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2016 COMMUNITY CHECKUP REPORT Chart Pack: Graphs and Figures www.WACommunityCheckup.org DECEMBER 2016 Variation among Accountable Communities of Health for Mental Health Services for Commercially Insured Adults, Ages 18–64 STATE AVERAGE BETTER AVERAGE WORSE Better Health Together 28% 29% Cascade Pacific Action Alliance 28% Greater Columbia 26% King 30% North Central 24% North Sound 28% Olympic 27% Pierce 27% SW WA Regional Health Alliance 44% 0% 20% 40% 60% 80% 100% Variation among Counties for Mental Health Services for Commercially Insured Adults, Ages 18–64 STATE AVERAGE: 29% BETTER AVERAGE WORSE UNRATED Whatcom San Juan 31 % Pend 24% Okanogan Oreille Skagit 22% Ferry Stevens 19% Island 27% 18% 21% 27% Clallam Snohomish 21% 27% Chelan Jefferson 28% 26% Douglas Kitsap Lincoln Spokane King 25% 30% 19% 29% Grays Mason 30% Harbor 27% 22% Kittitas Grant Thurston Pierce 23% 22% Adams 27% Whitman 28% 17% 23% Pacific Lewis 21% 24% Franklin Garfield Yakima 26% Wahkiakum 25% 15% Cowlitz Benton Walla Columbia 27% Walla 39% 30% 16% Asotin Skamania 27% 20% 31 % Clark Klickitat 44% 19% Variation among Accountable Communities of Health for Mental Health Services for Medicaid Insured Adults, Ages 18–64 STATE AVERAGE BETTER AVERAGE WORSE Better Health Together 45% 46% Cascade Pacific Action Alliance 45% Greater Columbia 45% King 51% North Central 45% North Sound 47% Olympic 48% Pierce 43% SW WA Regional Health Alliance 42% 0% 20% 40% 60% 80% 100% Variation among Counties for Mental Health Services for Medicaid Insured Adults, Ages 18–64 STATE AVERAGE: 46% BETTER AVERAGE WORSE UNRATED Whatcom San Juan 51% Pend 43% Okanogan Oreille Skagit 46% Ferry Stevens 40% Island 47% 48% 43% 46% Clallam Snohomish 47% 46% Chelan Jefferson 48% 49% Douglas Kitsap Lincoln Spokane King 48% 48% 36% 46% Grays Mason 51% Harbor 41% 44% Kittitas Grant Thurston Pierce 47% 41% Adams 43% Whitman 45% 35% 48% Pacific Lewis 45% 45% Franklin Garfield Yakima 41% Wahkiakum 44% 40% Walla 49% Cowlitz Benton Columbia Walla Asotin 49% Skamania 50% 35% 52% 46% 51% Clark Klickitat 41% 46% Variation among Medical Groups for Cardiovascular Disease Care for Commercially Insured NCQA 90TH PERCENTILE STATE AVERAGE MEDICAL GROUP RATE 100% 92% 90% 86% 82% 82% 80% 79% 76% 70% 60% 50% 40% 30% 20% 10% Cholesterol-lowering Medication safety: Statin therapy for Taking Taking hypertension medication generic monitoring patients patients with cholesterol-lowering medications as directed prescriptions on high-blood cardiovascular disease medications as directed pressure medications Commercial Health Plan Results for Blood Pressure Control for People with Cardiovascular Disease STATE AVERAGE: 57% NCQA 90TH PERCENTILE RATE Kaiser Permanente NW 84% Group Health Cooperative 75% Group Health Options 61% Asuris Northwest Health 54% Cigna 52% LifeWise Health Plan of Washington 52% Regence BlueShield 52% UnitedHealthcare 52% Aetna 43% Premera Blue Cross 33% 0% 20% 40% 60% 80% 100% Commercial Health Plan Results for Medication Safety: Monitoring Patients on High-Blood Pressure Medication STATE AVERAGE: 81% NCQA 90TH PERCENTILE RATE Kaiser Permanente NW 86% Group Health Cooperative 84% Group Health Options 82% Asuris Northwest Health 80% Cigna 81% Regence BlueShield 80% UnitedHealthcare 81% Aetna 81% 0% 20% 40% 60% 80% 100% Medicaid Health Plan Results for Blood Pressure Control for People with Cardiovascular Disease STATE AVERAGE: 53% NCQA 90TH PERCENTILE RATE Community Health Plan of Washington 59% Molina Healthcare of Washington 57% Amerigroup Washington 53% UnitedHealthcare Community Plan 49% 0% 20% 40% 60% 80% 100% Medicaid Health Plan Results for Medication Safety: Monitoring Patients on High-Blood Pressure Medication STATE AVERAGE: N/A NCQA 90TH PERCENTILE RATE Molina Healthcare of Washington 87% Amerigroup Washington 86% 0% 20% 40% 60% 80% 100% Medicaid per Enrollee Annual Spending, 2010–2015 MEDICAID PER ENROLLEE ANNUAL SPENDING $7,800 $7,600 $7,544 $7,400 $7,200 $7,253 $7,270 $7,177 $7,000 $6,800 $6,721 $6,600 $6,671 $6,400 $6,200 2010 2011 2012 2013 2014 2015 Medicaid per Enrollee Spending in Washington State, 2010–2015 Medicaid Expenditures Medicaid Average Member Enrollment Medicaid per Enrollee Annual Spending 2010 $7,347,364,307 1,012,990 $7,253 2011 $7,599,043,607 3% Change 1,058,863 5% Change $7,177 -1% Change 2012 $7,771,270,669 2% Change 1,068,886 1% Change $7,270 1% Change 2013 $8,111,259,183 4% Change 1,075,221 1% Change $7,544 4% Change 2014 $10,283,214,733 27% Change 1,530,091 42% Change $6,721 -11% Change 2015 $11,538,184,702 12% Change 1,729,578 13% Change $6,671 -1% Change Public Employee Benefi t per Enrollee Annual Spending, 2010–2015 PEB PER ENROLLEE ANNUAL SPENDING $8,000 $7,000 $6,000 $5,425 $5,000 $5,355 $4,904 $5,024 $5,032 $4,706 $4,000 $3,000 $2,000 $1,000 $0 2010 2011 2012 2013 2014 2015 Public Employee per Enrollee Spending in Washington State, 2010–2015 PEB Expenditures PEB Average Monthly Enrollment PEB per Enrollee Annual Spending 2010 $1,644,909,877 335,422 $4,904 2011 $1,707,158,938 4% Change 339,829 1% Change $5,024 2% Change 2012 $1,592,252,228 -7% Change 338,371 0% Change $4,706 -6% Change 2013 $1,730,484,626 9% Change 343,884 2% Change $5,032 7% Change 2014 $1,877,997,903 9% Change 350,709 2% Change $5,355 6% Change 2015 $1,928,976,921 3% Change 355,578 1% Change $5,425 1% Change Washington State-Purchased Health Care Spending as a Percentage of State GDP and Total Average Monthly Eligible Members for State-Purchased Health Care STATEPURCHASED HEALTH CARE SPENDING AS A PERCENTAGE OF STATE GDP WA STATE HEALTH CARE AVG MONTHLY ELIGIBLE MEMBERS (MEDICAID AND PEB) 3.50% 2,500,000 3.04% 2.88% 3.00% 2,000,000 2,085,156 2.48% 2.50% 2.40% 2.44% 2.50% 1,880,800 1,500,000 2.00% 1,398,692 1,407,257 1,419,106 1,348,412 1.50% 1,000,000 1.00% 500,000 0.50% 2010 2011 2012 2013 2014 2015 Heath Care Spending Growth Related to the Washington State Gross Domestic Product, 2010–2015 WA State-Purchased Health WA State Health Care Avg WA State GDP State-Purchased Health Care Annual Spending Monthly Eligible Members Care Spending as a (includes Medicaid and PEB) (Medicaid and PEB) Percentage of State GDP 2010 $8,992,274,184 1,348,412 $362,114,000,000 2.48% 2011 $9,306,202,545 3% Change 1,398,692 4% Change $372,287,000,000 3% Change 2.50% 1% Change 2012 $9,363,522,897 1% Change 1,407,257 1% Change $390,154,000,000 5% Change 2.40% -4% Change 2013 $9,841,743,810 5% Change 1,419,106 1% Change $402,789,000,000 3% Change 2.44% 2% Change 2014 $12,161,212,636 24% Change 1,880,800 33% Change $422,767,000,000 5% Change 2.88% 18% Change 2015 $13,467,161,622 11% Change 2,085,156 11% Change $443,665,000,000 5% Change 3.04% 6% Change Variation among Medical Groups for Diabetes Care for Commercially Insured NCQA 90TH PERCENTILE STATE AVERAGE MEDICAL GROUP RATE 100% 94% 90% 90% 90% 86% 80% 75% 70% 70% 60% 50% 40% 30% 20% 10% Blood sugar (HbA1c) testing Eye exam for people with diabetes Kidney disease screening for for people with diabetes people with diabetes Variation among Accountable Communities of Health for Childhood Immunization Status by Age 13 STATE AVERAGE BETTER AVERAGE WORSE Better Health Together 48% 60% Cascade Pacific Action Alliance 59% Greater Columbia 65% King 67% North Central 71% North Sound 59% Olympic 57% Pierce 59% SW WA Regional Health Alliance 53% 0% 20% 40% 60% 80% 100% Variation among Counties for Childhood Immunization Status by Age 13 STATE AVERAGE: 60% BETTER AVERAGE WORSE UNRATED Whatcom San Juan 63% Pend 30% Okanogan Oreille Skagit 56% Ferry Stevens 10% Island 46% 34% 31 % 36% Clallam Snohomish 45% 63% Chelan Jefferson 74% 52% Douglas Kitsap Lincoln Spokane King 74% 60% 54% 49% Grays Mason 67% Harbor 45% 62% Kittitas Grant Thurston Pierce 54% 72% Adams 59% Whitman 61% 71% 46% Pacific Lewis 38% 62% Franklin Garfield Yakima 68% Wahkiakum 73% Walla 67% Cowlitz Benton Columbia Walla Asotin 60% Skamania 64% 63% 61% 36% 28% Clark Klickitat 53% 18% Variation among Accountable Communities of Health for Childhood Immunization Status by Age 2 STATE AVERAGE BETTER AVERAGE WORSE Better Health Together 21% 33% Cascade Pacific Action Alliance 28% Greater Columbia 35% King 43% North Central 36% North Sound 31 % Olympic 25% Pierce 26% SW WA Regional Health Alliance 27% 0% 20% 40% 60% 80% 100% Variation among Counties for Childhood Immunization Status by Age 2 STATE AVERAGE: 33% BETTER AVERAGE WORSE UNRATED Whatcom San Juan 23% Pend Okanogan Oreille Skagit 30% Ferry Stevens Island 19% 8% 17% Clallam Snohomish 14% 37% Chelan Jefferson 37% 23% Douglas Kitsap Lincoln Spokane King 38% 27% 19% 20% Grays Mason 43% Harbor 19% 26% Kittitas Grant Thurston Pierce 18% 37% Adams 26% Whitman 31 % 40% 26% Pacific Lewis 15% 30% Franklin Garfield Yakima 35% Wahkiakum 43% Walla Cowlitz Benton Columbia Walla Asotin 27% Skamania 35% 23% 6% Clark Klickitat 27% Variation among Accountable Communities of Health for HPV Vaccination Rates for Boys STATE AVERAGE BETTER AVERAGE WORSE Better Health Together 11 % 17% Cascade Pacific Action Alliance 15% Greater Columbia 22% King 20% North Central 21% North Sound 14% Olympic 14% Pierce 17% SW WA Regional Health Alliance 15% 0% 20% 40% 60% 80% 100% Variation among Counties for HPV Vaccination Rates for Boys STATE AVERAGE: 17% BETTER AVERAGE WORSE UNRATED Whatcom San Juan 11 % Pend Okanogan Oreille Skagit 13% Ferry Stevens Island 12 % 6% 7% Clallam Snohomish 10% 15% Chelan Jefferson 23% 12 % Douglas Kitsap Lincoln Spokane King 21% 15% 14% 11 % Grays Mason 20% Harbor 11 % 13% Kittitas Grant Thurston Pierce 13% 22% Adams 17% Whitman 18% 23% 12 % Pacific Lewis 9% 16% Franklin