The Managed Care Consumer Guide data provides information about the quality of care for different health plans as well as people's opinions about the care and services plans provide. This information will help consumers choose a managed care plan that meets their health care needs and the needs of his or her family.
This dataset has the following 21 columns:
| Column Name | API Column Name | Data Type | Description | Sample Values |
|---|---|---|---|---|
| Report Year | report_year | number | Year that the measure rate and consumer guide ratings were reported. | 2022 view top 100 |
| Measurement Year | measurement_year | number | Year that the data for the measure rate and consumer guide rating were collected. | 2022 2021 view top 100 |
| Payer | payer | text | Type of insurance. | Medicaid and Child Health Plus Commercial PPO Essential Plan Commercial HMO view top 100 |
| Plan Name | plan_name | text | The name of the health plan. | HIP (EmblemHealth) Molina Healthcare MVP Health Care Excellus BlueCross BlueShield Fidelis Care New York, Inc. view top 100 |
| Plan ID | plan_id | number | The health plan’s unique identifier used in QARR. | 1080383 1260187 2060193 1050178 2161013 view top 100 |
| CG Higher Domain | cg_higher_domain | text | Consumer guide over-arching domains. These "higher" domains group the sub domains of care in the managed care consumer guide. | Preventive and Well-Care For Adults and Children Quality of Care Provided to Members with Illness Member Experience with Access and Service Health Plan Overall view top 100 |
| CG Domain | cg_domain | text | Consumer guide sub domains. The sub domains represents quality of care for a given set of measures from health plans. | Experience with Adult Care Child and Adolescent Care Behavioral Health Diabetes Care Women's Preventive Care view top 100 |
| Domain Rating | domain_rating | number | A health plan’s rating for higher domain ratings or sub domain ratings. | 3 2 4 1 5 view top 100 |
| QARR Domain | domain | text | Domain in the QARR dataset that the measure is associated with. | Adult Health Women's Health Satisfaction with Care Behavioral Health Child and Adolescent Health view top 100 |
| QARR Sub Domain | sub_domain | text | Sub domain in the QARR dataset that the measure is associated with. | Preventive Care for Women Child Preventive Care Behavioral Health Satisfaction with Access to Care and Health Plan for Adults Managing Preventive Care for Adults view top 100 |
| QARR Measure Description | measuredescription | text | Description of quality measure from the QARR dataset. | Satisfaction with Personal Doctor OVERALL Cervical Cancer Screening Medical Assistance with Tobacco Cessation (Composite) Getting Care Needed view top 100 |
| QARR Measure | measure | text | Measure short name from the QARR dataset. | Flu Shot for Adults Chlamydia Screening Rating of Healthcare Colon Cancer Screen(Ages 50-75) ASA Med Ratio 5-64yr view top 100 |
| Region | region | text | Designated by DOH | Hudson Valley Western Northeast NYC Long Island view top 100 |
| Critical Value | critical_value | number | The critical value associated with each measure based on the method of collection for that measure | 1.96 1.795884819 1.859548038 1.894578605 2.684210811 view top 100 |
| Average Critical Value | average_critical_value | number | Average critical value for a domain | 1.795884819 2.408927416 2.282234512 1.859548038 1.96 view top 100 |
| Domain Scores | domain_scores | number | A domain score for a plan is the average of the standardized measure scores within the domain for that plan | -2.098352359 -6.097752299 -0.334033713 -2.552946175 -3.958403484 view top 100 |
| Mean of Domain Scores | mean_of_domain_scores | number | The mean calculated based on the domain scores from all the plans in the same type of insurance | 0 0.307729314 0.752716161 -0.36320472 0.080520235 view top 100 |
| Standard Deviation of Domain Scores | standard_deviation_of_domain_scores | number | The standard deviation calculated based on the domain scores from all the plans in the same type of insurance | 3.36765538 3.045015035 0.918192342 0.547175151 0.70569396 view top 100 |
| Total Stars | total_stars | number | A plan’s total star is calculated by adding up all the domain ratings/stars for that plan | 31 20 21 22 30 view top 100 |
| Mean of Total Stars | mean_of_total_stars | number | The mean calculated based on based on the total stars from all the plans in the same type of insurance | 30.08333333 27.58333333 21.41666667 27.29166667 view top 100 |
| Standard Deviation of Total Stars | standard_deviation_of_total_stars | number | The standard deviation calculated based on the total stars from all the plans in the same type of insurance. | 5.976595768 6.179603547 5.38446137 6.811375872 view top 100 |