AHCA: Florida Medicaid Quality in Managed Care

2008 Performance Measure Data Submitted July 1, 2009 in Reform Counties

Scores

- Not Measurable/Small Population - Not Reported - Not Applicable/Not Available

Plan Name	Adults' Access to Preventive/ Ambulatory Health Services Total	Use of Angiotensin-Converting Enzyme (ACE) Inhibitors/Angiotensin Receptor Blockers (ARB) Therapy	Annual Dental Visits - Total	Antidepressant Med. Mgmt - Effective Acute Phase Treatment	Antidepressant Med. Mgmt - Effective Continuation Phase Treatment
Access Health	73.9%		31.6%	60.8%	28.9%
Amerigroup	72.9%	66.7%	32.3%
Buena Vista
CMS	86.3%		30.4%
FCA	84.1%		36.6%	44.7%	36.8%
Freedom
HealthEase	78.5%	72.7%	28.3%	38.7%	21.0%
Humana	75.5%		27.9%
NetPass	79.1%		33.2%
Ped. Associates			36.7%
Preferred	64.4%		21.6%
SFCCN	77.6%	71.0%	28.6%	58.3%	50.0%
Staywell	73.1%		21.5%	50.0%	31.0%
Total	76.3%		13.5%
United	78.7%		20.2%	59.0%	33.3%
Universal	44.2%		5.9%
Vista South Florida

- Not Measurable/Small Population - Not Reported - Not Applicable/Not Available

Plan Name	Use of Appropriate Medications for People with Asthma - Total	Use of Appropriate Medications for People with Asthma in DM - Total	Adolescent Well Care	Breast Cancer Screening	Controlling Blood Pressure - Total
Access Health	70.2%		37.6%	40.6%	60.1%
Amerigroup	91.7%		50.2%	45.7%	48.7%
Buena Vista
CMS	87.3%	87.3%	53.3%
FCA	86.1%		38.9%	56.4%	58.1%
Freedom
HealthEase	84.0%		45.3%	50.5%	58.2%
Humana	79.2%		50.1%	52.5%	51.5%
NetPass	79.3%		43.2%	54.9%	63.8%
Ped. Associates	86.0%	1.8%	64.5%
Preferred			42.6%	34.8%	72.1%
SFCCN	87.4%	83.9%	50.9%	57.2%	50.0%
Staywell	78.7%		48.7%	48.8%	51.8%
Total			37.3%		56.6%
United	91.5%		42.6%	45.9%	48.7%
Universal
Vista South Florida

- Not Measurable/Small Population - Not Reported - Not Applicable/Not Available

Plan Name	Cervical Cancer Screening	Comprehensive Diabetes - HbA1C Testing	Comprehensive Diabetes - HbA1C Poor Control (Inverse Measure)	Comprehensive Diabetes - Good Control	Comprehensive Diabetes - Eye Exam
Access Health	35.3%	74.7%	44.6%	48.1%	36.4%
Amerigroup	49.7%	77.0%	72.7%	27.3%	47.3%
Buena Vista
CMS
FCA	45.9%	86.9%	38.0%	62.0%	53.3%
Freedom
HealthEase	60.8%	77.6%	46.5%	48.2%	45.6%
Humana	56.8%	80.6%	41.0%	49.6%	48.1%
NetPass	44.8%	79.7%	53.0%	40.7%	35.6%
Ped. Associates
Preferred	37.8%	79.5%	36.4%	59.1%	63.6%
SFCCN	53.5%	82.7%	46.5%	44.5%	38.7%
Staywell	55.7%	75.6%	47.2%	45.6%	42.6%
Total	52.6%	75.0%	41.7%	47.2%	8.3%
United	49.6%	84.0%	58.6%	37.1%	35.9%
Universal	23.3%
Vista South Florida

- Not Measurable/Small Population - Not Reported - Not Applicable/Not Available

Plan Name	Comprehensive Diabetes - LDL Screening	Comprehensive Diabetes - LDL-C Control	Comprehensive Diabetes - Nephropathy	Childhood Immunization Status - Combination 2	Childhood Immunization Status - Combination 3
Access Health	76.9%	53.8%	76.6%	8.3%	7.1%
Amerigroup	78.8%	16.4%	75.8%	77.6%	66.3%
Buena Vista				53.3%	44.2%
CMS				81.5%	67.9%
FCA	81.0%	43.3%	88.8%	52.8%	41.3%
Freedom
HealthEase	77.4%	30.8%	75.0%	69.8%	61.3%
Humana	83.2%	26.9%	91.0%	80.4%	66.3%
NetPass	82.6%	33.9%	76.3%	60.7%	53.6%
Ped. Associates				25.3%	22.8%
Preferred	81.8%	47.7%	65.9%	71.0%	67.7%
SFCCN	83.8%	35.8%	81.5%	75.1%	63.3%
Staywell	80.7%	34.3%	77.7%	71.0%	59.1%
Total	77.8%	41.7%	86.1%
United	80.9%	29.7%	80.1%	78.8%	63.0%
Universal
Vista South Florida				47.8%	40.9%

- Not Measurable/Small Population - Not Reported - Not Applicable/Not Available

Plan Name	Follow-Up after Hospitalization for Mental Illness - 7 Day	Follow-Up after Hospitalization for Mental Illness - 30 Day	Frequency of Ongoing Prenatal Care - Greater than 81% of Visits	Lipid Profile Annually	Lead Screening in Children
Access Health	46.1%	65.96%	13.5%	69.6%	25.8%
Amerigroup	32.1%	54.1%	70.9%	72.7%	66.7%
Buena Vista	38.3%	44.7%	34.1%		57.4%
CMS	39.6%	73.6%			62.2%
FCA	15.7%	23.8%	21.6%	85.1%	38.3%
Freedom
HealthEase	23.8%	42.7%	60.8%		54.3%
Humana	31.9%	55.3%	32.1%	12.8%	75.9%
NetPass	28.1%	44.6%		77.0%	38.1%
Ped. Associates					75.1%
Preferred	43.8%	34.4%		72.1%	30.3%
SFCCN	17.6%	26.1%	38.2%	78.7%	62.7%
Staywell	30.2%	48.4%	66.2%		61.6%
Total
United	32.2%	54.2%	44.0%		43.8%
Universal
Vista South Florida			33.3%		60.0%

- Not Measurable/Small Population - Not Reported - Not Applicable/Not Available

Plan Name	Prenatal Care	Postpartum Care	Mental Health Readmission Rate	Use of Beta Agonist	Well-Child 0 Visits (Inverse Measure)
Access Health	61.7%	51.4%	11.7%	90.0%	3.4%
Amerigroup	76.4%	59.8%	26.0%	55.0%	0.5%
Buena Vista	88.1%	47.6%		86.2%	3.6%
CMS			10.8%	80.9%
FCA	60.2%	28.1%	20.6%		0.9%
Freedom
HealthEase	65.9%	50.4%	10.4%	73.3%	1.0%
Humana	64.5%	64.5%	34.4%		0.8%
NetPass			40.2%	90.7%	6.3%
Ped. Associates			9.3%		0.7%
Preferred
SFCCN	55.9%	67.6%	26.7%	66.7%	4.0%
Staywell	70.3%	57.4%	10.3%		1.0%
Total
United	69.0%	45.2%	24.2%		3.8%
Universal
Vista South Florida	68.3%	61.7%		78.8%	1.5%

- Not Measurable/Small Population - Not Reported - Not Applicable/Not Available

Plan Name	Well-Child 6+ Visits	Well-Child Visits in the 3rd, 4th, 5th, & 6th Years of Life
Access Health	22.4%	65.5%
Amerigroup	78.7%	78.3%
Buena Vista	25.9%
CMS		73.8%
FCA	37.4%	64.2%
Freedom
HealthEase	51.8%	77.4%
Humana	28.3%	79.5%
NetPass	59.4%	76.8%
Ped. Associates	29.5%	82.2%
Preferred		67.5%
SFCCN	68.0%	76.8%
Staywell	59.6%	80.0%
Total		65.8%
United	55.9%	72.7%
Universal
Vista South Florida	50.7%

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