Arizona Health Care Performance Report
Discover the detailed results and goals of Arizona's health care providers in various categories such as acute care, mental health services, and long-term care for the CYE16 period. Explore the progress towards meeting targets and delivering quality health care across the state.
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Presentation Transcript
E-Rx CYE16 Results Cynthia Layne July 12, 2017
Calculation Goals: Acute 60%; Maricopa County RBHA 70%; CMDP, CRS and DDD 65%; ALTCS/EPD 40% (Goal Prior Year Baseline) * 20% = Requirement Prior Year Baseline + Requirement = Target Peak Quarter results >= Target Reaching across Arizona to provide comprehensive quality health care for those in need 2
Acute E- Rx Results CYE16 Contractor's Peak Quarter by Line of Business CYE 15 Baseline Origin Code 3 Peak Quarter Increase Over (Under) Target CYE 16 Baseline Origin Code 3 Health Plan Target % Acute 45.2% 49.1% CARE 1ST ARIZONA 45.2% 48.2% 51.3% 3.1% 49.1% HEALTH CHOICE AZ 43.8% 47.0% 46.7% -0.4% 45.2% HEALTH NET ACCESS 42.3% 45.8% 50.7% 4.9% 48.3% MARICOPA HEALTH PLAN 43.7% 46.9% 49.9% 3.0% 47.4% MERCY CARE PLAN 42.8% 46.2% 46.4% 0.2% 45.6% PHOENIX HEALTH PLAN 45.1% 48.1% 50.7% 2.6% 49.4% UNITED HEALTHCARE 48.0% 50.4% 54.5% 4.1% 52.8% UNIVERSITY FAMILY CARE 49.8% 51.8% 57.7% 5.9% 55.4% Reaching across Arizona to provide comprehensive quality health care for those in need 3
CMDP and CRS CYE16 Rx Results CYE 15 Baseline Origin Code 3 Contractor's Peak Quarter by Line of Business Peak Quarter Increase Over (Under) Target CYE 16 Baseline Origin Code 3 Health Plan Target % DCS/CMDP 50.2% 53.1% 56.0% 2.8% 55.1% 57.0% CRS 49.0% CRS FULLY INTEGRATED 49.0% 52.2% 59.0% 6.8% 56.7% CRS ONLY 23.4% 31.7% 39.7% 8.0% 33.8% CRS PARTIAL ACUTE 28.8% 36.0% 50.0% 14.0% 41.2% CRS PARTIAL BH 50.1% 53.1% 60.9% 7.8% 59.3% Reaching across Arizona to provide comprehensive quality health care for those in need 4
DDD and ALTCS CYE16 Rx Results CYE 15 Baseline Origin Code 3 Contractor's Peak Quarter by line of Business Peak Quarter Increase Over (Under) Target CYE 16 Baseline Origin Code 3 Health Plan Target % LTC DD DES 49.6% 52.7% 58.6% 5.9% 57.5% 28.3% LTC 25.0% BRIDGEWAY - LTC 21.2% 25.0% 26.0% 1.0% 22.9% MERCY CARE PLAN - LTC 24.3% 27.5% 31.0% 3.5% 27.8% UNITED HEALTHCARE LTC 28.3% 30.6% 33.6% 2.9% 31.5% Reaching across Arizona to provide comprehensive quality health care for those in need 5
RBHA CYE16 Rx Results CYE 15 Baseline Origin Code 3 Contractor's Peak Quarter by Line of Business Peak Quarter Increase Over (Under) Target CYE 16 Baseline Origin Code 3 Health Plan Target % RBHA HCIC INTEGRATED 38.26% 44.61% 58.01% 13.4% 54.5% HEALTH CHOICE RBHA 38.26% 44.61% 66.46% 21.9% 61.6% CIC INTEGRATED 41.04% 44.61% 72.49% 27.9% 58.8% CENPATICO RBHA 38.26% 44.61% 60.11% 15.5% 55.2% MERCY/MARICOPA INTEGRATED 38.26% 46.83% 74.17% 27.3% 50.1% MERCY MARICOPA RBHA 38.26% 44.61% 53.55% 8.9% 40.5% Reaching across Arizona to provide comprehensive quality health care for those in need 6
CYE 17 E-Rx Policy will be updated to indicate CYE17 will follow the same methodology as CYE16 Reaching across Arizona to provide comprehensive quality health care for those in need 7
Questions? Reaching across Arizona to provide comprehensive quality health care for those in need 8
Thank You. Reaching across Arizona to provide comprehensive quality health care for those in need 9
