Quality Assurance Reporting Requirements: Managed Care Plan Performance in New York State

New York State Department of Health collects annual data on seven types of managed care insurance plans to monitor performance and improve care quality. The dataset includes 23 columns such as Plan Name, Rate, Numerator, Denominator, and percentiles for statistical comparison across measures like Sub Domain and Domain. Data is published by health.data.ny.gov and was last updated in April 2026.

Use Cases

• Benchmarking plan performance using Rate, Percentile 75th, and Percentile 25th across different Payer types and Regions.
• Analyzing statistical significance of quality measures using Level of Significance and Indicator of lower rate is better.
• Tracking measure compliance over time using Measurement Year, Report Year, and eQARR table Measures Indicator.
• Comparing plan efficiency across domains using Measure, Sub Domain, and Domain columns with Numerator and Denominator data.

Strengths

• Includes 23 detailed columns for granular analysis of plan performance.
• Covers seven distinct managed care insurance types, including Medicaid and commercial plans.
• Provides statistical distribution data via Percentile 10th, 50th, 75th, and 90th columns.
• Data collection is standardized with a defined Method of Data Collection.

Limitations

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

Provenance

Source

New York State Department of Health via health.data.ny.gov

Collection Method

Annual collection from managed care plans as part of quality assurance reporting.

Time Range

Beginning 2008

Freshness

Last updated 2026-04-02 16:57:24; freshness should be verified.

Geography

New York State, with potential regional breakdowns indicated by the Region column.