Region-Wide Achievement by Insurance Category

Figure 7 highlights the region’s overall achievement in July 2007 – June 2008 on our composite Outcomes and Care Processes standards, stratified by insurance category. Included are 25,620 patients of 42 partner practices with known insurance status – including patients at all EMR-based and paper-based records systems.

Collectively, 9,031 (35%) of these patients had Medicare as their primary insurer, 11,827 (46%) had a Commercial insurer, 2,066 (8%) were insured by Medicaid, and 2,696 (11%) were uninsured.

Figure 7.  Region-Wide Achievement on Better Health Greater Cleveland's Composite Standards, by Insurance Category, July 2007 - June 2008

Overall achievement on each of our composite standards varied considerably across patients in the different insurance categories. As also observed in national data from NCQA described earlier, Medicare patients fared best on both standards, with 48% meeting the Outcomes composite standard and 59% meeting the composite standard for Care Processes. Uninsured patients and those insured by Medicaid were much less likely to achieve our composite Outcomes and Care Processes Standards, with Commercially insured patients falling in between the other categories.