Blue Plus (HMO Minnesota)
Plan Name
2002
Reporting Year
General Info
Submission #
1
Last Refreshed:
8
9/23/2003 1:37:33 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
Blue Plus (HMO Minnesota)
Childhood Immunization Rate
Data Last Refreshed:
Sep 23, 2003 1:37 PM
Commercial
Data Elements
Data Collection Methodology
Sampling Method Used
Eligible Member Population
General
Measure
Data
HiB
Hepatitis B
VZV
Combo 1
Combo 2
354
50.57%
384
54.86%
594
84.86%
378
54.00%
350
50.00%
513
73.29%
276
39.43%
240
34.29%
211
49.76%
232
54.72%
351
82.78%
231
54.48%
213
50.24%
295
69.58%
164
38.68%
139
32.78%
205
136
82.97%
79.21%
86.72%
227
136
88.32%
85.09%
91.55%
341
37
91.97%
89.22%
94.72%
226
117
83.45%
79.74%
87.17%
209
144
85.89%
82.40%
89.38%
286
72
87.10%
83.74%
90.47%
161
135
72.02%
67.56%
76.48%
136
148
69.10%
64.51%
73.69%
424
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
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/OPV
HO
S
700
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 3
Effectiveness of Care
Blue Plus (HMO Minnesota)
Childhood Immunization Rate
Data Last Refreshed:
Sep 23, 2003 1:37 PM
PMAP
Data Elements
Data Collection Methodology
Sampling Method Used
Eligible Member Population
General
Measure
Data
HiB
Hepatitis B
VZV
Combo 1
Combo 2
1030
38.94%
1176
44.46%
1990
75.24%
1159
43.82%
1054
39.85%
1613
60.98%
707
26.73%
597
22.57%
157
36.34%
179
41.44%
327
75.69%
178
41.20%
164
37.96%
268
62.04%
98
22.69%
85
19.68%
151
178
80.05%
76.06%
84.03%
172
193
88.81%
85.64%
91.98%
310
59
89.78%
86.73%
92.83%
170
156
79.32%
75.28%
83.36%
159
185
83.70%
80.01%
87.39%
253
88
82.97%
79.21%
86.72%
95
172
64.96%
60.23%
69.70%
82
170
61.31%
56.48%
66.14%
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
Additional Records Added from the
Auxiliary List
0
HEDIS 2003 (Reporting Year 2002)
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/OPV
HO
S
2645
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
Blue Plus (HMO Minnesota)
Childhood Immunization Rate
Data Last Refreshed:
Sep 23, 2003 1:37 PM
MinnesotaCare
Data Elements
Data Collection Methodology
Sampling Method Used
Eligible Member Population
General
Measure
Data
HiB
Hepatitis B
VZV
Combo 1
Combo 2
385
53.47%
434
60.28%
580
80.56%
406
56.39%
377
52.36%
432
60.00%
266
36.94%
201
27.92%
245
56.71%
268
62.04%
349
80.79%
256
59.26%
236
54.63%
272
62.96%
170
39.35%
135
31.25%
230
108
82.24%
78.42%
86.06%
253
107
87.59%
84.28%
90.90%
330
33
88.32%
85.09%
91.55%
243
89
80.78%
76.85%
84.71%
230
120
85.16%
81.60%
88.72%
261
74
81.51%
77.63%
85.38%
164
121
69.34%
64.76%
73.92%
131
132
63.99%
59.23%
68.75%
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
Additional Records Added from the
Auxiliary List
0
HEDIS 2003 (Reporting Year 2002)
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/OPV
HO
S
720
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 5
Effectiveness of Care
Blue Plus (HMO Minnesota)
Adolescent Immunization Status
Data Last Refreshed:
Sep 23, 2003 1:37 PM
Commercial
Data Elements
Data Collection Methodology
Sampling Method Used
Eligible Member Population
General
Measure
Data
Combo 1
Combo 2
406
43.84%
197
21.27%
21
2.27%
154
16.63%
2
0.22%
189
43.85%
87
20.19%
8
1.86%
75
17.40%
1
0.23%
182
138
77.86%
73.72%
81.99%
80
168
60.34%
55.49%
65.19%
8
87
23.11%
18.92%
27.31%
70
162
56.45%
51.53%
61.36%
1
68
16.79%
13.05%
20.52%
431
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)
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
HO
S
926
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
Blue Plus (HMO Minnesota)
Adolescent Immunization Status
Data Last Refreshed:
Sep 23, 2003 1:37 PM
PMAP
Data Elements
Data Collection Methodology
Sampling Method Used
Eligible Member Population
General
Measure
Data
Combo 1
Combo 2
257
43.27%
108
18.18%
31
5.22%
74
12.46%
8
1.35%
191
44.21%
79
18.29%
24
5.56%
52
12.04%
4
0.93%
179
130
75.18%
70.88%
79.48%
73
146
53.28%
48.34%
58.23%
23
66
21.65%
17.55%
25.76%
48
151
48.42%
43.47%
53.37%
3
67
17.03%
13.28%
20.79%
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
Additional Records Added from the
Auxiliary List
0
HEDIS 2003 (Reporting Year 2002)
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
HO
S
594
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
Blue Plus (HMO Minnesota)
Adolescent Immunization Status
Data Last Refreshed:
Sep 23, 2003 1:37 PM
MinnesotaCare
Data Elements
Data Collection Methodology
Sampling Method Used
Eligible Member Population
General
Measure
Data
Combo 1
Combo 2
666
47.30%
413
29.33%
54
3.84%
271
19.25%
11
0.78%
189
43.75%
111
25.69%
15
3.47%
81
18.75%
3
0.69%
181
119
72.99%
68.58%
77.41%
109
116
54.74%
49.81%
59.68%
15
55
17.03%
13.28%
20.79%
81
122
49.39%
44.44%
54.35%
3
42
10.95%
7.81%
14.09%
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
Additional Records Added from the
Auxiliary List
0
HEDIS 2003 (Reporting Year 2002)
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
HO
S
1408
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
Blue Plus (HMO Minnesota)
Breast Cancer Screening
Data Elements
Data Collection Methodology
Sampling Method Used
Eligible Member Population
Numerator Events by Admin Data on Eligible
Population
Current Year's Admin Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin Rate on FSS
Records Excluded because of Valid Data Errors
Data Last Refreshed:
Sep 23, 2003 1:37 PM
Commercial
HO
S
4136
3093
74.78%
321
5.00%
338
245
72.49%
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
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)
Medicare + Choice
0
322
235
18
78.57%
73.93%
83.21%
NR
NR
NR
NR
NR
Page 9
Effectiveness of Care
Blue Plus (HMO Minnesota)
Cervical Cancer Screening
Data Elements
Data Collection Methodology
Sampling Method Used
Eligible Member Population
Data Last Refreshed:
Sep 23, 2003 1:37 PM
Commercial
HO
S
10595
PMAP
HO
S
3950
MNCare
HO
S
15989
GAMC
HO
S
129
7585
2807
11326
71
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
71.59%
342
5.00%
377
292
90.72%
0
71.06%
296
10.00%
326
240
90.80%
0
70.84%
313
10.00%
345
240
90.72%
0
55.04%
127
0.00%
127
71
95.28%
0
Records Excluded because of contraindications
through Admin data
12
3
5
6
Records Excluded because of contraindications
through Medical Record Review
0
0
0
0
Number of employee/dependent medical records
excluded
0
0
0
0
12
342
276
9
83.33%
79.24%
87.43%
3
296
222
29
84.80%
80.54%
89.06%
5
313
220
23
77.64%
72.86%
82.41%
6
121
71
1
59.50%
50.34%
68.66%
Numerator Events by Admin Data on Eligible
Population (before exclusions)
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)
Page 10
Effectiveness of Care
Blue Plus (HMO Minnesota)
Chlamydia Screening in Women
Data Last Refreshed:
Sep 23, 2003 1:37 PM
Commercial
Data Elements
Data Collection Methodology
Eligible Member Population
Current Year's Admin Rate
General
Measure Ages 16-20 Ages 21-26
Data
PMAP
Total
A
Records Excluded because of contraindications
through Admin data
Denominator
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
General
Measure Ages 16-20 Ages 21-26
Data
A
861
20.21%
1361
18.66%
2222
19.26%
748
31.02%
1188
26.26%
1936
28.10%
0
0
0
0
0
0
861
174
20.21%
17.47%
22.95%
1361
254
18.66%
16.56%
20.77%
2222
428
19.26%
17.60%
20.92%
748
232
31.02%
27.63%
34.40%
1188
312
26.26%
23.72%
28.81%
1936
544
28.10%
26.07%
30.13%
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)
Total
MNCare
General
Measure Ages 16-20 Ages 21-26
Data
Total
A
General
Measure Ages 16-20 Ages 21-26
Data
Total
A
1
0.00%
42
28.57%
43
27.91%
1629
22.65%
1843
20.56%
3472
21.54%
0
0
0
0
0
0
1
0
NA
NA
NA
42
12
28.57%
13.72%
43.42%
43
12
27.91%
13.34%
42.48%
1629
369
22.65%
20.59%
24.72%
1843
379
20.56%
18.69%
22.44%
3472
748
21.54%
20.16%
22.93%
Page 11
Effectiveness of Care
Blue Plus (HMO Minnesota)
Controlling High Blood Pressure
Data Last Refreshed:
Sep 23, 2003 1:37 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
Commercial
HO
S
2124
411
20.00%
494
0
9
PMAP
HO
S
1100
409
20.00%
491
1
7
Records Excluded because of ESRD identified by
Admin Data
0
0
Records Excluded because of ESRD identified by
Medical Record
0
1
Number of employee/dependent medical records
excluded
0
0
9
411
261
63.50%
58.73%
68.28%
9
409
207
50.61%
45.64%
55.58%
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)
Medicare + Choice
MSHO
NR
NR
NR
NR
NR
NR
Page 12
Effectiveness of Care
Blue Plus (HMO Minnesota)
Beta Blocker Treatment after Heart Attack
Data Elements
Data Last Refreshed:
Sep 23, 2003 1:37 PM
Medicare + Choice
Data Collection Methodology
Sampling Method Used
Eligible Member Population
Numerator Events by Admin Data on
Eligible Population
Current Year's Admin Rate
NR
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin rate on FSS
NR
Records Excluded because of Valid Data
Errors
Records Excluded Contraindications/Admin Data
Records Excluded Contraindications/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
NR
Lower 95% Confidence Interval
Upper 95% Confidence Interval
NR
HEDIS 2003 (Reporting Year 2002)
NR
Page 13
Effectiveness of Care
Blue Plus (HMO Minnesota)
Cholesterol Management After Acute Cardiovascular Events
Data Last Refreshed:
Sep 23, 2003 1:37 PM
Medicare + Choice
Data Elements
General
Measure
Data
LDL-C
LDL-C Level of
screening 60- <130 mg/dL 60365 Days
365 Days
Data Collection Methodology
Sampling Method Used
Eligible Member Population
Numerator Events by Admin Data on
Eligible Population
Current Year's Admin Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin rate on FSS
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
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)
Page 14
Effectiveness of Care
Blue Plus (HMO Minnesota)
Comprehensive Diabetes Care
Data Last Refreshed:
Sep 23, 2003 1:37 PM
Commercial
Data Elements
Data Collection Methodology
Sampling Method Used
Eligible Member Population
General
Measure Data
LDL-C
Screening
LDL-C Level
Monitoring
for Diabetic
Nephropathy
1296
82.81%
0
0.00%
751
47.99%
1276
81.53%
0
0.00%
804
51.37%
387
85.43%
0
0.00%
209
46.14%
372
82.12%
0
0.00%
247
54.53%
351
21
90.51%
87.56%
93.47%
0
99
24.09%
19.83%
28.34%
190
42
56.45%
51.53%
61.36%
344
11
86.37%
82.94%
89.81%
0
217
52.80%
47.85%
57.75%
224
58
68.61%
64.00%
73.22%
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
1565
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 15
Effectiveness of Care
Blue Plus (HMO Minnesota)
Comprehensive Diabetes Care
Data Last Refreshed:
Sep 23, 2003 1:37 PM
Medicare + Choice
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 16
Effectiveness of Care
Blue Plus (HMO Minnesota)
Comprehensive Diabetes Care
Data Last Refreshed:
Sep 23, 2003 1:37 PM
MSHO
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 17
Effectiveness of Care
Blue Plus (HMO Minnesota)
Comprehensive Diabetes Care
Data Last Refreshed:
Sep 23, 2003 1:37 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
534
66.09%
0
0.00%
368
45.54%
394
48.76%
0
0.00%
274
33.91%
309
68.21%
0
0.00%
207
45.70%
222
49.01%
0
0.00%
158
34.88%
287
59
84.18%
80.54%
87.83%
0
126
30.66%
26.08%
35.24%
190
33
54.26%
49.32%
59.20%
205
67
66.18%
61.48%
70.88%
0
169
41.12%
36.24%
46.00%
144
84
55.47%
50.55%
60.40%
453
6
Number of employee/dependent records
excluded
0
Additional Records Added from the
Auxiliary List
6
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
808
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
Blue Plus (HMO Minnesota)
Comprehensive Diabetes Care
Data Last Refreshed:
Sep 23, 2003 1:37 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
100
84.03%
0
0.00%
59
49.58%
85
71.43%
0
0.00%
61
51.26%
100
84.03%
0
0.00%
59
49.58%
85
71.43%
0
0.00%
61
51.26%
100
3
87.29%
80.85%
93.72%
0
40
33.90%
24.93%
42.86%
58
5
53.39%
43.97%
62.81%
85
7
77.97%
70.06%
85.87%
0
54
45.76%
36.35%
55.18%
61
19
67.80%
58.94%
76.65%
119
1
Number of employee/dependent records
excluded
0
Additional Records Added from the
Auxiliary List
0
HEDIS 2003 (Reporting Year 2002)
Eye Exam
119
0.00%
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
119
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
118
Page 19
Effectiveness of Care
Blue Plus (HMO Minnesota)
Comprehensive Diabetes Care
Data Last Refreshed:
Sep 23, 2003 1:37 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
1256
86.62%
0
0.00%
840
57.93%
1208
83.31%
0
0.00%
726
50.07%
390
86.09%
0
0.00%
286
63.13%
382
84.33%
0
0.00%
238
52.54%
353
12
88.81%
85.64%
91.98%
0
107
26.03%
21.67%
30.40%
261
19
68.13%
63.50%
72.75%
346
7
85.89%
82.40%
89.38%
0
207
50.36%
45.41%
55.32%
211
39
60.83%
55.99%
65.67%
453
2
Number of employee/dependent records
excluded
0
Additional Records Added from the
Auxiliary List
2
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
1450
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
Blue Plus (HMO Minnesota)
Appropriate Medications for People with Asthma
Data Last Refreshed:
Sep 23, 2003 1:37 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
Ages 10-17
Ages 18-56
Total
74
58
78.38%
68.32%
88.43%
141
96
68.09%
60.04%
76.13%
565
446
78.94%
75.49%
82.39%
780
600
76.92%
73.90%
79.94%
A
Page 21
Effectiveness of Care
Blue Plus (HMO Minnesota)
Appropriate Medications for People with Asthma
Data Last Refreshed:
Sep 23, 2003 1:37 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
64
40
62.50%
49.86%
75.14%
105
66
62.86%
53.14%
72.58%
110
72
65.45%
56.11%
74.80%
279
178
63.80%
57.98%
69.62%
A
Page 22
Effectiveness of Care
Blue Plus (HMO Minnesota)
Appropriate Medications for People with Asthma
Data Last Refreshed:
Sep 23, 2003 1:37 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
22
17
NA
NA
NA
22
17
NA
NA
NA
A
Page 23
Effectiveness of Care
Blue Plus (HMO Minnesota)
Appropriate Medications for People with Asthma
Data Last Refreshed:
Sep 23, 2003 1:37 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
101
79
78.22%
69.67%
86.76%
275
196
71.27%
65.74%
76.80%
586
432
73.72%
70.07%
77.37%
962
707
73.49%
70.65%
76.33%
A
Page 24
Effectiveness of Care
Blue Plus (HMO Minnesota)
Follow-Up After Hospitalization for Mental Illness
Data Last Refreshed:
Sep 23, 2003 1:37 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
W/in 7 Days of W/in 30 Days of
Discharge
Discharge
A
152
59
38.82%
30.74%
46.89%
108
71.05%
63.51%
78.59%
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 25
Effectiveness of Care
Blue Plus (HMO Minnesota)
Antidepressant Medication Management
Data Last Refreshed:
Sep 23, 2003 1:37 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
70
14.99%
11.64%
18.33%
289
61.88%
57.37%
66.40%
218
46.68%
42.05%
51.31%
A
467
Page 26
Effectiveness of Care
Blue Plus (HMO Minnesota)
Antidepressant Medication Management
Data Last Refreshed:
Sep 23, 2003 1:37 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
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 27
Effectiveness of Care
Blue Plus (HMO Minnesota)
Antidepressant Medication Management
Data Last Refreshed:
Sep 23, 2003 1:37 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
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 28
Effectiveness of Care
Blue Plus (HMO Minnesota)
Antidepressant Medication Management
Data Last Refreshed:
Sep 23, 2003 1:37 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
27
10.23%
6.38%
14.07%
147
55.68%
49.50%
61.86%
102
38.64%
32.57%
44.70%
A
264
Page 29
Effectiveness of Care
Blue Plus (HMO Minnesota)
Antidepressant Medication Management
Data Last Refreshed:
Sep 23, 2003 1:37 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
3
9.68%
0.00%
21.70%
17
54.84%
35.71%
73.97%
16
51.61%
32.41%
70.82%
A
31
Page 30
Effectiveness of Care
Blue Plus (HMO Minnesota)
Antidepressant Medication Management
Data Last Refreshed:
Sep 23, 2003 1:37 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
78
13.38%
10.53%
16.23%
380
65.18%
61.23%
69.13%
260
44.60%
40.48%
48.72%
A
583
Page 31
Use of Services
Blue Plus (HMO Minnesota)
Well Child Visits in the First 15 Months of Life
Data Last Refreshed:
Sep 23, 2003 1:37 PM
PMAP
Data Elements
Data Collection Methodology
Sampling Method Used
Eligible Member Population
General
Measure
Data
Zero Visits
1 visit
2 visits
3 visits
4 visits
5 visits
6 or more
visits
3.75%
3.67%
5.73%
9.27%
16.07%
24.85%
36.67%
NR
NR
NR
NR
NR
NR
NR
91
89
139
225
390
603
890
3.75%
2.97%
4.53%
3.67%
2.90%
4.44%
5.73%
4.78%
6.67%
9.27%
8.10%
10.45%
16.07%
14.59%
17.55%
24.85%
23.11%
26.59%
36.67%
34.73%
38.61%
A
2427
Numerator events by admin data in eligible
population
Currect Year's Administrative Rate
Minimum Required Sample Size
Oversampling Rate
Final sample size (FSS)
Numerator events by admin data in FSS
Administrative rate on FSS
Number of Records Excluded Because of
Valid Data Errors
Number of employee/dependent medical
records excluded
Additional Records Added from the
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)
2427
Page 32
Use of Services
Blue Plus (HMO Minnesota)
Well Child Visits in the First 15 Months of Life
Data Last Refreshed:
Sep 23, 2003 1:37 PM
MinnesotaCare
Data Elements
Data Collection Methodology
Sampling Method Used
Eligible Member Population
General
Measure
Data
Zero Visits
1 visit
2 visits
3 visits
4 visits
5 visits
6 or more
visits
2.51%
3.40%
2.96%
5.03%
12.57%
26.18%
47.34%
NR
NR
NR
NR
NR
NR
NR
17
23
20
34
85
177
320
2.51%
1.26%
3.77%
3.40%
1.96%
4.84%
2.96%
1.61%
4.31%
5.03%
3.31%
6.75%
12.57%
10.00%
15.15%
26.18%
22.80%
29.57%
47.34%
43.50%
51.18%
A
676
Numerator events by admin data in eligible
population
Currect Year's Administrative Rate
Minimum Required Sample Size
Oversampling Rate
Final sample size (FSS)
Numerator events by admin data in FSS
Administrative rate on FSS
Number of Records Excluded Because of
Valid Data Errors
Number of employee/dependent medical
records excluded
Additional Records Added from the
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)
676
Page 33
Use of Services
Blue Plus (HMO 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
Data Last Refreshed:
Sep 23, 2003 1:37 PM
PMAP
A
MNCare
A
3676
3957
48.26%
48.12%
NR
NR
3676
1774
3957
1904
48.26%
46.63%
49.89%
48.12%
46.55%
49.69%
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)
Page 34
Use of Services
Blue Plus (HMO Minnesota)
Adolescent Well-Care Visits
Data Elements
Data Collection Methodology
Sampling Method Used
Eligible Member Population
Data Last Refreshed:
Sep 23, 2003 1:37 PM
PMAP
A
MNCare
A
4907
13469
26.94%
25.65%
NR
NR
4907
1322
13469
3455
26.94%
25.69%
28.19%
25.65%
24.91%
26.39%
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)
Page 35
Use of Services
Blue Plus (HMO Minnesota)
Inpatient Utilization - General Hospital/Acute Care
Data Last Refreshed:
Sep 23, 2003 1:37 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
10492
106798
137537
347947
234369
5308
371
99
0
842921
Discharges
Discharges /
1,000 Member
Months
113
186
248
1995
1699
93
16
4
0
4354
10.77
1.74
1.80
5.73
7.25
17.52
43.13
40.40
95
123
104
448
889
54
11
3
0
1727
9.05
1.15
0.76
1.29
3.79
10.17
29.65
30.30
18
63
104
565
809
39
5
1
0
1604
1.72
0.59
0.76
1.62
3.45
7.35
13.48
10.10
0
0
40
982
1
0
0
1023
0.00
0.00
0.29
2.82
0.00
0.00
HEDIS 2003 (Reporting Year 2002)
5.17
2.05
1.90
1.21
Days
Days / 1,000
Member
Months
704
700
682
5720
6378
385
64
25
0
14658
67.10
6.55
4.96
16.44
27.21
72.53
172.51
252.53
512
265
235
1246
2622
184
41
16
0
5121
48.80
2.48
1.71
3.58
11.19
34.66
110.51
161.62
192
435
342
1871
3751
201
23
9
0
6824
18.30
4.07
2.49
5.38
16.00
37.87
61.99
90.91
0
0
105
2603
5
0
0
2713
0.00
0.00
0.76
7.48
0.02
0.00
17.39
6.08
8.10
3.22
Average Length
of Stay
6.23
3.76
2.75
2.87
3.75
4.14
4.00
6.25
NA
3.37
5.39
2.15
2.26
2.78
2.95
3.41
3.73
5.33
NA
2.97
10.67
6.90
3.29
3.31
4.64
5.15
4.60
9.00
NA
4.25
NA
NA
2.63
2.65
5.00
NA
NA
2.65
Page 36
Use of Services
Blue Plus (HMO Minnesota)
Inpatient Utilization - General Hospital/Acute Care
Data Last Refreshed:
Sep 23, 2003 1:37 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
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
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
Days / 1,000
Member
Months
NR
NR
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
Page 37
Use of Services
Blue Plus (HMO Minnesota)
Inpatient Utilization - General Hospital/Acute Care
Data Last Refreshed:
Sep 23, 2003 1:37 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
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
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
Days / 1,000
Member
Months
NR
NR
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
Page 38
Use of Services
Blue Plus (HMO Minnesota)
Inpatient Utilization - General Hospital/Acute Care
Data Last Refreshed:
Sep 23, 2003 1:37 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
45104
178837
109806
113340
8075
29794
40269
45084
0
570309
Discharges
702
541
783
3400
123
1001
1566
1556
0
9672
Discharges /
1,000 Member
Months
15.56
3.03
7.13
30.00
15.23
33.60
38.89
34.51
16.96
583
450
107
382
83
708
1183
1241
0
4737
12.93
2.52
0.97
3.37
10.28
23.76
29.38
27.53
119
91
75
302
40
293
383
315
0
1618
2.64
0.51
0.68
2.66
4.95
9.83
9.51
6.99
0
0
601
2716
0
0
0
3317
HEDIS 2003 (Reporting Year 2002)
8.31
2.84
0.00
0.00
5.47
23.96
0.00
0.00
5.82
Days
Days / 1,000
Member
Months
4236
1309
2105
8624
439
5112
7137
7268
0
36230
93.92
7.32
19.17
76.09
54.37
171.58
177.23
161.21
2756
996
245
1010
262
3062
4716
5189
0
18236
61.10
5.57
2.23
8.91
32.45
102.77
117.11
115.10
1480
313
292
934
177
2050
2421
2079
0
9746
32.81
1.75
2.66
8.24
21.92
68.81
60.12
46.11
0
0
1568
6680
0
0
0
8248
63.53
31.98
17.09
0.00
0.00
14.28
58.94
0.00
0.00
14.46
Average Length
of Stay
6.03
2.42
2.69
2.54
3.57
5.11
4.56
4.67
NA
3.75
4.73
2.21
2.29
2.64
3.16
4.32
3.99
4.18
NA
3.85
12.44
3.44
3.89
3.09
4.43
7.00
6.32
6.60
NA
6.02
NA
NA
2.61
2.46
NA
NA
NA
2.49
Page 39
Use of Services
Blue Plus (HMO Minnesota)
Inpatient Utilization - General Hospital/Acute Care
Data Last Refreshed:
Sep 23, 2003 1:37 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
1
700
583
23636
14446
135
3
0
0
39504
Discharges
Discharges /
1,000 Member
Months
0
4
3
336
359
7
0
0
0
709
0.00
5.71
5.15
14.22
24.85
51.85
0.00
NA
0
2
1
197
245
3
0
0
0
448
0.00
2.86
1.72
8.33
16.96
22.22
0.00
NA
0
2
1
130
114
4
0
0
0
251
0.00
2.86
1.72
5.50
7.89
29.63
0.00
NA
0
0
1
9
0
0
0
10
0.00
0.00
1.72
0.38
0.00
0.00
HEDIS 2003 (Reporting Year 2002)
17.95
11.34
6.35
0.25
Days
Days / 1,000
Member
Months
0
6
17
1287
1469
34
0
0
0
2813
0.00
8.57
29.16
54.45
101.69
251.85
0.00
NA
0
4
8
639
938
9
0
0
0
1598
0.00
5.71
13.72
27.04
64.93
66.67
0.00
NA
71.21
40.45
0
2
7
617
531
25
0
0
0
1182
0.00
2.86
12.01
26.10
36.76
185.19
0.00
NA
0
0
2
31
0
0
0
33
0.00
0.00
3.43
1.31
0.00
0.00
29.92
0.84
Average Length
of Stay
NA
1.50
5.67
3.83
4.09
4.86
NA
NA
NA
3.97
NA
2.00
8.00
3.24
3.83
3.00
NA
NA
NA
3.57
NA
1.00
7.00
4.75
4.66
6.25
NA
NA
NA
4.71
NA
NA
2.00
3.44
NA
NA
NA
3.30
Page 40
Use of Services
Blue Plus (HMO Minnesota)
Inpatient Utilization - General Hospital/Acute Care
Data Last Refreshed:
Sep 23, 2003 1:37 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
11385
149247
216727
296943
154958
1167
204
45
0
830676
Discharges
Discharges /
1,000 Member
Months
159
247
499
2210
1598
25
2
1
0
4741
13.97
1.65
2.30
7.44
10.31
21.42
9.80
22.22
133
190
187
617
966
14
2
1
0
2110
11.68
1.27
0.86
2.08
6.23
12.00
9.80
22.22
26
57
161
681
629
11
0
0
0
1565
2.28
0.38
0.74
2.29
4.06
9.43
0.00
0.00
0
0
151
912
3
0
0
1066
HEDIS 2003 (Reporting Year 2002)
5.71
2.54
1.88
0.00
0.00
0.70
3.07
0.02
0.00
1.28
Days
Days / 1,000
Member
Months
1055
640
1426
6081
6120
120
16
3
0
15461
92.67
4.29
6.58
20.48
39.49
102.83
78.43
66.67
734
355
429
1626
3000
46
16
3
0
6209
64.47
2.38
1.98
5.48
19.36
39.42
78.43
66.67
321
285
600
2231
3113
74
0
0
0
6624
28.19
1.91
2.77
7.51
20.09
63.41
0.00
0.00
0
0
397
2224
7
0
0
2628
0.00
0.00
1.83
7.49
0.05
0.00
18.61
7.47
7.97
3.16
Average Length
of Stay
6.64
2.59
2.86
2.75
3.83
4.80
8.00
3.00
NA
3.26
5.52
1.87
2.29
2.64
3.11
3.29
8.00
3.00
NA
2.94
12.35
5.00
3.73
3.28
4.95
6.73
NA
NA
NA
4.23
NA
NA
2.63
2.44
2.33
NA
NA
2.47
Page 41
Use of Services
Blue Plus (HMO Minnesota)
Ambulatory Care
Data Last Refreshed:
Sep 23, 2003 1:37 PM
Commercial
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Member
Months
10492
106798
137537
347947
234369
5308
371
99
0
842921
Outpatient Visits
(Excludes MH/CD)
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Visits
9477
30316
27551
80232
72363
2264
200
16
0
222419
HEDIS 2003 (Reporting Year 2002)
Visits/ 1,000
Member
Months
903.26
283.86
200.32
230.59
308.76
426.53
539.08
161.62
263.87
Emergency Room Visits
Visits
415
1918
1745
4446
2472
63
16
2
0
11077
Visits/ 1,000
Member
Months
39.55
17.96
12.69
12.78
10.55
11.87
43.13
20.20
13.14
Ambulatory
Surgery/Procedures
Procedures
61
490
391
2307
3058
112
7
0
0
6426
Procedures/
1,000 Member
Months
5.81
4.59
2.84
6.63
13.05
21.10
18.87
0.00
7.62
Observation Room Stays
Resulting in Discharge
Stays
12
56
65
396
205
5
1
0
0
740
Stays/ 1,000
Member
Months
1.14
0.52
0.47
1.14
0.87
0.94
2.70
0.00
0.88
Page 42
Use of Services
Blue Plus (HMO Minnesota)
Ambulatory Care
Data Last Refreshed:
Sep 23, 2003 1:37 PM
Medicare + Choice
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 43
Use of Services
Blue Plus (HMO Minnesota)
Ambulatory Care
Data Last Refreshed:
Sep 23, 2003 1:37 PM
Minnesota Senior Health Options
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 44
Use of Services
Blue Plus (HMO Minnesota)
Inpatient Utilization - Nonacute Care
Data Last Refreshed:
Sep 23, 2003 1:37 PM
Commercial
Member
Months
Age
<1
10492
1-9
106798
10-19
137537
20-44
347947
45-64
234369
65-74
5308
75-84
371
85+
99
Unknown
0
842921
Total
Days
Days / 1,000
Member
Months
Average Length
of Stay
0.00
0
0.00
NA
2
0.02
29
0.27
14.50
10-19
1
0.01
45
0.33
45.00
20-44
14
0.04
191
0.55
13.64
45-64
68
0.29
865
3.69
12.72
65-74
14
2.64
130
24.49
9.29
75-84
0
0.00
0
0.00
NA
85+
0
0.00
0
0.00
NA
Unknown
0
99
0.12
0
1260
1.49
NA
12.73
Discharges
Discharges /
1,000 Member
Months
<1
0
1-9
Age
Total
HEDIS 2003 (Reporting Year 2002)
Page 45
Use of Services
Blue Plus (HMO Minnesota)
Inpatient Utilization - Nonacute Care
Data Last Refreshed:
Sep 23, 2003 1:37 PM
Medicare + Choice
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 46
Use of Services
Blue Plus (HMO Minnesota)
Inpatient Utilization - Nonacute Care
Data Last Refreshed:
Sep 23, 2003 1:37 PM
Minnesota Senior Health Options
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 47
Use of Services
Blue Plus (HMO Minnesota)
Mental Health Utilization Inpatient Discharges and Average Length of Stay, by Age and Sex
Data Last Refreshed:
Sep 23, 2003 1:37 PM
Commercial
Member Months
Age
0-12
13-17
18-64
65+
Unknown
Total
Age
0-12
Male
Female
Total
80358
36776
306206
3204
0
426544
76870
35883
301050
2574
0
416377
157228
72659
607256
5778
0
842921
Discharges
Discharges /
1,000 Member
Months
Days*
Average Length
of Stay
M
4
0.05
30
7.50
F
3
0.04
10
3.33
Total
7
0.04
40
5.71
13-17
M
37
1.01
520
14.05
F
45
1.25
553
12.29
Total
82
1.13
1073
13.09
18-64
M
70
0.23
385
5.50
F
73
0.24
577
7.90
Total
143
0.24
962
6.73
65+
M
0
0.00
0
NA
F
0
0.00
0
NA
Total
0
0.00
0
NA
M
Unknown
0
0
NA
F
0
0
NA
Total
0
0
NA
M
Total
111
0.26
935
8.42
F
121
0.29
1140
9.42
TOTAL
232
0.28
2075
8.94
* 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
Blue Plus (HMO Minnesota)
Mental Health Utilization Inpatient Discharges and Average Length of Stay, by Age and Sex
Data Last Refreshed:
Sep 23, 2003 1:37 PM
Medicare + Choice
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 49
Use of Services
Blue Plus (HMO Minnesota)
Mental Health Utilization Inpatient Discharges and Average Length of Stay, by Age and Sex
Data Last Refreshed:
Sep 23, 2003 1:37 PM
Minnesota Senior Health Options
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
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 2003 (Reporting Year 2002)
Page 50
Use of Services
Blue Plus (HMO Minnesota)
Mental Health Utilization -Percent of Members Receiving Inpatient, Day/Night and Ambulatory Services
Data Last Refreshed:
Sep 23, 2003 1:37 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
80358
36776
306206
3204
0
426544
Female
76870
35883
301050
2574
0
416377
Member Months (Inpatient)
Total
157228
72659
607256
5778
0
842921
Male
80358
36776
306206
3204
0
426544
Female
76870
35883
301050
2574
0
416377
Total
157228
72659
607256
5778
0
842921
Member Months (Day/Night)
Male
80358
36776
306206
3204
0
426544
Female
76870
35883
301050
2574
0
416377
Total
157228
72659
607256
5778
0
842921
Member Months (Ambulatory)
Male
80358
36776
306206
3204
0
426544
Female
76870
35883
301050
2574
0
416377
Total
157228
72659
607256
5778
0
842921
Any Mental Health Services
Inpatient Mental Health Services
Day/Night Mental Health Services
Ambulatory Mental Health Services
Number
389
204
593
328
333
661
1280
2322
3602
5
3
8
0
0
0
2002
2862
4864
Number
4
4
8
17
32
49
62
56
118
0
0
0
0
0
0
83
92
175
Number
7
6
13
4
9
13
13
26
39
0
0
0
0
0
0
24
41
65
Number
389
203
592
325
329
654
1265
2316
3581
5
3
8
0
0
0
1984
2851
4835
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
5.81%
3.18%
4.53%
10.70%
11.14%
10.92%
5.02%
9.26%
7.12%
1.87%
1.40%
1.66%
NA
NA
NA
5.63%
8.25%
6.92%
Percent
0.06%
0.06%
0.06%
0.55%
1.07%
0.81%
0.24%
0.22%
0.23%
0.00%
0.00%
0.00%
NA
NA
NA
0.23%
0.27%
0.25%
Percent
0.10%
0.09%
0.10%
0.13%
0.30%
0.21%
0.05%
0.10%
0.08%
0.00%
0.00%
0.00%
NA
NA
NA
0.07%
0.12%
0.09%
Percent
5.81%
3.17%
4.52%
10.60%
11.00%
10.80%
4.96%
9.23%
7.08%
1.87%
1.40%
1.66%
NA
NA
NA
5.58%
8.22%
6.88%
Page 51
Use of Services
Blue Plus (HMO Minnesota)
Mental Health Utilization -Percent of Members Receiving Inpatient, Day/Night and Ambulatory Services
Data Last Refreshed:
Sep 23, 2003 1:37 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
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
Any Mental Health Services
Inpatient Mental Health Services
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
Male
Female
NR
NR
Member Months (Ambulatory)
Total
NR
NR
NR
NR
NR
NR
Day/Night Mental Health Services
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
Total
NR
NR
NR
NR
NR
NR
Ambulatory Mental Health Services
Number
NR
NR
NR
NR
NR
NR
NR
NR
Percent
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 52
Use of Services
Blue Plus (HMO Minnesota)
Mental Health Utilization -Percent of Members Receiving Inpatient, Day/Night and Ambulatory Services
Data Last Refreshed:
Sep 23, 2003 1:37 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
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 53
Use of Services
Blue Plus (HMO Minnesota)
Chemical Dependency Utilization Inpatient Discharges and Average Length of Stay
Data Last Refreshed:
Sep 23, 2003 1:37 PM
Commercial
Member Months
Age
0-12
13-17
18-64
65+
Unknown
Total
Age
0-12
Male
Female
Total
80358
36776
306206
3204
0
426544
76870
35883
301050
2574
0
416377
157228
72659
607256
5778
0
842921
Discharges
Discharges /
1,000 Member
Months
Days
Average Length
of Stay
M
0
0.00
0
NA
F
0
0.00
0
NA
Total
0
0.00
0
NA
M
13-17
24
0.65
248
10.33
F
14
0.39
112
8.00
Total
38
0.52
360
9.47
M
18-64
86
0.28
816
9.49
F
42
0.14
478
11.38
Total
128
0.21
1294
10.11
M
65+
0
0.00
0
NA
F
0
0.00
0
NA
Total
0
0.00
0
NA
M
Unknown
0
0
NA
F
0
0
NA
Total
0
0
NA
Total
M
110
0.26
1064
9.67
F
56
0.13
590
10.54
TOTAL
166
0.20
1654
9.96
* 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
Blue Plus (HMO Minnesota)
Chemical Dependency Utilization Inpatient Discharges and Average Length of Stay
Data Last Refreshed:
Sep 23, 2003 1:37 PM
Medicare + Choice
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
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 2003 (Reporting Year 2002)
Page 55
Use of Services
Blue Plus (HMO Minnesota)
Chemical Dependency Utilization Inpatient Discharges and Average Length of Stay
Data Last Refreshed:
Sep 23, 2003 1:37 PM
Minnesota Senior Health Options
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
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 2003 (Reporting Year 2002)
Page 56
Use of Services
Blue Plus (HMO Minnesota)
Chemical Dependency Utilization -Percent of members Receiving inpatient, Day/Night Care, and Ambulatory Services
Data Last Refreshed:
Sep 23, 2003 1:37 PM
Commercial
Member Months (Any)
Age
0-12
13-17
18-64
65+
Unknown
Total
Male
80358
36776
306206
3204
0
426544
Female
76870
35883
301050
2574
0
416377
Member Months (Inpatient)
Total
157228
72659
607256
5778
0
842921
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
58
31
89
313
110
423
0
0
0
0
0
0
371
141
512
Percent
0.00%
0.00%
0.00%
1.89%
1.04%
1.47%
1.23%
0.44%
0.84%
0.00%
0.00%
0.00%
NA
NA
NA
1.04%
0.41%
0.73%
Male
80358
36776
306206
3204
0
426544
Female
76870
35883
301050
2574
0
416377
Total
157228
72659
607256
5778
0
842921
Member Months (Day/Night)
Male
80358
36776
306206
3204
0
426544
Female
76870
35883
301050
2574
0
416377
Total
157228
72659
607256
5778
0
842921
Member Months (Ambulatory)
Male
80358
36776
306206
3204
0
426544
Female
76870
35883
301050
2574
0
416377
Total
157228
72659
607256
5778
0
842921
Inpatient Chemical Dependency
Services
Day/Night Chemical Dependency
Services
Ambulatory Chemical Dependency
Services
Number
0
0
0
18
13
31
81
30
111
0
0
0
0
0
0
99
43
142
Number
0
0
0
1
0
1
3
0
3
0
0
0
0
0
0
4
0
4
Number
0
0
0
54
26
80
276
97
373
0
0
0
0
0
0
330
123
453
Percent
0.00%
0.00%
0.00%
0.59%
0.43%
0.51%
0.32%
0.12%
0.22%
0.00%
0.00%
0.00%
NA
NA
NA
0.28%
0.12%
0.20%
Percent
0.00%
0.00%
0.00%
0.03%
0.00%
0.02%
0.01%
0.00%
0.01%
0.00%
0.00%
0.00%
NA
NA
NA
0.01%
0.00%
0.01%
Percent
0.00%
0.00%
0.00%
1.76%
0.87%
1.32%
1.08%
0.39%
0.74%
0.00%
0.00%
0.00%
NA
NA
NA
0.93%
0.35%
0.64%
Page 57
Use of Services
Blue Plus (HMO Minnesota)
Chemical Dependency Utilization -Percent of members Receiving inpatient, Day/Night Care, and Ambulatory Services
Data Last Refreshed:
Sep 23, 2003 1:37 PM
Medicare + Choice
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 58
Use of Services
Blue Plus (HMO Minnesota)
Chemical Dependency Utilization -Percent of members Receiving inpatient, Day/Night Care, and Ambulatory Services
Data Last Refreshed:
Sep 23, 2003 1:37 PM
Minnesota Senior Health Options
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 59
Use of Services
Blue Plus (HMO 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 1:37 PM
Member Months
NR
Specification Documentation:
Prescription is defined as (Enter "A"
or "B"):
Age
Total Cost of
Prescriptions
0-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
HEDIS 2003 (Reporting Year 2002)
NR
Avg. Cost of
Prescriptions /
Per Member Per
Month
NR
NR
NR
NR
NR
NR
NR
NR
Total Number of
Prescriptions
NR
Avg. Num. Of
Prescriptions /
Per Member Per
Year
NR
NR
NR
NR
NR
NR
NR
NR
Page 60
Use of Services
Blue Plus (HMO Minnesota)
Outpatient Drug Utilization
Data Last Refreshed:
Sep 23, 2003 1:37 PM
Minnesota Senior Health Options
Age
Member Months
0-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
NR
Specification Documentation:
Prescription is defined as (Enter "A"
or "B"):
Age
Total Cost of
Prescriptions
0-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
HEDIS 2003 (Reporting Year 2002)
NR
Avg. Cost of
Prescriptions /
Per Member Per
Month
NR
NR
NR
NR
NR
NR
NR
NR
Total Number of
Prescriptions
NR
Avg. Num. Of
Prescriptions /
Per Member Per
Year
NR
NR
NR
NR
NR
NR
NR
NR
Page 61
Access/Availability of Care
Blue Plus (HMO Minnesota)
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Sep 23, 2003 1:37 PM
Commercial
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+
11054
11012
340
10254
10483
323
92.76%
92.28%
93.25%
95.20%
94.79%
95.60%
95.00%
92.54%
97.46%
A
Page 62
Access/Availability of Care
Blue Plus (HMO Minnesota)
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Sep 23, 2003 1:37 PM
Medicare + Choice
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 63
Access/Availability of Care
Blue Plus (HMO Minnesota)
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Sep 23, 2003 1:37 PM
Minnesota Senior Health Options
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 64
Access/Availability of Care
Blue Plus (HMO Minnesota)
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Sep 23, 2003 1:37 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+
4640
399
7722
3989
335
5960
85.97%
84.96%
86.98%
83.96%
80.23%
87.69%
77.18%
76.24%
78.12%
A
Page 65
Access/Availability of Care
Blue Plus (HMO Minnesota)
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Sep 23, 2003 1:37 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+
526
579
8
442
497
8
84.03%
80.80%
87.26%
85.84%
82.91%
88.76%
NA
NA
NA
A
Page 66
Access/Availability of Care
Blue Plus (HMO Minnesota)
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Sep 23, 2003 1:37 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+
17249
10635
115
14060
9111
100
81.51%
80.93%
82.09%
85.67%
85.00%
86.34%
86.96%
80.37%
93.55%
A
Page 67
Access/Availability of Care
Blue Plus (HMO Minnesota)
Children's Access to Primary Care Practitioners
Data Last Refreshed:
Sep 23, 2003 1:37 PM
Commercial
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.
816
3978
3481
794
3475
3042
97.30%
96.13%
98.48%
87.36%
86.31%
88.40%
87.39%
86.27%
88.51%
A
Page 68
Access/Availability of Care
Blue Plus (HMO Minnesota)
Children's Access to Primary Care Practitioners
Data Last Refreshed:
Sep 23, 2003 1:37 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.
3631
5071
2204
3490
4388
1881
96.12%
95.47%
96.76%
86.53%
85.58%
87.48%
85.34%
83.85%
86.84%
A
Page 69
Access/Availability of Care
Blue Plus (HMO Minnesota)
Children's Access to Primary Care Practitioners
Data Last Refreshed:
Sep 23, 2003 1:37 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.
941
4656
4968
906
3974
4442
96.28%
95.02%
97.54%
85.35%
84.33%
86.38%
89.41%
88.55%
90.28%
A
Page 70
Access/Availability of Care
Blue Plus (HMO Minnesota)
Prenatal and Postpartum Care
Data Last Refreshed:
Sep 23, 2003 1:37 PM
Commercial
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)
296
490
38.54%
63.80%
171
282
39.58%
65.28%
162
223
272
52
93.67%
91.20%
96.15%
78.83%
74.76%
82.90%
S
768
Minimum required sample size (MRSS) or other sample size
411
Oversampling rate
Final sample size (FSS)
5%
432
Number of numerator events by administrative data in FSS
Administrative rate on FSS
Number of original sample records excluded because of
valid data errors
0
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
411
Page 71
Access/Availability of Care
Blue Plus (HMO Minnesota)
Prenatal and Postpartum Care
Data Last Refreshed:
Sep 23, 2003 1:37 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)
484
1302
20.53%
55.22%
96
231
22.22%
53.47%
90
279
221
51
89.78%
86.73%
92.83%
66.18%
61.48%
70.88%
S
2358
Minimum required sample size (MRSS) or other sample size
411
Oversampling rate
Final sample size (FSS)
5%
432
Number of numerator events by administrative data in FSS
Administrative rate on FSS
Number of original sample records excluded because of
valid data errors
4
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
4
411
Page 72
Access/Availability of Care
Blue Plus (HMO Minnesota)
Prenatal and Postpartum Care
Data Last Refreshed:
Sep 23, 2003 1:37 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)
187
496
22.45%
59.54%
96
262
22.22%
60.65%
90
278
250
48
89.54%
86.46%
92.62%
72.51%
68.07%
76.94%
S
833
Minimum required sample size (MRSS) or other sample size
411
Oversampling rate
Final sample size (FSS)
5%
432
Number of numerator events by administrative data in FSS
Administrative rate on FSS
Number of original sample records excluded because of
valid data errors
4
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
4
411
Page 73
Access/Availability of Care
Blue Plus (HMO Minnesota)
Availability of Language Interpretation Services
Data Last Refreshed:
Sep 23, 2003 1:37 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
Blue Plus (HMO Minnesota)
Practitioner Turnover
Medicare + Choice
Practitioner Types
Data Last Refreshed:
Sep 23, 2003 1:37 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
NR
Non-Physician Primary
Care Practitioners
NR
HEDIS 2003 (Reporting Year 2002)
Page 75
Health Plan Stability
Blue Plus (HMO Minnesota)
Practitioner Turnover
Minnesota Senior Health Options
Practitioner Types
Number of
Practitioners as of
12/31/2001
Data Last Refreshed:
Sep 23, 2003 1:37 PM
Number of
Practitioners who
were not affiliated
with the plan as of
12/31/2002
Practitioner
Turnover Rate
Primary Care
Physicians
NR
Non-Physician Primary
Care Practitioners
NR
HEDIS 2003 (Reporting Year 2002)
Page 76
Health Plan Stability
Blue Plus (HMO Minnesota)
Years in Business / Total Membership
Data Last Refreshed:
Sep 23, 2003 1:37 PM
Medicare + Choice
Product/Product Line
HMO (Total)
Years in Business
NR
Members*
NR
NR
NR
NR
NR
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
NR
* Total number of members in each category as of December 31, 2002
HEDIS 2003 (Reporting Year 2002)
Page 77
Health Plan Stability
Blue Plus (HMO Minnesota)
Years in Business / Total Membership
Data Last Refreshed:
Sep 23, 2003 1:37 PM
Minnesota Senior Health Options
Product/Product Line
HMO (Total)
Years in Business
NR
Members*
NR
NR
NR
NR
NR
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
NR
* Total number of members in each category as of December 31, 2002
HEDIS 2003 (Reporting Year 2002)
Page 78
Health Plan Descriptive Information
Blue Plus (HMO Minnesota)
Board Certification / Residency Completion
Data Last Refreshed:
Sep 23, 2003 1:37 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
Blue Plus (HMO Minnesota)
Total Enrollment by Percentage
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
Medicaid
Data Last Refreshed:
Sep 23, 2003 1:37 PM
Commercial
Product Line
Medicare
Other
Total
M
F
M
F
M
F
M
F
M
F
M
F
M
F
Total
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
M
F
M
F
M
F
M
F
M
F
M
F
Total
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
M
F
M
F
M
F
M
F
M
F
Total
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
M
F
M
F
M
F
M
F
M
F
M
F
M
F
Total
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
Age Unknown
Total
0.00%
0.00%
Note: Row entries should add up to 100%.
HEDIS 2003 (Reporting Year 2002)
Page 80
Health Plan Descriptive Information
Blue Plus (HMO Minnesota)
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Sep 23, 2003 1:37 PM
Commercial
<1
1-4
5-9
10-14
15-17
18-19
0-19 Subtotal
0-19 Subtotal: %
20-24
25-29
30-34
35-39
40-44
20-44 Subtotal
20-44 Subtotal: %
45-49
50-54
55-59
60-64
45-64 Subtotal
45-64 Subtotal: %
65-69
70-74
75-79
80-84
85-89
>=90
>=65 Subtotal
>=65 Subtotal: %
Age Unknown
Total
Male
5508
23352
31020
34488
22776
12780
Member Months
Female
4980
23160
29268
33336
22008
12168
Total
10488
46512
60288
67824
44784
24948
129924
30.46%
29604
28848
35028
38724
42684
124920
30.00%
28320
27312
33708
39684
44052
254844
30.23%
174888
41.00%
41844
34908
25512
16308
173076
41.56%
40380
33900
25488
16056
347964
41.28%
118572
27.79%
2412
576
120
60
12
36
115824
27.82%
1884
444
144
48
36
24
234396
27.80%
3216
0.75%
0
2580
0.62%
0
5796
0.69%
426600
416400
HEDIS 2003 (Reporting Year 2002)
57924
56160
68736
78408
86736
82224
68808
51000
32364
4296
1020
264
108
48
60
0
843000
Page 81
Health Plan Descriptive Information
Blue Plus (HMO Minnesota)
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Sep 23, 2003 1:37 PM
Medicare + Choice
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 82
Health Plan Descriptive Information
Blue Plus (HMO Minnesota)
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Sep 23, 2003 1:37 PM
Minnesota Senior Health Options
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 83
Health Plan Descriptive Information
Blue Plus (HMO Minnesota)
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Sep 23, 2003 1:37 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
23516
53334
37802
31753
14978
4836
Member Months
Female
21588
51151
36550
31221
15409
11609
Total
45104
104485
74352
62974
30387
16445
166219
75.40%
5262
4350
4273
3902
3119
167528
47.88%
33607
21736
16731
12192
8168
333747
58.52%
20906
9.48%
1760
821
466
117
92434
26.42%
3219
1150
442
100
113340
19.87%
3164
1.44%
5566
5268
5256
5752
4285
4019
4911
1.40%
8381
10579
13248
16013
16699
20081
8075
1.42%
30146
13.68%
0
85001
24.29%
0
115147
20.19%
220435
349874
HEDIS 2003 (Reporting Year 2002)
38869
26086
21004
16094
11287
4979
1971
908
217
13947
15847
18504
21765
20984
24100
0
570309
Page 84
Health Plan Descriptive Information
Blue Plus (HMO Minnesota)
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Sep 23, 2003 1:37 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
1
133
246
179
84
1
Member Months
Female
0
124
197
195
108
16
Total
1
257
443
374
192
17
644
2.94%
3251
2678
2018
2533
3388
640
3.64%
3011
1593
1284
1614
2266
1284
3.25%
13868
63.31%
2840
1996
1693
793
9768
55.51%
2333
1979
1642
1170
23636
59.83%
7322
33.42%
27
45
0
0
0
0
7124
40.48%
51
12
3
0
0
0
14446
36.57%
72
0.33%
0
66
0.38%
0
138
0.35%
21906
17598
HEDIS 2003 (Reporting Year 2002)
6262
4271
3302
4147
5654
5173
3975
3335
1963
78
57
3
0
0
0
0
39504
Page 85
Health Plan Descriptive Information
Blue Plus (HMO Minnesota)
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Sep 23, 2003 1:37 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
6166
27877
47918
56726
32759
20150
Member Months
Female
5219
27331
46121
54193
31269
21630
Total
11385
55208
94039
110919
64028
41780
191596
50.96%
28801
16911
18744
24708
28234
185763
40.85%
44263
27259
31016
36622
40385
377359
45.43%
117398
31.23%
24796
17937
12603
11066
179545
39.49%
30635
21812
17986
18123
296943
35.75%
66402
17.66%
398
65
76
17
18
0
88556
19.48%
621
83
50
61
7
20
154958
18.65%
574
0.15%
0
842
0.19%
0
1416
0.17%
375970
454706
HEDIS 2003 (Reporting Year 2002)
73064
44170
49760
61330
68619
55431
39749
30589
29189
1019
148
126
78
25
20
0
830676
Page 86