A 2-year change score is calculated and each member’s physical and mental health status is categorized as better, the same, or worse than expected, taking into account risk adjustment factors. MCO-specific results are assigned as percentages of members whose health status was better, the same, or worse than expected

Management of urinary incontinence in older adultsS

Discussing Urinary Incontinence. The percentage of Medicare members 65 years of age and older who reported having a problem with urine leakage in the last 6 months and who discussed their urine leakage problem with their current practitioner

Receiving Urinary Incontinence Treatment. The percentage of Medicare members 65 years of age and older who reported having a urine leakage problem in the last 6 months and who received treatment for their current urine leakage problem

Physical activity in older adultsS

Discussing Physical Activity. The percentage of Medicare members 65 years of age and older who had a doctor’s visit in the last 12 months and who spoke with a doctor or other health provider about their level of exercise or physical activity

Advising Physical Activity. The percentage of Medicare members 65 years of age and older who had a doctor’s visit in the last 12 months and who received advice to start, increase, or maintain their level of exercise or physical activity

Access/Availability of Care

Adults’ access to preventive/ambulatory health servicesA

The percentage of enrollees 20–44, 45–64, and 65 years of age and older who had an ambulatory or preventive care visit. The MCO reports the percentage of:

  • Medicaid and Medicare enrollees who had an ambulatory or preventive care visit during the measurement year

  • Commercial enrollees who had an ambulatory or preventive care visit during the measurement year or the 2 years prior to the measurement year

Children and adolescents’ access to primary care practitionersA

The percentage of enrollees 12–24 months, 25 months–6 years, 7–11 years, and 12–19 years of age who had a visit with an MCO primary care practitioner. The MCO reports:

  • children 12–24 months and 25 months–6 years of age who had a visit with an MCO primary care practitioner during the measurement year



The National Academies | 500 Fifth St. N.W. | Washington, D.C. 20001
Copyright © National Academy of Sciences. All rights reserved.
Terms of Use and Privacy Statement