DISCLAIMERS this page left blank intentionally 0Disclaimer Query located belowHEDIS 2011 Reporting Year 2010Page 2Effectiveness of CareMedicaData Last RefreshedOct 24 2011 904 AMAdult BMI AssessmentCo ID: 893797
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1 PageCodePageCodePageMPMABAMRPWCCCISDAEIM
PageCodePageCodePageMPMABAMRPWCCCISDAEIMABCSCodePageCOLCAPCHLIETGSO DISCLAIMERS( this page left blank intentionally )0.Disclaimer Query located belowHEDIS 2011 (Reporting Year 2010)Page 2 Effectiveness of CareMedicaData Last Refreshed:Oct 24, 2011 9:04 AMAdult BMI Assessment CommercialMedicare Advanta MHCP-MC201020101515241571424646251.63%NR3.98%41141110.00%10.00%45345311182.43%NR3.97%74172298411411101724525962.04%NR67.15%57.23%NR62.49%66.86%NR71.82%Data ElementsMeasurement YearData Collection MethodologyEligible Member PopulationNumerator Events by Admin Data on Eligible Population (before exclusions)DenominatorCurrent Year's Admin RateMinimum Required Sample SizeOversampling RateFinal Sample Size (FSS)Numerator events by admin data in FSSAdmin Rate on FSSNumerator Events by Admin DataNumerator
2 Events by Medical RecordReported RateLow
Events by Medical RecordReported RateLower 95% Confidence IntervalUpper 95% Confidence IntervalNumber of Records Excluded Because of Valid Data ErrorsNumber of administrative data records excludedNumber of medical record data records excludedNumber of employee/dependent medical records excludedRecords Added from the Oversample List HEDIS 2011 (Reporting Year 2010)Page 3 Effectiveness of CareMedicaData Last Refreshed:Oct 24, 2011 9:04 AMWeight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents CommercialGeneral Measure DataAges 3-11Ages 12-17TotalGeneral Measure DataAges 3-11Ages 12-17TotalGeneral Measure DataAges 3-11Ages 12-Total201020102010HHH286641917847842286641917847842286641917847842145178322342832495323145.06%4.08%4.67%0.99%1.30%1.11%0.01%0.01%0.01%41141
3 141110.00%10.00%10.00%453453453101020011
141110.00%10.00%10.00%4534534531010200110002.21%2.21%4.42%0.00%0.22%0.22%0.00%0.00%0.00%000484848000000000243168411243168411243168411871501100013579214128581861017217358.85%51.19%55.72%52.67%35.12%45.50%41.56%42.86%42.09%52.45%43.33%50.79%46.19%27.60%40.56%35.16%35.08%37.20%65.24%59.05%60.64%59.16%42.63%50.43%47.97%50.64%46.99%Lower 95% Confidence IntervalUpper 95% Confidence IntervalNumerator Events by Medical RecordReported RateCounseling for Physical ActivityDenominatorNumerator Events by Admin DataMeasurement YearEligible Member Population BMI PercentileAdmin rate on FSSData Collection MethodologyMinimum Required Sample SizeNumber of employee/dependent records excludedRecords Added from the Oversample ListFinal Sample Size (FSS)Numerator events by admin data in FSSData ElementsNumbe
4 r of medical records excludedNumerator e
r of medical records excludedNumerator events by admin data in eligible populationCurrent Year's Administrative RateNumber of Records Excluded Because of Valid Data ErrorsNumber of administrative data records excludedCounseling for NutritionOversampling Rate HEDIS 2011 (Reporting Year 2010)Page 4 Effectiveness of CareMedicaData Last Refreshed:Oct 24, 2011 9:04 AMWeight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents Minnesota Health Care Programs - Managed Care (MHCP-MC)General Measure DataAges 3-11Ages 12-17TotalGeneral Measure DataAges 3-11Ages 12-17TotalGeneral Measure DataAges 3-11Ages 12-Total201020102010HHH2026796552992220267965529922202679655299226382949323141885021233.15%3.05%3.11%1.55%1.95%1.68%0.00%0.02%0.01%41141141110.00%10.00%10.00%4534534535382
5 350001.10%0.66%1.77%0.44%0.66%1.10%0.00%
350001.10%0.66%1.77%0.44%0.66%1.10%0.00%0.00%0.00%00013513513500000000028912241128912241128912241153822400018874262183552381316119266.78%63.11%65.69%64.01%46.72%58.88%45.33%50.00%46.72%61.18%54.14%60.98%58.31%37.46%54.00%39.42%40.72%41.77%72.39%72.09%70.40%69.72%55.98%63.76%51.24%59.28%51.66%Measurement YearNumerator events by admin data in eligible population BMI PercentileCounseling for Physical ActivityCounseling for NutritionData ElementsData Collection MethodologyNumber of employee/dependent records excludedRecords Added from the Oversample ListDenominatorMinimum Required Sample SizeCurrent Year's Administrative RateOversampling RateEligible Member PopulationAdmin rate on FSSUpper 95% Confidence IntervalNumerator Events by Medical RecordReported RateLower 95% Confidence IntervalNum
6 erator events by admin data in FSSFinal
erator events by admin data in FSSFinal Sample Size (FSS)Numerator Events by Admin DataNumber of Records Excluded Because of Valid Data ErrorsNumber of administrative data records excludedNumber of medical records excluded HEDIS 2011 (Reporting Year 2010)Page 5 Effectiveness of CareMedicaData Last Refreshed:Oct 24, 2011 9:04 AMChildhood Immunization Status CommercialGeneral Measure DataDTaPIPVMMRHiBHepatitis BVZVPneumo-coccal ConjugateHepatitis ARotavirusInfluenza19932134243122741999237620168471549169671.90%76.98%87.70%82.03%72.11%85.71%72.73%30.56%55.88%61.18%10.00%32934639937332638833214124827772.63%76.38%88.08%82.34%71.96%85.65%73.29%31.13%54.75%61.15%30131636233829735430612622625153529456283913371686.13%89.54%90.27%93.19%87.35%88.08%83.94%33.82%63.99%64.96%82.67%86.46%87.28%90.63%84.01%84.82%
7 80.27%29.12%59.23%60.23%89.59%92.62%93.2
80.27%29.12%59.23%60.23%89.59%92.62%93.25%95.74%90.68%91.33%87.61%38.52%68.75%69.70%Minimum Required Sample SizeData ElementsMeasurement YearEligible Member PopulationData Collection MethodologyNumerator events by admin data in eligible populationCurrent Year's Administrative RateUpper 95% Confidence IntervalDenominatorNumerator Events by administrative DataOversampling RateFinal Sample Size (FSS)Numerator events by admin data in FSSAdmin rate on FSSNumber of employee/dependent records excludedRecords Added from the Oversample ListNumber of Records Excluded Because of Valid Data ErrorsNumber of administrative data records excludedNumber of medical data records excluded Numerator Events by Medical RecordReported RateLower 95% Confidence Interval HEDIS 2011 (Reporting Year 2010)Page 6 Effectiveness
8 of CareChildhood Immunization Status Co
of CareChildhood Immunization Status CommercialGeneral Measure DataDTaP71.90%10.00%72.63%86.13%82.67%89.59%Minimum Required Sample SizeData ElementsMeasurement YearEligible Member PopulationData Collection MethodologyNumerator events by admin data in eligible populationCurrent Year's Administrative RateUpper 95% Confidence IntervalDenominatorNumerator Events by administrative DataOversampling RateFinal Sample Size (FSS)Numerator events by admin data in FSSAdmin rate on FSSNumber of employee/dependent records excludedRecords Added from the Oversample ListNumber of Records Excluded Because of Valid Data ErrorsNumber of administrative data records excludedNumber of medical data records excluded Numerator Events by Medical RecordReported RateLower 95% Confidence Interval MedicaData Last Refreshed:Oc
9 t 24, 2011 9:04 AM Combo 2Combo 3Combo 4
t 24, 2011 9:04 AM Combo 2Combo 3Combo 4Combo 5Combo 6Combo 7Combo 8Combo 9Combo10167016245961219119150246194340360.25%58.59%21.50%43.98%42.97%18.11%16.63%34.02%14.54%2692579919319187751466759.38%56.73%21.85%42.60%42.16%19.21%16.56%32.23%14.79%2452379317817381691326173663051582429472477.37%73.72%29.93%55.72%56.20%25.55%23.84%43.55%20.68%73.21%69.35%25.38%50.79%51.29%21.21%19.60%38.64%16.64%81.54%78.10%34.48%60.64%61.12%29.89%28.09%48.47%24.72% HEDIS 2011 (Reporting Year 2010)Page 7 Effectiveness of CareMedicaData Last Refreshed:Oct 24, 2011 9:04 AMChildhood Immunization Status Minnesota Health Care Programs - Managed Care (MHCP-MC)General Measure DataDTaPIPVMMRHiBHepatitis BVZVPneumo-coccal ConjugateHepatitis ARotavirusInfluenza21862474250925672468249421828301553151376.78%86.90%88.13%90.17%86.69%
10 87.60%76.64%29.15%54.55%53.14%0.13513943
87.60%76.64%29.15%54.55%53.14%0.135139439340239138835313325024077.48%86.98%86.75%88.74%86.31%85.65%77.92%29.36%55.19%52.98%3203583563633583513201212292182020111822122211151782.73%91.97%89.29%92.70%92.46%88.32%83.21%32.12%59.37%57.18%78.95%89.22%86.18%90.06%89.78%85.09%79.48%27.48%54.50%52.27%86.50%94.72%92.41%95.34%95.13%91.55%86.95%36.75%64.24%62.08%Data ElementsData Collection MethodologyEligible Member PopulationMeasurement YearNumerator events by admin data in eligible populationCurrent Year's Administrative RateOversampling RateFinal Sample Size (FSS)Numerator events by admin data in FSSAdmin rate on FSSMinimum Required Sample SizeUpper 95% Confidence IntervalNumerator Events by Medical RecordReported RateLower 95% Confidence IntervalDenominatorNumerator Events by administrative DataNumber o
11 f employee/dependent records excludedRec
f employee/dependent records excludedRecords Added from the Oversample ListNumber of Records Excluded Because of Valid Data ErrorsNumber of administrative data records excludedNumber of medical data records excluded HEDIS 2011 (Reporting Year 2010)Page 8 Effectiveness of CareChildhood Immunization Status Minnesota Health Care Programs - Managed Care (MHCP-MC)General Measure DataDTaP76.78%0.177.48%82.73%78.95%86.50%Data ElementsData Collection MethodologyEligible Member PopulationMeasurement YearNumerator events by admin data in eligible populationCurrent Year's Administrative RateOversampling RateFinal Sample Size (FSS)Numerator events by admin data in FSSAdmin rate on FSSMinimum Required Sample SizeUpper 95% Confidence IntervalNumerator Events by Medical RecordReported RateLower 95% Confidence I
12 ntervalDenominatorNumerator Events by ad
ntervalDenominatorNumerator Events by administrative DataNumber of employee/dependent records excludedRecords Added from the Oversample ListNumber of Records Excluded Because of Valid Data ErrorsNumber of administrative data records excludedNumber of medical data records excluded MedicaData Last Refreshed:Oct 24, 2011 9:04 AM Combo 2Combo 3Combo 4Combo 5Combo 6Combo 7Combo 8Combo 9Combo10198718946901290119552149591539569.79%66.53%24.24%45.31%41.97%18.30%17.39%32.14%13.87%31229810820518382761446168.87%65.78%23.84%45.25%40.40%18.10%16.78%31.79%13.47%28427210019116575691315533341724321514221377.13%74.45%28.47%52.31%47.93%21.90%20.19%37.23%16.55%72.95%70.11%23.98%47.36%42.98%17.78%16.19%32.43%12.83%81.31%78.79%32.95%57.26%52.88%26.02%24.20%42.02%20.26% HEDIS 2011 (Reporting Year 2010)Page 9 Effective
13 ness of CareMedicaData Last Refreshed:Oc
ness of CareMedicaData Last Refreshed:Oct 24, 2011 9:04 AMImmunizations for Adolescents CommercialGeneral Measure DataMeningococcalTdapCombo 121123286205653.55%83.32%52.13%10.00%26037625157.40%83.00%55.41%23133722210201458.64%86.86%57.42%53.75%83.47%52.52%63.52%90.25%62.32%Data ElementsMeasurement YearData Collection MethodologyEligible Member PopulationNumerator Events by Admin Data on Eligible Population (before exclusions)Admin Rate on FSSRecords Excluded because of Valid Data ErrorsCurrent Year's Admin RateMinimum Required Sample SizeOversampling RateFinal Sample Size (FSS)Numerator events by admin data in FSSNumerator Events by Admin DataNumerator Events by Medical RecordReported RateLower 95% Confidence IntervalUpper 95% Confidence IntervalDenominatorRecords Added from the Oversample ListNu
14 mber of employee/dependent medical recor
mber of employee/dependent medical records excludedNumber of administrative data records excludedNumber of medical data records excluded HEDIS 2011 (Reporting Year 2010)Page 10 Effectiveness of CareMedicaData Last Refreshed:Oct 24, 2011 9:04 AMImmunizations for Adolescents Minnesota Health Care Programs - Managed Care (MHCP-MC)General Measure DataMeningococcalTdapCombo 110711549102255.93%80.89%53.37%10.00%25536824156.29%81.24%53.20%23333622310191559.12%86.37%57.91%54.25%82.94%53.01%64.00%89.81%62.80%Measurement YearData Collection MethodologyEligible Member PopulationNumerator Events by Admin Data on Eligible Population (before exclusions)Current Year's Admin RateUpper 95% Confidence IntervalRecords Excluded because of Valid Data ErrorsNumber of employee/dependent medical records excludedRecords
15 Added from the Oversample ListDenominato
Added from the Oversample ListDenominatorNumerator Events by Admin DataNumerator Events by Medical RecordNumber of medical data records excludedReported RateLower 95% Confidence IntervalData ElementsNumber of administrative data records excludedAdmin Rate on FSSNumerator events by admin data in FSSFinal Sample Size (FSS)Oversampling RateMinimum Required Sample Size HEDIS 2011 (Reporting Year 2010)Page 11 Effectiveness of CareMedicaData Last Refreshed:Oct 24, 2011 9:04 AMBreast Cancer Screening CommercialMedicare AdvantageMSHOSNBCMHCP-MC2010201020102010AAAA50234522190409235405304124244370.48%NR58.24%65.26%59.70%70.08%NR53.91%58.23%58.19%70.88%NR62.56%72.30%61.22%Data ElementsMeasurement YearUpper 95% Confidence IntervalReported RateLower 95% Confidence IntervalData Collection MethodologyEligible M
16 ember PopulationNumerator Events by Admi
ember PopulationNumerator Events by Admin Data HEDIS 2011 (Reporting Year 2010)Page 12 Effectiveness of CareMedicaData Last Refreshed:Oct 24, 2011 9:04 AMCervical Cancer Screening CommercialMHCP-MC201020105996217652NRNRNRNR464231296077.42%73.42%77.09%72.76%77.76%74.07%Admin Rate on FSSData ElementsData Collection MethodologyEligible Member PopulationFinal Sample Size (FSS)Upper 95% Confidence IntervalMinimum Required Sample SizeOversampling RateDenominatorNumerator Events by Medical RecordRecords Excluded because of Valid Data ErrorsNumerator events by admin data in FSSLower 95% Confidence IntervalNumerator Events by Admin DataNumber of medical record data records excludedNumber of employee/dependent medical records excludedReported RateNumber of administrative data records excludedMeasurement Ye
17 arNumerator Events by Admin Data on Elig
arNumerator Events by Admin Data on Eligible Population (before exclusions)Current Year's Admin RateRecords Added from the Oversample List HEDIS 2011 (Reporting Year 2010)Page 13 Effectiveness of CareMedicaData Last Refreshed:Oct 24, 2011 9:04 AMColorectal Cancer Screening CommercialMedicare Advanta MSHOSNBC200920102010HHH4280325671812225711257152.00%NR43.83%39.23%4114111800.110.00%0.00%4534531802482027154.75%NR44.59%39.44%000541610000001004114111802301827138383665.21%NR53.53%59.44%60.48%NR48.58%51.99%69.93%NR58.47%66.90%DenominatorNumerator events by administrative dataReported rateUpper 95% confidence intervalLower 95% confidence intervalNumerator events by medical recordsRecords added from the oversample listNumber of numerator events by administrative data in eligible population (before exclu
18 sions)Minimum required sample size (MRSS
sions)Minimum required sample size (MRSS) or other sample sizeNumber of original sample records excluded because of valid data errorsNumber of administrative data records excludedNumber of medical record data records excludedNumber of numerator events by administrative data in FSSOversampling rateCurrent year's administrative rate (before exclusions)Number of employee/dependent medical records excludedEligible populationMeasurement YearData ElementsData collection methodology (administrative or hybrid)Final sample size (FSS)Administrative rate on FSS HEDIS 2011 (Reporting Year 2010)Page 14 Effectiveness of CareMedicaData Last Refreshed:Oct 24, 2011 9:04 AMChlamydia Screening in Women CommercialGeneral Measure DataAges 16-20Ages 21-2446524722937418562314417039.90%49.00%44.48%38.48%47.57%43.47%41.3
19 1%50.44%45.50%TotalEligible Member Popul
1%50.44%45.50%TotalEligible Member PopulationMeasurement YearNumerator Events by Admin DataUpper 95% Confidence IntervalReported RateLower 95% Confidence IntervalData ElementsData Collection Methodology HEDIS 2011 (Reporting Year 2010)Page 15 Effectiveness of CareMedicaData Last Refreshed:Oct 24, 2011 9:04 AMChlamydia Screening in Women General Measure DataAges 16-20Ages 21-2424222019444114481343279159.79%66.52%62.85%57.81%64.43%61.41%61.76%68.60%64.28%TotalData ElementsMinnesota Health Care Programs - Managed Care (MHCP-MC)Measurement YearData Collection MethodologyReported RateLower 95% Confidence IntervalNumerator Events by Admin DataUpper 95% Confidence IntervalEligible Member Population HEDIS 2011 (Reporting Year 2010)Page 16 Effectiveness of CareMedicaData Last Refreshed:Oct 24, 2011 9:04 A
20 MGlaucoma Screening in Older Adults Medi
MGlaucoma Screening in Older Adults Medicare AdvantageMSHONR76.89%NR75.89%NR77.88%Upper 95% Confidence IntervalData ElementsData Collection MethodologyEligible Member PopulationNumerator Events by Admin DataReported RateLower 95% Confidence IntervalMeasurement Year HEDIS 2011 (Reporting Year 2010)Page 17 Effectiveness of CareMedicaData Last Refreshed:Oct 24, 2011 9:04 AMLead Screening in Children CommercialMHCP-MC2010201032622984NRNRNRNR2242268068.73%89.81%67.12%88.71%70.34%90.91%Upper 95% Confidence IntervalDenominatorNumerator Events by Admin DataNumerator Events by Medical RecordReported RateLower 95% Confidence IntervalAdmin Rate on FSSFinal Sample Size (FSS)Numerator events by admin data in FSSEligible Member PopulationNumerator Events by Admin Data on Eligible Population (before exclusions)
21 Current Year's Admin RateMinimum Require
Current Year's Admin RateMinimum Required Sample SizeNumber of medical record data records excludedNumber of employee/dependent medical records excludedRecords Added from the Oversample ListNumber of administrative data records excludedData ElementsMeasurement YearData Collection MethodologyRecords Excluded because of Valid Data ErrorsOversampling Rate HEDIS 2011 (Reporting Year 2010)Page 18 Effectiveness of CareMedicaData Last Refreshed:Oct 24, 2011 9:04 AMCare for Older Adults MSHOGeneral Measure DataAdvance Care PlanningMedication ReviewFunctional Status AssessmentPain Screening060000.00%0.71%0.00%0.00%10.00%02000.00%0.44%0.00%0.00%020022135928327353.77%87.83%68.86%66.42%48.83%84.55%64.26%61.74%58.71%91.12%73.46%71.11%Records Added from the Oversample ListLower 95% Confidence IntervalUpper 95%
22 Confidence IntervalDenominatorNumerator
Confidence IntervalDenominatorNumerator Events by Admin DataNumerator Events by Medical RecordReported RateNumber of employee/dependent medical records excludedOversampling RateFinal Sample Size (FSS)Numerator events by admin data in FSSAdmin Rate on FSSNumerator Events by Admin Data on Eligible Population (before exclusions)Current Year's Admin RateMinimum Required Sample SizeRecords Excluded because of Valid Data ErrorsEligible Member PopulationData ElementsMeasurement YearData Collection Methodology HEDIS 2011 (Reporting Year 2010)Page 19 Effectiveness of CareMedicaData Last Refreshed:Oct 24, 2011 9:04 AMPharmacotherapy Management of COPD Exacerbation Medicare AdvantageGeneral Measure DataSystemic corticosteroidBronchodilatorNRNRNRNRNRNRNumerator Events by Admin DataReported RateLower 95% Con
23 fidence IntervalUpper 95% Confidence Int
fidence IntervalUpper 95% Confidence IntervalData ElementsData Collection MethodologyMeasurement YearEligible Member Population HEDIS 2011 (Reporting Year 2010)Page 20 Effectiveness of CareMedicaData Last Refreshed:Oct 24, 2011 9:04 AMPharmacotherapy Management of COPD Exacerbation MSHOGeneral Measure DataSystemic corticosteroidBronchodilator375758.73%90.48%45.78%82.43%71.68%98.52%Lower 95% Confidence IntervalUpper 95% Confidence IntervalNumerator Events by Admin DataReported RateMeasurement YearData Collection MethodologyEligible Member PopulationData Elements HEDIS 2011 (Reporting Year 2010)Page 21 Effectiveness of CareMedicaData Last Refreshed:Oct 24, 2011 9:04 AMPharmacotherapy Management of COPD Exacerbation SNBCGeneral Measure DataSystemic corticosteroidBronchodilatorNANANANANANALower 95% C
24 onfidence IntervalData ElementsMeasureme
onfidence IntervalData ElementsMeasurement YearData Collection MethodologyEligible Member PopulationUpper 95% Confidence IntervalNumerator Events by Admin DataReported Rate HEDIS 2011 (Reporting Year 2010)Page 22 Effectiveness of CareMedicaData Last Refreshed:Oct 24, 2011 9:04 AMUse of Spirometry Testing in the Assessment and Diagnosis of COPD Medicare AdvantageMSHOSNBC201020102343401NR17.09%NANR12.06%NANR22.13%NAData ElementsUpper 95% Confidence IntervalReported RateLower 95% Confidence IntervalData Collection MethodologyEligible Member PopulationMeasurement YearNumerator Events by Admin Data HEDIS 2011 (Reporting Year 2010)Page 23 Effectiveness of CareMedicaData Last Refreshed:Oct 24, 2011 9:04 AMUse of Appropriate Medications for People with Asthma CommercialGeneral Measure DataAges 5-11Ages 1
25 2-5040416802084`3911541193296.78%91.73%9
2-5040416802084`3911541193296.78%91.73%92.71%94.94%90.38%91.57%98.63%93.07%93.85%Data ElementsData Collection MethodologyNumerator Events by Admin DataReported RateEligible Member PopulationTotalUpper 95% Confidence IntervalLower 95% Confidence IntervalMeasurement Year HEDIS 2011 (Reporting Year 2010)Page 24 Effectiveness of CareMedicaData Last Refreshed:Oct 24, 2011 9:04 AMUse of Appropriate Medications for People with Asthma Minnesota Health Care Programs - Managed Care (MHCP-MC)General Measure DataAges 5-11Ages 12-504508891339431755118695.78%84.93%88.57%93.81%82.52%86.83%97.75%87.34%90.31%Numerator Events by Admin DataData Collection MethodologyEligible Member PopulationMeasurement YearData ElementsTotalUpper 95% Confidence IntervalLower 95% Confidence IntervalReported Rate HEDIS 2011 (Reporti
26 ng Year 2010)Page 25 Effectiveness of Ca
ng Year 2010)Page 25 Effectiveness of CareMedicaData Last Refreshed:Oct 24, 2011 9:04 AMCholesterol Management for Patients with Cardiovascular Conditions CommercialGeneral Measure DataLDL-C screeningLDL-C Level of 100 mg/dL18454086.82%1.88%10.00%3901386.09%2.87%356121426390.02%66.91%87.01%62.24%93.04%71.58%Records Excluded because of Valid Data ErrorsAdmin rate on FSSFinal Sample Size (FSS)Number of employee/dependent medical records excludedNumerator Events by Admin Data on Eligible PopulationMinimum Required Sample SizeOversampling RateCurrent Year's Admin RateNumerator events by admin data in FSSNumerator Events by Admin DataReported RateNumerator Events by Medical RecordData Collection MethodologyEligible Member PopulationMeasurement YearUpper 95% Confidence IntervalLower 95% Confidence Inte
27 rvalRecords Added from the Oversample Li
rvalRecords Added from the Oversample ListDenominatorData Elements HEDIS 2011 (Reporting Year 2010)Page 26 Effectiveness of CareMedicaData Last Refreshed:Oct 24, 2011 9:04 AMCholesterol Management for Patients with Cardiovascular Conditions Medicare AdvantageGeneral Measure DataLDL-C screeningLDL-C Level of 100 mg/dLNRNRNRNRNRNRNRNRNRNRCurrent Year's Admin RateMinimum Required Sample SizeLower 95% Confidence IntervalEligible Member PopulationNumerator Events by Admin Data on Eligible PopulationMeasurement YearData Collection MethodologyData ElementsUpper 95% Confidence IntervalRecords Excluded because of Valid Data ErrorsNumber of employee/dependent medical records excludedRecords Added from the Oversample ListDenominatorNumerator Events by Admin DataNumerator Events by Medical RecordReported Rat
28 eOversampling RateFinal Sample Size (FSS
eOversampling RateFinal Sample Size (FSS)Numerator events by admin data in FSSAdmin rate on FSS HEDIS 2011 (Reporting Year 2010)Page 27 Effectiveness of CareMedicaData Last Refreshed:Oct 24, 2011 9:04 AMCholesterol Management for Patients with Cardiovascular Conditions Minnesota Health Care Programs - Managed Care (MHCP-MC)General Measure DataLDL-C screeningLDL-C Level of 100 mg/dL149081.42%0.00%0.00%149081.42%0.00%14901011086.89%60.11%81.72%52.74%92.05%67.48%Upper 95% Confidence IntervalNumerator Events by Admin DataNumerator Events by Medical RecordReported RateLower 95% Confidence IntervalRecords Added from the Oversample ListNumber of employee/dependent medical records excludedCurrent Year's Admin RateMinimum Required Sample SizeFinal Sample Size (FSS)Numerator events by admin data in FSSOver
29 sampling RateDenominatorAdmin rate on FS
sampling RateDenominatorAdmin rate on FSSData ElementsMeasurement YearData Collection MethodologyEligible Member PopulationNumerator Events by Admin Data on Eligible PopulationRecords Excluded because of Valid Data Errors HEDIS 2011 (Reporting Year 2010)Page 28 Effectiveness of CareMedicaData Last Refreshed:Oct 24, 2011 9:04 AMControlling High Blood Pressure CommercialMedicare AdvantageMSHOSNBCMHCP-MC2010201020102010HHHH189632674247294100000.00%NR0.00%0.00%0.00%41141122941115.00%15.00%0.00%15.00%47347322947300000.00%NR0.00%0.00%0.00%0000000043644818129000000000000411411229411000028230518028368.61%NR74.21%78.60%68.86%64.00%NR69.86%73.07%64.26%73.22%NR78.56%84.13%73.46%Numerator Events by Admin Data on Eligible Population (before exclusions)Measurement YearData ElementsData Collection Methodology (
30 Hybrid)Eligible Member PopulationUpper 9
Hybrid)Eligible Member PopulationUpper 95% Confidence IntervalNumber of medical record data records excludedDenominatorReported RateNumerator Events by Admin DataNumerator Events by Medical RecordRecords Added from the OverSample ListNumber of employee/dependent medical records excludedCurrent Year's Admin RateMinimum Required Sample SizeOversampling RateLower 95% Confidence IntervalNumber of records excluded because of false positive diagnosesNumber of administrative data records excludedFinal Sample Size (FSS)Numerator events by admin data in FSSAdmin rate on FSSRecords Excluded because of Valid Data Errors HEDIS 2011 (Reporting Year 2010)Page 29 Effectiveness of CareMedicaData Last Refreshed:Oct 24, 2011 9:04 AMPersistence of Beta Blocker Treatment After Heart Attack CommercialMedicare Advanta
31 geMSHOSNBCMHCP-MC2010201020102010AAAA160
geMSHOSNBCMHCP-MC2010201020102010AAAA160471361264012978.75%NR85.11%NA80.56%72.10%NR73.86%NA66.24%85.40%NR96.35%NA94.87%Upper 95% Confidence IntervalLower 95% Confidence IntervalReported RateData ElementsData Collection MethodologyEligible Member PopulationMeasurement YearNumerator Events by Admin Data on Eligible Population HEDIS 2011 (Reporting Year 2010)Page 30 Effectiveness of CareMedicaData Last Refreshed:Oct 24, 2011 9:04 AMComprehensive Diabetes Care CommercialHbA1c TestingPoor HbA1c Control (�9.0%)Good HbA1c Control (7.0%)Adequate HbA1c Control (8.0%)Eye ExamLDL-C ScreeningLDL-C Level 100 mg/dLMonitoring for Diabetic NephropathyBlood Pressure 140/90 mm Blood Pressure 130/80 mm Hg2010201020102010200920092009200920102010HHHHHHHHHH1005010050100501005078437843784378431005010050895198531
32 241714034643416262790089.06%98.04%1.23%1
241714034643416262790089.06%98.04%1.23%1.70%51.43%82.03%2.07%80.06%0.00%0.00%54854844754854854854854854854810%10%10%10%10%10%10%10%10%10%60360349060360360360360360360349059237326514174880081.26%98.18%0.61%1.16%54.06%85.24%2.82%80.93%0.00%0.00%1010101000001010123123123123105105105105123123000000000000000000001010810444410105485484455485485485485485485484536337246603005067185363327826046742434291.79%23.72%42.25%67.52%60.04%86.50%47.45%85.77%77.37%62.41%89.40%20.07%37.55%63.51%55.84%83.54%43.17%82.75%73.78%58.26%94.18%27.38%46.95%71.53%64.23%89.45%51.72%88.78%80.97%66.56%Oversampling RateUpper 95% Confidence IntervalAdmin rate on FSSLower 95% Confidence IntervalNumber of employee/dependent medical records excludedReported RateNumber of Hybrid required exclusionsAdditional Records Added from the Ove
33 rsample ListNumber of administrative dat
rsample ListNumber of administrative data records excludedNumber of medical record data records excludedNumerator Events by Admin DataNumerator Events by Medical RecordDenominatorData ElementsMeasurement YearNumber of Records Excluded Because of Valid Data ErrorsEligible Member PopulationData Collection MethodologyMinimum Required Sample SizeFinal Sample Size (FSS)Numerator events by admin data in FSSNumerator events by admin data in eligible populationNumber of Administrative required exclusionsCurrent Year's Administrative Rate HEDIS 2011 (Reporting Year 2010)Page 31 Effectiveness of CareMedicaData Last Refreshed:Oct 24, 2011 9:04 AMComprehensive Diabetes Care Medicare AdvantageHbA1c TestingPoor HbA1c ControlGood HbA1c Control (7.0%)Adequate HbA1c Control (8.0%)Eye ExamLDL-C ScreeningLDL-C Lev
34 el 100 mg/dLMonitoring for Diabetic Neph
el 100 mg/dLMonitoring for Diabetic NephropathyBlood Pressure 140/90 mm Blood Pressure 130/80 mm HgNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRUpper 95% Confidence IntervalLower 95% Confidence IntervalNumerator Events by Medical RecordNumber of Administrative required exclusionsNumber of Hybrid required exclusionsFinal Sample Size (FSS)DenominatorNumerator Events by Admin DataData ElementsData Collection MethodologyNumber of medical record data records excludedEligible Member PopulationCurrent Year's Administrative RateMinimum Required Sample SizeMeasurement YearNumber of administrative data records excludedNumber of Records Excluded Because of Valid Data ErrorsAdmin rate on FSSOversampling RateReported RateNumber of employee/dependent med
35 ical records excludedAdditional Records
ical records excludedAdditional Records Added from the Oversample ListNumerator events by admin data in eligible populationNumerator events by admin data in FSS HEDIS 2011 (Reporting Year 2010)Page 32 Effectiveness of CareMedicaData Last Refreshed:Oct 24, 2011 9:04 AMComprehensive Diabetes Care MSHOHbA1c TestingPoor HbA1c ControlGood HbA1c Control (7.0%)Adequate HbA1c Control (8.0%)Eye ExamLDL-C ScreeningLDL-C Level 100 mg/dLMonitoring for Diabetic NephropathyBlood Pressure 140/90 mm Blood Pressure 130/80 mm Hg201020102010201020102010201020102010HHHHHHHHH12031203120312031203120312031203120311001161368539663710625591.44%96.51%NR2.99%70.91%80.30%3.08%88.28%0.42%0.42%41141141141141141141141141110%10%10%10%10%10%10%10%10%45345345345345345345345345336943913318340203995581.46%96.91%NR2.87%70.20%75.06%4
36 .42%88.08%1.10%1.10%00000000000000000000
.42%88.08%1.10%1.10%0000000000000000000000000000000000000000000004114114114114114114114114113344492863091736555523129216292131030728093.92%18.25%NR73.24%73.48%82.24%55.96%91.24%75.91%69.34%91.48%14.39%NR68.83%69.09%78.42%51.04%88.39%71.66%64.76%96.35%22.10%NR77.64%77.87%86.06%60.88%94.10%80.17%73.92%Eligible Member PopulationData ElementsMeasurement YearNumber of Hybrid required exclusionsNumerator events by admin data in eligible populationCurrent Year's Administrative RateMinimum Required Sample SizeData Collection MethodologyOversampling RateNumber of medical record data records excludedNumber of Administrative required exclusionsNumerator events by admin data in FSSAdmin rate on FSSNumber of Records Excluded Because of Valid Data ErrorsNumber of administrative data records excludedUpper 95%
37 Confidence IntervalNumber of employee/d
Confidence IntervalNumber of employee/dependent medical records excludedAdditional Records Added from the Oversample ListFinal Sample Size (FSS)DenominatorNumerator Events by Admin DataNumerator Events by Medical RecordReported RateLower 95% Confidence Interval HEDIS 2011 (Reporting Year 2010)Page 33 Effectiveness of CareMedicaData Last Refreshed:Oct 24, 2011 9:04 AMComprehensive Diabetes Care SNBCHbA1c TestingPoor HbA1c ControlGood HbA1c Control (7.0%)Adequate HbA1c Control (8.0%)Eye ExamLDL-C ScreeningLDL-C Level 100 mg/dLMonitoring for Diabetic NephropathyBlood Pressure 140/90 mm Blood Pressure 130/80 mm Hg201020102010201020102010201020102010HHHHHHHHH25725725725725725725725725723125110180203122015489.88%97.67%NR3.89%70.04%78.99%4.67%78.21%1.95%1.56%2572572572572572572572572570%0%0%0%0%0%0%0%0
38 %257257257257257257257257257231251618020
%257257257257257257257257257231251618020362010089.88%97.67%NR2.33%70.04%78.99%2.33%78.21%0.00%0.00%7777777770000000000000000000000000000000000002502502502502502502502502501941810178197121995443291689171221520416594.80%18.80%NR71.20%74.80%85.60%53.60%85.60%83.60%67.60%91.85%13.76%NR65.39%69.22%81.05%47.22%81.05%78.81%61.60%97.75%23.84%NR77.01%80.38%90.15%59.98%90.15%88.39%73.60%Number of Hybrid required exclusionsData ElementsData Collection MethodologyEligible Member PopulationNumerator events by admin data in eligible populationMinimum Required Sample SizeNumber of Administrative required exclusionsAdmin rate on FSSDenominatorUpper 95% Confidence IntervalNumerator Events by Admin DataNumerator Events by Medical RecordReported RateLower 95% Confidence IntervalMeasurement YearAdditional Records
39 Added from the Oversample ListNumber of
Added from the Oversample ListNumber of Records Excluded Because of Valid Data ErrorsNumber of administrative data records excludedNumber of medical record data records excludedNumber of employee/dependent medical records excludedCurrent Year's Administrative RateOversampling RateFinal Sample Size (FSS)Numerator events by admin data in FSS HEDIS 2011 (Reporting Year 2010)Page 34 Effectiveness of CareMedicaData Last Refreshed:Oct 24, 2011 9:04 AMComprehensive Diabetes Care Minnesota Health Care Programs - Managed Care (MHCP-MC)HbA1c TestingPoor HbA1c ControlGood HbA1c Control (7.0%)Adequate HbA1c Control (8.0%)Eye ExamLDL-C ScreeningLDL-C Level 100 mg/dLMonitoring for Diabetic NephropathyBlood Pressure 140/90 mm Blood Pressure 130/80 mm Hg2010201020102010201020102010201020102010HHHHHHHHHH223722372
40 2372237223722372237223722372237195421982
2372237223722372237223722372237195421982434121517135417000087.35%98.26%1.07%1.52%54.31%76.58%2.41%75.99%0.00%0.00%54854848054854854854854854854810%10%10%10%10%10%10%10%10%10%603603527603603603603603603603535588512339463154740088.72%97.51%0.95%1.99%56.22%76.78%2.49%78.61%0.00%0.00%4444444444828282828282828282820000000000000000000044444444445485484695485485485485485485484395761330940811431006210418130734272301542832891.42%29.38%39.87%58.39%62.59%79.38%43.98%81.39%78.10%59.85%88.99%25.47%35.33%54.18%58.45%75.90%39.73%78.04%74.55%55.66%93.86%33.28%44.41%62.61%66.73%82.86%48.23%84.74%81.66%64.05%Data Collection MethodologyCurrent Year's Administrative RateData ElementsMeasurement YearEligible Member PopulationNumber of medical record data records excludedLower 95% Confidence IntervalMinimum Required S
41 ample SizeOversampling RateFinal Sample
ample SizeOversampling RateFinal Sample Size (FSS)Numerator events by admin data in FSSNumerator Events by Medical RecordAdmin rate on FSSNumber of Records Excluded Because of Valid Data ErrorsNumber of administrative data records excludedNumerator events by admin data in eligible populationUpper 95% Confidence IntervalNumber of employee/dependent medical records excludedAdditional Records Added from the Oversample ListDenominatorNumerator Events by Admin DataReported RateNumber of Administrative required exclusionsNumber of Hybrid required exclusions HEDIS 2011 (Reporting Year 2010)Page 35 Effectiveness of CareMedicaData Last Refreshed:Oct 24, 2011 9:04 AMDisease Modifying Anti-Rheumatic Drug Therapy in Rheumatoid Arthritis Medicare AdvantageReported RateLower 95% Confidence IntervalUpper 95%
42 Confidence IntervalData ElementsMeasurem
Confidence IntervalData ElementsMeasurement YearData Collection MethodologyEligible Member PopulationNumerator Events by Admin Data HEDIS 2011 (Reporting Year 2010)Page 36 Effectiveness of CareMedicaData Last Refreshed:Oct 24, 2011 9:04 AMOsteoporosis Management in Women Who had a Fracture Medicare AdvantageMSHONR9.45%NR6.01%NR12.88%Upper 95% Confidence IntervalData ElementsData Collection MethodologyEligible Member PopulationNumerator Events by Admin DataReported RateLower 95% Confidence IntervalMeasurement Year HEDIS 2011 (Reporting Year 2010)Page 37 Effectiveness of CareMedicaData Last Refreshed:Oct 24, 2011 9:04 AMAntidepressant Medication Management CommercialGeneral Measure DataEffective Acute Phase TreatmentEffective Continuation Phase Treatment1767137070.68%54.80%68.88%52.83%72.48%56.77%E
43 ligible Member PopulationData Collection
ligible Member PopulationData Collection MethodologyNumerator Events by Admin DataData ElementsMeasurement YearUpper 95% Confidence IntervalLower 95% Confidence IntervalReported Rate HEDIS 2011 (Reporting Year 2010)Page 38 Effectiveness of CareMedicaData Last Refreshed:Oct 24, 2011 9:04 AMAntidepressant Medication Management Medicare AdvantageGeneral Measure DataEffective Acute Phase TreatmentEffective Continuation Phase TreatmentNRNRNRNRNRNRUpper 95% Confidence IntervalData ElementsData Collection MethodologyEligible Member PopulationNumerator Events by Admin DataReported RateLower 95% Confidence IntervalMeasurement Year HEDIS 2011 (Reporting Year 2010)Page 39 Effectiveness of CareMedicaData Last Refreshed:Oct 24, 2011 9:04 AMAntidepressant Medication Management MSHOGeneral Measure DataEffective
44 Acute Phase TreatmentEffective Continua
Acute Phase TreatmentEffective Continuation Phase Treatment565462.92%60.67%52.32%49.96%73.52%71.38%Upper 95% Confidence IntervalLower 95% Confidence IntervalEligible Member PopulationData ElementsData Collection MethodologyNumerator Events by Admin DataReported RateMeasurement Year HEDIS 2011 (Reporting Year 2010)Page 40 Effectiveness of CareMedicaData Last Refreshed:Oct 24, 2011 9:04 AMAntidepressant Medication Management General Measure DataEffective Acute Phase TreatmentEffective Continuation Phase TreatmentNANANANANANANumerator Events by Admin DataMeasurement YearData Collection MethodologyEligible Member PopulationUpper 95% Confidence IntervalData ElementsReported RateLower 95% Confidence Interval HEDIS 2011 (Reporting Year 2010)Page 41 Effectiveness of CareMedicaData Last Refreshed:Oct 24,
45 2011 9:04 AMAntidepressant Medication M
2011 9:04 AMAntidepressant Medication Management Minnesota Health Care Programs - Managed Care (MHCP-MC)General Measure DataEffective Acute Phase TreatmentEffective Continuation Phase Treatment55238350.23%34.85%47.23%31.99%53.23%37.71%Measurement YearEligible Member PopulationUpper 95% Confidence IntervalLower 95% Confidence IntervalData Collection MethodologyData ElementsNumerator Events by Admin DataReported Rate HEDIS 2011 (Reporting Year 2010)Page 42 Effectiveness of CareMedicaData Last Refreshed:Oct 24, 2011 9:04 AMFollow-Up Care for Children PrescribedAttention-Deficit/Hyperactivity Disorder (ADHD) Medication CommercialGeneral Measure DataInitiation PhaseContinuation Maintenance Phase6031932278037.65%41.45%33.70%34.24%41.60%48.66%Reported RateLower 95% Confidence IntervalUpper 95% Confiden
46 ce IntervalData Collection MethodologyEl
ce IntervalData Collection MethodologyEligible Member PopulationNumerator Events by Admin DataMeasurement YearData Elements HEDIS 2011 (Reporting Year 2010)Page 43 Effectiveness of CareMedicaData Last Refreshed:Oct 24, 2011 9:04 AMFollow-Up Care for Children PrescribedAttention-Deficit/Hyperactivity Disorder (ADHD) Medication General Measure DataInitiation PhaseContinuation Maintenance Phase5551542636847.39%44.16%43.14%35.99%51.63%52.32%Minnesota Health Care Programs - Managed Care (MHCP-MC)Lower 95% Confidence IntervalEligible Member PopulationNumerator Events by Admin DataMeasurement YearUpper 95% Confidence IntervalReported RateData Collection MethodologyData Elements HEDIS 2011 (Reporting Year 2010)Page 44 Effectiveness of CareMedicaData Last Refreshed:Oct 24, 2011 9:04 AMFollow-up After Hosp
47 italization for Mental Illness Medicare
italization for Mental Illness Medicare AdvantageGeneral Measure Data30 Days7 DaysNRNRNRNRNRNRData ElementsEligible Member PopulationNumerator Events by Admin DataUpper 95% Confidence IntervalReported RateLower 95% Confidence IntervalData Collection MethodologyMeasurement Year HEDIS 2011 (Reporting Year 2010)Page 45 Effectiveness of CareMedicaData Last Refreshed:Oct 24, 2011 9:04 AMFollow-up After Hospitalization for Mental Illness MSHOGeneral Measure Data30 Days7 Days362362.07%39.66%48.72%26.20%75.42%53.11%Numerator Events by Admin DataReported RateData ElementsMeasurement YearData Collection MethodologyEligible Member PopulationLower 95% Confidence IntervalUpper 95% Confidence Interval HEDIS 2011 (Reporting Year 2010)Page 46 Effectiveness of CareMedicaData Last Refreshed:Oct 24, 2011 9:04 AMFol
48 low-up After Hospitalization for Mental
low-up After Hospitalization for Mental Illness SNBCGeneral Measure Data30 Days7 Days1209887.59%71.53%81.71%63.61%93.48%79.45%Eligible Member PopulationMeasurement YearUpper 95% Confidence IntervalLower 95% Confidence IntervalNumerator Events by Admin DataReported RateData ElementsData Collection Methodology HEDIS 2011 (Reporting Year 2010)Page 47 Effectiveness of CareMedicaData Last Refreshed:Oct 24, 2011 9:04 AMAnnual Monitoring for Patients on Persistent Medications CommercialACE Inhibitors or ARBsDigoxinDiureticsAnti-convulsantsTotal1364615410586690250761104911886304642026180.97%76.62%81.52%67.25%80.80%80.31%69.61%80.78%63.67%80.31%81.63%83.63%82.27%70.82%81.29%Upper 95% Confidence IntervalReported RateAnnual Monitoring for Members onGeneral Measure DataNumerator Events by Admin DataData Elem
49 entsLower 95% Confidence IntervalMeasure
entsLower 95% Confidence IntervalMeasurement YearData Collection MethodologyEligible Member Population HEDIS 2011 (Reporting Year 2010)Page 48 Effectiveness of CareMedicaData Last Refreshed:Oct 24, 2011 9:04 AMAnnual Monitoring for Patients on Persistent Medications Medicare AdvantageACE Inhibitors or ARBsDigoxinDiureticsAnti-convulsantsTotalNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRData Collection MethodologyEligible Member PopulationNumerator Events by Admin DataData ElementsLower 95% Confidence IntervalReported RateUpper 95% Confidence IntervalMeasurement YearGeneral Measure DataAnnual Monitoring for Members on HEDIS 2011 (Reporting Year 2010)Page 49 Effectiveness of CareMedicaData Last Refreshed:Oct 24, 2011 9:04 AMAnnual Monitoring for Patients on Persistent Medications MSHOACE Inhibitors or ARBsDigoxin
50 DiureticsAnti-convulsantsTotal3165300320
DiureticsAnti-convulsantsTotal31653003207449712129722823037381667293.90%94.00%94.70%84.86%93.69%93.05%91.15%93.91%81.43%93.12%94.75%96.85%95.49%88.28%94.27%Measurement YearLower 95% Confidence IntervalData ElementsReported RateData Collection MethodologyUpper 95% Confidence IntervalEligible Member PopulationNumerator Events by Admin DataGeneral Measure DataAnnual Monitoring for Members on HEDIS 2011 (Reporting Year 2010)Page 50 Effectiveness of CareMedicaData Last Refreshed:Oct 24, 2011 9:04 AMAnnual Monitoring for Patients on Persistent Medications SNBCACE Inhibitors or ARBsDigoxinDiureticsAnti-convulsantsTotal1906162170528182615314748895.79%NA94.44%86.47%92.42%92.67%NA90.61%81.03%90.07%98.91%NA98.28%91.91%94.78%Data ElementsAnnual Monitoring for Members onMeasurement YearUpper 95% Confidence In
51 tervalLower 95% Confidence IntervalData
tervalLower 95% Confidence IntervalData Collection MethodologyEligible Member PopulationNumerator Events by Admin DataReported RateGeneral Measure Data HEDIS 2011 (Reporting Year 2010)Page 51 Effectiveness of CareMedicaData Last Refreshed:Oct 24, 2011 9:04 AMAnnual Monitoring for Patients on Persistent Medications Minnesota Health Care Programs - Managed Care (MHCP-MC)ACE Inhibitors or ARBsDigoxinDiureticsAnti-convulsantsTotal212221167722140411791171410170338884.40%NA84.08%76.92%83.84%82.83%NA82.30%71.14%82.69%85.97%NA85.86%82.70%84.99%Measurement YearData ElementsGeneral Measure DataReported RateUpper 95% Confidence IntervalData Collection MethodologyEligible Member PopulationNumerator Events by Admin DataLower 95% Confidence IntervalAnnual Monitoring for Members on HEDIS 2011 (Reporting Year 20
52 10)Page 52 Access/Availability of CareMe
10)Page 52 Access/Availability of CareMedicaData Last Refreshed:Oct 24, 2011 9:04 AMMedication Reconciliation Post Discharge Data ElementsMSHOMeasurement Year2010Data collection methodology (Administrative or Hybrid)HEligible member population5490Number of numerator events by administrative data in eligible population (before exclusions)0.00%Minimum required sample size (MRSS) or other sample size411Oversampling rate10%Final sample size (FSS)453Number of numerator events by administrative data in FSS00.00%Number of original sample records excluded because of valid data errorsNumber of employee/dependent medical records excluded0Records added from the oversample list0Denominator411Numerator events by administrative data0Numerator events by medical record29772.26%67.81%76.71%Upper 95% confidence in
53 tervalReported rateLower 95% confidence
tervalReported rateLower 95% confidence intervalCurrent year's administrative rate (before exclusions)Administrative rate on FSS HEDIS 2011 (Reporting Year 2010)Page 53 Effectiveness of CareMedicaData Last Refreshed:Oct 24, 2011 9:04 AMPotentially Harmful Drug-Disease Interactions in the Elderly Medicare AdvantageHistory of Falls + Tricyclic Antidepressants, Antipsychotics or Sleep AgentsDementia + Tricyclic Antidepressants or Anticholinergic AgentsChronic Renal Failure + Nonaspirin NSAIDs or Cox-2 Selective NSAIDsTotalNRNRNRNRNRNRNRNRNRNRNRNRMeasurement YearGeneral Measure DataDrug-Disease InteractionsData ElementsData Collection MethodologyNumerator Events by Admin DataEligible Member PopulationUpper 95% Confidence IntervalReported RateLower 95% Confidence Interval HEDIS 2011 (Reporting Year 20
54 10)Page 54 Effectiveness of CareMedicaDa
10)Page 54 Effectiveness of CareMedicaData Last Refreshed:Oct 24, 2011 9:04 AMPotentially Harmful Drug-Disease Interactions in the Elderly MSHOHistory of Falls + Tricyclic Antidepressants, Antipsychotics or Sleep AgentsDementia + Tricyclic Antidepressants or Anticholinergic AgentsChronic Renal Failure + Nonaspirin NSAIDs or Cox-2 Selective NSAIDsTotal44520371302612904921359520.22%24.15%10.00%22.78%16.38%22.27%4.46%21.15%24.07%26.04%15.54%24.41%Upper 95% Confidence IntervalMeasurement YearReported RateData Collection MethodologyLower 95% Confidence IntervalNumerator Events by Admin DataEligible Member PopulationGeneral Measure DataDrug-Disease InteractionsData Elements HEDIS 2011 (Reporting Year 2010)Page 55 Effectiveness of CareMedicaData Last Refreshed:Oct 24, 2011 9:04 AMUse of High Risk Medica
55 tions in the Elderly Medicare AdvantageG
tions in the Elderly Medicare AdvantageGeneral Measure DataAt least 1 PrescriptionAt least 2 PrescriptionsNRNRNRNRNRNRReported RateEligible Member PopulationUpper 95% Confidence IntervalLower 95% Confidence IntervalMeasurement YearData ElementsNumerator Events by Admin DataData Collection Methodology HEDIS 2011 (Reporting Year 2010)Page 56 Effectiveness of CareMedicaData Last Refreshed:Oct 24, 2011 9:04 AMUse of High Risk Medications in the Elderly MSHOGeneral Measure DataAt least 1 PrescriptionAt least 2 Prescriptions174337522.66%4.88%21.72%4.39%23.60%5.36%Data Collection MethodologyEligible Member PopulationNumerator Events by Admin DataData ElementsMeasurement YearReported RateUpper 95% Confidence IntervalLower 95% Confidence Interval HEDIS 2011 (Reporting Year 2010)Page 57 Access/Availability
56 of CareMedicaData Last Refreshed:Oct 24
of CareMedicaData Last Refreshed:Oct 24, 2011 9:04 AMAdult's Access to Preventive/Ambulatory Health Services CommercialData Elements General Measure DataAges 20-44Ages 45-64Ages 65+Measurement Year2010Data collection methodology (Administrative only)Eligible member population (i.e. members who meet all denominator criteria)59984690633697132744Numerator events by administrative data5675166617362412699294.61%96.46%98.03%95.67%94.43%96.32%97.56%95.56%94.79%96.60%98.49%95.78%TotalReported rateLower 95% confidence intervalUpper 95% confidence interval HEDIS 2011 (Reporting Year 2010)Page 58 Access/Availability of CareMedicaData Last Refreshed:Oct 24, 2011 9:04 AMAdult's Access to Preventive/Ambulatory Health Services Medicare AdvantageData Elements General Measur
57 e DataAges 20-44Ages 45-64Ages 65+Measur
e DataAges 20-44Ages 45-64Ages 65+Measurement YearData collection methodology (Administrative only)Eligible member population (i.e. members who meet all denominator criteria)Numerator events by administrative dataNRNRNRNRNRNRNRNRNRTotalReported rateLower 95% confidence intervalUpper 95% confidence interval HEDIS 2011 (Reporting Year 2010)Page 59 Access/Availability of CareMedicaData Last Refreshed:Oct 24, 2011 9:04 AMAdult's Access to Preventive/Ambulatory Health Services MSHOData Elements General Measure DataAges 20-44Ages 45-64Ages 65+Measurement Year2010Data collection methodology (Administrative only)Eligible member population (i.e. members who meet all denominator criteria)0085208520Numerator events by administrative data0082968296NANA97.37%97.37%NANA97.03%97.03%NANA97.72%
58 97.72%TotalReported rateLower 95% confid
97.72%TotalReported rateLower 95% confidence intervalUpper 95% confidence interval HEDIS 2011 (Reporting Year 2010)Page 60 Access/Availability of CareMedicaData Last Refreshed:Oct 24, 2011 9:04 AMAdult's Access to Preventive/Ambulatory Health Services SNBCData Elements General Measure DataAges 20-44Ages 45-64Ages 65+Measurement Year2010Data collection methodology (Administrative only)Eligible member population (i.e. members who meet all denominator criteria)52168271210Numerator events by administrative data5076657117997.31%97.51%NA97.44%95.83%96.26%NA96.51%98.80%98.75%NA98.37%TotalLower 95% confidence intervalUpper 95% confidence intervalReported rate HEDIS 2011 (Reporting Year 2010)Page 61 Access/Availability of CareMedicaData Last Refreshed:Oct 24, 2011 9:04 AMAdult's Access
59 to Preventive/Ambulatory Health Services
to Preventive/Ambulatory Health Services Minnesota Health Care Programs - Managed Care (MHCP-MC)Data Elements General Measure DataAges 20-44Ages 45-64Ages 65+Measurement Year2010Data collection methodology (Administrative only)Eligible member population (i.e. members who meet all denominator criteria)2097887991229789Numerator events by administrative data18820796892679789.71%90.56%NA89.96%89.30%89.94%NA89.61%90.13%91.17%NA90.30%TotalUpper 95% confidence intervalReported rateLower 95% confidence interval HEDIS 2011 (Reporting Year 2010)Page 62 Access/Availability of CareMedicaData Last Refreshed:Oct 24, 2011 9:04 AMChildren's and Adolescents' Access to Primary Care Practitioners CommercialData Elements General Measure Data12-24 months25 months -6 yrs.7-1
60 1 yrs.12-19 yrs.Measurement Year2010Data
1 yrs.12-19 yrs.Measurement Year2010Data collection methodology (Administrative only)AEligible member population3624183391575427369Numerator events by administrative data356116791143182486598.26%91.56%90.88%90.85%97.82%91.15%90.43%90.51%98.70%91.96%91.34%91.19%Upper 95% confidence intervalReported rateLower 95% confidence interval HEDIS 2011 (Reporting Year 2010)Page 63 Access/Availability of CareMedicaData Last Refreshed:Oct 24, 2011 9:04 AMChildren's and Adolescents' Access to Primary Care Practitioners Minnesota Health Care Programs - Managed Care (MHCP-MC)Data Elements General Measure Data12-24 months25 months -6 yrs.7-11 yrs.12-19 yrs.Measurement Year2010Data collection methodology (Administrative only)AEligible member population45921437879109975Numerator events by a
61 dministrative data4512131287343921198.26
dministrative data4512131287343921198.26%91.31%92.83%92.34%97.87%90.84%92.26%91.81%98.65%91.77%93.41%92.87%Upper 95% confidence intervalReported rateLower 95% confidence interval HEDIS 2011 (Reporting Year 2010)Page 64 Access/Availability of CareMedicaData Last Refreshed:Oct 24, 2011 9:04 AMInitiation/Engagement of Alcohol & Other Drug Dependence Treatment CommercialData Elements General Measure DataInitiation of AOD TreatmentEngagement of AOD TreatmentInitiation of AOD TreatmentEngagement of AOD TreatmentInitiation of AOD TreatmentEngagement of AOD TreatmentMeasurement Year2010Data collection methodology (Administrative only)A131363135.21%15.49%36.36%17.56%36.29%17.44%28.56%10.40%34.73%16.27%34.71%16.19%41.86%20.59%37.99%18.86%37.87%18.69%Reported rateLower 95% confidenc
62 e intervalUpper 95% confidence interval1
e intervalUpper 95% confidence interval13-17 Year Olds18+ Year OldsTotalEligible member populationNumerator events by administrative data75331238 HEDIS 2011 (Reporting Year 2010)Page 65 Access/Availability of CareMedicaData Last Refreshed:Oct 24, 2011 9:04 AMInitiation/Engagement of Alcohol & Other Drug Dependence Treatment Medicare AdvantageData Elements General Measure DataInitiation of AOD TreatmentEngagement of AOD TreatmentInitiation of AOD TreatmentEngagement of AOD TreatmentInitiation of AOD TreatmentEngagement of AOD TreatmentMeasurement YearData collection methodology (Administrative only)NRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNR18+ Year OldsNumerator events by administrative data13-17 Year OldsEligible member populationReported rateLower 95% confidence intervalUp
63 per 95% confidence intervalTotal HEDIS 2
per 95% confidence intervalTotal HEDIS 2011 (Reporting Year 2010)Page 66 Access/Availability of CareMedicaData Last Refreshed:Oct 24, 2011 9:04 AMInitiation/Engagement of Alcohol & Other Drug Dependence Treatment MSHOData Elements General Measure DataInitiation of AOD TreatmentEngagement of AOD TreatmentInitiation of AOD TreatmentEngagement of AOD TreatmentInitiation of AOD TreatmentEngagement of AOD TreatmentMeasurement Year2010Data collection methodology (Administrative only)A695NANA45.10%3.27%45.10%3.27%NANA36.89%0.12%36.89%0.12%NANA53.31%6.41%53.31%6.41%13-17 Year OldsNumerator events by administrative dataReported rateLower 95% confidence intervalUpper 95% confidence interval18+ Year OldsEligible member populationTotal0695 HEDIS 2011 (Reporting Year 2010)Page 67 Acce
64 ss/Availability of CareMedicaData Last R
ss/Availability of CareMedicaData Last Refreshed:Oct 24, 2011 9:04 AMInitiation/Engagement of Alcohol & Other Drug Dependence Treatment SNBCData Elements General Measure DataInitiation of AOD TreatmentEngagement of AOD TreatmentInitiation of AOD TreatmentEngagement of AOD TreatmentInitiation of AOD TreatmentEngagement of AOD TreatmentMeasurement Year2010Data collection methodology (Administrative only)A6118NANA32.45%9.57%32.45%9.57%NANA25.49%5.10%25.49%5.10%NANA39.41%14.05%39.41%14.05%Upper 95% confidence intervalLower 95% confidence intervalReported rateNumerator events by administrative data13-17 Year Olds18+ Year OldsEligible member population0188Total HEDIS 2011 (Reporting Year 2010)Page 68 Access/Availability of CareMedicaData Last Refreshed:Oct 24, 2011 9:04 AMIniti
65 ation/Engagement of Alcohol & Other Drug
ation/Engagement of Alcohol & Other Drug Dependence Treatment Minnesota Health Care Programs - Managed Care (MHCP-MC)Data Elements General Measure DataInitiation of AOD TreatmentEngagement of AOD TreatmentInitiation of AOD TreatmentEngagement of AOD TreatmentInitiation of AOD TreatmentEngagement of AOD TreatmentMeasurement Year2010Data collection methodology (Administrative only)A117957136.91%22.71%34.04%15.99%34.30%16.61%31.44%17.94%32.36%14.69%32.70%15.35%42.38%27.48%35.72%17.30%35.90%17.87%18+ Year OldsTotalLower 95% confidence interval106249913-17 Year Olds117723173120Upper 95% confidence intervalEligible member populationReported rateNumerator events by administrative data HEDIS 2011 (Reporting Year 2010)Page 69 Access/Availability of CareMedicaData Last Refreshed:Oc
66 t 24, 2011 9:04 AMPrenatal and Postpartu
t 24, 2011 9:04 AMPrenatal and Postpartum Care CommercialData ElementsTimeliness of Prenatal CarePostpartum CareMeasurement Year20102010Data collection methodology (Administrative or Hybrid)HHEligible member population41514151Number of numerator events by administrative data in eligible population (before exclusions)3106231074.83%55.65%Minimum required sample size (MRSS) or other sample size411411Oversampling rate10%10%Final sample size (FSS)453453Number of numerator events by administrative data in FSS33427873.73%61.37%Number of original sample records excluded because of valid data errorsNumber of employee/dependent medical records excluded00Records added from the oversample list00Denominator411411Numerator events by administrative data306255Numerator events by medical record817994.16%81.27%91.
67 77%77.37%96.55%85.16%Lower 95% confidenc
77%77.37%96.55%85.16%Lower 95% confidence intervalCurrent year's administrative rate (before exclusions)Administrative rate on FSSReported rateUpper 95% confidence interval HEDIS 2011 (Reporting Year 2010)Page 70 Access/Availability of CareMedicaData Last Refreshed:Oct 24, 2011 9:04 AMPrenatal and Postpartum Care Minnesota Health Care Programs - Managed Care (MHCP-MC)Data ElementsTimeliness of Prenatal CarePostpartum CareMeasurement Year20102010Data collection methodology (Administrative or Hybrid)HHEligible member population51315131Number of numerator events by administrative data in eligible population (before exclusions)3129271260.98%52.86%Minimum required sample size (MRSS) or other sample size411411Oversampling rate10%10%Final sample size (FSS)453453Number of numerator events by administrati
68 ve data in FSS27524660.71%54.30%Number o
ve data in FSS27524660.71%54.30%Number of original sample records excluded because of valid data errorsNumber of employee/dependent medical records excluded00Records added from the oversample list00Denominator411411Numerator events by administrative data252229Numerator events by medical record1194790.27%67.15%87.28%62.49%93.25%71.82%Upper 95% confidence intervalCurrent year's administrative rate (before exclusions)Administrative rate on FSSReported rateLower 95% confidence interval HEDIS 2011 (Reporting Year 2010)Page 71 Use of ServicesMedicaData Last Refreshed:Oct 24, 2011 9:04 AMWell Child Visits in the First 15 Months of Life CommercialGeneral Measure DataZero Visits1 visit2 visits3 visits4 visits5 visits6 or more visitsNRNRNRNRNRNRNRNRNRNRNRNRNRNR3426355813745322741.13%0.86%1.16%1.92%4.54%15.
69 01%75.37%0.73%0.52%0.76%1.42%3.78%13.72%
01%75.37%0.73%0.52%0.76%1.42%3.78%13.72%73.82%1.52%1.21%1.56%2.43%5.30%16.31%76.93%Data ElementsData Collection MethodologyEligible Member PopulationMeasurement YearAdministrative rate on FSSReported RateFinal sample size (FSS)Number of Records Excluded Because of Valid Data ErrorsNumerator events by admin data in FSSOversampling RateAdditional Records Added from the Oversample ListNumerator Events by Admin DataNumerator Events by Medical RecordLower 95% Confidence IntervalUpper 95% Confidence IntervalDenominatorNumerator events by admin data in eligible populationMinimum Required Sample SizeCurrect Year's Administrative RateNumber of employee/dependent medical records excluded HEDIS 2011 (Reporting Year 2010)Page 72 Use of ServicesMedicaData Last Refreshed:Oct 24, 2011 9:04 AMWell Child Visits i
70 n the First 15 Months of Life Minnesota
n the First 15 Months of Life Minnesota Health Care Programs - Managed Care (MHCP-MC)General Measure DataZero Visits1 visit2 visits3 visits4 visits5 visits6 or more visitsNRNRNRNRNRNRNRNRNRNRNRNRNRNR636810820538786122961.58%1.71%2.71%5.14%9.70%21.59%57.57%1.18%1.29%2.19%4.44%8.77%20.30%56.03%1.98%2.12%3.22%5.84%10.64%22.88%59.12%Minimum Required Sample SizeData Collection MethodologyNumerator events by admin data in eligible populationData ElementsEligible Member PopulationMeasurement YearCurrect Year's Administrative RateUpper 95% Confidence IntervalOversampling RateFinal sample size (FSS)Numerator events by admin data in FSSAdministrative rate on FSSNumber of Records Excluded Because of Valid Data ErrorsNumber of employee/dependent medical records excludedAdditional Records Added from the Overs
71 ample ListLower 95% Confidence IntervalD
ample ListLower 95% Confidence IntervalDenominatorNumerator Events by Admin DataNumerator Events by Medical RecordReported Rate HEDIS 2011 (Reporting Year 2010)Page 73 Use of ServicesMedicaData Last Refreshed:Oct 24, 2011 9:04 AMWell Child Visits in the 3rd, 4th, 5th and 6th Years of Life CommercialMHCP-MC201020101519111713NRNRNRNR10638811970.03%69.32%69.30%68.48%70.76%70.16%Numerator events by admin data in eligible populationData ElementsData Collection MethodologyEligible Member PopulationMeasurement YearRecords Excluded because of Valid Data ErrorsRecords Added from the Oversample ListFinal sample size (FSS)Numerator events by admin data in FSSNumber of employee/dependent medical records excludedCurrent Year's Admin RateMinimum Required Sample SizeOversampling RateAdministrative rate on FSSDe
72 nominatorUpper 95% Confidence IntervalLo
nominatorUpper 95% Confidence IntervalLower 95% Confidence IntervalReported RateNumerator Events by Admin DataNumerator Events by Medical Record HEDIS 2011 (Reporting Year 2010)Page 74 Use of ServicesMedicaData Last Refreshed:Oct 24, 2011 9:04 AMAdolescent Well-Care Visits CommercialMHCP-MC201020104117016585NRNRNRNR14080627734.20%37.85%33.74%37.11%34.66%38.59%Upper 95% Confidence IntervalLower 95% Confidence IntervalReported RateAdministrative rate on FSSNumerator Events by Medical RecordNumerator Events by Admin DataNumerator events by admin data in FSSDenominatorRecords Added from the Oversample ListNumber of employee/dependent medical records excludedNumerator events by admin data in eligible populationMinimum Required Sample SizeData ElementsData Collection MethodologyEligible Member Populati
73 onMeasurement YearFinal sample size (FSS
onMeasurement YearFinal sample size (FSS)Records Excluded because of Valid Data ErrorsCurrent Year's Admin RateOversampling Rate HEDIS 2011 (Reporting Year 2010)Page 75 Use of ServicesMedicaData Last Refreshed:Oct 24, 2011 9:04 AMAmbulatory Care CommercialAgeMember Months1-910-1920-4445-6465-7475-84Unknown Outpatient Visits (Excludes MH/CD)Emergency Room VisitsAgeVisitsVisits41746838.32147429.601-9141415286.62727814.7510-19130324220.39707911.9720-44389085241.921934412.0345-64455098335.581375810.1465-7428054524.1067212.5575-843905734.5711922.391011870.804337.04Unknown1190638286.284976711.97Visits/ 1,000 Member MonthsVisits/ 1,000 Member MonthsTotal Total HEDIS 2011 (Reporting Year 2010)Page 76 Use of ServicesMedicaData Last Refreshed:Oct 24, 2011 9:04 AMAmbulatory Care Medicare AdvantageAg
74 eMember Months1-910-1920-4445-6465-7475-
eMember Months1-910-1920-4445-6465-7475-84Unknown Outpatient Visits (Excludes MH/CD)Emergency Room VisitsAgeVisitsVisitsNRNR1-9NRNR10-19NRNR20-44NRNR45-64NRNR65-74NRNR75-84NRNRNRNRUnknownNRNRNRNRTotalVisits/ 1,000 Member MonthsVisits/ 1,000 Member MonthsTotal HEDIS 2011 (Reporting Year 2010)Page 77 Use of ServicesMedicaData Last Refreshed:Oct 24, 2011 9:04 AMAmbulatory Care MSHOAgeMember Months1-910-1920-4445-6465-7475-84Unknown Outpatient Visits (Excludes MH/CD)Emergency Room VisitsAgeVisitsVisits0NA0NA1-90NA0NA10-190NA0NA20-440NA0NA45-644800.0000.0065-7432425867.74173246.3575-8430783833.93136136.8727762757.76116031.66Unknown90974820.16425338.34TotalTotal Visits/ 1,000 Member MonthsVisits/ 1,000 Member Months HEDIS 2011 (Reporting Year 2010)Page 78 Use of ServicesMedicaData Last
75 Refreshed:Oct 24, 2011 9:04 AMAmbulator
Refreshed:Oct 24, 2011 9:04 AMAmbulatory Care SNBCAgeMember Months1-910-1920-4445-6465-7475-84Unknown Outpatient Visits (Excludes MH/CD)Emergency Room VisitsAgeVisitsVisits0NA0NA1-90NA0NA10-1941401.96988.2420-445879777.95854113.0145-6495971025.2179985.3565-74110880.00972.0075-840NA0NA0NA0NAUnknown15627911.46167197.46Total Visits/ 1,000 Member MonthsVisits/ 1,000 Member MonthsTotal HEDIS 2011 (Reporting Year 2010)Page 79 Use of ServicesMedicaData Last Refreshed:Oct 24, 2011 9:04 AMAmbulatory Care Minnesota Health Care Programs - Managed Care (MHCP-MC)AgeMember Months1-910-1920-4445-6465-7475-84Unknown Outpatient Visits (Excludes MH/CD)Emergency Room VisitsAgeVisitsVisits66343785.57835798.961-9167282321.992555249.1810-1995595259.591399938.0120-44241044474.653891576.6345-6498587569.
76 91708140.9365-74180542.17412.0575-843313
91708140.9365-74180542.17412.0575-84331320.0000.000NA0NAUnknown669064404.659390856.80TotalTotal Visits/ 1,000 Member MonthsVisits/ 1,000 Member Months HEDIS 2011 (Reporting Year 2010)Page 80 Use of ServicesMedicaData Last Refreshed:Oct 24, 2011 9:04 AMInpatient Utilization - General Hospital/Acute Care CommercialAgeMember Months1-910-1920-4445-6465-7475-84UnknownAgeDischargesDaysTotal Inpatient3216.45131026.314.081-95791.1715703.182.7110-197931.3425544.323.2220-4477724.832207113.722.8445-6475035.532920821.543.8965-7466612.44327061.094.9175-8410018.8142079.014.204236.18164141.263.90Unknown00NA177764.276056714.563.41Medicine2585.1882216.513.191-93870.788751.772.2610-193440.589481.602.7620-4413020.8133802.102.6045-6428962.1493936.933.2465-742855.32117121.884.1175-845610.5320839.133.712824.129279.243
77 .29Unknown00NA55561.34168894.063.04Surge
.29Unknown00NA55561.34168894.063.04Surgery621.254869.767.841-91920.396951.413.6210-193430.5813372.263.9020-4419321.2067094.173.4745-6445773.381973014.554.3165-743807.10209639.165.5275-84448.2821239.884.821412.067262.025.14Unknown00NA75441.81313377.534.15Maternity10-191060.182690.452.5420-4445372.82119787.452.6445-64290.02650.052.24Unknown00NA46721.31123123.462.64Discharges / 1,000 Member MonthsTotalTotalTotal TotalTotalDays / 1,000 Member MonthsAverage Length of Stay HEDIS 2011 (Reporting Year 2010)Page 81 Use of ServicesMedicaData Last Refreshed:Oct 24, 2011 9:04 AMInpatient Utilization - General Hospital/Acute Care Medicare AdvantageAgeMember Months1-910-1920-4445-6465-7475-84UnknownAgeDischargesDaysTotal InpatientNRNRNR1-9NRNRNR10-19NRNRNR20-44NRNRNR45-64NRNRNR65-74NRNRNR75-84NRNRNRNRNRNRUnkno
78 wnNRNRNRNRNRMedicineNRNRNR1-9NRNRNR10-19
wnNRNRNRNRNRMedicineNRNRNR1-9NRNRNR10-19NRNRNR20-44NRNRNR45-64NRNRNR65-74NRNRNR75-84NRNRNRNRNRNRUnknownNRNRNRNRNRSurgeryNRNRNR1-9NRNRNR10-19NRNRNR20-44NRNRNR45-64NRNRNR65-74NRNRNR75-84NRNRNRNRNRNRUnknownNRNRNRNRNRMaternity10-19NRNRNR20-44NRNRNR45-64NRNRNRUnknownNRNRNRNRNRTotalTotalTotal Discharges / 1,000 Member MonthsTotalTotalAverage Length of StayDays / 1,000 Member Months HEDIS 2011 (Reporting Year 2010)Page 82 Use of ServicesMedicaData Last Refreshed:Oct 24, 2011 9:04 AMInpatient Utilization - General Hospital/Acute Care MSHOAgeMember Months1-910-1920-4445-6465-7475-84UnknownAgeDischargesDaysTotal Inpatient0NA0NANA1-90NA0NANA10-190NA0NANA20-440NA0NANA45-6400.0000.00NA65-74123132.946191165.685.0375-84147039.826876186.284.68126134.425380146.854.27Unknown00NA396235.7218447166.314.66Medicine0NA0
79 NANA1-90NA0NANA10-190NA0NANA20-440NA0NAN
NANA1-90NA0NANA10-190NA0NANA20-440NA0NANA45-6400.0000.00NA65-7484122.51352194.234.1975-84108729.454387118.854.04105028.664107112.103.91Unknown00NA297826.8512015108.324.03Surgery0NA0NANA1-90NA0NANA10-190NA0NANA20-440NA0NANA45-6400.0000.00NA65-7438910.41266771.376.8675-8438210.35248867.406.512105.73127134.696.05Unknown00NA9818.84642657.936.55Maternity10-190NA0NANA20-440NA0NANA45-6400.0000.00NAUnknown00NA00.0000.00NATotalTotalTotal TotalDischarges / 1,000 Member MonthsTotalDays / 1,000 Member MonthsAverage Length of Stay HEDIS 2011 (Reporting Year 2010)Page 83 Use of ServicesMedicaData Last Refreshed:Oct 24, 2011 9:04 AMInpatient Utilization - General Hospital/Acute Care SNBCAgeMember Months1-910-1920-4445-6465-7475-84UnknownAgeDischargesDaysTotal Inpatient0NA0NANA1-90NA0NANA10-19329.4120196.086.672
80 0-4415119.9867589.324.4745-6431333.44134
0-4415119.9867589.324.4745-6431333.441345143.684.3065-74432.0056448.0014.0075-840NA0NANA0NA0NANAUnknown00NA47127.472096122.254.45Medicine0NA0NANA1-90NA0NANA10-1919.80219.612.0020-448911.7835346.713.9745-6420221.5871576.383.5465-74216.00432.002.0075-840NA0NANA0NA0NANAUnknown00NA29417.15107462.643.65Surgery0NA0NANA1-90NA0NANA10-19219.6118176.479.0020-44516.7529939.575.8645-6411111.8663067.305.6865-74216.0052416.0026.0075-840NA0NANA0NA0NANAUnknown00NA1669.6899958.276.02Maternity10-1900.0000.00NA20-44111.46233.042.0945-6400.0000.00NAUnknown00NA110.65231.352.09Total TotalTotalDischarges / 1,000 Member MonthsDays / 1,000 Member MonthsAverage Length of StayTotalTotal HEDIS 2011 (Reporting Year 2010)Page 84 Use of ServicesMedicaData Last Refreshed:Oct 24, 2011 9:04 AMInpatient Utilization - General Hospi
81 tal/Acute Care Minnesota Health Care Pro
tal/Acute Care Minnesota Health Care Programs - Managed Care (MHCP-MC)AgeMember Months1-910-1920-4445-6465-7475-84UnknownAgeDischargesDaysTotal Inpatient8269.78378244.784.581-910281.9831065.983.0210-1913223.59379310.302.8720-44863417.002315245.592.6845-64189710.97691339.963.6465-74515.061236.142.4075-843120.0019760.006.330NA0NANAUnknown00NA137158.294077724.662.97Medicine6958.23219425.983.161-97831.5118903.642.4110-193320.908302.252.5020-4414122.7837127.312.6345-648815.09257714.902.9365-74515.061236.142.4075-84280.0010400.005.000NA0NANAUnknown00NA41102.49112256.792.73Surgery1291.53158518.7712.291-92450.4712162.344.9610-192300.629462.574.1120-4414722.9046399.133.1545-649985.77429224.814.3065-7400.0000.00NA75-84140.009360.009.000NA0NANAUnknown00NA30751.86126877.674.13Maternity10-197592.0620075.452.6
82 420-44575011.321480129.152.5745-64180.10
420-44575011.321480129.152.5745-64180.10440.252.44Unknown00NA65276.221685216.062.58TotalAverage Length of StayTotalTotal Discharges / 1,000 Member MonthsDays / 1,000 Member MonthsTotalTotal HEDIS 2011 (Reporting Year 2010)Page 85 Use of ServicesMedicaData Last Refreshed:Oct 24, 2011 9:04 AMIdentification of Alcohol and Other Drug Services CommercialAge MaleFemaleMaleFemaleMaleFemaleMaleFemale0-1236441935243271685136441935243271685136441935243271685136441935243271685113-1715274114549829823915274114549829823915274114549829823915274114549829823918-2420088919633339722220088919633339722220088919633339722220088919633339722225-3431898231510063408231898231510063408231898231510063408231898231510063408235-641015979103622320522021015979103622320522021015979103622320522021015979103622320522023345126554600053
83 3451265546000533451265546000533451265546
34512655460005334512655460005334512655460005Unknown208646120721404158601208646120721404158601208646120721404158601208646120721404158601AgeSexNumberNumberNumberNumber80.03%20.01%00.00%60.02%50.02%20.01%00.00%40.01%130.02%40.01%00.00%100.02%2211.74%330.26%250.20%2171.70%1641.35%500.41%260.21%1551.28%3851.55%830.33%510.21%3721.50%6393.82%1200.72%440.26%6153.67%3181.94%590.36%220.13%3121.91%9572.89%1790.54%660.20%9272.80%6792.55%1090.41%610.23%6562.47%3311.26%550.21%220.08%3221.23%10101.91%1640.31%830.16%9781.85%18112.14%4390.52%1160.14%17262.04%10771.25%2750.32%660.08%10261.19%28881.69%7140.42%1820.11%27521.61%431.54%180.65%10.04%381.36%200.90%110.50%30.14%170.77%631.26%290.58%40.08%551.10%0NA0NA0NA0NA0NA0NA0NA0NA0NA0NA0NA0NA34011.96%7210.41%2470.14%32581.87%19151.11%4520.26%1390.08%18361.06%53161.5
84 3%11730.34%3860.11%50941.47%PercentPerce
3%11730.34%3860.11%50941.47%PercentPercentUnknown18-24TotalTotalTotalTotal35-64Member Months(Intensive Outpatient/Partial Hospitalization)Member Months(Outpatient/ED)Outpatient/EDIntensive Outpatient/Partial HospitalizationTotalTotalMember Months(Inpatient)Total0-12PercentPercentTotalInpatientTotalAny ServicesTotalMember Months(Any)13-17TotalTotal25-34TotalTotal HEDIS 2011 (Reporting Year 2010)Page 86 Use of ServicesMedicaData Last Refreshed:Oct 24, 2011 9:04 AMIdentification of Alcohol and Other Drug Services Medicare AdvantageAge MaleFemaleMaleFemaleMaleFemaleMaleFemale0-12NRNRNRNR13-17NRNRNRNR18-24NRNRNRNR25-34NRNRNRNR35-64NRNRNRNRNRNRNRNRUnknownNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRAgeSexNumberNumberNumberNumberNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNR
85 NRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNR
NRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRTotalUnknownTotalTotalMTotal18-24Total25-34Total35-64Member Months(Inpatient)TotalTotalInpatientPercentTotal13-17TotalTotalAny ServicesPercentMember Months(Any)TotalPercentOutpatient/EDPercentTotalMember Months(Outpatient/ED)TotalMember Months(Intensive Outpatient/Partial Hospitalization)Intensive Outpatient/Partial Hospitalization0-12 HEDIS 2011 (Reporting Year 2010)Page 87 Use of ServicesMedicaData Last Refreshed:Oct 24, 2011 9:04 AMIdentification of Alcohol and Other Drug Services MSHOAge MaleFemaleMaleFemaleMaleFemaleMaleFemale0-1213-1718-2425-3435-6427587731621007492758773162100749275877316210074927587731621007
86 49Unknown2758773166100753275877316610075
49Unknown2758773166100753275877316610075327587731661007532758773166100753AgeSexNumberNumberNumberNumber0NA0NA0NA0NA0NA0NA0NA0NA0NA0NA0NA0NA0NA0NA0NA0NA0NA0NA0NA0NA0NA0NA0NA0NA0NA0NA0NA0NA0NA0NA0NA0NA0NA0NA0NA0NA0NA0NA0NA0NA0NA0NA0NA0NA0NA0NA0NA0NA0NA0NA0NA0NA00.00%00.00%00.00%00.00%00.00%00.00%00.00%00.00%1536.66%672.91%20.09%1325.74%1201.97%661.08%50.08%1041.71%2733.25%1331.58%70.08%2362.81%0NA0NA0NA0NA0NA0NA0NA0NA0NA0NA0NA0NA1536.66%672.91%20.09%1325.74%1201.97%661.08%50.08%1041.71%2733.25%1331.58%70.08%2362.81%25-34Total35-64TotalUnknownTotalTotalMTotalMember Months(Any)Total0-12Total13-17PercentTotal18-24TotalAny ServicesTotalTotalTotalPercentPercentMember Months(Inpatient)Member Months(Intensive Outpatient/Partial Hospitalization)Member Months(Outpatient/ED)InpatientIntensive Outpatient/Part
87 ial HospitalizationOutpatient/EDPercentT
ial HospitalizationOutpatient/EDPercentTotalTotal HEDIS 2011 (Reporting Year 2010)Page 88 Use of ServicesMedicaData Last Refreshed:Oct 24, 2011 9:04 AMIdentification of Alcohol and Other Drug Services SNBCAge MaleFemaleMaleFemaleMaleFemaleMaleFemale0-1213-1718-24709705141470970514147097051414709705141425-3414011548294914011548294914011548294914011548294935-6448477809126564847780912656484778091265648477809126563491125349112534911253491125Unknown69921015317145699210153171456992101531714569921015317145AgeSexNumberNumberNumberNumber0NA0NA0NA0NA0NA0NA0NA0NA0NA0NA0NA0NA00.00%00.00%00.00%00.00%0NA0NA0NA0NA00.00%00.00%00.00%00.00%1118.62%58.46%11.69%1118.62%1423.83%58.51%11.70%1322.13%2521.22%108.49%21.70%2420.37%3630.84%1311.13%32.57%3630.84%3224.81%129.30%64.65%3124.03%6827.67%2510.17%93.66%6727.26%133
88 32.93%399.66%92.23%12831.69%14822.74%507
32.93%399.66%92.23%12831.69%14822.74%507.68%172.61%14121.67%28126.64%898.44%262.47%26925.51%135.29%00.00%00.00%135.29%00.00%00.00%00.00%00.00%19.60%00.00%00.00%19.60%0NA0NA0NA0NA0NA0NA0NA0NA0NA0NA0NA0NA18131.06%579.78%132.23%17630.21%19422.93%677.92%242.84%18521.87%37526.25%1248.68%372.59%36125.27%TotalMTotal35-64TotalUnknownTotalTotal25-34Total13-17Member Months(Inpatient)Total0-12PercentPercentAny ServicesPercentTotalInpatientPercentTotalTotalTotalTotalIntensive Outpatient/Partial HospitalizationOutpatient/EDMember Months(Intensive Outpatient/Partial Hospitalization)Member Months(Outpatient/ED)TotalTotal18-24Member Months(Any) HEDIS 2011 (Reporting Year 2010)Page 89 Use of ServicesMedicaData Last Refreshed:Oct 24, 2011 9:04 AMIdentification of Alcohol and Other Drug Services Minnesota Health Ca
89 re Programs - Managed Care (MHCP-MC)Age
re Programs - Managed Care (MHCP-MC)Age MaleFemaleMaleFemaleMaleFemaleMaleFemale0-1236764536268173032636764536268173032636764536268173032636764536268173032613-17887309210318083388730921031808338873092103180833887309210318083318-246354411745118099563544117451180995635441174511809956354411745118099525-346670116232622902766701162326229027667011623262290276670116232622902735-64131056200826331882131056200826331882131056200826331882131056200826331882173184357173184357173184357173184357Unknown7178499355711653420717849935571165342071784993557116534207178499355711653420AgeSexNumberNumberNumberNumber210.07%40.01%20.01%180.06%130.04%50.02%30.01%110.04%340.06%90.01%50.01%290.05%4425.98%690.93%861.16%4205.68%2843.70%851.11%480.63%2673.48%7264.82%1541.02%1340.89%6874.56%83215.71%1402.64%1011.91%79314.98%8428.6
90 0%1701.74%940.96%7868.03%167411.10%3102.
0%1701.74%940.96%7868.03%167411.10%3102.06%1951.29%157910.47%130423.46%1813.26%1612.90%124022.31%175612.98%3762.78%1781.32%166812.33%306016.03%5572.92%3391.78%290815.24%234521.47%4293.93%2111.93%224020.51%198311.85%3992.38%2071.24%189211.31%432815.65%8282.99%4181.51%413214.94%00.00%00.00%00.00%00.00%00.00%00.00%00.00%00.00%00.00%00.00%00.00%00.00%0NA0NA0NA0NA0NA0NA0NA0NA0NA0NA0NA0NA49448.26%8231.38%5610.94%47117.88%48786.26%10351.33%5300.68%46245.93%98227.13%18581.35%10910.79%93356.78%TotalTotalTotalTotalMember Months(Intensive Outpatient/Partial Hospitalization)Member Months(Outpatient/ED)Member Months(Inpatient)PercentInpatientAny ServicesPercentTotalMember Months(Any)18-24TotalTotal13-17TotalTotal0-12Outpatient/ED35-64Total25-34TotalPercentIntensive Outpatient/Partial HospitalizationPercentUnk
91 nownTotalTotalMTotal HEDIS 2011 (Reporti
nownTotalTotalMTotal HEDIS 2011 (Reporting Year 2010)Page 90 Use of ServicesMedicaData Last Refreshed:Oct 24, 2011 9:04 AMMental Health Utilization - % of Members Receivin In p atient Da y /Ni ht and Ambulator y Services CommercialAge MaleFemaleMaleFemaleMaleFemaleMaleFemale0-1236441935243271685136441935243271685136441935243271685136441935243271685113-1715274114549829823915274114549829823915274114549829823915274114549829823918-64153585015476563083506153585015476563083506153585015476563083506153585015476563083506334512655460005334512655460005334512655460005334512655460005Unknown000000000000208646120721404158601208646120721404158601208646120721404158601208646120721404158601Age SexNumberNumberNumberNumber22317.35%350.12%1150.38%22267.33%13324.54%160.05%720.25%13314.53%35635.96%510.09%1870.31%3557
92 5.95%163712.86%780.61%1381.08%163112.81%
5.95%163712.86%780.61%1381.08%163112.81%174614.40%1581.30%1831.51%174314.38%338313.61%2360.95%3211.29%337413.58%88186.89%2970.23%3120.24%87976.87%1516211.76%3660.28%6370.49%1514511.74%239809.33%6630.26%9490.37%239429.32%1254.48%70.25%20.07%1224.38%1305.87%50.23%10.05%1305.87%2555.10%120.24%30.06%2525.04%0NA0NA0NA0NA0NA0NA0NA0NA0NA0NA0NA0NA128117.37%4170.24%5670.33%127767.35%1837010.64%5450.32%8930.52%1834910.63%311819.00%9620.28%14600.42%311258.98%TotalTotalUnknownTotal18-64PercentAny ServicesTotalTotalTotalTotal13-17Member Months(Any)TotalTotal0-12Member Months(Intensive Outpatient/Partial Hospitalization)Member Months(Outpatient/ED)TotalTotalPercentPercentMember Months(Inpatient)InpatientTotalIntensive Outpatient/Partial HospitalizationOutpatient/EDPercent HEDIS 2011 (Reporting Year 2010)Page 9
93 1 Use of ServicesMedicaData Last Refresh
1 Use of ServicesMedicaData Last Refreshed:Oct 24, 2011 9:04 AMMental Health Utilization - % of Members Receivin In p atient Da y /Ni ht and Ambulator y Services Medicare AdvantageAge MaleFemaleMaleFemaleMaleFemaleMaleFemale0-12NRNRNRNR13-17NRNRNRNR18-64NRNRNRNRNRNRNRNRUnknownNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRAge SexNumberNumberNumberNumberNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRTotal18-6413-17PercentMember Months(Outpatient/ED)InpatientPercentPercentTotalAny ServicesTotalTotalTotal0-12TotalMember Months(Inpatient)Member Months(Any)PercentTotalTotalTotalUnknownTotalMember Months(Intensive Outpatient/Partial Hospitalization)Intensi
94 ve Outpatient/Partial HospitalizationTot
ve Outpatient/Partial HospitalizationTotalTotalOutpatient/ED HEDIS 2011 (Reporting Year 2010)Page 92 Use of ServicesMedicaData Last Refreshed:Oct 24, 2011 9:04 AMMental Health Utilization - % of Members Receivin In p atient Da y /Ni ht and Ambulator y Services MSHOAge MaleFemaleMaleFemaleMaleFemaleMaleFemale0-1200000000000013-1700000000000018-640440440440442758773162100749275877316210074927587731621007492758773162100749Unknown0000000000002758773166100753275877316610075327587731661007532758773166100753Age SexNumberNumberNumberNumber0NA0NA0NA0NA0NA0NA0NA0NA0NA0NA0NA0NA0NA0NA0NA0NA0NA0NA0NA0NA0NA0NA0NA0NA0NA0NA0NA0NA1300.00%00.00%1300.00%1300.00%1300.00%00.00%1300.00%1300.00%41818.18%1054.57%311.35%34915.18%110718.16%2974.87%741.21%90914.91%152518.16%4024.79%1051.25%125814.98%0NA0NA0NA0NA0NA0NA0N
95 A0NA0NA0NA0NA0NA41818.18%1054.57%311.35%
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96 known00000000000069921015317145699210153
known00000000000069921015317145699210153171456992101531714569921015317145Age SexNumberNumberNumberNumber0NA0NA0NA0NA0NA0NA0NA0NA0NA0NA0NA0NA11200.00%00.00%00.00%11200.00%0NA0NA0NA0NA11200.00%00.00%00.00%11200.00%50286.59%6110.52%437.42%49986.07%75489.92%8710.38%11713.95%75189.56%125688.56%14810.44%16011.28%125088.14%135.29%00.00%00.00%135.29%8105.49%00.00%00.00%8105.49%986.40%00.00%00.00%986.40%0NA0NA0NA0NA0NA0NA0NA0NA0NA0NA0NA0NA50486.50%6110.47%437.38%50185.98%76290.06%8710.28%11713.83%75989.71%126688.61%14810.36%16011.20%126088.19%UnknownTotalPercentTotalPercentTotalMTotal18-6413-17PercentAny ServicesInpatientIntensive Outpatient/Partial HospitalizationTotalTotalTotalOutpatient/EDMember Months(Outpatient/ED)Member Months(Any)Member Months(Inpatient)Member Months(Intensive Outpatient/Partial Ho
97 spitalization)TotalTotalTotal0-12TotalPe
spitalization)TotalTotalTotal0-12TotalPercentTotal HEDIS 2011 (Reporting Year 2010)Page 94 Use of ServicesMedicaData Last Refreshed:Oct 24, 2011 9:04 AMMental Health Utilization - % of Members Receivin In p atient Da y /Ni ht and Ambulator y Services Minnesota Health Care Programs - Managed Care(MHCP-MC)Age MaleFemaleMaleFemaleMaleFemaleMaleFemale0-1236764536268173032636764536268173032636764536268173032636764536268173032613-17887309210318083388730921031808338873092103180833887309210318083318-64261301480603741904261301480603741904261301480603741904261301480603741904173184357173184357173184357173184357Unknown0000000000007178499355711653420717849935571165342071784993557116534207178499355711653420Age SexNumberNumberNumberNumber393612.85%630.21%6212.03%392212.80%26258.69%390.13%3701.22%26228.68%656
98 110.78%1020.17%9911.63%654410.75%172123.
110.78%1020.17%9911.63%654410.75%172123.28%1121.51%3274.42%171123.14%185724.19%1922.50%3144.09%185324.14%357823.74%3042.02%6414.25%356423.65%565125.95%3641.67%7803.58%562925.85%1258431.42%5571.39%16984.24%1255731.35%1823529.49%9211.49%24784.01%1818629.42%00.00%00.00%00.00%00.00%00.00%00.00%00.00%00.00%00.00%00.00%00.00%00.00%0NA0NA0NA0NA0NA0NA0NA0NA0NA0NA0NA0NA1130818.90%5390.90%17282.89%1126218.83%1706621.89%7881.01%23823.06%1703221.85%2837420.59%13270.96%41102.98%2829420.53%Member Months(Intensive Outpatient/Partial Hospitalization)TotalMTotal0-12TotalUnknown18-64TotalTotalOutpatient/EDPercentPercentPercentMember Months(Outpatient/ED)TotalTotalMember Months(Any)TotalTotalPercentMember Months(Inpatient)Any Services13-17TotalIntensive Outpatient/Partial HospitalizationTotalTotalInpatient HEDIS 20
99 11 (Reporting Year 2010)Page 95 Health P
11 (Reporting Year 2010)Page 95 Health Plan Descriptive InformationMedicaData Last Refreshed:Oct 24, 2011 9:04 AMBoard Certification NumberFamily Medicine116475164.52%Internal Medicine54840273.36%371540.54%1579114872.70%Active Board CertificationPercentType of PhysicianNumber of Physicians in Each Practice Area HEDIS 2011 (Reporting Year 2010) Health Plan Descriptive InformationMedicaData Last Refreshed:Oct 24, 2011 9:04 AMBoard Certification NumberFamily Medicine116475164.52%Internal Medicine54840273.36%371540.54%1579114872.70%Type of PhysicianNumber of Physicians in Each Practice AreaActive Board CertificationPercent HEDIS 2011 (Reporting Year 2010) Health Plan Descriptive InformationMedicaData Last Refreshed:Oct 24, 2011 9:04 AMEnrollment by Product Line (Age & Sex) CommercialMaleFemale2520624
100 5911092481056511409421375431491751417799
59110924810565114094213754314917514177992636883946112858230578335556188113452327.72%26.84%27.28%139764138112151226153470167778161653165938164667182186183516806892801418160831038.67%38.67%38.67%204406207304194808198191158847165795109967116820668028688110135613832.01%33.21%32.61%23245195256571418723161593793614369474�=901571613345126554600051.60%1.28%1.44%Age Unknown20867062072270415897645-64 Subtotal: %�=65 Subtotal�=65 Subtotal: %Member Months0-19 Subtotal: %20-44 Subtotal: % HEDIS 2011 (Reporting Year 2010) Health Plan Descriptive InformationMedicaData Last Refreshed:Oct 24, 2011 9:04 AMEnrollment by Product Line (Age & Sex) Medicare AdvantageMaleFemaleNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNR�=90NRNRNRNRNRNRAge UnknownNRNRNR0-19 Subtotal: %20-44 Subtotal: %45-64 Subtotal:
101 %Member Months�=65 Subtotal�
%Member Months�=65 Subtotal�=65 Subtotal: % HEDIS 2011 (Reporting Year 2010) Health Plan Descriptive InformationMedicaData Last Refreshed:Oct 24, 2011 9:04 AMEnrollment by Product Line (Age & Sex) MaleFemale0000.00%0.00%0.00%0000.00%0.00%0.00%0550.00%0.01%0.00%640711078716112721596912693467513576354214128�=902418165493017280745110917100.00%99.99%100.00%Age Unknown3017280750110922Member Months0-19 Subtotal: %�=65 Subtotal�=65 Subtotal: %20-44 Subtotal: %45-64 Subtotal: % HEDIS 2011 (Reporting Year 2010) Health Plan Descriptive InformationMedicaData Last Refreshed:Oct 24, 2011 9:04 AMEnrollment by Product Line (Age & Sex) MaleFemale594260421020.86%0.41%0.59%650663800698601850562835703119533164241755747.43%41.77%44.08%1105153510951711912156447096935825779936151.23
102 %56.92%54.60%3491�=9034911250.49%
%56.92%54.60%3491�=9034911250.49%0.90%0.73%Age Unknown69921015317145Member Months0-19 Subtotal: %�=65 Subtotal: %20-44 Subtotal: %45-64 Subtotal: %�=65 Subtotal HEDIS 2011 (Reporting Year 2010) Health Plan Descriptive InformationMedicaData Last Refreshed:Oct 24, 2011 9:04 AMEnrollment by Product Line (Age & Sex) Minnesota Health Care Programs - Managed Care (MHCP-MC)MaleFemale4247241980132986127713130109128720990471021125176154259280453303548442048781997223967.48%52.14%58.80%3549984416337298995432972723722951657799279874359315970334813450783722.25%37.21%30.71%271213731122464286791463319023933514421735539943417298710.25%10.63%10.46%1261463426412�=901731843570.02%0.02%0.02%Age Unknown7178499355711653420Member Months0-19 Subtotal: %�=65 Subtotal: %20-44 Subtotal: %