Quality Assurance Reporting Requirements (QARR) Health Disparities 2021

This dataset includes Medicaid Managed Care, Commercial HMO, and Commercial PPO performance data from the Quality Assurance Reporting Requirements (QARR) by member demographic characteristics. QARR is largely based on measures of quality developed and published by the National Committee for Quality Assurance (NCQA) Healthcare Effectiveness Data and Information Set (HEDIS®). Plans are required to submit quality performance data each year. Demographic information analyzed in this report includes members’ sex, age, race/ethnicity, Medicaid aid category, cash assistance status, behavioral health conditions including serious mental illness (SMI) and substance use disorder (SUD), payer status, and region of residence. Measuring the quality of care, and the ability to measure disparities in care is an important first step to a better understanding of the underlying factors that drive differences in care among certain populations within Medicaid Managed Care, Commercial HMO, and Commercial PPO.

These data are published annually for Medicaid Managed Care in the Health Care Disparities in New York State Report and on the NYSDOH web site: http://www.health.ny.gov/health_care/managed_care/reports/quality_performance_improvement.htm#link6

本数据集收录了来自质量保证报告要求（QARR）的Medicaid管理护理、商业健康维护组织（HMO）和商业保险优先提供组织（PPO）的性能数据，这些数据基于成员人口统计学特征。QARR主要基于国家质量保证委员会（NCQA）发布的高效医疗数据和信息集（HEDIS®）所制定的质量指标。各计划每年须提交质量绩效数据。本报告中分析的人口统计学信息包括成员的性别、年龄、种族/民族、Medicaid援助类别、现金援助状态、行为健康状况（包括严重精神疾病（SMI）和物质使用障碍（SUD））、支付者状态和居住地区。衡量护理质量以及衡量护理差异的能力是更好地理解驱动Medicaid管理护理、商业HMO和商业PPO中某些人群护理差异的潜在因素的重要第一步。这些数据每年均会发布，用于纽约州医疗保健差异报告，并在纽约州卫生部门网站发布：http://www.health.ny.gov/health_care/managed_care/reports/quality_performance_improvement.htm#link6