Quality Assurance Reporting Requirements (QARR) Health Disparities 2019

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.

*Due to COVID-19 impacts, measures requiring hybrid review are not included in this dataset for year 2019.

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

本数据集汇集了来自质量保证报告要求（QARR）的医疗保险管理护理、商业HMO和商业PPO绩效数据，这些数据根据成员的人口统计学特征进行分析。QARR主要基于国家质量保证委员会（NCQA）发布并由其开发的质量指标。各计划每年均需提交质量绩效数据。本报告所分析的人口统计学信息包括成员的性别、年龄、种族/民族、医疗保险援助类别、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））、支付者状态以及居住区域。衡量护理质量以及衡量护理差异的能力是深入理解导致医疗保险管理护理、商业HMO和商业PPO中特定人群护理差异的潜在因素的重要第一步。*由于COVID-19的影响，2019年的数据集中不包括需要混合审查的指标。*这些数据每年都会在纽约州健康护理差异报告中发布，并可在纽约州卫生与公众服务部网站上查阅：http://www.health.ny.gov/health_care/managed_care/reports/。