Health Insurance in Virginia

HMO Profile

  1. Home
  2. Health Insurance
  3. HMO Profile

Coventry Health Care of Virginia, Inc.

Company Information

  • Company Providing Plan:Coventry
  • Address:151 Farmington Avenue, RT 21
    Hartford CT 06156
  • Telephone :804-747-3700
  • Website:www.aetna.com
2020
Number of Enrollees: 216,729
PMPM: $741
Number of Physicians: 34,970
NCQA Accreditation: Accredited

*The data elements noted with an asterisk (*) contain regional-specific values whereas those not noted with an asterisk (*) contain Virginia specific values.

Coverage Areas

Counties

Accomack, Albemarle, Alleghany, Amelia, Appomattox, Arlington, Augusta, Bath, Bedford, Bland, Botetourt, Brunswick, Buckingham, Campbell, Caroline, Carroll, Charles City, Charlotte, Chesterfield, Clarke, Craig, Culpeper, Cumberland, Dinwiddie, Essex, Fairfax, Fauquier, Floyd, Fluvanna, Franklin, Frederick, Giles, Gloucester, Goochland, Grayson, Greene, Greensville, Halifax, Hanover, Henrico, Henry, Highland, Isle of Wight, James City, King and Queen, King George, King William, Lancaster, Loudoun, Louisa, Lunenburg, Madison, Mathews, Mecklenburg, Middlesex, Montgomery, Nelson, New Kent, Newport, Northampton, Northumberland, Nottoway, Orange, Page, Patrick, Pittsylvania, Powhatan, Prince Edward, Prince George, Prince William, Pulaski, Rappahannock, Richmond, Roanoke, Rockbridge, Rockingham, Russell, Shenandoah, Smyth, Spotsylvania, Stafford, Surry, Sussex, Tazewell, Warren, Washington, Westmoreland, Wise, Wythe, York

Cities

Alexandria, Bedford, Bristol, Buena Vista, Charlottesville, Clifton Forge, Colonial Heights, Covington, Danville, Emporia, Fairfax, Falls Church, Fredericksburg, Galax, Hampton, Harrisonburg, Hopewell, Lexington, Lynchburg, Manassas Park, Martinsville, Norton, Petersburg, Poquoson, Radford, Richmond, Roanoke, Salem, Staunton, Suffolk, Waynesboro, Williamsburg, Winchester

Information provided by HMOs to State Corporation Commission Bureau of Insurance.

Administrative Data

2020 2019 2018 2017 2016
Number of Enrollees 216,729 164,089 93,024 61,491 79,377
PMPM $741 $775 $807 $502 $341
Medical Cost Ratio 85% 89% 91% 83% 87%
Administrative Ratio 10% 11% 11% 10% 16%
Profit/Loss Ratio 6% 0% -2% 8% -2%
Number of Physicians 34,970 32,837 6,735 6,735 20,775

*The data elements noted with an asterisk (*) contain regional-specific values whereas those not noted with an asterisk (*) contain Virginia specific values.

Financial Data

2020 2019 2018 2017 2016
Premiums Earned $1,733,766,373 $1,363,245,199 $733,110,197 $281,685,135 $352,025,010
Income $74,521,844 $8,557,194 ($10,277,628) $15,360,797 ($4,341,063)
Net Worth $266,751,452 $177,295,459 $78,708,757 $53,349,593 $40,058,918

*The data elements noted with an asterisk (*) contain regional-specific values whereas those not noted with an asterisk (*) contain Virginia specific values.

Performance

  • Coventry Health Services, Inc was purchased by Aetna, Inc., preventing a data submission to NCQA this year. This plan is currently filing for accreditation and will submit data in the future. Administrative data, financial data, and information on company tenure are currently available.
Access/Availability of Care
Info
Adult Access To Preventive/Ambulatory Health Services 2020 Plan State Avg Nat Avg 90th Pctl.
Adult Access (Age 20-44) To Preventive/Ambulatory Health Services N/A 93.90% 92.88% 95.71%
Adult Access (Age 45-64) To Preventive/Ambulatory Health Services N/A 96.11% 95.86% 97.54%
Adult Access (Age 65 and Older) To Preventive/Ambulatory Health Services N/A 96.79% 96.95% 98.30%
Adult Access To Preventive/Ambulatory Health Services Year Plan State Avg. Natl. Avg. 90th Pctl.
Adult Access (Age 20-44) To Preventive/Ambulatory Health Services 2019 N/A 92.78% 92.66% 95.76%
2018 N/A 92.43% 92.33% 95.45%
2017 N/A 92.73% 92.45% 95.43%
2016 N/A 92.81% 92.73% 95.55%
Adult Access (Age 45-64) To Preventive/Ambulatory Health Services 2019 N/A 95.78% 95.87% 97.69%
2018 N/A 95.50% 95.64% 97.49%
2017 N/A 95.57% 95.61% 97.46%
2016 N/A 95.78% 95.78% 97.61%
Adult Access (Age 65 and Older) To Preventive/Ambulatory Health Services 2019 N/A 97.13% 97.14% 98.42%
2018 N/A 97.15% 97.17% 98.45%
2017 N/A 97.82% 97.07% 98.47%
2016 N/A 97.30% 97.19% 98.61%
Info
Alcohol and Other Drug Dependence Treatment 2020 Plan State Avg Nat Avg 90th Pctl.
Initiation of Alcohol and Other Drug Dependence Treatment - Total N/A 40.49% 36.39% 45.24%
Initiation of Alcohol and Other Drug Dependence Treatment - Ages 13-17 N/A 35.48% 44.95% 59.06%
Initiation of Alcohol and Other Drug Dependence Treatment - Ages 18 plus N/A 40.55% 36.18% 45.12%
Engagement of Alcohol and Other Drug Dependence Treatment - Total N/A 15.16% 12.46% 17.48%
Engagement of Alcohol and Other Drug Dependence Treatment - Ages 13-17 N/A 14.80% 17.76% 27.27%
Engagement of Alcohol and Other Drug Dependence Treatment - Ages 18 plus N/A 15.15% 12.33% 17.48%
Alcohol and Other Drug Dependence Treatment Year Plan State Avg. Natl. Avg. 90th Pctl.
Initiation of Alcohol and Other Drug Dependence Treatment - Total 2019 N/A 39.13% 35.63% 41.36%
2018 N/A 37.53% 35.68% 42.36%
2017 N/A 36.14% 36.11% 42.01%
2016 N/A 35.69% 32.93% 40.24%
Initiation of Alcohol and Other Drug Dependence Treatment - Ages 13-17 2019 N/A 36.19% 42.41% 54.29%
2018 N/A 49.35% 40.21% 51.02%
2017 N/A 40.06% 39.91% 52.54%
2016 N/A 40.15% 40.47% 51.96%
Initiation of Alcohol and Other Drug Dependence Treatment - Ages 18 plus 2019 N/A 39.20% 35.47% 40.96%
2018 N/A 37.34% 35.51% 42.35%
2017 N/A 36.00% 35.97% 41.96%
2016 N/A 35.55% 32.64% 40.33%
Engagement of Alcohol and Other Drug Dependence Treatment - Total 2019 N/A 13.47% 12.31% 16.44%
2018 N/A 14.69% 12.58% 17.04%
2017 N/A 13.36% 12.65% 17.26%
2016 N/A 12.51% 11.46% 16.72%
Engagement of Alcohol and Other Drug Dependence Treatment - Ages 13-17 2019 N/A 10.34% 16.48% 27.14%
2018 N/A 18.18% 16.91% 25.00%
2017 N/A 14.40% 14.95% 23.85%
2016 N/A 11.28% 15.68% 23.73%
Engagement of Alcohol and Other Drug Dependence Treatment - Ages 18 plus 2019 N/A 13.52% 12.20% 16.41%
2018 N/A 14.58% 12.47% 16.97%
2017 N/A 13.40% 12.55% 17.38%
2016 N/A 12.57% 11.32% 16.09%
Info
Prenatal and Postpartum Care 2020 Plan State Avg Nat Avg 90th Pctl.
Postpartum Care N/A 74.05% 78.11% 92.47%
Timeliness of Prenatal Care N/A 79.76% 81.82% 93.92%
Prenatal and Postpartum Care Year Plan State Avg. Natl. Avg. 90th Pctl.
Postpartum Care 2019 N/A 78.66% 80.52% 91.97%
2018 N/A 75.10% 75.89% 88.80%
2017 N/A 73.45% 75.05% 88.13%
2016 N/A 74.50% 73.95% 88.85%
Timeliness of Prenatal Care 2019 N/A 86.76% 85.57% 95.33%
2018 N/A 88.15% 84.75% 94.17%
2017 N/A 86.37% 84.34% 94.89%
2016 N/A 86.71% 85.57% 96.28%
Behavioral Health
Info
Adherence to Antipsychotic Medications for Individuals with Schizophrenia 2020 Plan State Avg Nat Avg 90th Pctl.
Adherence to Antipsychotic Medications for Individuals With Schizophrenia N/A 70.63% 69.41% 79.41%
Adherence to Antipsychotic Medications for Individuals with Schizophrenia Year Plan State Avg. Natl. Avg. 90th Pctl.
Adherence to Antipsychotic Medications for Individuals With Schizophrenia 2019 N/A N/A N/A N/A
2018 N/A N/A N/A N/A
2017 N/A N/A N/A N/A
2016 N/A N/A N/A N/A
Info
Antidepressant Medication Management 2020 Plan State Avg Nat Avg 90th Pctl.
Antidepressant Medication Management - Effective Acute Phase Treatment N/A 77.14% 73.70% 81.07%
Antidepressant Medication Management - Effective Continuation Phase Treatment N/A 59.69% 57.32% 64.22%
Antidepressant Medication Management Year Plan State Avg. Natl. Avg. 90th Pctl.
Antidepressant Medication Management - Effective Acute Phase Treatment 2019 N/A 73.53% 71.19% 78.79%
2018 N/A 71.96% 68.64% 77.59%
2017 N/A 71.12% 67.11% 75.76%
2016 N/A 70.29% 66.56% 74.77%
Antidepressant Medication Management - Effective Continuation Phase Treatment 2019 N/A 55.44% 54.90% 62.18%
2018 N/A 54.22% 53.01% 60.39%
2017 N/A 54.87% 51.53% 60.24%
2016 N/A 53.51% 50.69% 58.60%
Info
Attention-Deficit/Hyperactivity Disorder (ADHD) Medication 2020 Plan State Avg Nat Avg 90th Pctl.
Follow-up care for Children Prescribed Attention-Deficit/Hyperactivity Disorder (ADHD) Medication-Initiation N/A 45.87% 41.24% 50.34%
Follow-up care for Children Prescribed Attention-Deficit/Hyperactivity Disorder (ADHD) Medication-Continuation N/A 56.56% 48.67% 59.32%
Attention-Deficit/Hyperactivity Disorder (ADHD) Medication Year Plan State Avg. Natl. Avg. 90th Pctl.
Follow-up care for Children Prescribed Attention-Deficit/Hyperactivity Disorder (ADHD) Medication-Initiation 2019 N/A 42.67% 40.66% 51.30%
2018 N/A 42.91% 39.85% 50.42%
2017 N/A 41.27% 41.13% 50.83%
2016 N/A 41.91% 38.93% 48.61%
Follow-up care for Children Prescribed Attention-Deficit/Hyperactivity Disorder (ADHD) Medication-Continuation 2019 N/A 50.69% 47.95% 58.82%
2018 N/A 40.32% 48.73% 60.57%
2017 N/A 55.09% 47.07% 58.44%
2016 N/A 46.92% 45.82% 56.86%
Info
Follow-Up After Emergency Department Visit for Alcohol and Other Drug Abuse or Dependence 2020 Plan State Avg Nat Avg 90th Pctl.
Follow-Up After Emergency Department Visit for Alcohol and Other Drug Abuse or Dependence Year Plan State Avg. Natl. Avg. 90th Pctl.
Info
Follow-Up After Emergency Department Visit for Mental Illness 2020 Plan State Avg Nat Avg 90th Pctl.
Follow-Up After Emergency Department Visit for Mental Illness Year Plan State Avg. Natl. Avg. 90th Pctl.
Info
Follow-up After Hospitalization For Mental Illness 2020 Plan State Avg Nat Avg 90th Pctl.
Follow-up After Hospitalization For Mental Illness within 7 days after hospital discharge N/A 49.46% 49.62% 63.68%
Follow-up After Hospitalization For Mental Illness within 30 days after hospital discharge N/A 72.67% 70.00% 79.46%
Follow-up After Hospitalization For Mental Illness Year Plan State Avg. Natl. Avg. 90th Pctl.
Follow-up After Hospitalization For Mental Illness within 7 days after hospital discharge 2019 N/A 49.77% 45.66% 58.20%
2018 N/A 48.09% 44.98% 60.38%
2017 N/A 52.18% 46.63% 62.81%
2016 N/A 52.99% 52.06% 67.31%
Follow-up After Hospitalization For Mental Illness within 30 days after hospital discharge 2019 N/A 72.38% 67.81% 80.65%
2018 N/A 69.84% 66.68% 80.29%
2017 N/A 69.80% 68.66% 82.58%
2016 N/A 73.85% 71.36% 84.17%
Effectiveness of Care
Info
Asthma Medication Ratio 2020 Plan State Avg Nat Avg 90th Pctl.
Asthma Medication Ratio - Ages 5-11 N/A 93.70% 89.98% 95.00%
Asthma Medication Ratio - Ages 12-18 N/A 84.76% 81.90% 89.30%
Asthma Medication Ratio - Ages 19-50 N/A 78.90% 75.62% 84.47%
Asthma Medication Ratio - Ages 51-64 N/A 85.69% 82.47% 89.38%
Asthma Medication Ratio - Total N/A 83.04% 79.76% 85.85%
Asthma Medication Ratio Year Plan State Avg. Natl. Avg. 90th Pctl.
Asthma Medication Ratio - Ages 5-11 2019 N/A 86.54% 85.94% 93.20%
2018 N/A 85.26% 87.15% 93.97%
2017 N/A 86.06% 86.90% 93.55%
2016 N/A 91.67% 86.40% 93.97%
Asthma Medication Ratio - Ages 12-18 2019 N/A 84.88% 77.43% 86.25%
2018 N/A 84.71% 78.77% 84.72%
2017 N/A 84.80% 76.69% 85.94%
2016 N/A 81.12% 78.30% 86.34%
Asthma Medication Ratio - Ages 19-50 2019 N/A 80.50% 74.07% 81.27%
2018 N/A 82.69% 75.11% 82.84%
2017 N/A 78.94% 74.23% 81.70%
2016 N/A 75.24% 73.51% 81.08%
Asthma Medication Ratio - Ages 51-64 2019 N/A 86.85% 81.27% 88.51%
2018 N/A 86.11% 82.81% 89.49%
2017 N/A 89.17% 82.83% 89.28%
2016 N/A 83.27% 81.70% 88.64%
Asthma Medication Ratio - Total 2019 N/A 83.92% 78.10% 84.69%
2018 N/A 84.32% 79.34% 85.18%
2017 N/A 84.01% 79.04% 85.85%
2016 N/A 80.60% 78.29% 85.46%
Info
Cardiovascular Disease Management 2020 Plan State Avg Nat Avg 90th Pctl.
Controlling High Blood Pressure N/A 43.15% 53.49% 69.10%
Persistence of Beta-Blockers N/A 87.06% 87.38% 94.19%
Cardiovascular Disease Management Year Plan State Avg. Natl. Avg. 90th Pctl.
Controlling High Blood Pressure 2019 N/A 60.96% 61.02% 74.21%
2018 N/A 60.55% N/A N/A
2017 N/A N/A N/A N/A
2016 N/A N/A N/A N/A
Persistence of Beta-Blockers 2019 N/A 88.62% 85.16% 92.47%
2018 N/A 83.54% 82.37% 89.29%
2017 N/A 85.80% 85.18% 93.41%
2016 N/A 90.70% 83.61% 90.83%
Info
Cervical Cancer Screening 2020 Plan State Avg Nat Avg 90th Pctl.
Cervical Cancer Screening Year Plan State Avg. Natl. Avg. 90th Pctl.
Info
Common Childhood Illnesses 2020 Plan State Avg Nat Avg 90th Pctl.
Appropriate Testing for Children With Pharyngitis N/A 90.05% 84.77% 92.62%
Common Childhood Illnesses Year Plan State Avg. Natl. Avg. 90th Pctl.
Appropriate Testing for Children With Pharyngitis 2019 N/A 90.44% 86.62% 93.98%
2018 N/A 92.74% 87.97% 94.94%
2017 N/A 92.30% 87.45% 94.64%
2016 N/A 90.38% 84.50% 93.75%
Info
Diabetes Care and Management 2020 Plan State Avg Nat Avg 90th Pctl.
Comprehensive Diabetes Care-Blood Pressure Control (<140/90 mm Hg) N/A 44.59% 55.85% 73.48%
Comprehensive Diabetes Care-HbA1c control (<8.0%) N/A 55.20% 55.37% 65.50%
Comprehensive Diabetes Care-Rate of Eye Exams N/A 53.44% 50.27% 64.23%
Comprehensive Diabetes Care-Rate of Poor HbA1c control N/A 36.05% 34.87% 23.45%
Comprehensive Diabetes Care-Testing for HbA1c N/A 86.71% 87.74% 91.73%
Diabetes Care and Management Year Plan State Avg. Natl. Avg. 90th Pctl.
Comprehensive Diabetes Care-Blood Pressure Control (<140/90 mm Hg) 2019 N/A 62.53% 63.23% 77.86%
2018 N/A 63.70% 62.59% 77.37%
2017 N/A 63.40% 60.82% 76.41%
2016 N/A 60.88% 61.06% 78.35%
Comprehensive Diabetes Care-HbA1c control (<8.0%) 2019 N/A 63.81% 58.07% 66.33%
2018 N/A 62.46% 57.79% 66.33%
2017 N/A 62.51% 57.48% 67.15%
2016 N/A 58.36% 56.62% 66.39%
Comprehensive Diabetes Care-Rate of Eye Exams 2019 N/A 58.32% 55.45% 69.32%
2018 N/A 56.58% 54.40% 69.68%
2017 N/A 56.95% 54.06% 70.69%
2016 N/A 58.46% 52.96% 72.04%
Comprehensive Diabetes Care-Rate of Poor HbA1c control 2019 N/A 26.09% 30.80% 20.82%
2018 N/A 27.18% 30.85% 20.62%
2017 N/A 27.63% 31.91% 21.41%
2016 N/A 30.47% 32.15% 20.98%
Comprehensive Diabetes Care-Testing for HbA1c 2019 N/A 92.45% 91.60% 94.71%
2018 N/A 92.11% 91.29% 94.71%
2017 N/A 91.52% 90.96% 94.18%
2016 N/A 90.38% 90.32% 94.83%
Info
Immunizations 2020 Plan State Avg Nat Avg 90th Pctl.
Childhood Immunization for Multiple Diseases Including Chicken Pox N/A 76.23% 77.26% 88.52%
Childhood Immunization for Multiple Diseases Including Pneumovax N/A 74.94% 75.84% 87.36%
Flu Vaccinations for Adults Ages 18-64 N/A 57.13% 57.41% 67.88%
Immunizations for Adolescents - Combination 2 N/A 61.54% N/A N/A
Immunizations for Adolescents - HPV N/A 35.09% 31.84% 39.17%
Immunizations for Adolescents - Meningococcal N/A 37.80% 33.38% 42.34%
Immunizations for Adolescents - Tdap N/A 80.71% 85.83% 93.12%
Immunizations Year Plan State Avg. Natl. Avg. 90th Pctl.
Childhood Immunization for Multiple Diseases Including Chicken Pox 2019 N/A 82.73% 80.16% 89.29%
2018 N/A 80.96% 79.32% 88.06%
2017 N/A 73.55% 79.44% 89.14%
2016 N/A 75.86% 78.93% 89.03%
Childhood Immunization for Multiple Diseases Including Pneumovax 2019 N/A 81.30% 78.32% 87.99%
2018 N/A 79.46% 77.50% 86.62%
2017 N/A 80.09% 77.67% 87.61%
2016 N/A 82.08% 77.04% 87.50%
Flu Vaccinations for Adults Ages 18-64 2019 N/A 59.38% 55.06% 65.24%
2018 N/A 53.06% 51.93% 61.07%
2017 N/A 55.21% 49.33% 59.27%
2016 N/A N/A N/A N/A
Immunizations for Adolescents - Combination 2 2019 N/A 55.69% N/A N/A
2018 N/A 55.16% N/A N/A
2017 N/A 47.24% N/A N/A
2016 N/A N/A N/A N/A
Immunizations for Adolescents - HPV 2019 N/A 33.16% 29.59% 40.63%
2018 N/A 79.55% 82.25% 91.52%
2017 N/A 80.48% 80.23% 89.54%
2016 N/A 77.95% 77.63% 88.81%
Immunizations for Adolescents - Meningococcal 2019 N/A 35.43% 31.21% 42.46%
2018 N/A 32.22% 28.05% 37.23%
2017 N/A 28.29% 23.98% 32.36%
2016 N/A 77.95% 77.63% 88.81%
Immunizations for Adolescents - Tdap 2019 N/A 81.83% 85.01% 92.59%
2018 N/A 80.66% 83.69% 92.94%
2017 N/A 82.05% 81.75% 90.27%
2016 N/A 79.65% 79.20% 90.02%
Info
Pharmacotherapy of COPD Exacerbation 2020 Plan State Avg Nat Avg 90th Pctl.
Pharmacotherapy of COPD Exacerbation - Bronchodilator N/A 86.03% 81.34% 88.51%
Pharmacotherapy of COPD Exacerbation - Corticosteroid N/A 75.06% 74.31% 85.07%
Pharmacotherapy of COPD Exacerbation Year Plan State Avg. Natl. Avg. 90th Pctl.
Pharmacotherapy of COPD Exacerbation - Bronchodilator 2019 N/A 83.91% 80.32% 88.97%
2018 N/A 85.49% 78.92% 87.88%
2017 N/A 80.88% 79.87% 87.50%
2016 N/A 84.12% 76.30% 85.98%
Pharmacotherapy of COPD Exacerbation - Corticosteroid 2019 N/A 81.14% 76.90% 87.69%
2018 N/A 76.41% 74.76% 83.55%
2017 N/A 78.84% 76.26% 84.38%
2016 N/A 79.54% 70.70% 81.82%
Info
Preventive Care 2020 Plan State Avg Nat Avg 90th Pctl.
Breast Cancer Screening N/A 72.56% 72.44% 79.39%
Chlamydia Screening in Women-all Age groups N/A 49.80% 48.49% 63.85%
Colorectal Cancer Screening N/A 60.99% 63.64% 74.42%
Preventive Care Year Plan State Avg. Natl. Avg. 90th Pctl.
Breast Cancer Screening 2019 N/A 72.92% 74.81% 81.58%
2018 N/A 72.13% 73.73% 81.17%
2017 N/A 71.85% 72.81% 80.91%
2016 N/A 71.80% 72.90% 80.63%
Chlamydia Screening in Women-all Age groups 2019 N/A 54.77% 51.86% 67.02%
2018 N/A 52.91% 51.41% 67.76%
2017 N/A 51.46% 50.16% 66.08%
2016 N/A 49.79% 48.98% 63.50%
Colorectal Cancer Screening 2019 N/A 68.10% 66.15% 77.91%
2018 N/A 64.94% 64.37% 76.52%
2017 N/A 65.16% 62.43% 74.72%
2016 N/A 64.67% 61.71% 74.09%
Info
Spirometry Testing 2020 Plan State Avg Nat Avg 90th Pctl.
Use of Spirometry Testing in the Assessment and diagnosis of COPD N/A 37.53% 37.16% 43.86%
Spirometry Testing Year Plan State Avg. Natl. Avg. 90th Pctl.
Use of Spirometry Testing in the Assessment and diagnosis of COPD 2019 N/A 39.81% 42.11% 52.78%
2018 N/A 44.14% 41.48% 50.95%
2017 N/A 43.12% 41.90% 50.52%
2016 N/A 42.48% 42.55% 51.02%
Info
Statin Therapy 2020 Plan State Avg Nat Avg 90th Pctl.
Statin Therapy Year Plan State Avg. Natl. Avg. 90th Pctl.
Info
Weight Assessment and Counseling 2020 Plan State Avg Nat Avg 90th Pctl.
Children/Adolescents BMI Assessment - Total N/A 61.27% 70.64% 88.81%
Children/Adolescents BMI Assessment - Ages 3-11 N/A 64.54% 72.11% 88.89%
Children/Adolescents BMI Assessment - Ages 12-17 N/A 57.19% 68.80% 87.79%
Counseling for Nutrition for Children/Adolescents - Total N/A 56.08% 65.06% 82.43%
Counseling for Nutrition for Children/Adolescents - Ages 3-11 N/A 59.21% 67.32% 84.32%
Counseling for Nutrition for Children/Adolescents - Ages 12-17 N/A 52.10% 62.24% 79.49%
Counseling for Physical Activity for Children/Adolescents - Total N/A 52.21% 60.81% 80.29%
Counseling for Physical Activity for Children/Adolescents - Ages 3-11 N/A 52.27% 60.31% 81.14%
Counseling for Physical Activity for Children/Adolescents - Ages 12-17 N/A 51.96% 61.40% 79.85%
Weight Assessment and Counseling Year Plan State Avg. Natl. Avg. 90th Pctl.
Children/Adolescents BMI Assessment - Total 2019 N/A 74.97% 74.90% 90.00%
2018 N/A 73.74% 72.87% 90.00%
2017 N/A 70.41% 70.59% 88.08%
2016 N/A 69.07% 65.62% 88.08%
Children/Adolescents BMI Assessment - Ages 3-11 2019 N/A 78.68% 76.00% 90.91%
2018 N/A 76.94% 74.00% 90.91%
2017 N/A 71.37% 71.84% 88.89%
2016 N/A 70.86% 67.11% 88.19%
Children/Adolescents BMI Assessment - Ages 12-17 2019 N/A 70.46% 73.46% 89.29%
2018 N/A 69.73% 71.39% 88.97%
2017 N/A 68.96% 68.94% 87.82%
2016 N/A 66.72% 64.28% 87.29%
Counseling for Nutrition for Children/Adolescents - Total 2019 N/A 72.58% 68.74% 85.24%
2018 N/A 71.79% 67.72% 85.06%
2017 N/A 69.47% 65.50% 83.21%
2016 N/A 66.76% 61.76% 83.68%
Counseling for Nutrition for Children/Adolescents - Ages 3-11 2019 N/A 77.02% 71.33% 86.49%
2018 N/A 75.91% 69.85% 86.21%
2017 N/A 71.63% 68.20% 84.82%
2016 N/A 69.25% 64.59% 85.48%
Counseling for Nutrition for Children/Adolescents - Ages 12-17 2019 N/A 66.89% 65.44% 84.29%
2018 N/A 66.37% 64.92% 84.29%
2017 N/A 66.54% 61.92% 80.26%
2016 N/A 63.42% 58.79% 81.87%
Counseling for Physical Activity for Children/Adolescents - Total 2019 N/A 66.86% 64.24% 82.78%
2018 N/A 66.42% 63.08% 81.32%
2017 N/A 64.30% 59.96% 77.32%
2016 N/A 60.41% 55.96% 79.44%
Counseling for Physical Activity for Children/Adolescents - Ages 3-11 2019 N/A 66.12% 63.39% 82.53%
2018 N/A 65.48% 61.70% 80.92%
2017 N/A 62.31% 58.84% 75.00%
2016 N/A 58.91% 54.72% 76.52%
Counseling for Physical Activity for Children/Adolescents - Ages 12-17 2019 N/A 67.67% 65.38% 84.68%
2018 N/A 67.51% 64.79% 84.03%
2017 N/A 66.86% 61.40% 79.89%
2016 N/A 62.44% 58.47% 83.05%
Health Plan Stability/Descriptive
Info
Administrative Data 2020 Plan State Avg Nat Avg 90th Pctl.
Administrative Ratio 0.11 0.13 N/A N/A
Medical Cost Ratio 0.85 0.81 N/A N/A
Number of Enrollees 216,729 170,871 N/A N/A
Number of Physicians 34,970 133,088 N/A N/A
Premium Per Member Per Month $741 $522 N/A N/A
Profit/Loss Ratio 0.05 0.06 N/A N/A
Administrative Data Year Plan State Avg. Natl. Avg. 90th Pctl.
Administrative Ratio 2019 0.11 0.12 N/A N/A
2018 0.11 0.14 86.19 92.68
2017 0.10 0.12 86.39 93.13
2016 0.16 0.15 N/A N/A
Medical Cost Ratio 2019 0.89 0.84 N/A N/A
2018 0.91 0.83 92.60 95.85
2017 0.83 0.83 93.13 96.59
2016 0.87 0.83 N/A N/A
Number of Enrollees 2019 164,089 136,748 N/A N/A
2018 93,024 129,656 92 96
2017 61,491 133,992 92 97
2016 79,377 136,796 N/A N/A
Number of Physicians 2019 32,837 105,314 N/A N/A
2018 6,735 86,806 87 95
2017 6,735 81,926 87 95
2016 20,775 73,426 N/A N/A
Premium Per Member Per Month 2019 $775 $511 N/A N/A
2018 $807 $517 N/A N/A
2017 $502 $370 N/A N/A
2016 $341 $370 N/A N/A
Profit/Loss Ratio 2019 0.00 0.04 N/A N/A
2018 -0.02 0.04 N/A N/A
2017 0.08 0.05 N/A N/A
2016 -0.02 0.03 N/A N/A
Info
Financial Data 2020 Plan State Avg Nat Avg 90th Pctl.
Income $61,408,283 $117,272,490 N/A N/A
Net Worth $253,637,891 $414,233,312 N/A N/A
Premiums Earned $1,733,766,373 $1,173,200,139 N/A N/A
Financial Data Year Plan State Avg. Natl. Avg. 90th Pctl.
Income 2019 $8,557,194 $81,234,487 N/A N/A
2018 $-10,277,628 $44,046,244 N/A N/A
2017 $15,360,797 $34,422,501 N/A N/A
2016 $-4,341,063 $38,212,136 N/A N/A
Net Worth 2019 $177,295,459 $340,553,480 N/A N/A
2018 $78,708,757 $279,558,644 N/A N/A
2017 $53,349,593 $263,890,874 N/A N/A
2016 $40,058,918 $267,217,323 N/A N/A
Premiums Earned 2019 $1,363,245,199 $936,529,722 N/A N/A
2018 $733,110,197 $815,577,345 N/A N/A
2017 $281,685,135 $645,600,589 N/A N/A
2016 $352,025,010 $644,862,921 N/A N/A
Info
Years in Business 2020 Plan State Avg Nat Avg 90th Pctl.
Years in Business 37 38 N/A N/A
Years in Business Year Plan State Avg. Natl. Avg. 90th Pctl.
Years in Business 2019 36 37 N/A N/A
2018 35 36 N/A N/A
2017 34 35 N/A N/A
2016 33 34 N/A N/A
Member Satisfaction
Info
Member Satisfaction 2020 Plan State Avg Nat Avg 90th Pctl.
Getting Care Quickly N/A 85.38% 86.32% 91.51%
Getting Needed Care N/A 87.88% 88.01% 92.51%
How Well Doctors Communicate N/A 95.93% 95.93% 97.98%
Members highly rating their HMO (8 to 10 on a 0-10 scale) N/A 65.21% 69.04% 80.59%
Members highly rating their most often seen specialist (8 to 10 on a 0-10 scale) N/A 86.67% 87.14% 91.18%
Members highly rating their overall health care (8 to 10 on a 0-10 scale) N/A 79.32% 80.71% 87.04%
Members highly rating their personal doctor (8 to 10 on a 0-10 scale) N/A 85.69% 86.56% 91.30%
Member Satisfaction Year Plan State Avg. Natl. Avg. 90th Pctl.
Getting Care Quickly 2019 N/A 87.14% 86.32% 90.57%
2018 N/A 85.27% 85.23% 89.89%
2017 N/A 87.22% 85.34% 89.83%
2016 N/A 85.81% 85.14% 90.00%
Getting Needed Care 2019 N/A 87.88% 87.38% 91.22%
2018 N/A 85.53% 86.33% 90.45%
2017 N/A 87.44% 86.71% 90.37%
2016 N/A 86.38% 87.25% 91.54%
How Well Doctors Communicate 2019 N/A 94.99% 95.85% 97.38%
2018 N/A 94.70% 95.31% 97.22%
2017 N/A 94.74% 95.10% 96.91%
2016 N/A 95.22% 95.39% 97.21%
Members highly rating their HMO (8 to 10 on a 0-10 scale) 2019 N/A 69.24% 67.91% 78.57%
2018 N/A 64.78% 64.53% 76.79%
2017 N/A 61.26% 62.44% 75.00%
2016 N/A 62.47% 62.27% 74.92%
Members highly rating their most often seen specialist (8 to 10 on a 0-10 scale) 2019 N/A 88.18% 86.27% 90.20%
2018 N/A 84.82% 84.41% 88.57%
2017 N/A 83.86% 84.62% 88.77%
2016 N/A 83.44% 84.72% 88.74%
Members highly rating their overall health care (8 to 10 on a 0-10 scale) 2019 N/A 79.81% 80.27% 86.36%
2018 N/A 76.02% 78.17% 83.95%
2017 N/A 76.98% 77.27% 82.99%
2016 N/A 77.49% 77.19% 83.29%
Members highly rating their personal doctor (8 to 10 on a 0-10 scale) 2019 N/A 87.91% 87.34% 90.94%
2018 N/A 84.08% 85.14% 89.78%
2017 N/A 83.95% 84.60% 89.86%
2016 N/A 84.65% 84.57% 88.37%
Overuse/Appropriateness
Info
Antipsychotics 2020 Plan State Avg Nat Avg 90th Pctl.
Metabolic Monitoring for Children and Adolescents on Antipsychotics - Ages 1-17 N/A 38.77% 31.82% 42.98%
Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics - Ages 1-17 N/A 60.42% 62.97% 76.39%
Antipsychotics Year Plan State Avg. Natl. Avg. 90th Pctl.
Metabolic Monitoring for Children and Adolescents on Antipsychotics - Ages 1-17 2019 N/A 42.62% 37.50% 49.28%
2018 N/A 44.74% 36.17% 47.41%
2017 N/A 50.55% 36.07% 48.57%
2016 N/A 34.87% 35.80% 45.93%
Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics - Ages 1-17 2019 N/A 63.47% 61.05% 78.36%
2018 N/A 57.96% 56.00% 70.54%
2017 N/A 58.14% 54.52% 68.67%
2016 N/A 61.93% 58.30% 75.00%
Info
Cervical Cancer Screening in Adolescent Females 2020 Plan State Avg Nat Avg 90th Pctl.
Non-Recommended Cervical Cancer Screening in Adolescent Females N/A 0.46% 0.67% 0.19%
Cervical Cancer Screening in Adolescent Females Year Plan State Avg. Natl. Avg. 90th Pctl.
Non-Recommended Cervical Cancer Screening in Adolescent Females 2019 N/A 0.58% 0.85% 0.24%
2018 N/A 0.71% 1.05% 0.33%
2017 N/A 0.94% 1.47% 0.50%
2016 N/A 1.60% 1.84% 0.62%
Info
Lower Back Pain 2020 Plan State Avg Nat Avg 90th Pctl.
Use of Imaging for Low Back Pain N/A 77.22% 78.53% 85.60%
Lower Back Pain Year Plan State Avg. Natl. Avg. 90th Pctl.
Use of Imaging for Low Back Pain 2019 N/A 77.01% 76.69% 83.47%
2018 N/A 74.77% 75.11% 82.95%
2017 N/A 73.85% 75.16% 82.29%
2016 N/A 73.58% 72.67% 80.11%
Info
Respiratory 2020 Plan State Avg Nat Avg 90th Pctl.
Appropriate Treatment for Children With Upper Respiratory Infection N/A 93.12% 91.57% 95.67%
Avoidance of Antibiotic Treatment in Adults with Acute Bronchitis N/A 41.88% 43.24% 59.45%
Respiratory Year Plan State Avg. Natl. Avg. 90th Pctl.
Appropriate Treatment for Children With Upper Respiratory Infection 2019 N/A 91.87% 90.76% 95.51%
2018 N/A 92.50% 91.22% 95.48%
2017 N/A 90.92% 89.19% 94.59%
2016 N/A 88.81% 88.51% 94.80%
Avoidance of Antibiotic Treatment in Adults with Acute Bronchitis 2019 N/A 38.42% 39.91% 54.09%
2018 N/A 33.60% 33.16% 48.28%
2017 N/A 30.67% 30.99% 49.52%
2016 N/A 27.03% 28.19% 41.72%
Info
Use of Opioids 2020 Plan State Avg Nat Avg 90th Pctl.
Use of Opioids Year Plan State Avg. Natl. Avg. 90th Pctl.
Risk Adjusted Utilization
Info
Acute Hospital Utilization Rate 2020 Plan State Avg Nat Avg 90th Pctl.
Acute Hospital Utilization - Medicine N/A 21.48% 0.72% 0.53%
Acute Hospital Utilization - Surgery N/A 11.94% N/A N/A
Acute Hospital Utilization - Total Acute N/A 33.42% 0.97% 0.78%
Acute Hospital Utilization Rate Year Plan State Avg. Natl. Avg. 90th Pctl.
Acute Hospital Utilization - Medicine 2019 N/A 26.50% 0.89% 0.68%
2018 N/A N/A N/A N/A
2017 N/A N/A N/A N/A
2016 N/A N/A N/A N/A
Acute Hospital Utilization - Surgery 2019 N/A 15.92% N/A N/A
2018 N/A N/A N/A N/A
2017 N/A N/A N/A N/A
2016 N/A N/A N/A N/A
Acute Hospital Utilization - Total Acute 2019 N/A 42.42% 1.09% 0.92%
2018 N/A N/A N/A N/A
2017 N/A N/A N/A N/A
2016 N/A N/A N/A N/A
Info
Emergency Department Utilization 2020 Plan State Avg Nat Avg 90th Pctl.
Emergency Department Utilization N/A 125 N/A N/A
Emergency Department Utilization Year Plan State Avg. Natl. Avg. 90th Pctl.
Emergency Department Utilization 2019 N/A 187 1 1
2018 N/A N/A N/A N/A
2017 N/A N/A N/A N/A
2016 N/A N/A N/A N/A
Info
Plan All-Cause Readmissions 2020 Plan State Avg Nat Avg 90th Pctl.
Plan All-Cause Readmissions Ages 18-64 (Total) N/A 4.88% 0.58% 0.47%
Plan All-Cause Readmissions Ages 18-44 N/A 4.26% N/A N/A
Plan All-Cause Readmissions Ages 45-54 N/A 4.46% N/A N/A
Plan All-Cause Readmissions Ages 55-64 N/A 5.69% N/A N/A
Plan All-Cause Readmissions Year Plan State Avg. Natl. Avg. 90th Pctl.
Plan All-Cause Readmissions Ages 18-64 (Total) 2019 N/A 4.32% 0.51% 0.37%
2018 N/A 11.17% N/A N/A
2017 N/A 12.19% N/A N/A
2016 N/A 0.12% N/A N/A
Plan All-Cause Readmissions Ages 18-44 2019 N/A 4.54% N/A N/A
2018 N/A 11.41% N/A N/A
2017 N/A 12.99% N/A N/A
2016 N/A 0.12% N/A N/A
Plan All-Cause Readmissions Ages 45-54 2019 N/A 4.35% N/A N/A
2018 N/A 10.56% N/A N/A
2017 N/A 11.71% N/A N/A
2016 N/A 0.12% N/A N/A
Plan All-Cause Readmissions Ages 55-64 2019 N/A 4.26% N/A N/A
2018 N/A 11.21% N/A N/A
2017 N/A 11.93% N/A N/A
2016 N/A 0.11% N/A N/A
Utilization
Info
Antibiotic Utilization 2020 Plan State Avg Nat Avg 90th Pctl.
Average number of antibiotic prescriptions per member per year - Total N/A 0.57 0.57 0.71
Average number of antibiotic prescriptions per member per year - Ages 0-9 N/A 0.41 N/A N/A
Average number of antibiotic prescriptions per member per year - Ages 10-17 N/A 0.33 N/A N/A
Average number of antibiotic prescriptions per member per year - Ages 18-34 N/A 0.53 N/A N/A
Average number of antibiotic prescriptions per member per year - Ages 35-49 N/A 0.59 N/A N/A
Average number of antibiotic prescriptions per member per year - Ages 50-64 N/A 0.70 N/A N/A
Average number of antibiotic prescriptions per member per year - Ages 65-74 N/A 0.77 N/A N/A
Average number of antibiotic prescriptions per member per year - Ages 75-85 N/A 0.80 N/A N/A
Average number of antibiotic prescriptions per member per year - Ages 85 plus N/A 1.56 N/A N/A
Days suppplied per antibiotic prescription - Total N/A 10.133 10.310 11.480
Days suppplied per antibiotic prescription - Ages 0-9 N/A 10.550 N/A N/A
Days suppplied per antibiotic prescription - Ages 10-17 N/A 14.369 N/A N/A
Days suppplied per antibiotic prescription - Ages 18-34 N/A 9.729 N/A N/A
Days suppplied per antibiotic prescription - Ages 35-49 N/A 9.703 N/A N/A
Days suppplied per antibiotic prescription - Ages 50-64 N/A 10.027 N/A N/A
Days suppplied per antibiotic prescription - Ages 65-74 N/A 9.997 N/A N/A
Days suppplied per antibiotic prescription - Ages 75-85 N/A 10.119 N/A N/A
Days suppplied per antibiotic prescription - Ages 85 plus N/A 10.606 N/A N/A
Prescriptions of concern - Total N/A 0.227 0.240 0.320
Prescriptions of concern - Ages 0-9 N/A 0.15 N/A N/A
Prescriptions of concern - Ages 10-17 N/A 0.11 N/A N/A
Prescriptions of concern - Ages 18-34 N/A 0.20 N/A N/A
Prescriptions of concern - Ages 35-49 N/A 0.25 N/A N/A
Prescriptions of concern - Ages 50-64 N/A 0.31 N/A N/A
Prescriptions of concern - Ages 65-74 N/A 0.33 N/A N/A
Prescriptions of concern - Ages 75-85 N/A 0.34 N/A N/A
Prescriptions of concern - Ages 85 plus N/A 0.41 N/A N/A
Antibiotic Utilization Year Plan State Avg. Natl. Avg. 90th Pctl.
Average number of antibiotic prescriptions per member per year - Total 2019 N/A 0.75 0.74 0.90
2018 N/A 0.74 0.71 0.88
2017 N/A 0.77 0.76 0.90
2016 N/A 0.79 0.76 0.90
Average number of antibiotic prescriptions per member per year - Ages 0-9 2019 N/A 0.85 N/A N/A
2018 N/A 0.81 N/A N/A
2017 N/A 0.87 N/A N/A
2016 N/A 0.97 N/A N/A
Average number of antibiotic prescriptions per member per year - Ages 10-17 2019 N/A 0.52 N/A N/A
2018 N/A 0.52 N/A N/A
2017 N/A 0.57 N/A N/A
2016 N/A 0.60 N/A N/A
Average number of antibiotic prescriptions per member per year - Ages 18-34 2019 N/A 0.66 N/A N/A
2018 N/A 0.65 N/A N/A
2017 N/A 0.67 N/A N/A
2016 N/A 0.69 N/A N/A
Average number of antibiotic prescriptions per member per year - Ages 35-49 2019 N/A 0.74 N/A N/A
2018 N/A 0.73 N/A N/A
2017 N/A 0.75 N/A N/A
2016 N/A 0.77 N/A N/A
Average number of antibiotic prescriptions per member per year - Ages 50-64 2019 N/A 0.85 N/A N/A
2018 N/A 0.84 N/A N/A
2017 N/A 0.88 N/A N/A
2016 N/A 0.87 N/A N/A
Average number of antibiotic prescriptions per member per year - Ages 65-74 2019 N/A 0.95 N/A N/A
2018 N/A 0.97 N/A N/A
2017 N/A 1.00 N/A N/A
2016 N/A 0.99 N/A N/A
Average number of antibiotic prescriptions per member per year - Ages 75-85 2019 N/A 1.15 N/A N/A
2018 N/A 1.21 N/A N/A
2017 N/A 1.12 N/A N/A
2016 N/A 1.23 N/A N/A
Average number of antibiotic prescriptions per member per year - Ages 85 plus 2019 N/A 0.95 N/A N/A
2018 N/A 1.32 N/A N/A
2017 N/A 1.12 N/A N/A
2016 N/A 0.73 N/A N/A
Days suppplied per antibiotic prescription - Total 2019 N/A 9.888 9.890 10.660
2018 N/A 9.950 9.910 10.890
2017 N/A 10.024 9.880 10.830
2016 N/A 10.090 9.880 10.830
Days suppplied per antibiotic prescription - Ages 0-9 2019 N/A 10.025 N/A N/A
2018 N/A 9.979 N/A N/A
2017 N/A 10.050 N/A N/A
2016 N/A 10.041 N/A N/A
Days suppplied per antibiotic prescription - Ages 10-17 2019 N/A 12.591 N/A N/A
2018 N/A 12.948 N/A N/A
2017 N/A 12.689 N/A N/A
2016 N/A 12.799 N/A N/A
Days suppplied per antibiotic prescription - Ages 18-34 2019 N/A 9.695 N/A N/A
2018 N/A 9.731 N/A N/A
2017 N/A 9.836 N/A N/A
2016 N/A 10.074 N/A N/A
Days suppplied per antibiotic prescription - Ages 35-49 2019 N/A 9.488 N/A N/A
2018 N/A 9.568 N/A N/A
2017 N/A 9.591 N/A N/A
2016 N/A 9.620 N/A N/A
Days suppplied per antibiotic prescription - Ages 50-64 2019 N/A 9.756 N/A N/A
2018 N/A 9.769 N/A N/A
2017 N/A 9.856 N/A N/A
2016 N/A 9.816 N/A N/A
Days suppplied per antibiotic prescription - Ages 65-74 2019 N/A 9.766 N/A N/A
2018 N/A 9.830 N/A N/A
2017 N/A 9.850 N/A N/A
2016 N/A 9.929 N/A N/A
Days suppplied per antibiotic prescription - Ages 75-85 2019 N/A 9.645 N/A N/A
2018 N/A 9.428 N/A N/A
2017 N/A 10.604 N/A N/A
2016 N/A 10.594 N/A N/A
Days suppplied per antibiotic prescription - Ages 85 plus 2019 N/A 9.997 N/A N/A
2018 N/A 9.026 N/A N/A
2017 N/A 9.873 N/A N/A
2016 N/A 9.431 N/A N/A
Prescriptions of concern - Total 2019 N/A 0.339 0.330 0.430
2018 N/A 0.338 0.330 0.430
2017 N/A 0.354 0.360 0.450
2016 N/A 0.383 0.360 0.450
Prescriptions of concern - Ages 0-9 2019 N/A 0.34 N/A N/A
2018 N/A 0.32 N/A N/A
2017 N/A 0.35 N/A N/A
2016 N/A 0.43 N/A N/A
Prescriptions of concern - Ages 10-17 2019 N/A 0.20 N/A N/A
2018 N/A 0.20 N/A N/A
2017 N/A 0.22 N/A N/A
2016 N/A 0.24 N/A N/A
Prescriptions of concern - Ages 18-34 2019 N/A 0.28 N/A N/A
2018 N/A 0.28 N/A N/A
2017 N/A 0.28 N/A N/A
2016 N/A 0.31 N/A N/A
Prescriptions of concern - Ages 35-49 2019 N/A 0.35 N/A N/A
2018 N/A 0.35 N/A N/A
2017 N/A 0.37 N/A N/A
2016 N/A 0.40 N/A N/A
Prescriptions of concern - Ages 50-64 2019 N/A 0.41 N/A N/A
2018 N/A 0.42 N/A N/A
2017 N/A 0.44 N/A N/A
2016 N/A 0.46 N/A N/A
Prescriptions of concern - Ages 65-74 2019 N/A 0.44 N/A N/A
2018 N/A 0.48 N/A N/A
2017 N/A 0.50 N/A N/A
2016 N/A 0.51 N/A N/A
Prescriptions of concern - Ages 75-85 2019 N/A 0.51 N/A N/A
2018 N/A 0.62 N/A N/A
2017 N/A 0.54 N/A N/A
2016 N/A 0.65 N/A N/A
Prescriptions of concern - Ages 85 plus 2019 N/A 0.36 N/A N/A
2018 N/A 0.45 N/A N/A
2017 N/A 0.48 N/A N/A
2016 N/A 0.34 N/A N/A
Info
Mental Health Utilization 2020 Plan State Avg Nat Avg 90th Pctl.
Mental Health Utilization - Any Service - Total N/A 9.13% 9.07% 12.95%
Mental Health Utilization - Any Service - Ages 0-12 N/A 6.25% N/A N/A
Mental Health Utilization - Any Service - Ages 13-17 N/A 15.31% N/A N/A
Mental Health Utilization - Any Service - Ages 18-64 N/A 9.40% N/A N/A
Mental Health Utilization - Any Service - Ages 65 plus N/A 3.53% N/A N/A
Mental Health Utilization - ED - Total N/A 0.03% 0.06% 0.15%
Mental Health Utilization - ED - Ages 0-12 N/A 0.01% N/A N/A
Mental Health Utilization - ED - Ages 13-17 N/A 0.10% N/A N/A
Mental Health Utilization - ED - Ages 18-64 N/A 0.03% N/A N/A
Mental Health Utilization - ED - Ages 65 plus N/A 0.01% N/A N/A
Mental Health Utilization - Inpatient - Total N/A 0.22% 0.24% 0.31%
Mental Health Utilization - Inpatient - Ages 0-12 N/A 0.07% N/A N/A
Mental Health Utilization - Inpatient - Ages 13-17 N/A 0.79% N/A N/A
Mental Health Utilization - Inpatient - Ages 18-64 N/A 0.20% N/A N/A
Mental Health Utilization - Inpatient - Ages 65 plus N/A 0.06% N/A N/A
Mental Health Utilization - Intensive Outpatient or Partial Hospitalization - Total N/A 0.07% 0.15% 0.30%
Mental Health Utilization - Intensive Outpatient or Partial Hospitalization - Ages 0-12 N/A 0.05% N/A N/A
Mental Health Utilization - Intensive Outpatient or Partial Hospitalization - Ages 13-17 N/A 0.26% N/A N/A
Mental Health Utilization - Intensive Outpatient or Partial Hospitalization - Ages 18-64 N/A 0.06% N/A N/A
Mental Health Utilization - Intensive Outpatient or Partial Hospitalization - Ages 65 plus N/A 0.01% N/A N/A
Mental Health Utilization - Outpatient - Total N/A 7.22% 6.95% 9.99%
Mental Health Utilization - Outpatient - Ages 0-12 N/A 5.23% N/A N/A
Mental Health Utilization - Outpatient - Ages 13-17 N/A 12.84% N/A N/A
Mental Health Utilization - Outpatient - Ages 18-64 N/A 7.35% N/A N/A
Mental Health Utilization - Outpatient - Ages 65 plus N/A 2.62% N/A N/A
Mental Health Utilization - Telehealth - Total N/A 4.92% 5.19% 8.37%
Mental Health Utilization - Telehealth - Ages 0-12 N/A 3.07% N/A N/A
Mental Health Utilization - Telehealth - Ages 13-17 N/A 8.30% N/A N/A
Mental Health Utilization - Telehealth - Ages 18-64 N/A 5.11% N/A N/A
Mental Health Utilization - Telehealth - Ages 65 plus N/A 1.80% N/A N/A
Mental Health Utilization Year Plan State Avg. Natl. Avg. 90th Pctl.
Mental Health Utilization - Any Service - Total 2019 N/A 8.33% 8.86% 12.67%
2018 N/A 7.63% 7.98% 11.76%
2017 N/A N/A N/A N/A
2016 N/A N/A N/A N/A
Mental Health Utilization - Any Service - Ages 0-12 2019 N/A 6.35% N/A N/A
2018 N/A 6.12% N/A N/A
2017 N/A N/A N/A N/A
2016 N/A N/A N/A N/A
Mental Health Utilization - Any Service - Ages 13-17 2019 N/A 15.01% N/A N/A
2018 N/A 13.96% N/A N/A
2017 N/A N/A N/A N/A
2016 N/A N/A N/A N/A
Mental Health Utilization - Any Service - Ages 18-64 2019 N/A 8.45% N/A N/A
2018 N/A 7.62% N/A N/A
2017 N/A N/A N/A N/A
2016 N/A N/A N/A N/A
Mental Health Utilization - Any Service - Ages 65 plus 2019 N/A 3.17% N/A N/A
2018 N/A 3.20% N/A N/A
2017 N/A N/A N/A N/A
2016 N/A N/A N/A N/A
Mental Health Utilization - ED - Total 2019 N/A 0.04% 0.08% 0.17%
2018 N/A 0.09% 0.10% 0.22%
2017 N/A N/A N/A N/A
2016 N/A N/A N/A N/A
Mental Health Utilization - ED - Ages 0-12 2019 N/A 0.02% N/A N/A
2018 N/A 0.05% N/A N/A
2017 N/A N/A N/A N/A
2016 N/A N/A N/A N/A
Mental Health Utilization - ED - Ages 13-17 2019 N/A 0.17% N/A N/A
2018 N/A 0.28% N/A N/A
2017 N/A N/A N/A N/A
2016 N/A N/A N/A N/A
Mental Health Utilization - ED - Ages 18-64 2019 N/A 0.03% N/A N/A
2018 N/A 0.08% N/A N/A
2017 N/A N/A N/A N/A
2016 N/A N/A N/A N/A
Mental Health Utilization - ED - Ages 65 plus 2019 N/A 0.07% N/A N/A
2018 N/A 0.02% N/A N/A
2017 N/A N/A N/A N/A
2016 N/A N/A N/A N/A
Mental Health Utilization - Inpatient - Total 2019 N/A 0.25% 0.27% 0.34%
2018 N/A 0.27% 0.27% 0.34%
2017 N/A N/A N/A N/A
2016 N/A N/A N/A N/A
Mental Health Utilization - Inpatient - Ages 0-12 2019 N/A 0.12% N/A N/A
2018 N/A 0.12% N/A N/A
2017 N/A N/A N/A N/A
2016 N/A N/A N/A N/A
Mental Health Utilization - Inpatient - Ages 13-17 2019 N/A 0.85% N/A N/A
2018 N/A 0.95% N/A N/A
2017 N/A N/A N/A N/A
2016 N/A N/A N/A N/A
Mental Health Utilization - Inpatient - Ages 18-64 2019 N/A 0.24% N/A N/A
2018 N/A 0.26% N/A N/A
2017 N/A N/A N/A N/A
2016 N/A N/A N/A N/A
Mental Health Utilization - Inpatient - Ages 65 plus 2019 N/A 0.11% N/A N/A
2018 N/A 0.06% N/A N/A
2017 N/A N/A N/A N/A
2016 N/A N/A N/A N/A
Mental Health Utilization - Intensive Outpatient or Partial Hospitalization - Total 2019 N/A 0.11% 0.20% 0.40%
2018 N/A 0.12% 0.19% 0.38%
2017 N/A N/A N/A N/A
2016 N/A N/A N/A N/A
Mental Health Utilization - Intensive Outpatient or Partial Hospitalization - Ages 0-12 2019 N/A 0.10% N/A N/A
2018 N/A 0.15% N/A N/A
2017 N/A N/A N/A N/A
2016 N/A N/A N/A N/A
Mental Health Utilization - Intensive Outpatient or Partial Hospitalization - Ages 13-17 2019 N/A 0.35% N/A N/A
2018 N/A 0.49% N/A N/A
2017 N/A N/A N/A N/A
2016 N/A N/A N/A N/A
Mental Health Utilization - Intensive Outpatient or Partial Hospitalization - Ages 18-64 2019 N/A 0.09% N/A N/A
2018 N/A 0.09% N/A N/A
2017 N/A N/A N/A N/A
2016 N/A N/A N/A N/A
Mental Health Utilization - Intensive Outpatient or Partial Hospitalization - Ages 65 plus 2019 N/A 0.02% N/A N/A
2018 N/A 0.02% N/A N/A
2017 N/A N/A N/A N/A
2016 N/A N/A N/A N/A
Mental Health Utilization - Outpatient - Total 2019 N/A 8.24% 8.73% 12.61%
2018 N/A 7.53% N/A N/A
2017 N/A N/A N/A N/A
2016 N/A N/A N/A N/A
Mental Health Utilization - Outpatient - Ages 0-12 2019 N/A 6.32% N/A N/A
2018 N/A 6.10% N/A N/A
2017 N/A N/A N/A N/A
2016 N/A N/A N/A N/A
Mental Health Utilization - Outpatient - Ages 13-17 2019 N/A 14.86% N/A N/A
2018 N/A 13.80% N/A N/A
2017 N/A N/A N/A N/A
2016 N/A N/A N/A N/A
Mental Health Utilization - Outpatient - Ages 18-64 2019 N/A 8.36% N/A N/A
2018 N/A 7.51% N/A N/A
2017 N/A N/A N/A N/A
2016 N/A N/A N/A N/A
Mental Health Utilization - Outpatient - Ages 65 plus 2019 N/A 3.07% N/A N/A
2018 N/A 3.16% N/A N/A
2017 N/A N/A N/A N/A
2016 N/A N/A N/A N/A
Mental Health Utilization - Telehealth - Total 2019 N/A 0.11% 0.11% 0.22%
2018 N/A 0.10% 0.05% 0.11%
2017 N/A N/A N/A N/A
2016 N/A N/A N/A N/A
Mental Health Utilization - Telehealth - Ages 0-12 2019 N/A 0.04% N/A N/A
2018 N/A 0.03% N/A N/A
2017 N/A N/A N/A N/A
2016 N/A N/A N/A N/A
Mental Health Utilization - Telehealth - Ages 13-17 2019 N/A 0.15% N/A N/A
2018 N/A 0.19% N/A N/A
2017 N/A N/A N/A N/A
2016 N/A N/A N/A N/A
Mental Health Utilization - Telehealth - Ages 18-64 2019 N/A 0.12% N/A N/A
2018 N/A 0.11% N/A N/A
2017 N/A N/A N/A N/A
2016 N/A N/A N/A N/A
Mental Health Utilization - Telehealth - Ages 65 plus 2019 N/A 0.02% N/A N/A
2018 N/A 0.02% N/A N/A
2017 N/A N/A N/A N/A
2016 N/A N/A N/A N/A
2020 data updated on: 02/08/2022