Managed Care Performance Monitoring Dashboard Report
This report contains data regarding enrollment demographics, utilization of services, grievances, state fair hearings, provider ratios, encounter completeness, Healthcare Effectiveness Data and Information Set (HEDIS) rates, and medical audit findings.
Data files
| Data title and description | Access data | File details | Last updated |
|---|---|---|---|
All resource data | Download | ZIP | 01/08/25 |
HEDIS This file contains data regarding Healthcare Effectiveness Data and Information Set (HEDIS®) Aggregated Quality Factor Score (AQFS) for each managed care health plan by county of operation. | Download | CSV | 01/08/25 |
Population This file contains data sorted by population for enrollment demographics, utilization of services, and state fair hearings. | Download | CSV | 01/08/25 |
Provider Ratios This file contains data regarding the provider ratios of Primary Care Physicians (PCPs) per 2,000 members and physicians per 1,200 members. | Download | CSV | 01/08/25 |
Sex This file contains data sorted by sex of members for enrollment demographics, utilization of services, and state fair hearings. | Download | CSV | 01/08/25 |
Age This file contains data sorted by age of members for enrollment demographics, utilization of services, and state fair hearings. | Download | CSV | 01/08/25 |
Encounter Completeness This file contains data regarding encounter completeness for each contracted managed care health plan by category of service. | Download | CSV | 01/08/25 |
Ethnicity This file contains data sorted by ethnicity of members for enrollment demographics, utilization of services, and state fair hearings. | Download | CSV | 01/08/25 |
Grievance Demographics This file contains data regarding grievances per 1,000 members, sorted by demographics, including sex, age, ethnicity and population. | Download | CSV | 01/08/25 |
Grievance Type This file contains data regarding grievances, sorted by category and types. | Download | CSV | 01/08/25 |
Supporting files
| Data title and description | Access data | File details | Last updated |
|---|---|---|---|
Managed Care Performance Monitoring Dashboard Report This report contains data regarding enrollment demographics, utilization of services, grievances, state fair hearings, provider ratios, encounter completeness, Healthcare Effectiveness Data and Information Set (HEDIS) rates, and medical audit findings. | Download | PDF | 01/08/25 |