SWH 47.93% 89.29% 84.88% 99.51% 90th 95th – Tufts NR 44.48% 100% 97.00% 90th 95th – UHC 55.32% 67.99% 62.27% 76.80% 50th 66th – The chart that follows depicts Annual Monitoring for Patients on Persistent Medications (MPM). The CMS Medicare Public Use File (PUF) percentile rate is included for comparison purposes. Performance is relatively even across all plans with a difference of only half a percentage point between the highest- and lowest-performing SCO. The table, MPM Data for “Trended MassHealth SCOs,” shows that the trend line for almost all plans is flat. Exhibit 7: 2016 Annual Monitoring for Patients on Persistent Medications for all SCOs Exhibit 8: Trended MPM Data for MassHealth SCOs Linear PUF Performance Percentile 2013 2014 2015 2016 Trend Line Ranking HEDIS 95th 95.58% CCA 93.21% 94.31% 93.62% 93.36% 50th 66th – Fallon 97.38% 97.45% 96.78% 94.32% 75th 90th – MPM SWH 95.74% 92.70% 92.95% 93.88% 66th 75th – NR 97.47% 95.42% 94.84% 75th 90th – UHC 94.38% 94.14% 94.13% 94.24% 75th 90th – CMS regulations require that each managed care entity also undergo an annual Information Systems Capability Assessment. The of the review is on components of SCO information systems that contribute to performance measure production. This is to ensure that the system can collect data on enrollee and provider characteristics and on services furnished to enrollees
SWH 47.93% 89.29% 84.88% 99.51% 90th – 95th Tufts NR 44.48% 100% 97.00% 90th – 95th UHC 55.32% 67.99% 62.27% 76.80% 50th – 66th The chart that follows depicts Annual Monitoring for Patients on Persistent Medications (MPM). The CMS Medicare Public Use File (PUF) percentile rate is included for comparison purposes. Performance is relatively even across all plans with a difference of only half a percentage point between the highest- and lowest-performing SCO. The table, “Trended MPM Data for MassHealth SCOs,” shows that the trend line for almost all plans is flat. Exhibit 7: 2016 Annual Monitoring for Patients on Persistent Medications for all SCOs Exhibit 8: Trended MPM Data for MassHealth SCOs 2013 2014 2015 2016 Linear Performance Trend Line PUF Percentile Ranking MPM HEDIS 95th 95.58% CCA 93.21% 94.31% 93.62% 93.36% 50th – 66th Fallon 97.38% 97.45% 96.78% 94.32% 75th – 90th SWH 95.74% 92.70% 92.95% 93.88% 66th – 75th NR 97.47% 95.42% 94.84% 75th – 90th UHC 94.38% 94.14% 94.13% 94.24% 75th – 90th CMS regulations require that each managed care entity also undergo an annual Information Systems Capability Assessment. The of the review is on components of SCO information systems that contribute to performance measure production. This is to ensure that the system can collect data on enrollee and provider characteristics and on services furnished to enrollees