Managed Care Consumer Guide: Health Plan Quality Scores and Ratings

Health.data.ny.gov provides quality assessment data for managed care plans, including consumer opinions and care metrics. The dataset includes columns like Plan Name, Region, Report Year, Total Stars, and Domain Scores. It was last updated on November 13, 2025, and is intended to help consumers choose a health plan.

Use Cases

• Rank health plans by quality using Total Stars, Mean of Total Stars, and Domain Rating across different Regions.
• Analyze trends in plan performance over time using Report Year, Measurement Year, and QARR Measure.
• Compare specific quality domains like patient experience or clinical care using CG Domain, QARR Domain, and QARR Sub Domain.
• Identify high-performing Payers by aggregating scores from Plan Name, Payer, and Average Critical Value.

Strengths

• Includes multi-faceted quality metrics such as Total Stars, Domain Scores, and Standard Deviation of Domain Scores.
• Provides temporal context with both Report Year and Measurement Year columns.
• Covers multiple organizational levels with data for Plan Name, Payer, and Region.
• Data is hosted on a government platform (health.data.ny.gov) and was updated on 2025-11-13.

Limitations

• Row count and dataset size are unknown, which may limit suitability assessment.
• Description metadata is limited; actual data quality requires manual inspection after download.

Provenance

Source

health.data.ny.gov

Collection Method

Likely collected through state-mandated quality reporting (QARR measures) and consumer surveys.

Time Range

Temporal coverage is suggested by Report Year and Measurement Year columns, but specific range is unknown.

Freshness

Last updated 2025-11-13 18:45:10.

Geography

Spatial coverage is indicated by the Region column, likely focusing on New York State.