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AE Medicaid Performance on the ACO Core Measure Set - 75th Percentile Two AEs (Coastal and PCHC) exceeded the national 75th percentile for Medicaid performance for all the ACO Core Measure Set measures. BVCHC exceeded the 75th percentile for all the measures except for Comprehensive Diabetes Care: Hba1c Control and two of the Weight Assessment and Counseling rates. Integra and Prospect exceeded the 75th percentile for four of the measures, with worse performance for the Weight Assessment and Counseling rates and the diabetes measures. IHP and Thundermist exceeded the 75th percentile for two and three measures, respectively. All ACOs/AES exceeded the 75th percentile for Follow-Up After Hospitalization for Mental Illness and all but one ACO/AE exceeded the 75th percentile for Developmental Screening in the First Three Years of Life. Table D.3: AE Medicaid Performance on the ACO Core Measure Set - 75th Percentile Measure National 75th Pctl Above 75th Pctl? BVCHC COASTAL INTEGRA IHP LIFESPAN PCHC PROSPECT THUNDERMIST Breast Cancer Screening 57% Yes Yes Yes No ΝΑ Yes Yes No 59% 75% 58% 51% 64% 62% 53% Colorectal Cancer ΝΑ ΝΑ NA NA ΝΑ NA ΝΑ NA NA Screening Comprehensive Diabetes 57% Yes Yes No No NA Yes Yes Yes Care: Eye Exam 67% 73% 56% 51% 73% 60% 58% Comprehensive Diabetes 54% No Yes No Yes NA Yes No No Care: HbA1c Control 52% 62% 49% 64% 57% 51% 54% (<8.0%) Follow-Up After 46% Yes Yes Yes Yes NA Yes Yes Yes Hospitalization for 56% 64% 55% 51% 54% 50% 51% Mental Illness (7-Day) Developmental Screening 57% Yes Yes Yes No NA Yes Yes Yes in the First Three Years of 91% 93% 75% 56% 82% 78% 78% Life Weight Assessment 84% Yes Yes Yes No ΝΑ Yes No No and Counseling - BMI 87% 94% 85% 76% 87% 53% 73% percentile Weight Assessment and 81% No Yes No No NA Yes No No Counseling - Counseling 72% 89% 77% 56% 81% 51% 71% for Nutrition Weight Assessment and 78% No Yes No No NA Yes 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 35 55

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