Investor Presentaiton

36 36 AE Medicaid Performance on the ACO Core Measure Set - 90th Percentile Only one AE (Coastal) exceeded the national 90th percentile for Medicaid performance for all the ACO Core Measure Set measures. BVCHC and PCHC exceeded the 90th percentile for half of the measures. Integra and Prospect exceeded the 90th percentile for two measures each. IHP and Thundermist exceeded the 90th percentile for one measure each (Comprehensive Diabetes Care: HbA1c Control and Developmental Screening in the First Three Years of Life, respectively). All but one AE exceeded the 90th percentile for Developmental Screening in the First Three Years of Life. Table D.4: AE Medicaid Performance on the ACO Core Measure Set - 90th Percentile Measure National 90th Pctl Above 90th Pctl? BVCHC COASTAL INTEGRA IHP LIFESPAN PCHC PROSPECT THUNDERMIST Breast Cancer Screening 61% No Yes No No 59% 75% 58% 51% Colorectal Cancer ΝΑ ΝΑ NA ΝΑ ΝΑ Screening Comprehensive Diabetes 64% Yes Yes No No Care: Eye Exam 67% 73% 56% 51% Comprehensive Diabetes 58% No Yes No Yes 3 3 3 3 ΝΑ Yes Yes No 64% 62% 53% NA NA ΝΑ ΝΑ ΝΑ Yes No No 73% 60% 58% ΝΑ No No No Care: HbA1c Control 52% 62% 49% 64% 57% 51% 54% (<8.0%) Follow-Up After 55% Yes Yes Yes No ΝΑ No No No Hospitalization for Mental 56% 64% 55% 51% 54% 50% 51% Illness (7Day) Developmental Screening 65% Yes Yes Yes No ΝΑ Yes Yes Yes in the First Three Years of 91% 93% 75% 56% 82% 78% 78% Life Weight Assessment and 86% Yes Yes No No NA Yes No No Counseling - BMI percentile 87% 94% 85% 76% 87% 53% 73% Weight Assessment and 84% No Yes No No NA No No No Counseling - Counseling 72% 89% 77% 56% 81% 51% 71% for Nutrition Weight Assessment and 81% No Yes No No ΝΑ No No No Counseling - Counseling 70% 89% 76% 55% 81% 38% 70% for Physical Activity Source: OHIC analysis of quality performance data of Rhode Island Medicaid managed care organizations obtained from the Rhode Island EOHHS. NA = Not Applicable. Insurers did not submit performance on this measure for the ACO/AE. Annual Report: Health Care Spending and Quality in Rhode Island

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