This report presents the results of the MassHealth Managed Care HEDIS 2009 project in three sections. These sections are based on the consumer report- ing domains used in health plan report cards (Staying Healthy, Living with Illness, and Use of Services). These domains group clinical and access NCQA’s to care measures with similar characteristics. REPORT SECTION DEFINITION MEASURES SELECTED BY MASSHEALTH FOR HEDIS 2007 REPORTING Staying Healthy These measures provide information Breast Cancer Screening about how well a plan provides ser- Cervical Cancer Screening vices that maintain good health and Frequency of Ongoing Prenatal Care prevent illness. Prenatal and Postpartum Care Living with Illness These measures provide information Comprehensive Diabetes Care about how well a plan helps people Controlling High Blood Pressure manage chronic illness. Follow-up Care for Children Prescribed Attention-Deficit/Hyperactivity Disorder (ADHD) Medication Initiation and Engagement of Alcohol and Other Drug Dependency Treatment Use of Services These measures provide information Identification of Alcohol and Other Drug Services about what services health plans members utilize. This report also includes eight appendices that provide more detailed results: Appendix A presents a list of the MassHealth regions and the service areas the regions cover. Appendix B presents additional data on Frequency of Ongoing Prenatal Care (<21%, 21-40%, 41-60% and 61-80% of expected visits, All Plans). Appendix C presents PCC Plan Breast Cancer Screening rates for members with Essential coverage. Appendix D presents PCC Plan Cervical Cancer Screening rates for members with Essential coverage. Appendix E presents age-stratified rates for Initiation and Engagement of Alcohol and Other Drug Dependency Treatment (All Plans). Appendix F presents age-stratified rates for PCC Plan members with Basic, Essential, and Non-Basic/Non-Essential Coverage for Initiation and En- gagement of Alcohol and Other Drug Dependency Treatment. Appendix G presents age and gender-stratified rates for Identification of Alcohol and Other Drug Services (All Plans). Appendix H presents Identification of Alcohol and Other Drug Services rates for PCC Plan members with Basic, Essential, and Non-Basic/Non- Essential Coverage.
This report presents the results of the MassHealth Managed Care HEDIS 2009 project in three sections. These sections are based on the consumer report- ing domains used in NCQA’s health plan report cards (Staying Healthy, Living with Illness, and Use of Services). These domains group clinical and access to care measures with similar characteristics. REPORT SECTION DEFINITION MEASURES SELECTED BY MASSHEALTH FOR HEDIS 2007 REPORTING Staying Healthy These measures provide information about how well a plan provides ser- vices that maintain good health and prevent illness. Breast Cancer Screening Cervical Cancer Screening Frequency of Ongoing Prenatal Care Prenatal and Postpartum Care Living with Illness These measures provide information about how well a plan helps people manage chronic illness. Comprehensive Diabetes Care Controlling High Blood Pressure Follow-up Care for Children Prescribed Attention-Deficit/Hyperactivity Disorder (ADHD) Medication Initiation and Engagement of Alcohol and Other Drug Dependency Treatment Use of Services These measures provide information about what services health plans members utilize. Identification of Alcohol and Other Drug Services This report also includes eight appendices that provide more detailed results: Appendix A presents a list of the MassHealth regions and the service areas the regions cover. Appendix B presents additional data on Frequency of Ongoing Prenatal Care (<21%, 21-40%, 41-60% and 61-80% of expected visits, All Plans). Appendix C presents PCC Plan Breast Cancer Screening rates for members with Essential coverage. Appendix D presents PCC Plan Cervical Cancer Screening rates for members with Essential coverage. Appendix E presents age-stratified rates for Initiation and Engagement of Alcohol and Other Drug Dependency Treatment (All Plans). Appendix F presents age-stratified rates for PCC Plan members with Basic, Essential, and Non-Basic/Non-Essential Coverage for Initiation and En- gagement of Alcohol and Other Drug Dependency Treatment. Appendix G presents age and gender-stratified rates for Identification of Alcohol and Other Drug Services (All Plans). Appendix H presents Identification of Alcohol and Other Drug Services rates for PCC Plan members with Basic, Essential, and Non-Basic/Non- Essential Coverage.
hedis-2009.docx