Managed Care Performance Monitoring Dashboard Report

Description

This report contains data regarding enrollment demographics, utilization of services, grievances, state fair hearings, provider ratios, encounter completeness, Healthcare Effectiveness Data and Information Set (HEDIS) rates, and medical audit findings.

Resources

Name Format Description Link
57 managed-care-performance-monitoring-dashboard-report-bqpmrdhe.zip https://data.chhs.ca.gov/dataset/fc07c2ae-c89c-409e-8aad-fb06b8bf884a/resource/94b9d250-3872-44c4-83eb-a0f566c50910/download/managed-care-performance-monitoring-dashboard-report-bqpmrdhe.zip
33 This report contains data regarding enrollment demographics, utilization of services, grievances, state fair hearings, provider ratios, encounter completeness, Healthcare Effectiveness Data and Information Set (HEDIS) rates, and medical audit findings. https://data.chhs.ca.gov/dataset/fc07c2ae-c89c-409e-8aad-fb06b8bf884a/resource/d2ccf65f-0cf7-41d2-916e-2aded8d86434/download/mcpm-dashboard-april-2024-release.pdf
8 This file contains data regarding Healthcare Effectiveness Data and Information Set (HEDISĀ®) Aggregated Quality Factor Score (AQFS) for each managed care health plan by county of operation. https://data.chhs.ca.gov/dataset/fc07c2ae-c89c-409e-8aad-fb06b8bf884a/resource/bda70e1d-bf79-4618-b1cb-939bd68746dd/download/hedis_aqfs-4.25.24.csv
8 This file contains data sorted by population for enrollment demographics, utilization of services, and state fair hearings. https://data.chhs.ca.gov/dataset/fc07c2ae-c89c-409e-8aad-fb06b8bf884a/resource/d827dcb6-fd96-486d-b047-020c63018725/download/population-4.25.24.csv
8 This file contains data regarding the provider ratios of Primary Care Physicians (PCPs) per 2,000 members and physicians per 1,200 members. https://data.chhs.ca.gov/dataset/fc07c2ae-c89c-409e-8aad-fb06b8bf884a/resource/2420e99b-3a7b-4cc9-aa73-7d91fdd25a88/download/provider_ratios-4.25.24.csv
8 This file contains data sorted by sex of members for enrollment demographics, utilization of services, and state fair hearings. https://data.chhs.ca.gov/dataset/fc07c2ae-c89c-409e-8aad-fb06b8bf884a/resource/8d33f676-499e-4365-ae6b-bd8dc6f79344/download/sex-4.25.24.csv
8 This file contains data sorted by age of members for enrollment demographics, utilization of services, and state fair hearings. https://data.chhs.ca.gov/dataset/fc07c2ae-c89c-409e-8aad-fb06b8bf884a/resource/21d41c79-9c93-44bb-a07a-a92ddcba175e/download/age-4.25.24.csv
8 This file contains data regarding encounter completeness for each contracted managed care health plan by category of service. https://data.chhs.ca.gov/dataset/fc07c2ae-c89c-409e-8aad-fb06b8bf884a/resource/bd524699-cfd7-4996-a34d-b7b60e8dfd5d/download/encounter-completeness-4.25.24.csv
8 This file contains data sorted by ethnicity of members for enrollment demographics, utilization of services, and state fair hearings. https://data.chhs.ca.gov/dataset/fc07c2ae-c89c-409e-8aad-fb06b8bf884a/resource/74b1fa09-32da-4b6d-b4f8-bc1414e4b657/download/ethnicity-4.25.24.csv
8 This file contains data regarding grievances per 1,000 members, sorted by demographics, including sex, age, ethnicity and population. https://data.chhs.ca.gov/dataset/fc07c2ae-c89c-409e-8aad-fb06b8bf884a/resource/7bc30ad9-7745-401f-b134-1d6d873f97a4/download/grievances_demo-4.25.24.csv
8 This file contains data regarding grievances, sorted by category and types. https://data.chhs.ca.gov/dataset/fc07c2ae-c89c-409e-8aad-fb06b8bf884a/resource/11f020d6-5e4a-4a37-a07f-a0bffd3e6de6/download/grievance-type-4.25.24.csv

Tags

  • provider-ratio
  • utilization
  • california-department-of-health-care-services
  • grievances
  • dhcs
  • demographics
  • enrollment
  • encounter
  • state-fair-hearing
  • hedis

Topics

Categories