eQARR - An Online Report on Quality Performance Results for Health Plans in New York State

  • Select a Payer, Domain, Sub-Domain and Year from the dropdown lists below and click the Produce Visualization button to display the Plan Rates for Measures within your selected grouping.
  • The options listed in each box depend on the boxes preceding them such that selections made will change the listings in the boxes to their right.
  • You can change the data display format by selecting any of the radio buttons: Bar Chart, Table, or ScatterPlot.
  • You can also click the up/down arrow icon in the headings for each column in the table to sort the table display ascending/descending by that column.

Symbols are provided to indicate whether the plan performed significantly better (Significantly Better than the Statewide Average), significantly worse (Significantly worse than Statewide Average), or the same as the statewide average.

Overview

Managed care plans provide health services to millions of New Yorkers. Choosing a health plan that meets your needs and the needs of your family is an important decision. The New York State Managed Care Plan Performance Report is designed to help you make an informed decision by providing you with clear, easy-to-read information on primary and preventive health visits, access to health care, and medical management of select chronic diseases. Information from a consumer satisfaction survey tells you what consumers think of their managed care plan and the quality of the services they received over the last year. Health plans are required to have their information validated by an independent auditor prior to sending it to the Department. Only valid information is published in this report. Information on six types of insurance is included: commercial HMO, commercial PPO, Medicaid, HIV Special Needs Plan (SNP), Health and Recovery Plan (HARP), and Child Health Plus. Child Health Plus is New York State's version of the federal State Children's Health Insurance Program, and children up to age 19 are qualified. Beginning in 2014, Child Health Plus data is reported in combination with Medicaid Managed Care data.

Managed care plans that were in operation during the entire measurement year were required to report data. This report provides information on the managed care plans currently enrolling members in New York State, all of which report data on one or more product lines, depending on their business lines in New York State. Please note when you are reviewing this report that not all health plans serve commercial, Medicaid and/or Child Health Plus enrollees in every region of the state. To determine which managed care plans participate in your area please see our Managed Care Regional Consumer Guides.

This report lists the health plans currently enrolling members in New York State, the regions of the state they currently serve and whether they also enroll Medicaid or Child Health Plus members, along with other important information. There are important things to consider when choosing a managed care plan. Does your current doctor participate in the plan? Does the plan enroll members in your county of residence? Does the plan offer special services that will enhance the health of your family? Talk to your friends, family, coworkers and health care providers before making your choice.

This report is divided into the following sections:

  • Information on Health Plans Serving New York State Residents
  • Provider Network
  • Child and Adolescent Care
  • Women’s Health
  • Adult Health
  • Behavioral Health
  • Satisfaction With Care

Each section contains groups of quality performance measures with results for each plan and the statewide average.

Additional Information and Resources

Please contact us at:

Bureau of Quality Measurement and Evaluation
Office of Quality and Patient Safety
New York State Department of Health
Corning Tower, Room 1938
Empire State Plaza
Albany, New York 12237
Telephone: 518-486-9012
Fax: 518-486-6098
Email: nysqarr@health.ny.gov

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