
432
454
437
0
2966
13.86
2.01
1.17
4.98
7.66
20.84
24.42
25.67
54
94
92
262
44
21
18
9
0
594
1.59
0.49
0.65
2.39
4.43
1.01
0.97
0.53
26
1
441
1931
4
0
0
2403
0.76
0.01
3.12
17.64
0.40
0.00
HEDIS 2003 (Reporting Year 2002)
5.47
1.10
4.43
Days
Days / 1,000
Member
Months
3067
1207
2263
7553
411
2128
2621
2173
0
21423
90.07
6.33
15.99
69.01
41.40
102.68
140.95
127.65
2096
843
451
1433
227
1966
2508
2093
0
11617
61.55
4.42
3.19
13.09
22.86
94.86
134.87
122.95
926
362
371
1110
177
162
113
80
0
3301
27.19
1.90
2.62
10.14
17.83
7.82
6.08
4.70
45
2
1441
5010
7
0
0
6505
1.32
0.01
10.18
45.78
0.71
0.00
39.53
21.43
6.09
12.00
Average Length
of Stay
5.56
2.52
3.24
2.76
3.31
4.70
5.55
4.87
NA
3.59
4.44
2.20
2.72
2.63
2.99
4.55
5.52
4.79
NA
3.92
17.15
3.85
4.03
4.24
4.02
7.71
6.28
8.89
NA
5.56
1.73
2.00
3.27
2.59
1.75
NA
NA
2.71
Page 39
Use of Services
UCare Minnesota
Inpatient Utilization - General Hospital/Acute Care
Data Last Refreshed:
Sep 23, 2003 1:44 PM
GAMC
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
<1
1-9
10-19
20-44
45-64
65+
Unknown
Total
Member Months
4
674
856
22156
15348
172
42
19
0
39271
Discharges
Discharges /
1,000 Member
Months
0
2
2
361
275
2
0
0
0
642
0.00
2.97
2.34
16.29
17.92
11.63
0.00
0.00
0
0
1
242
176
1
0
0
0
420
0.00
0.00
1.17
10.92
11.47
5.81
0.00
0.00
0
2
1
103
99
1
0
0
0
206
0.00
2.97
1.17
4.65
6.45
5.81
0.00
0.00
0
0
0
16
0
0
0
16
0.00
0.00
0.00
0.72
0.00
0.00
HEDIS 2003 (Reporting Year 2002)
16.35
10.69
5.25
0.41
Days
Days / 1,000
Member
Months
0
7
5
1394
1309
3
0
0
0
2718
0.00
10.39
5.84
62.92
85.29
17.44
0.00
0.00
0
0
4
850
684
2
0
0
0
1540
0.00
0.00
4.67
38.36
44.57
11.63
0.00
0.00
0
7
1
462
625
1
0
0
0
1096
0
0
0
82
0
0
0
82
69.21
39.21
0.00
10.39
1.17
20.85
40.72
5.81
0.00
0.00
27.91
0.00
0.00
0.00
3.70
0.00
0.00
2.09
Average Length
of Stay
NA
3.50
2.50
3.86
4.76
1.50
NA
NA
NA
4.23
NA
NA
4.00
3.51
3.89
2.00
NA
NA
NA
3.67
NA
3.50
1.00
4.49
6.31
1.00
NA
NA
NA
5.32
NA
NA
NA
5.13
NA
NA
NA
5.13
Page 40
Use of Services
UCare Minnesota
Inpatient Utilization - General Hospital/Acute Care
Data Last Refreshed:
Sep 23, 2003 1:44 PM
MinnesotaCare
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
<1
1-9
10-19
20-44
45-64
65+
Unknown
Total
Member Months
4687
57503
77419
112916
55581
778
81
19
0
308984
Discharges
Discharges /
1,000 Member
Months
63
73
208
938
560
4
0
0
0
1846
13.44
1.27
2.69
8.31
10.08
5.14
0.00
0.00
54
50
78
315
314
2
0
0
0
813
11.52
0.87
1.01
2.79
5.65
2.57
0.00
0.00
6
23
66
221
241
2
0
0
0
559
1.28
0.40
0.85
1.96
4.34
2.57
0.00
0.00
3
0
64
402
5
0
0
474
0.64
0.00
0.83
3.56
0.09
0.00
HEDIS 2003 (Reporting Year 2002)
5.97
2.63
1.81
1.53
Days
Days / 1,000
Member
Months
505
214
644
2481
2530
24
0
0
0
6398
107.74
3.72
8.32
21.97
45.52
30.85
0.00
0.00
359
106
230
761
1111
13
0
0
0
2580
76.59
1.84
2.97
6.74
19.99
16.71
0.00
0.00
141
108
272
776
1404
11
0
0
0
2712
30.08
1.88
3.51
6.87
25.26
14.14
0.00
0.00
5
0
142
944
15
0
0
1106
1.07
0.00
1.83
8.36
0.27
0.00
20.71
8.35
8.78
3.58
Average Length
of Stay
8.02
2.93
3.10
2.64
4.52
6.00
NA
NA
NA
3.47
6.65
2.12
2.95
2.42
3.54
6.50
NA
NA
NA
3.17
23.50
4.70
4.12
3.51
5.83
5.50
NA
NA
NA
4.85
1.67
NA
2.22
2.35
3.00
NA
NA
2.33
Page 41
Use of Services
UCare Minnesota
Ambulatory Care
Data Last Refreshed:
Sep 23, 2003 1:44 PM
Commercial
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Member
Months
NR
Outpatient Visits
(Excludes MH/CD)
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Visits
NR
HEDIS 2003 (Reporting Year 2002)
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 42
Use of Services
UCare Minnesota
Ambulatory Care
Data Last Refreshed:
Sep 23, 2003 1:44 PM
Medicare + Choice
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Member
Months
0
0
0
564
4732
107067
129815
58289
0
300467
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
275
3056
54513
80795
35531
0
174170
HEDIS 2003 (Reporting Year 2002)
Visits/ 1,000
Member
Months
NA
NA
NA
487.59
645.82
509.15
622.39
609.57
579.66
Emergency Room Visits
Visits
0
0
0
16
131
1231
2290
1245
0
4913
Visits/ 1,000
Member
Months
NA
NA
NA
28.37
27.68
11.50
17.64
21.36
16.35
Ambulatory
Surgery/Procedures
Procedures
0
0
0
10
141
2832
3979
1222
0
8184
Procedures/
1,000 Member
Months
NA
NA
NA
17.73
29.80
26.45
30.65
20.96
27.24
Observation Room Stays
Resulting in Discharge
Stays
0
0
0
1
14
147
361
166
0
689
Stays/ 1,000
Member
Months
NA
NA
NA
1.77
2.96
1.37
2.78
2.85
2.29
Page 43
Use of Services
UCare Minnesota
Ambulatory Care
Data Last Refreshed:
Sep 23, 2003 1:44 PM
Minnesota Senior Health Options
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Member
Months
0
0
0
0
0
7172
8061
8099
0
23332
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
0
4215
5339
5755
0
15309
HEDIS 2003 (Reporting Year 2002)
Visits/ 1,000
Member
Months
NA
NA
NA
NA
NA
587.70
662.32
710.58
656.14
Emergency Room Visits
Visits
0
0
0
0
0
168
216
103
0
487
Visits/ 1,000
Member
Months
NA
NA
NA
NA
NA
23.42
26.80
12.72
20.87
Ambulatory
Surgery/Procedures
Procedures
0
0
0
0
0
162
147
64
0
373
Procedures/
1,000 Member
Months
NA
NA
NA
NA
NA
22.59
18.24
7.90
15.99
Observation Room Stays
Resulting in Discharge
Stays
0
0
0
0
0
12
11
1
0
24
Stays/ 1,000
Member
Months
NA
NA
NA
NA
NA
1.67
1.36
0.12
1.03
Page 44
Use of Services
UCare Minnesota
Inpatient Utilization - Nonacute Care
Data Last Refreshed:
Sep 23, 2003 1:44 PM
Commercial
Member
Months
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
NR
Total
Age
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
HEDIS 2003 (Reporting Year 2002)
NR
NR
NR
Page 45
Use of Services
UCare Minnesota
Inpatient Utilization - Nonacute Care
Data Last Refreshed:
Sep 23, 2003 1:44 PM
Medicare + Choice
Member
Months
Age
<1
0
1-9
0
10-19
0
20-44
564
45-64
4732
65-74
107067
75-84
129815
85+
58289
Unknown
0
300467
Total
Days
Days / 1,000
Member
Months
Average Length
of Stay
NA
0
NA
NA
0
NA
0
NA
NA
0
NA
0
NA
NA
Discharges
Discharges /
1,000 Member
Months
<1
0
1-9
10-19
Age
20-44
0
0.00
0
0.00
NA
45-64
30
6.34
434
91.72
14.47
65-74
259
2.42
3639
33.99
14.05
75-84
1086
8.37
17214
132.60
15.85
85+
1195
20.50
19679
337.61
16.47
Unknown
0
2570
8.55
0
40966
136.34
NA
15.94
Total
HEDIS 2003 (Reporting Year 2002)
Page 46
Use of Services
UCare Minnesota
Inpatient Utilization - Nonacute Care
Data Last Refreshed:
Sep 23, 2003 1:44 PM
Minnesota Senior Health Options
Member
Months
Age
<1
0
1-9
0
10-19
0
20-44
0
45-64
0
65-74
7172
75-84
8061
85+
8099
Unknown
0
23332
Total
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
77
10.74
2123
296.01
27.57
75-84
162
20.10
3582
444.36
22.11
85+
158
19.51
4557
562.66
28.84
Unknown
0
397
17.02
0
10262
439.83
NA
25.85
Discharges
Discharges /
1,000 Member
Months
<1
0
1-9
Age
Total
HEDIS 2003 (Reporting Year 2002)
Page 47
Use of Services
UCare Minnesota
Mental Health Utilization Inpatient Discharges and Average Length of Stay, by Age and Sex
Data Last Refreshed:
Sep 23, 2003 1:44 PM
Commercial
Member Months
Age
0-12
13-17
18-64
65+
Unknown
Total
Male
NR
Female
Total
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
M
Unknown
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 2003 (Reporting Year 2002)
Page 48
Use of Services
UCare Minnesota
Mental Health Utilization Inpatient Discharges and Average Length of Stay, by Age and Sex
Data Last Refreshed:
Sep 23, 2003 1:44 PM
Medicare + Choice
Member Months
Age
0-12
13-17
18-64
65+
Unknown
Total
Age
0-12
Male
Female
Total
0
0
2270
104547
0
106817
0
0
3026
190624
0
193650
0
0
5296
295171
0
300467
Discharges
Discharges /
1,000 Member
Months
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
5
2.20
71
14.20
F
10
3.30
142
14.20
Total
15
2.83
213
14.20
M
65+
36
0.34
287
7.97
F
110
0.58
957
8.70
Total
146
0.49
1244
8.52
M
Unknown
0
0
NA
F
0
0
NA
Total
0
0
NA
Total
M
41
0.38
358
8.73
F
120
0.62
1099
9.16
TOTAL
161
0.54
1457
9.05
* This table should reflect inpatient days only. Days associated with day/night or partial hospitalization should not be included in this table
HEDIS 2003 (Reporting Year 2002)
Page 49
Use of Services
UCare Minnesota
Mental Health Utilization Inpatient Discharges and Average Length of Stay, by Age and Sex
Data Last Refreshed:
Sep 23, 2003 1:44 PM
Minnesota Senior Health Options
Member Months
Age
0-12
13-17
18-64
65+
Unknown
Total
Age
0-12
Male
Female
Total
0
0
0
5429
0
5429
0
0
0
17903
0
17903
0
0
0
23332
0
23332
Discharges
Discharges /
1,000 Member
Months
Days*
Average Length
of Stay
M
0
NA
0
NA
F
0
NA
0
NA
Total
0
NA
0
NA
13-17
M
0
NA
0
NA
F
0
NA
0
NA
Total
0
NA
0
NA
18-64
M
0
NA
0
NA
F
0
NA
0
NA
Total
0
NA
0
NA
65+
M
12
2.21
77
6.42
F
15
0.84
96
6.40
Total
27
1.16
173
6.41
Unknown
M
0
0
NA
F
0
0
NA
Total
0
0
NA
Total
M
12
2.21
77
6.42
F
15
0.84
96
6.40
TOTAL
27
1.16
173
6.41
* This table should reflect inpatient days only. Days associated with day/night or partial hospitalization should not be included in this table
HEDIS 2003 (Reporting Year 2002)
Page 50
Use of Services
UCare Minnesota
Mental Health Utilization -Percent of Members Receiving Inpatient, Day/Night and Ambulatory Services
Data Last Refreshed:
Sep 23, 2003 1:44 PM
Commercial
Member Months (Any)
Age
0-12
13-17
18-64
65+
Unknown
Total
Age
0-12
13-17
18-64
65+
Unknown
Total
Male
Female
NR
NR
Member Months (Inpatient)
Total
NR
NR
NR
NR
NR
NR
Male
Female
NR
NR
Member Months (Day/Night)
Total
NR
NR
NR
NR
NR
NR
Male
Female
NR
NR
Member Months (Ambulatory)
Total
NR
NR
NR
NR
NR
NR
Male
Female
NR
NR
Total
NR
NR
NR
NR
NR
NR
Any Mental Health Services
Inpatient Mental Health Services
Day/Night Mental Health Services
Ambulatory Mental Health Services
Number
Number
Number
Number
Sex
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
HEDIS 2003 (Reporting Year 2002)
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
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
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
Percent
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 51
Use of Services
UCare Minnesota
Mental Health Utilization -Percent of Members Receiving Inpatient, Day/Night and Ambulatory Services
Data Last Refreshed:
Sep 23, 2003 1:44 PM
Medicare + Choice
Member Months (Any)
Age
0-12
13-17
18-64
65+
Unknown
Total
Age
0-12
13-17
18-64
65+
Unknown
Total
Male
0
0
2270
104547
0
106817
Female
0
0
3026
190624
0
193650
Member Months (Inpatient)
Total
0
0
5296
295171
0
300467
Male
0
0
2270
104547
0
106817
Female
0
0
3026
190624
0
193650
Total
0
0
5296
295171
0
300467
Any Mental Health Services
Inpatient Mental Health Services
Number
0
0
0
0
0
0
34
71
105
157
433
590
0
0
0
191
504
695
Number
0
0
0
0
0
0
4
9
13
31
97
128
0
0
0
35
106
141
Sex
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
HEDIS 2003 (Reporting Year 2002)
Percent
NA
NA
NA
NA
NA
NA
17.97%
28.16%
23.79%
1.80%
2.73%
2.40%
NA
NA
NA
2.15%
3.12%
2.78%
Percent
NA
NA
NA
NA
NA
NA
2.11%
3.57%
2.95%
0.36%
0.61%
0.52%
NA
NA
NA
0.39%
0.66%
0.56%
Member Months (Day/Night)
Male
0
0
2270
104547
0
106817
Female
0
0
3026
190624
0
193650
Total
0
0
5296
295171
0
300467
Day/Night Mental Health Services
Number
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Percent
NA
NA
NA
NA
NA
NA
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
NA
NA
NA
0.00%
0.00%
0.00%
Member Months (Ambulatory)
Male
0
0
2270
104547
0
106817
Female
0
0
3026
190624
0
193650
Total
0
0
5296
295171
0
300467
Ambulatory Mental Health Services
Number
0
0
0
0
0
0
32
70
102
135
368
503
0
0
0
167
438
605
Percent
NA
NA
NA
NA
NA
NA
16.92%
27.76%
23.11%
1.55%
2.32%
2.04%
NA
NA
NA
1.88%
2.71%
2.42%
Page 52
Use of Services
UCare Minnesota
Mental Health Utilization -Percent of Members Receiving Inpatient, Day/Night and Ambulatory Services
Data Last Refreshed:
Sep 23, 2003 1:44 PM
Minnesota Senior Health Options
Member Months (Any)
Age
0-12
13-17
18-64
65+
Unknown
Total
Age
0-12
13-17
18-64
65+
Unknown
Total
Male
0
0
0
5429
0
5429
Female
0
0
0
17903
0
17903
Member Months (Inpatient)
Total
0
0
0
23332
0
23332
Male
0
0
0
5429
0
5429
Female
0
0
0
17903
0
17903
Member Months (Day/Night)
Total
0
0
0
23332
0
23332
Male
0
0
0
5429
0
5429
Female
0
0
0
17903
0
17903
Total
0
0
0
23332
0
23332
Member Months (Ambulatory)
Male
0
0
0
5429
0
5429
Female
0
0
0
17903
0
17903
Total
0
0
0
23332
0
23332
Any Mental Health Services
Inpatient Mental Health Services
Day/Night Mental Health Services
Ambulatory Mental Health Services
Number
0
0
0
0
0
0
0
0
0
36
103
139
0
0
0
36
103
139
Number
0
0
0
0
0
0
0
0
0
11
12
23
0
0
0
11
12
23
Number
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
26
98
124
0
0
0
26
98
124
Sex
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
HEDIS 2003 (Reporting Year 2002)
Percent
NA
NA
NA
NA
NA
NA
NA
NA
NA
7.96%
6.90%
7.15%
NA
NA
NA
7.96%
6.90%
7.15%
Percent
NA
NA
NA
NA
NA
NA
NA
NA
NA
2.43%
0.80%
1.18%
NA
NA
NA
2.43%
0.80%
1.18%
Percent
NA
NA
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
NA
NA
NA
5.75%
6.57%
6.38%
NA
NA
NA
5.75%
6.57%
6.38%
Page 53
Use of Services
UCare Minnesota
Chemical Dependency Utilization Inpatient Discharges and Average Length of Stay
Data Last Refreshed:
Sep 23, 2003 1:44 PM
Commercial
Member Months
Age
0-12
13-17
18-64
65+
Unknown
Total
Male
NR
Female
Total
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
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
M
65+
NR
NR
F
NR
NR
Total
NR
NR
NR
NR
M
Unknown
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 2003 (Reporting Year 2002)
Page 54
Use of Services
UCare Minnesota
Chemical Dependency Utilization Inpatient Discharges and Average Length of Stay
Data Last Refreshed:
Sep 23, 2003 1:44 PM
Medicare + Choice
Member Months
Age
0-12
13-17
18-64
65+
Unknown
Total
Age
0-12
Male
Female
Total
0
0
2270
104547
0
106817
0
0
3026
190624
0
193650
0
0
5296
295171
0
300467
Discharges
Discharges /
1,000 Member
Months
Days
Average Length
of Stay
M
0
NA
0
NA
F
0
NA
0
NA
Total
0
NA
0
NA
13-17
M
0
NA
0
NA
F
0
NA
0
NA
Total
0
NA
0
NA
18-64
M
1
0.44
3
3.00
F
1
0.33
2
2.00
Total
2
0.38
5
2.50
65+
M
18
0.17
98
5.44
F
19
0.10
91
4.79
Total
37
0.13
189
5.11
Unknown
M
0
0
NA
F
0
0
NA
Total
0
0
NA
Total
M
19
0.18
101
5.32
F
20
0.10
93
4.65
TOTAL
39
0.13
194
4.97
* This table should reflect inpatient days only. Days associated with day/night or partial hospitalization should not be included in this table
HEDIS 2003 (Reporting Year 2002)
Page 55
Use of Services
UCare Minnesota
Chemical Dependency Utilization Inpatient Discharges and Average Length of Stay
Data Last Refreshed:
Sep 23, 2003 1:44 PM
Minnesota Senior Health Options
Member Months
Age
0-12
13-17
18-64
65+
Unknown
Total
Age
0-12
Male
Female
Total
0
0
0
5429
0
5429
0
0
0
17903
0
17903
0
0
0
23332
0
23332
Discharges
Discharges /
1,000 Member
Months
Days
Average Length
of Stay
M
0
NA
0
NA
F
0
NA
0
NA
Total
0
NA
0
NA
13-17
M
0
NA
0
NA
F
0
NA
0
NA
Total
0
NA
0
NA
18-64
M
0
NA
0
NA
F
0
NA
0
NA
Total
0
NA
0
NA
65+
M
4
0.74
33
8.25
F
1
0.06
2
2.00
Total
5
0.21
35
7.00
Unknown
M
0
0
NA
F
0
0
NA
Total
0
0
NA
Total
M
4
0.74
33
8.25
F
1
0.06
2
2.00
TOTAL
5
0.21
35
7.00
* This table should reflect inpatient days only. Days associated with day/night or partial hospitalization should not be included in this table
HEDIS 2003 (Reporting Year 2002)
Page 56
Use of Services
UCare Minnesota
Chemical Dependency Utilization -Percent of members Receiving inpatient, Day/Night Care, and Ambulatory Services
Data Last Refreshed:
Sep 23, 2003 1:44 PM
Commercial
Member Months (Any)
Age
0-12
13-17
18-64
65+
Unknown
Total
Male
Female
NR
NR
Member Months (Inpatient)
Total
NR
NR
NR
NR
NR
NR
Any Chemical Dependency Services
Age
0-12
13-17
18-64
65+
Unknown
Total
Sex
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
HEDIS 2003 (Reporting Year 2002)
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
Male
Female
NR
NR
Member Months (Day/Night)
Total
NR
NR
NR
NR
NR
NR
Male
Female
NR
NR
Member Months (Ambulatory)
Total
NR
NR
NR
NR
NR
NR
Male
Female
NR
NR
Total
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
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
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
Percent
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 57
Use of Services
UCare Minnesota
Chemical Dependency Utilization -Percent of members Receiving inpatient, Day/Night Care, and Ambulatory Services
Data Last Refreshed:
Sep 23, 2003 1:44 PM
Medicare + Choice
Member Months (Any)
Age
0-12
13-17
18-64
65+
Unknown
Total
Male
0
0
2270
104547
0
106817
Female
0
0
3026
190624
0
193650
Member Months (Inpatient)
Total
0
0
5296
295171
0
300467
Any Chemical Dependency Services
Age
0-12
13-17
18-64
65+
Unknown
Total
Sex
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
HEDIS 2003 (Reporting Year 2002)
Number
0
0
0
0
0
0
2
2
4
18
22
40
0
0
0
20
24
44
Percent
NA
NA
NA
NA
NA
NA
1.06%
0.79%
0.91%
0.21%
0.14%
0.16%
NA
NA
NA
0.22%
0.15%
0.18%
Male
0
0
2270
104547
0
106817
Female
0
0
3026
190624
0
193650
Total
0
0
5296
295171
0
300467
Member Months (Day/Night)
Male
0
0
2270
104547
0
106817
Female
0
0
3026
190624
0
193650
Total
0
0
5296
295171
0
300467
Member Months (Ambulatory)
Male
0
0
2270
104547
0
106817
Female
0
0
3026
190624
0
193650
Total
0
0
5296
295171
0
300467
Inpatient Chemical Dependency
Services
Day/Night Chemical Dependency
Services
Ambulatory Chemical Dependency
Services
Number
0
0
0
0
0
0
1
1
2
17
18
35
0
0
0
18
19
37
Number
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
2
1
3
5
4
9
0
0
0
7
5
12
Percent
NA
NA
NA
NA
NA
NA
0.53%
0.40%
0.45%
0.20%
0.11%
0.14%
NA
NA
NA
0.20%
0.12%
0.15%
Percent
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%
Percent
NA
NA
NA
NA
NA
NA
1.06%
0.40%
0.68%
0.06%
0.03%
0.04%
NA
NA
NA
0.08%
0.03%
0.05%
Page 58
Use of Services
UCare Minnesota
Chemical Dependency Utilization -Percent of members Receiving inpatient, Day/Night Care, and Ambulatory Services
Data Last Refreshed:
Sep 23, 2003 1:44 PM
Minnesota Senior Health Options
Member Months (Any)
Age
0-12
13-17
18-64
65+
Unknown
Total
Male
0
0
0
5429
0
5429
Female
0
0
0
17903
0
17903
Member Months (Inpatient)
Total
0
0
0
23332
0
23332
Any Chemical Dependency Services
Age
0-12
13-17
18-64
65+
Unknown
Total
Sex
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
HEDIS 2003 (Reporting Year 2002)
Number
0
0
0
0
0
0
0
0
0
5
5
10
0
0
0
5
5
10
Percent
NA
NA
NA
NA
NA
NA
NA
NA
NA
1.11%
0.34%
0.51%
NA
NA
NA
1.11%
0.34%
0.51%
Male
0
0
0
5429
0
5429
Female
0
0
0
17903
0
17903
Member Months (Day/Night)
Total
0
0
0
23332
0
23332
Male
0
0
0
5429
0
5429
Female
0
0
0
17903
0
17903
Total
0
0
0
23332
0
23332
Member Months (Ambulatory)
Male
0
0
0
5429
0
5429
Female
0
0
0
17903
0
17903
Total
0
0
0
23332
0
23332
Inpatient Chemical Dependency
Services
Day/Night Chemical Dependency
Services
Ambulatory Chemical Dependency
Services
Number
0
0
0
0
0
0
0
0
0
3
1
4
0
0
0
3
1
4
Number
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
3
4
7
0
0
0
3
4
7
Percent
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.66%
0.07%
0.21%
NA
NA
NA
0.66%
0.07%
0.21%
Percent
NA
NA
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
NA
NA
NA
0.66%
0.27%
0.36%
NA
NA
NA
0.66%
0.27%
0.36%
Page 59
Use of Services
UCare Minnesota
Outpatient Drug Utilization
Medicare + Choice
Age
0-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Data Last Refreshed:
Sep 23, 2003 1:44 PM
Member Months
0
0
564
4732
107067
129815
58289
0
300467
Specification Documentation:
Prescription is defined as (Enter "A"
or "B"):
Age
0-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Total Cost of
Prescriptions
$0.00
$0.00
$30,600.90
$326,228.66
$6,898,364.46
$8,051,017.52
$3,336,500.34
$0.00
$18,642,711.88
HEDIS 2003 (Reporting Year 2002)
A
Avg. Cost of
Prescriptions /
Per Member Per
Month
NA
NA
$54.26
$68.94
$64.43
$62.02
$57.24
$62.05
Total Number of
Prescriptions
0
0
915
9935
181562
261540
127881
0
581833
Avg. Num. Of
Prescriptions /
Per Member Per
Year
NA
NA
19.47
25.19
20.35
24.18
26.33
23.24
Page 60
Use of Services
UCare Minnesota
Outpatient Drug Utilization
Data Last Refreshed:
Sep 23, 2003 1:44 PM
Minnesota Senior Health Options
Age
Member Months
0-9
0
10-19
0
20-44
0
45-64
0
65-74
7172
75-84
8061
85+
8099
Unknown
0
Total
23332
Specification Documentation:
Prescription is defined as (Enter "A"
or "B"):
Age
0-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Total Cost of
Prescriptions
$0.00
$0.00
$0.00
$0.00
$1,463,804.13
$1,843,927.99
$1,765,818.39
$0.00
$5,073,550.51
HEDIS 2003 (Reporting Year 2002)
A
Avg. Cost of
Prescriptions /
Per Member Per
Month
NA
NA
NA
NA
$204.10
$228.75
$218.03
$217.45
Total Number of
Prescriptions
0
0
0
0
34577
49368
59532
0
143477
Avg. Num. Of
Prescriptions /
Per Member Per
Year
NA
NA
NA
NA
57.85
73.49
88.21
73.79
Page 61
Access/Availability of Care
UCare Minnesota
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Sep 23, 2003 1:44 PM
Commercial
Data Elements
General Measure
Data
Ages 20-44
Ages 45-64
Ages 65+
NR
NR
NR
NR
NR
NR
NR
NR
NR
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 2003 (Reporting Year 2002)
Page 62
Access/Availability of Care
UCare Minnesota
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Sep 23, 2003 1:44 PM
Medicare + Choice
Data Elements
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 2003 (Reporting Year 2002)
General Measure
Data
Ages 20-44
Ages 45-64
Ages 65+
34
321
22838
30
307
21864
88.24%
75.93%
100.00%
95.64%
93.25%
98.03%
95.74%
95.47%
96.00%
A
Page 63
Access/Availability of Care
UCare Minnesota
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Sep 23, 2003 1:44 PM
Minnesota Senior Health Options
Data Elements
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 2003 (Reporting Year 2002)
General Measure
Data
Ages 20-44
Ages 45-64
Ages 65+
0
0
1673
0
0
1609
NA
NA
NA
NA
NA
NA
96.17%
95.23%
97.12%
A
Page 64
Access/Availability of Care
UCare Minnesota
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Sep 23, 2003 1:44 PM
PMAP
Data Elements
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 2003 (Reporting Year 2002)
General Measure
Data
Ages 20-44
Ages 45-64
Ages 65+
5197
616
3805
4524
541
3553
87.05%
86.13%
87.97%
87.82%
85.16%
90.49%
93.38%
92.57%
94.18%
A
Page 65
Access/Availability of Care
UCare Minnesota
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Sep 23, 2003 1:44 PM
GAMC
Data Elements
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 2003 (Reporting Year 2002)
General Measure
Data
Ages 20-44
Ages 45-64
Ages 65+
577
741
10
477
629
8
82.67%
79.49%
85.84%
84.89%
82.24%
87.53%
NA
NA
NA
A
Page 66
Access/Availability of Care
UCare Minnesota
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Sep 23, 2003 1:44 PM
Minnesota Care
Data Elements
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 2003 (Reporting Year 2002)
General Measure
Data
Ages 20-44
Ages 45-64
Ages 65+
6200
3637
69
5195
3162
57
83.79%
82.86%
84.72%
86.94%
85.83%
88.05%
82.61%
72.94%
92.28%
A
Page 67
Access/Availability of Care
UCare Minnesota
Children's Access to Primary Care Practitioners
Data Last Refreshed:
Sep 23, 2003 1:44 PM
Commercial
Data Elements
General Measure
Data
12-24 months
25 months - 6
yrs.
7-11 yrs.
NR
NR
NR
NR
NR
NR
NR
NR
NR
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 2003 (Reporting Year 2002)
Page 68
Access/Availability of Care
UCare Minnesota
Children's Access to Primary Care Practitioners
Data Last Refreshed:
Sep 23, 2003 1:44 PM
PMAP
Data Elements
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 2003 (Reporting Year 2002)
General Measure
Data
12-24 months
25 months - 6
yrs.
7-11 yrs.
2784
5995
3914
2634
5026
3129
94.61%
93.76%
95.47%
83.84%
82.90%
84.78%
79.94%
78.68%
81.21%
A
Page 69
Access/Availability of Care
UCare Minnesota
Children's Access to Primary Care Practitioners
Data Last Refreshed:
Sep 23, 2003 1:44 PM
Minnesota Care
Data Elements
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 2003 (Reporting Year 2002)
General Measure
Data
12-24 months
25 months - 6
yrs.
7-11 yrs.
312
1689
1773
299
1431
1546
95.83%
93.46%
98.21%
84.72%
82.98%
86.47%
87.20%
85.61%
88.78%
A
Page 70
Access/Availability of Care
UCare Minnesota
Prenatal and Postpartum Care
Data Last Refreshed:
Sep 23, 2003 1:44 PM
Commercial
General Measure
Data
Timeliness of
Prenatal Care
Postpartum Care
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
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
Additional records added from the auxiliary list
Denominator
Numerator events by administrative data
Numerator events by medical record
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
HEDIS 2003 (Reporting Year 2002)
Page 71
Access/Availability of Care
UCare Minnesota
Prenatal and Postpartum Care
Data Last Refreshed:
Sep 23, 2003 1:44 PM
PMAP
General Measure
Data
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)
1073
909
54.77%
46.40%
263
219
58.06%
48.34%
245
38
203
41
68.86%
64.26%
73.46%
59.37%
54.50%
64.24%
S
1959
Minimum required sample size (MRSS) or other sample size
411
Oversampling rate
Final sample size (FSS)
10%
453
Number of numerator events by administrative data in FSS
Administrative rate on FSS
Number of original sample records excluded because of
valid data errors
2
Number of employee/dependent medical records excluded
0
HEDIS 2003 (Reporting Year 2002)
Postpartum Care
HO
Number of numerator events by administrative data in
eligible population (before exclusions)
Current year's administrative rate (before exclusions)
Additional records added from the auxiliary list
Denominator
Numerator events by administrative data
Numerator events by medical record
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
Timeliness of
Prenatal Care
2
411
Page 72
Access/Availability of Care
UCare Minnesota
Prenatal and Postpartum Care
Data Last Refreshed:
Sep 23, 2003 1:44 PM
Minnesota Care
General Measure
Data
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)
287
195
72.11%
48.99%
287
195
72.11%
48.99%
283
6
194
34
73.91%
69.43%
78.39%
58.31%
53.30%
63.33%
S
398
Minimum required sample size (MRSS) or other sample size
411
Oversampling rate
Final sample size (FSS)
10%
398
Number of numerator events by administrative data in FSS
Administrative rate on FSS
Number of original sample records excluded because of
valid data errors
7
Number of employee/dependent medical records excluded
0
HEDIS 2003 (Reporting Year 2002)
Postpartum Care
HO
Number of numerator events by administrative data in
eligible population (before exclusions)
Current year's administrative rate (before exclusions)
Additional records added from the auxiliary list
Denominator
Numerator events by administrative data
Numerator events by medical record
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
Timeliness of
Prenatal Care
0
391
Page 73
Access/Availability of Care
UCare Minnesota
Availability of Language Interpretation Services
Data Last Refreshed:
Sep 23, 2003 1:44 PM
Minnesota Senior Health Options
Language (not to exceed 25
Interpreter Services (not to exceed
Description (not to exceed 50
characters)
50 characters)
characters)
HEDIS 2003 (Reporting Year 2002)
Type of Agreement (not to exceed 50 Restrictions on Availability (not
characters)
to exceed 50 characters)
Page 74
Health Plan Stability
UCare Minnesota
Practitioner Turnover
Medicare + Choice
Practitioner Types
Data Last Refreshed:
Sep 23, 2003 1:44 PM
Number of
Practitioners as of
12/31/2001
Number of
Practitioners who
were not affiliated
with the plan as of
12/31/2002
Practitioner
Turnover Rate
Primary Care
Physicians
1567
97
6.19%
Non-Physician Primary
Care Practitioners
452
23
5.09%
HEDIS 2003 (Reporting Year 2002)
Page 75
Health Plan Stability
UCare Minnesota
Practitioner Turnover
Data Last Refreshed:
Sep 23, 2003 1:44 PM
Minnesota Senior Health Options
Practitioner Types
Number of
Practitioners as of
12/31/2001
Number of
Practitioners who
were not affiliated
with the plan as of
12/31/2002
Practitioner
Turnover Rate
Primary Care
Physicians
1650
100
6.06%
Non-Physician Primary
Care Practitioners
564
30
5.32%
HEDIS 2003 (Reporting Year 2002)
Page 76
Health Plan Stability
UCare Minnesota
Years in Business / Total Membership
Data Last Refreshed:
Sep 23, 2003 1:44 PM
Medicare + Choice
Product/Product Line
HMO (Total)
Medicaid
Commercial
Medicare (cost or risk)
Self-insured
Other (specify)
PPO (Total)
Commercial
Medicare (cost or risk)
Self-insured
Other (specify)
POS (Total)
Commercial
Medicare (cost or risk)
Self-insured
Other (specify)
Total
Years in Business
15.00
15.00
0.00
4.50
0.00
7.00
Members*
103681
76232
0
25356
0
2093
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
103681
* Total number of members in each category as of December 31, 2002
HEDIS 2003 (Reporting Year 2002)
Page 77
Health Plan Stability
UCare Minnesota
Years in Business / Total Membership
Data Last Refreshed:
Sep 23, 2003 1:44 PM
Minnesota Senior Health Options
Product/Product Line
HMO (Total)
Medicaid
Commercial
Medicare (cost or risk)
Self-insured
Other (specify)
PPO (Total)
Commercial
Medicare (cost or risk)
Self-insured
Other (specify)
POS (Total)
Commercial
Medicare (cost or risk)
Self-insured
Other (specify)
Total
Years in Business
15.00
15.00
0.00
4.50
0.00
7.00
Members*
103681
76232
0
25356
0
2093
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
103681
* Total number of members in each category as of December 31, 2002
HEDIS 2003 (Reporting Year 2002)
Page 78
Health Plan Descriptive Information
UCare Minnesota
Board Certification / Residency Completion
Data Last Refreshed:
Sep 23, 2003 1:44 PM
Minnesota Senior Health Options
Type of Practitioner
Primary Care Practitioners
Number of
Practitioners in Each
Practice Area
Geriatricians
Other practitioner
Specialists
HEDIS 2003 (Reporting Year 2002)
Board Certification
Number
Percent
Residency / Fellowship
Completion
Percent
Number
NR
NR
NR
NR
NR
NR
Page 79
Health Plan Descriptive Information
UCare Minnesota
Total Enrollment by Percentage
Medicaid
Commercial
Product Line
Medicare
Other
Total
M
F
M
F
M
F
M
F
M
F
M
F
M
F
Total
100.00%
0.00%
0.00%
0.00%
100.00%
0.00%
0.00%
0.00%
100.00%
0.00%
0.00%
0.00%
100.00%
0.00%
0.00%
0.00%
100.00%
0.00%
0.00%
0.00%
100.00%
0.00%
0.00%
0.00%
100.00%
0.00%
0.00%
0.00%
100.00%
0.00%
0.00%
0.00%
100.00%
0.00%
0.00%
0.00%
100.00%
0.00%
0.00%
0.00%
100.00%
0.00%
0.00%
0.00%
100.00%
0.00%
0.00%
0.00%
100.00%
0.00%
0.00%
0.00%
100.00%
0.00%
0.00%
0.00%
100.00%
0.00%
0.00%
0.00%
100.00%
100.00%
100.00%
100.00%
100.00%
100.00%
100.00%
100.00%
100.00%
100.00%
100.00%
100.00%
100.00%
100.00%
100.00%
M
F
M
F
M
F
M
F
M
F
M
F
Total
100.00%
0.00%
0.00%
0.00%
99.98%
0.00%
0.02%
0.00%
100.00%
0.00%
0.00%
0.00%
100.00%
0.00%
0.00%
0.00%
99.83%
0.00%
0.17%
0.00%
99.88%
0.00%
0.12%
0.00%
99.77%
0.00%
0.23%
0.00%
99.82%
0.00%
0.18%
0.00%
99.11%
0.00%
0.89%
0.00%
99.32%
0.00%
0.68%
0.00%
99.73%
0.00%
0.27%
0.00%
99.84%
0.00%
0.16%
0.00%
99.81%
0.00%
0.19%
0.00%
M
F
M
F
M
F
M
F
M
F
Total
97.96%
0.00%
2.04%
0.00%
98.05%
0.00%
1.95%
0.00%
97.06%
0.00%
2.94%
0.00%
96.33%
0.00%
3.67%
0.00%
92.74%
0.00%
7.26%
0.00%
92.43%
0.00%
7.57%
0.00%
86.88%
0.00%
13.12%
0.00%
88.87%
0.00%
11.13%
0.00%
94.88%
0.00%
5.12%
0.00%
94.65%
0.00%
5.35%
0.00%
94.75%
0.00%
5.25%
0.00%
M
F
M
F
M
F
M
F
M
F
M
F
M
F
Total
23.06%
0.00%
76.94%
0.00%
25.85%
0.00%
74.15%
0.00%
16.34%
0.00%
83.66%
0.00%
19.18%
0.00%
80.82%
0.00%
13.06%
0.00%
86.94%
0.00%
16.55%
0.00%
83.45%
0.00%
14.37%
0.00%
85.63%
0.00%
18.96%
0.00%
81.04%
0.00%
15.64%
0.00%
84.36%
0.00%
23.20%
0.00%
76.80%
0.00%
27.83%
0.00%
72.17%
0.00%
36.69%
0.00%
63.31%
0.00%
16.95%
0.00%
83.05%
0.00%
22.22%
0.00%
77.78%
0.00%
20.47%
0.00%
79.53%
0.00%
0.00%
0.00%
0.00%
0.00%
73.83%
0.00%
26.17%
0.00%
Age/Sex
<1
1-4
5-9
10-14
15-17
18-19
Subtotal: 0-19
20-24
25-29
30-34
35-39
40-44
Subtotal: 20-44
45-49
50-54
55-59
60-64
Subtotal: 45-64
65-69
70-74
75-79
80-84
85-89
>=90
Subtotal: >=65
Age Unknown
Total
Data Last Refreshed:
Sep 23, 2003 1:44 PM
100.00%
100.00%
100.00%
100.00%
100.00%
100.00%
100.00%
100.00%
100.00%
100.00%
100.00%
100.00%
100.00%
100.00%
100.00%
100.00%
100.00%
100.00%
100.00%
100.00%
100.00%
100.00%
100.00%
100.00%
100.00%
100.00%
100.00%
100.00%
100.00%
100.00%
100.00%
100.00%
100.00%
100.00%
100.00%
100.00%
100.00%
100.00%
100.00%
0.00%
100.00%
Note: Row entries should add up to 100%.
HEDIS 2003 (Reporting Year 2002)
Page 80
Health Plan Descriptive Information
UCare Minnesota
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Sep 23, 2003 1:44 PM
Commercial
Male
<1
1-4
5-9
10-14
15-17
18-19
0-19 Subtotal
0-19 Subtotal: %
20-24
25-29
30-34
35-39
40-44
20-44 Subtotal
20-44 Subtotal: %
45-49
50-54
55-59
60-64
45-64 Subtotal
45-64 Subtotal: %
65-69
70-74
75-79
80-84
85-89
>=90
>=65 Subtotal
>=65 Subtotal: %
Age Unknown
Total
Member Months
Female
Total
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
HEDIS 2003 (Reporting Year 2002)
Page 81
Health Plan Descriptive Information
UCare Minnesota
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Sep 23, 2003 1:44 PM
Medicare + Choice
<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
24
48
168
0
0.00%
12
0
36
72
216
0
0.00%
240
0.22%
276
348
528
888
336
0.17%
312
468
780
1140
576
0.19%
2040
1.91%
18828
22968
26760
19680
11772
4536
2700
1.39%
27660
37608
44052
39336
27264
14724
4740
1.58%
104544
97.87%
0
190644
98.43%
0
295188
98.23%
106824
193680
HEDIS 2003 (Reporting Year 2002)
12
0
60
120
384
588
816
1308
2028
46488
60576
70812
59016
39036
19260
0
300504
Page 82
Health Plan Descriptive Information
UCare Minnesota
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Sep 23, 2003 1:44 PM
Minnesota Senior Health Options
<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
0
0
0.00%
0
0.00%
1056
1164
1140
1056
612
408
0
0.00%
2196
2760
2868
3012
3444
3636
0
0.00%
5436
100.00%
0
17916
100.00%
0
23352
100.00%
5436
17916
HEDIS 2003 (Reporting Year 2002)
0
0
0
0
0
0
0
0
0
3252
3924
4008
4068
4056
4044
0
23352
Page 83
Health Plan Descriptive Information
UCare Minnesota
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Sep 23, 2003 1:44 PM
PMAP
<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
17681
52141
44168
41158
19250
7061
Member Months
Female
16370
50829
43568
41323
20480
12259
Total
34051
102970
87736
82481
39730
19320
181459
81.59%
5165
3798
4341
4174
3502
184829
57.83%
29438
21018
17317
12599
8093
366288
67.58%
20980
9.43%
2029
1190
431
228
88465
27.68%
3678
1461
575
336
109445
20.19%
3878
1.74%
3883
3532
2935
2397
1812
1533
6050
1.89%
6743
6567
6408
6855
6370
7308
9928
1.83%
16092
7.24%
0
40251
12.59%
0
56343
10.40%
222409
319595
HEDIS 2003 (Reporting Year 2002)
34603
24816
21658
16773
11595
5707
2651
1006
564
10626
10099
9343
9252
8182
8841
0
542004
Page 84
Health Plan Descriptive Information
UCare Minnesota
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Sep 23, 2003 1:44 PM
GAMC
<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
4
56
260
317
129
27
Member Months
Female
0
98
260
218
125
40
Total
4
154
520
535
254
67
793
3.42%
2916
2331
2472
3025
3484
741
4.60%
2019
1330
1191
1498
1890
1534
3.91%
14228
61.39%
2999
2159
1697
1234
7928
49.26%
1822
1848
1719
1870
22156
56.42%
8089
34.90%
44
9
4
2
8
0
7259
45.10%
104
15
24
12
11
0
15348
39.08%
67
0.29%
0
166
1.03%
0
233
0.59%
23177
16094
HEDIS 2003 (Reporting Year 2002)
4935
3661
3663
4523
5374
4821
4007
3416
3104
148
24
28
14
19
0
0
39271
Page 85
Health Plan Descriptive Information
UCare Minnesota
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Sep 23, 2003 1:44 PM
Minnesota Care
<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
2321
11299
18626
21025
11359
6853
Member Months
Female
2366
10729
16849
19092
11109
7981
Total
4687
22028
35475
40117
22468
14834
71483
51.51%
10900
6850
7560
8599
9823
68126
40.03%
17788
11115
12552
13212
14517
139609
45.18%
43732
31.51%
8124
6640
4514
3885
69184
40.65%
10952
8215
6365
6886
112916
36.54%
23163
16.69%
281
69
13
24
18
1
32418
19.05%
367
61
20
24
0
0
55581
17.99%
406
0.29%
0
472
0.28%
0
878
0.28%
138784
170200
HEDIS 2003 (Reporting Year 2002)
28688
17965
20112
21811
24340
19076
14855
10879
10771
648
130
33
48
18
1
0
308984
Page 86