Investor Presentaiton
ACO Commercial Performance on the ACO Core Measure Set - 90th
Percentile
Only one ACO (Coastal) exceeded the national 90th percentile for commercial
performance for all of the ACO Core Measure Set measures. Integra and Lifespan
both exceeded the 90th percentile for all but one measure - Comprehensive Diabetes
Care: HbA1c Control. Prospect exceeded the 90th percentile for all measures except
Comprehensive Diabetes Care: HbA1c Control and the Weight Assessment and
Counseling rates. PCHC and THC only exceeded the 90th percentile for Developmental
Screening in the First Three Years of Life. BVCHC did not exceed the commercial 90th
percentile for any measure.
Table D.2: ACO Commercial Performance on the ACO Core Measure Set - 90th percentile
Measure
National
90th Pctl BVCHC
Above 90th Pctl?
COASTAL
INTEGRA
IHP
LIFESPAN
PCHC
PROSPECT THUNDERMIST
Breast Cancer Screening
75%
No
Yes
Yes
ΝΑ
Yes
No
Yes
No
64%
89%
82%
89%
75%
82%
72%
Colorectal Cancer
70%
No
Yes
Yes
ΝΑ
Yes
No
Yes
No
Screening
50%
85%
78%
81%
61%
77%
53%
Comprehensive Diabetes
60%
No
Yes
Yes
NA
Yes
No
Yes
No
Care: Eye Exam
40%
75%
64%
70%
57%
68%
53%
Comprehensive Diabetes
64%
No
Yes
No
ΝΑ
No
No
No
No
Care: HbA1c Control
40%
66%
51%
62%
48%
60%
23%
(<8.0%)
Follow-Up After
59%
ΝΑ
NR
Yes
ΝΑ
NR
NR
NR
NA
Hospitalization for
67%
Mental Illness (7-Day)
Developmental Screening
65%
NP
NR
in the First Three Years
Yes
Yes
NA
Yes
Yes
Yes
Yes
95%
82%
85%
73%
67%
73%
of Life
Weight Assessment
83%
No
Yes
Yes
ΝΑ
Yes
No
No
No
and Counseling - BMI
64%
94%
91%
90%
13%
44%
37%
percentile
Weight Assessment and
78%
No
Yes
Yes
ΝΑ
Yes
No
No
No
Counseling - Counseling
8%
93%
90%
91%
9%
38%
26%
for Nutrition
Weight Assessment and
77%
No
Yes
Yes
ΝΑ
Yes
No
No
No
Counseling - Counseling
8%
92%
89%
84%
6%
27%
19%
for Physical Activity
Source: OHIC analysis of quality performance data submitted by commercial insurers in Rhode Island.
Note:
1. NA= Not Applicable. Insurers did not submit performance on this measure for the ACO/AE.
2. NR = Not Reported. The ACO/AE did not meet the minimum denominator size required for public reporting.
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