HUSKY A Utilization Reports

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HUSKY A Utilization Reports Powered By Docstoc
					        HUSKY A
    Utilization Reports


       Presented to the
Medicaid Managed Care Council
     December 16, 2005
   Enrollment by MCO, April 2005

140,000    41%
120,000
100,000                                     31%

 80,000
 60,000                    18%

 40,000                                                        10%
 20,000
     0
          Blue Care         CHN          Health Net           Preferred
                                                                One



            Percentages may not sum to 100 due to rounding.
           Preventative Screening Ratio under Age 10, Second Half '03
                              through First Half '05

          100%


          90%


          80%


          70%


          60%
                                                            First Half '03
Percent




          50%

                                                            Second Half '03
          40%


          30%
                                                            First Half '04

          20%                                               Second Half '04

          10%                                               First Half '05
           0%
                 Under 1     1-2               3-5   6-9
                                   Age Range
                 "PREVENTATIVE SCREENING RATIO", Age 10 and Up,
          100%
                         First Half '03 through First Half '05
          90%                                                                 80%

          80%

          70%

          60%
                                                                         First Half '03
Percent




          50%

          40%
                                                                         Second Half
                                                                         '03
          30%                                                            First Half '04
          20%
                                                                         Second Half
          10%                                                            '04
                                                                         First Half '05
           0%
                   10-14     15-18               19-20   HUSKY A Total
                                     Age Range
Preventative Screening Ratio-Blue Care First and Second Half '04, and
        First Half ’05 compared to Total HUSKY A First Half '05


  120%


  100%


   80%


   60%                                                                        BLUECARE First Half
                                                                              '04

   40%                                                                        BLUECARE Second
                                                                              Half '04

   20%                                                                        BLUECARE First Half
                                                                              '05

      0%                                                                      HUSKY A First Half '05
                 l




                                   2



                                         5



                                                   9
                             1




                                                            4



                                                                   8



                                                                          0
              ta




                                 1-



                                       3-



                                                 6-



                                                           -1



                                                                  -1



                                                                         -2
                          R
           To




                                                         10



                                                                15



                                                                       19
                         E
                      D
          A


                     N
       Y


                     U
      K
   S
  U
  H




                                             Age Range
Preventative Screening Ratio-CHN-CT First and Second Half '04, and First
           Half ’05 compared to to Total HUSKY A First Half '05
      120%



      100%



       80%                                                            CHNCT First Half
                                                                      '04


       60%                                                            CHNCT Second
                                                                      Half '04


                                                                      CHNCT First Half
       40%                                                            '05


                                                                      HUSKY A First
       20%                                                            Half '05




        0%
             TOTAL UNDER   1-2   3-5    6-9   10-14   15-18   19-20
                     1
                                 Age Range
Preventative Screening Ratio, Health Net, First and Second Half '04,
    and First Half ’05 compared to Total HUSKY A First Half '05

   120%


   100%


   80%
                                                                  HEALTH NET FIRST
                                                                  HALF '04
   60%
                                                                  HEALTH NET
                                                                  SECOND HALF '04
   40%
                                                                  HEALTH NET FIRST
                                                                  HALF '05
   20%
                                                                  HUSKY A First Half
                                                                  '05
    0%
          TOTAL UNDER   1-2   3-5   6-9   10-14   15-18   19-20
                  1
                              Age Range
Preventative Screening Ratio, Preferred One First and Second Half '04,
     and First Half ’05 compared to Total HUSKY A First Half '05


      120%

      100%

       80%
                                                                         PREF ONE First
                                                                         Half '05
       60%
                                                                         PREF ONE
                                                                         Second Half '04
       40%                                                               PREF ONE First
                                                                         Half '04
       20%                                                               HUSKY A First
                                                                         Half '05
        0%
             TOTAL   UNDER   1-2   3-5     6-9   10-14   15-18   19-20
                       1
                                    Age Range
                 "PARTICIPATION RATIO", Second Half '03
                    through First Half '05, Under Age 10
          100%

          90%

          80%

          70%                                              Second
                                                           Half '03
          60%
Percent




          50%                                              1st Half
                                                           '04
          40%

          30%
                                                           Second
          20%                                              Half '04

          10%
                                                           1st Half
           0%                                              '05
                 Under 1    1-2               3-5   6-9
                                  Age Range
                 "PARTICIPATION RATIO", Age 10 and Up and Total,
                       Second Half '03 through First Half '05
          100%

          90%

          80%

          70%

          60%
Percent




          50%                                                              Second Half
                                                                           '03
          40%
                                                                           1st Half '04
          30%
                                                                           Second Half
          20%
                                                                           '04
          10%                                                              1st Half '05

           0%
                  10-14        15-18               19-20   HUSKY A Total
                                       Age Range
       Participation Ratio by Plan Under Age 10, First Half, '05




                                                         BLUECARE
100%
80%                                                      CHNCT
60%
40%                                                      HEALTH NET
20%
 0%                                                      PREF ONE
         UNDER 1      1-2        3-5       6-9
                         Age group                       TOTAL WGHTD
                                                         AVG
Participation Ratio by Plan Age 10 and Up and Total, First Half '05




                                                       BLUECARE

100%
                                                       CHNCT
80%

60%
                                                       HEALTH NET
40%

20%
                                                       PREF ONE
 0%
       10-14      15-18       19-20   HUSKY A
                                       Total           TOTAL
                      Age Group                        WGHTD AVG
Percent of Children 3-20 Receiving Any Dental Service, By Age,
             Second Half '03 through First Half '05


    50%                                                 SECOND
    45%                                                 HALF '03
    40%
    35%                                                 FIRST
    30%                                                 HALF '04
    25%
    20%
                                                        SECOND
    15%                                                 HALF '04
    10%
                                                        FIRST
     5%
     0%
                                                        HALF '05
          3-5   6-9   10-14     15-18   19-20   Total
                         Age Ranges
Percent of Children* Receiving the Recommended No. of Well Child Screens
            by Age 15 months, or Fewer Screens, by MCO, 2004

   100%

    90%

    80%

    70%                                                                       Received Two or
                                                                              Less Well Child
    60%                                                                       Screens

    50%
                                                                              Received 3-5
                                                                              Well Child
    40%
                                                                              Screens
            1,847
    30%
                         820
                                                                              Received
    20%                                                    3,705              Recommmended
                                    871
                                                 167                          Number of Well
    10%                                                                       Child Screens
                                                                              (Six or More)
     0%
          Blue Care   CHN-CT     HealthNet    Preferred   HUSKY A
                                                One        TOTAL



                      * of those enrolled 14 of 15 months with the same MCO
Percent of Adults* Receiving Preventative Care Visits by MCO, 2004



  50%

  45%

  40%
                                                                        Age 22-29
  35%

  30%

  25%                                                                   Age 30 or
  20%
                                                                        older

  15%

  10%

   5%

   0%
         Blue   CHN-CT HealthNet Preferred HUSKY
         Care                       One    A TOTAL

                 * of those enrolled 11 of the 12 months with the MCO
Percent of Mental Health Inpatient Discharges Receiving Follow-Up Care* within
                      30 Days, 7/04-6/05, by Age Group




    100%

     80%

     60%

     40%

     20%

      0%
                0-12              13-17               18-64                Total

                    *Appropriate follow-up provided by mental health professional
Number and Percent of Mental Health Discharges Receiving Follow-Up
            Care* within 30 Days, By MCO, 7/04-6/05


   100%
    90%                                                           1,420

    80%        589
                                                         160

    70%                        217         454

    60%
    50%
    40%
    30%
    20%
    10%
     0%
              Blue        CHN-CT         Health      Preferred    Total
              Care                        Net          One

                     Numbers=Clients.
                     * Appropriate follow-up provided by mental
                     health professional