Florida Medicaid Maternal and Child Health Status Indicators Report 2006-2010 · 2015-07-15 · 2006-2010 FINAL June 2012 Presented to the Florida Agency for Health Care Administration

Florida Medicaid Maternal and Child

Health Status Indicators Report 2006-2010

FINAL June 2012

Presented to the Florida Agency for Health Care Administration Prepared by the Family Data Center, Department of Pediatrics, College of Medicine, University of Florida

Florida Medicaid Maternal and Child Health Status Indicators Report:

2006-2010

Presented to the Florida Agency for Health Care Administration

Prepared by the Family Data Center University of Florida

June 2012

Acknowledgements

Staff at the Family Data Center

Staff at the Florida Department of Health

Staff of the Medicaid Performance, Evaluation and Research Unit, Florida Agency for Health Care Administration

Florida Medicaid Maternal Child Health Status Indicators | 2006-2010 Birth Cohorts | Family Data Center | College of Medicine | University of Florida | June 2012 Page i

Table of Contents Executive Summary ..................................................................................................................................................................................... iii Overview ....................................................................................................................................................................................................... iv

Introduction ....................................................................................................................................................................................... iv

Summary of Significant Trends ........................................................................................................................................................ v

Changes in this Year’s Report ....................................................................................................................................................... xiv

Structure of the Indicator Tables ................................................................................................................................................................ xv

Indicators

INDICATOR 1: Deliveries in Florida ................................................................................................................................................................................................................ 1

INDICATOR 2: Pre-term Deliveries in Florida ................................................................................................................................................................................................. 4

INDICATOR 3: Deliveries for Women with First Trimester Entry into Prenatal Care in Florida ................................................................................................................. 9

INDICATOR 4: Deliveries for Women with Inadequate Prenatal Care in Florida ....................................................................................................................................... 14

INDICATOR 5: Deliveries for Pregnant Women Screened by Healthy Start in Florida ............................................................................................................................. 19

INDICATOR 6: Deliveries for Pregnant Women Screened at “High Risk” by Healthy Start in Florida .................................................................................................... 24

INDICATOR 7: Deliveries for Women Who Reported Smoking during Pregnancy in Florida .................................................................................................................. 29

INDICATOR 8: Deliveries by Prepregnancy Body Mass Index (BMI) in Florida ........................................................................................................................................ 34

INDICATOR 9: Deliveries to Adolescents (Age 18 or Younger) in Florida ................................................................................................................................................. 38

INDICATOR 10: Vaginal Deliveries without Physical Complications in Florida ......................................................................................................................................... 43

INDICATOR 11: Vaginal Deliveries with Physical Complications in Florida .............................................................................................................................................. 48

INDICATOR 12: Cesarean Deliveries in Florida ............................................................................................................................................................................................ 53

INDICATOR 13: Deliveries to Women Participating in Women, Infants, and Children (WIC) Nutrition Program in Florida ................................................................... 58

Florida Medicaid Maternal Child Health Status Indicators | 2006-2010 Birth Cohorts | Family Data Center | College of Medicine | University of Florida | June 2012 Page ii

INDICATOR 14: Interpregnancy Intervals (IPIs) in Florida ........................................................................................................................................................................... 63

INDICATOR 15: Births in Florida .................................................................................................................................................................................................................... 67

INDICATOR 16: Births with Low Birth Weight in Florida ............................................................................................................................................................................. 71

INDICATOR 17: Births with Very Low Birth Weight in Florida ..................................................................................................................................................................... 76

INDICATOR 18: Term Births with Low Birth Weight in Florida .................................................................................................................................................................... 81

INDICATOR 19: Pre-term Births with Low Birth Weight in Florida .............................................................................................................................................................. 86

INDICATOR 20: Deliveries for Women Planning to Breastfeed in Florida .................................................................................................................................................. 91

INDICATOR 21: Births for Infants Screened for Health and Developmental Risk in Florida .................................................................................................................... 96

INDICATOR 22: Births for Infants Screened “At Risk” for Health and Developmental Problems in Florida ......................................................................................... 101

INDICATOR 23: Infant Mortality in Florida ................................................................................................................................................................................................... 106

INDICATOR 24: Neonatal Mortality in Florida ............................................................................................................................................................................................. 111

INDICATOR 25: Post-Neonatal Mortality in Florida .................................................................................................................................................................................... 116

Appendices .................................................................................................................................................................................................................................................... 121

Appendix 1: Methodology .......................................................................................................................................................................................................... 122 Appendix 2: Definitions of Individual Maternal and Child Health Indicators ................................................................................................................................ 124

Florida Medicaid Maternal Child Health Status Indicators | 2006-2010 Birth Cohorts | Family Data Center | College of Medicine | University of Florida | June 2012 Page iii

Executive Summary

Health indicators are measures that reflect a broad range of factors such as personal behavior, environmental influences, and social conditions which together provide a snapshot of the health of specific populations. Policymakers use indicators to engage and guide communities in their efforts to improve health conditions and health outcomes. The Florida Medicaid Maternal and Child Health Status Indicators Report 2006-2010 provides information on 25 outcomes related to pregnant women and infants. This executive summary highlights key findings about women and children statewide and those served by Medicaid. When rates in the Medicaid population are worse for a given indicator than the rates in the statewide population, they appear as a red font within a bracket. When rates in the Medicaid population are better for a given indicator than the rates in the statewide population, they appear as a blue font within a bracket. “Better” or “worse” refers to the difference between the Medicaid and Statewide rates for a given indicator. None of the differences in Medicaid and Statewide rates for any indicator was tested to determine whether they were statistically significant. Relevant U.S. Healthy People 2020 Objectives are highlighted in the center box to provide a metric between current state rates and future national objectives. When Florida statewide and Medicaid rates are more favorable than U.S Healthy People 2020 Objectives, they are indicated in green font. Key Findings for 2010 Statewide, 9.5% of all deliveries were preterm [10.2% Medicaid] Statewide, 79.5% of all women entered prenatal care in the first trimester [71.6%]

Statewide, 7.2% of all women smoked during pregnancy [10.6%] Statewide, 48.8% % of all women who delivered had a normal pre-pregnancy body mass index [45.1%] Statewide, 37.1% of all deliveries were by cesarean section [35.6%] Statewide, 8.7% of all infants were born with a low birth weight

[9.7%] Statewide, 1.6% of all infants were born with a very low birth weight [1.9%] Statewide, 80.8% of all women planned to breastfeed their infants [75.1%] Statewide, infant mortality was 6.4 per 1000, [7.9 per 1000] Statewide, neonatal mortality was 4.3 per 1000, [4.8 per 1000] Other important indicators not included in U. S. Healthy People 2020 Objectives Statewide, 5.2% of deliveries were to adolescents

18 or younger [7.9%] Statewide, participation in the Women, Infant, and Children Nutrition (WIC) program was 53.1% [79.0%] Statewide, 55.7% of all pregnant women were screened for Healthy Start [63.4%] Statewide, 28.7% of all women screened by Healthy Start were identified as “high risk” [36.8%]

Select U.S. Healthy People 2020 Maternal, Infant, and Child

Health Objectives

11.4 % preterm delivery

77.9% first trimester entry into prenatal care

1.4% smoked during pregnancy

53.4% normal pre-pregnancy body mass index

23.9% cesarean delivery

7.8 % low birth weight

1.4% very low birth weight

81.9% infants breastfed

6.0 per 1000 infant mortality

4.1 per 1000 neonatal mortality

Florida Medicaid Maternal Child Health Status Indicators | 2006-2010 Birth Cohorts | Family Data Center | College of Medicine | University of Florida | June 2012 Page iv

Overview

Introduction

The Medicaid Maternal and Child Health Status Indicators Report is an annual report produced for the Florida Agency for Health Care Administration by the University of Florida’s Family Data Center. The purpose of the report is to provide descriptive statistics, including five-year trends whenever available, for 25 pregnancy and birth health outcomes. The report stratifies these statistics by Medicaid eligibility classification, race/ethnicity of beneficiaries, and type of Medicaid delivery system ((Fee-for-Service, MediPass, HMO). For the purposes of this report, Provider Service Networks (PSNs) serving pregnant women and infants were included in the Fee for Service Medicaid delivery system. In addition, the report provides data on the corresponding descriptive statistics for Non-Medicaid pregnant women and presents their outcomes alongside those of Medicaid beneficiaries.

Medicaid delivery, as distinct from birth, is the unit of analysis for all indicators related exclusively to the mother’s pregnancy experience. Birth is the unit of analysis for all indicators related to newborn outcomes. For purposes of this report, Medicaid beneficiaries are defined as Florida resident females who were enrolled in Medicaid for at least one day during their pregnancy. Medicaid beneficiaries are subdivided into the following eight mutually exclusive categories:

SOBRA –includes pregnant women who have a family income less than 185 percent of the federal poverty level and who do not qualify or receive cash assistance under the Temporary Assistance for Needy Families (TANF) program. These women are eligible for Medicaid only during their pregnancy and for 60 days following the birth of the child.

Non-SOBRA – includes pregnant women who are eligible for Medicaid by virtue of a family income less than 25 percent of the federal poverty level, assets less than $2000, and receive cash assistance under the Temporary Assistance for Needy Families (TANF) program.

CMS High Risk OB – includes women who have a history of difficult deliveries or a current medical condition that could result in a difficult delivery and are patients in the Department of Health's Children’s Medical Services’

(CMS) High Risk Obstetrical Program based in a Regional Perinatal Intensive Care Center.

Medically Needy – includes women who have complex medical problems which result in major health care expenditures that reduce their income to a level that enables them to qualify for Medicaid during pregnancy.

Medicaid SSI (Supplemental Security Income) – includes pregnant women who have a diagnosed disability and who meet specified income requirements.

Alien – includes women who are not U.S. citizens and whose delivery (but no prenatal or postnatal care) was funded by Medicaid.

Medicaid Less Than Eight Days or No Prenatal Care (PNC) – includes two groups of pregnant women: 1) those who were enrolled in Medicaid for less than eight days during their pregnancy and, therefore, cannot be considered to have received prenatal care funded by Medicaid. Most of these women were enrolled in Medicaid just prior to labor and delivery; and 2) those whose infant’s birth certificate indicated zero prenatal visits. This category is comprised of women who were not assigned to any of the preceding six Medicaid eligibility subgroups.

Non-Medicaid beneficiaries are subdivided into the following two mutually exclusive categories:

Non-Medicaid – includes pregnant women who were not eligible for Medicaid during their pregnancy and delivery.

Temporarily Eligible – includes women who were presumptively eligible for Medicaid and received prenatal care services funded by Medicaid for thirty or more days, but who were subsequently determined to be financially ineligible for Medicaid. The Temporarily Eligible category is considered Non-Medicaid and the women in this category are counted consistently within Non-Medicaid for all five-trend years.

Florida Medicaid Maternal Child Health Status Indicators | 2006-2010 Birth Cohorts | Family Data Center | College of Medicine | University of Florida | June 2012 Page v

Summary of Significant Statewide Trends

Overview. This summary section highlights important trends presented in a series of charts and graphs that are derived from the body of the report. These highlights do not capture the level of detail that further examination of each Indicator provides, but they do demonstrate the significance of Medicaid in support of prenatal and delivery services in Florida while illustrating important differences with regard to birth outcomes among subpopulations within our state.

Limitations. This report includes a broad range of descriptive statistics that illustrate the impact that Medicaid has on the provision of prenatal care as well as labor and delivery services for low-income women. These statistics do not establish causal relationships between the provision of Medicaid services to certain populations and birth outcomes. Therefore, one should not attribute a causal connection between a population characteristic and an outcome. For example, it would be incorrect to assume a causal relationship between a given race and the birth outcomes for that race, just as it would be incorrect to assume a causal relationship between a type of health care delivery system (Fee for Service, MediPass, or HMO) and the birth outcomes for women served in that system. However, these statistics are important indicators of the health status of individuals in different Medicaid classifications, different racial/ethnic groups, or served by different types of delivery systems. Where the rates are substantially different between such groups or higher than expected levels, state and local officials can use this information to initiate inquiries to better understand the causes of these differences.

Medicaid Deliveries [Indicator 1]

In 2010, 122,084 deliveries (58.3% of all deliveries in Florida) were to Medicaid eligible pregnant women, up from 120,230 deliveries in 2006 (51.6% of the state total). This is the highest proportion of Medicaid birth in Florida recorded so far in this century. The largest proportion of the Medicaid population is the SOBRA subgroup (women who are eligible for Medicaid only during their pregnancy and for 60 days following the birth of the child). Without the Medicaid program, many of these women would not be able to access prenatal care and receive medical management during delivery and postpartum. Figure 1 graphs the number of deliveries in Florida by Medicaid status over the last five years. Note that in 2010 there were over 6,000 fewer statewide deliveries than in 2009. The overwhelming portion of this decline

occurred in the Non-Medicaid population. Therefore, the proportion of Medicaid births among all births statewide actually increased two percentage points—from 56.6% in 2009 to 58.3% in 2010 (See Table 1A, p. 1).

Figure 1 — Number of Deliveries in Florida by Medicaid Status, 2006-2010

Figure 2 shows the percent distribution of Medicaid deliveries by major

race/ethnicity groups in Florida between 2006 and 2010. The distribution of births among the three race/ethnicity groups in 2010 was similar to that in 2006. Hispanic deliveries in Medicaid continue to exceed those of Caucasians. This predominance of Hispanic deliveries is consistent with the growth of the Hispanic population in Florida and nationwide over the last decade.

Figure 2 — Percent Distribution of Medicaid Deliveries by Major Race/Ethnicity Groups in Florida, 2006-2010

Florida Medicaid Maternal Child Health Status Indicators | 2006-2010 Birth Cohorts | Family Data Center | College of Medicine | University of Florida | June 2012 Page vi

Medicaid Service Delivery Systems [Indicator 1]

In 2010, 81 % of all Medicaid beneficiaries were provided prenatal, delivery, and postpartum care by traditional Fee for Service providers, with MediPass providing 5% and HMOs 14%. Among SOBRA Medicaid beneficiaries, 8.5% received their prenatal, delivery, and postpartum care from HMO providers in 2010 compared to 50.3% of Non-SOBRA Medicaid beneficiaries. Women in the Non-SOBRA and Medicaid SSI were subject to mandatory assignment to HMOs and they were the most likely of all Medicaid beneficiaries to be long-term beneficiaries of Medicaid funded health care. Furthermore, of all the women who were enrolled in a Medicaid HMO for 180 days or two-thirds of their pregnancy and who delivered in 2010 (termed High Exposure in report tables), 52% received their prenatal care from just four HMOs (Amerigroup Florida, Healthease of Florida, Inc., Staywell Health Plan, and United Health Care Plans; see Table 1C.1 for denominator and Table 2D for numerator). Figure 3 shows the percent distribution of Medicaid deliveries by delivery system [traditional Fee for Service, MediPass and Health Maintenance Organization (HMO)] and Medicaid Subgroup [SOBRA, Non-SOBRA, Medically Needy, and Medicaid SSI] in 2010.

Figure 3 — Percent Distribution of Medicaid Deliveries by Delivery System and Medicaid Subgroup in Florida, 2010

First Trimester Entry into Prenatal Care [Indicator 3]

The percent of women statewide entering prenatal care in the first trimester increased from 76.7% in 2006 to 79.5% in 2010. (See Table 3A, p. 9.) Figure 4 illustrates that a considerable gap exists between Non-Medicaid and Medicaid pregnant women: nearly twenty percentage points separate the two groups: In 2010, 90.2% of Non-Medicaid women entered prenatal care in the first trimester compared to 71.6% for Medicaid beneficiaries. Also in 2010, Non-SOBRA beneficiaries remained eight percentage points below SOBRA beneficiaries (67.3% compared to 75.3%) and about 23 percentage points below Non-Medicaid women in first trimester entry into prenatal care.

Figure 4 — Percent of Women who Entered Prenatal Care in First Trimester by Medicaid Status and Major Medicaid Subgroup in Florida, 2006-2010

Adequacy of Prenatal Care [Indicator 4]

Adequacy of prenatal care is a measure based on a combination of first trimester entry into prenatal care and receipt of a specific number of visits adjusted for gestational age. It measures participation in prenatal care, not the content or quality of the prenatal care received. Similar to past years, in 2010 there was a large disparity between Non-Medicaid and Medicaid women with regard to the adequacy of the prenatal care received. Among those who received Medicaid in 2010, 15.6% did not receive adequate prenatal care. This is 10.1 percentage points higher than the proportion of Non-Medicaid women receiving inadequate prenatal care (5.5%). However, the percent of Medicaid women who received inadequate prenatal care declined over the past two years.

Florida Medicaid Maternal Child Health Status Indicators | 2006-2010 Birth Cohorts | Family Data Center | College of Medicine | University of Florida | June 2012 Page vii

Figure 5 shows the percent of inadequate prenatal care by Medicaid Status and Major Medicaid Subgroup (SOBRA and Non-SOBRA.)

Figure 5 — Percent of Women with Inadequate Prenatal Care by Medicaid Status and Major Medicaid Subgroup in Florida, 2006-2010

Within the Medicaid population, the percent of inadequate prenatal care in 2010 was consistently higher in the Non-SOBRA subgroup compared to the SOBRA subgroup across all three major race/ethnicity categories. Figure 6 shows the percent of inadequate care among Caucasian, African-American and Hispanic women by Medicaid status and Major Medicaid subgroup in 2010.

Figure 6 — Percent of Inadequate Prenatal Care Among Caucasian, African American and Hispanic Women by Medicaid Status and Major Medicaid Subgroup in Florida, 2010

Smoking During Pregnancy [Indicator 7]

Smoking during pregnancy is significantly correlated with poor birth outcomes. Over the last five years, smoking has decreased among both Non-Medicaid and Medicaid pregnant women. However, the percent of Medicaid pregnant women who reported smoking remains three times higher than that of Non-Medicaid women (10.6% vs. 2.5% in 2010). Figure 7 shows the percent of deliveries to women who reported smoking during pregnancy by Medicaid Status and Major Medicaid Subgroup.

Florida Medicaid Maternal Child Health Status Indicators | 2006-2010 Birth Cohorts | Family Data Center | College of Medicine | University of Florida | June 2012 Page viii

Figure 7 — Percent of Deliveries to Women Who Reported Smoking during Pregnancy by Medicaid Status and Major Medicaid Subgroup in Florida, 2006-2010

The difference in rates of smoking during pregnancy was especially apparent among women of different race/ethnicity groups: 23.2% of Caucasian women in Medicaid reported smoking compared to 3.6% of Caucasian women not in Medicaid (See Figure 8). These percentages, however, need to be interpreted with caution because information for this item on the birth certificate comes exclusively from self-report. Nonetheless, the differences in the percent of women who reported smoking between Medicaid and Non-Medicaid, and especially among Caucasian Medicaid beneficiaries, are important because of the adverse effects on the developing fetus as a result of smoking during pregnancy.

Figure 8 — Percent of Deliveries to Women Who Reported Smoking during Pregnancy by Race/Ethnicity and Medicaid Status in Florida, 2010

Prepregnancy Body Mass Index [Indicator 8]

Prepregnancy obesity has been correlated with a number of adverse birth outcomes, including Caesarean section, preterm delivery, pre-eclampsia, and macrosomia (infant birth weight of 4,500 grams [about 10 pounds] or more). In 2010, the percent of Medicaid women who were obese prior to pregnancy was six points above that of Non-Medicaid women (23.1% vs. 16.8%; see Table 8A in the body of the report). This disparity in BMI is also apparent among race/ethnicity groups. In the 2010 Medicaid population, the percent of African-American who were obese was nearly one third higher than that of Caucasian women (29.9% vs. 21.5%). Figure 9 shows the percent of deliveries to women who were obese prior to pregnancy by race/ethnicity and Medicaid status, 2010.

Florida Medicaid Maternal Child Health Status Indicators | 2006-2010 Birth Cohorts | Family Data Center | College of Medicine | University of Florida | June 2012 Page ix

Figure 9 — Percent of Deliveries to Women with an Obese Prepregnancy BMI by Race/Ethnicity and Medicaid Status in Florida, 2010

Deliveries to Adolescents [Indicator 9]

In 2010, the percent of deliveries to adolescents was more than five times higher in the Medicaid population compared to the Non-Medicaid population (7.9% vs. 1.5%). Between 2006 and 2010, the proportion of deliveries to adolescents has declined among both Medicaid and Non-Medicaid women (from 10.6 % to 7.9% and 2.4% to 1.5%, respectively). Note that the percent of deliveries to adolescents is not equivalent to either the teen pregnancy or teen fertility rate. Percent deliveries of adolescents will always be affected by the number of deliveries to non-adolescents.

Figure 10 shows that the pattern of a rising percentage of births to adolescents in the Non-SOBRA Medicaid subgroup has reversed, starting in 2009. The five-year trend statewide shows a gradual decline in the proportion of deliveries to adolescents (See Table 9A, p. 38).

Figure 10 — Percent of Deliveries to Adolescents ≤ 18 Years by Medicaid Status in Florida, 2006-2010

WIC Participation [Indicator 13]

Participation in the Women, Infant and Child Nutrition Program (WIC) has consistently been shown to be associated with positive birth outcomes. Though financial eligibility for the program is identical to Medicaid’s (up to 185% of the federal poverty level), 25,681 low-income women in Florida did not enroll in WIC in 2010 (subtracting 96,403 Medicaid WIC participants from 122,084 Medicaid deliveries).

Since 2006, the percent of Medicaid women who participate in WIC has

risen nearly nine points—from 70.3 % in 2006 to 79.0% in 2010 (see Figure 11). This proportion means that about 21% of women in Medicaid did not participate in the program during 2010. Medicaid policies may need to be reviewed to determine if additional incentives should be implemented to ensure that Medicaid prenatal care providers facilitate enrollment of all Medicaid beneficiaries in the WIC program. There were 14,701 Non-Medicaid women who participated in WIC in 2010 (See Table 13A). This group represents a potential pool of low-income women who may or may not qualify for Medicaid, depending on whether they have some other form of health insurance.

Florida Medicaid Maternal Child Health Status Indicators | 2006-2010 Birth Cohorts | Family Data Center | College of Medicine | University of Florida | June 2012 Page x

Figure 11— Percent of Medicaid Beneficiaries Participating in the WIC Program in Florida, 2006-2010

Interpregnancy Interval [Indicator 14]

An inter-pregnancy interval of greater than 18 months has been found to be beneficial for positive birth outcomes and subsequent health and development of the child. In 2010, 28.8% of Medicaid beneficiaries in Florida had interpregnancy intervals less than 18 months. This rate is 4 percentage points higher than that in the Non-Medicaid population (24.0%). Non-SOBRA women had the highest percentage of interpregnancy intervals less than 18 months (39.2%). (See Table 14A.) These findings suggest that more concerted efforts need to be made to enroll eligible Medicaid women into family planning programs. Figure 12 shows the percent of interpregnancy intervals less than 18 months by Non-Medicaid and Medicaid, SOBRA and Non-SOBRA.

Figure 12 — Percent of Interpregnancy Intervals Less Than 18 Months for Non-Medicaid and Medicaid, SOBRA and Non-SOBRA in Florida, 2006-2010

Low Birth Weight [Indicator 16]

Low birth weight (defined as an infant who weighs less than 2500 grams or 5.5 pounds at birth) is one of the most significant risk factors associated with adverse birth, infant, and child development outcomes, including increased risk for child maltreatment in the first two years of life. Despite numerous public health initiatives, low birth weight rates in Florida have not declined between 2006 and 2010 (See Table 16A). Figure 13 shows five-year trends in low birth weight rates by Medicaid Status and Major Medicaid Subgroup.

The gap separating Medicaid and Non-Medicaid women in the low birth weight rate over the last five years has not narrowed. The low birth weight rate for Medicaid women remains over two percentage points higher than that of Non-Medicaid women (9.7 vs. 7.1 in 2010). There is considerable variation in low birth weight rates within Medicaid subgroups. SOBRA women consistently exhibit lower rates of low birth weight infants approaching those of Non-Medicaid women, whereas women in the CMS High-Risk Obstetrical program had a low birth weight rate nearly four times higher than that of Non-Medicaid women (see Table 16A). A previous history of delivering an infant of low birth weight undoubtedly accounts for this higher rate in the CMS High Risk OB group, since the program targets women who have had an adverse pregnancy outcome. Early identification of these women and immediate referral to a high-

Florida Medicaid Maternal Child Health Status Indicators | 2006-2010 Birth Cohorts | Family Data Center | College of Medicine | University of Florida | June 2012 Page xi

risk pregnancy program remains an important function of this Medicaid funded program.

Figure 13 — Percent of Low Birth Weight Newborns by Medicaid Status and Major Medicaid Subgroup in Florida, 2006-2010

African American women historically exhibit the highest rates of deliveries of newborns with low birth weight. In 2010, the low birth weight rate for African American Medicaid beneficiaries was 14.6% compared to 8.2% for Caucasians and 7.9% for Hispanics. (See Table 16B.2.) The rates for Asian and Native American subgroups fluctuated over the five-year period because of the relatively small size of these populations, but both groups had rates that were consistently lower than the rates for African Americans. Figure 14 shows the differences in low birth weight rates by race/ethnicity, Medicaid Status and Major Medicaid Subgroup (SOBRA and Non-SOBRA).

The tables for Indicator 16 (Low Birth Weight) in the body of this report provide detailed statistics on low birth weight. Indicators 17, 18 and 19 disaggregate low birth weight into more precise components — very low birth weight (indicating infants who weigh 3 pounds 4 ounces [1500 grams] or less at birth), term low birth weight (referring to infants who were born on or after 37 weeks of gestation and weighing less than 2500 grams or 5.5 pounds at birth), and pre-term low birth weight (referring to infants who were born before 37 weeks of gestation and weighing less than 2500 grams or 5.5 pounds at birth weight). Higher rates for African American infants are consistently noted within these subcomponents of low birth weight.

Figure 14 — Percent of Low Birth Weight Newborns by Race/Ethnicity Medicaid Status and Major Medicaid Subgroup in Florida, 2010

Deliveries to Women Planning to Breastfeed [Indicator 20]

Breastfeeding is associated with improved infant health outcomes such as decreased incidence and severity of a wide range of diseases (asthma, respiratory infection, Type 2 diabetes), lower rates of obesity, and fewer problems in motor and intellectual development. In 2010, the percent of women who planned to breastfeed was greater for Non-Medicaid than for Medicaid women (88.9% vs.75.1%; See Table 20A). This difference is also apparent among race/ethnicity groups. Among the Medicaid population, the percent of women who planned to breastfeed in 2010 was greater among Hispanics (86.2%) compared to Caucasian and African-American women (72.2% and 61.9%, respectively). Figure 15 shows the percent of women who plan to breastfeed by race/ethnicity and Medicaid status, 2010.

Florida Medicaid Maternal Child Health Status Indicators | 2006-2010 Birth Cohorts | Family Data Center | College of Medicine | University of Florida | June 2012 Page xii

Figure 15 — Percent of Deliveries to Mothers who Plan to Breastfeed by Race/Ethnicity and Medicaid Status in Florida, 2010

Infant Mortality [Indicator 23]

Infant mortality rates have long been viewed as a measure of the overall health of a community, state, and country. The United States continues to have one of the highest infant mortality rates among developed nations. However, Florida's infant mortality rate has been declining and is now below the U.S rate of 6.9 per thousand. In 2009, the statewide rate was 6.4 per thousand. The infant mortality rate for Medicaid women in Florida has also been declining: from 8.6 per thousand in 2005 to 7.9 per thousand in 2009. Infant mortality is calculated as the rate per thousand of children born in a given year who die before their first birthday. Records of children who were born in 2010 and who died in 2011 are not available until the fall of 2012. Figure 16 illustrates the infant mortality rates per 1,000 for the five-year period, 2005-2009, by Medicaid status (Non-Medicaid, Medicaid, SOBRA, Non-SOBRA, and Statewide).

Figure 16 — Infant Mortality Rates per 1,000 by Medicaid Status and Major Medicaid Subgroup in Florida, 2005-2009 Birth Years

As with low birth weight rates, African American infant mortality rates are consistently higher than those of Caucasians or Hispanics in both the Medicaid and Non-Medicaid populations. Among Medicaid women in 2009, the African American infant mortality rate per 1,000 live births was double that of Caucasians and Hispanics (13.1 vs. 6.5 and 5.7, respectively). Among Major Medicaid Subgroups, Non-SOBRA women of all race/ethnicities had consistently higher infant mortality rates than SOBRA women. Figure 17 shows infant mortality rates in 2009 for Caucasians, African Americans, and Hispanics by Medicaid Status and Major Medicaid Subgroup (SOBRA and Non-SOBRA).

Florida Medicaid Maternal Child Health Status Indicators | 2006-2010 Birth Cohorts | Family Data Center | College of Medicine | University of Florida | June 2012 Page xiii

Figure 17 — Infant Mortality Rates per 1,000 for Caucasians, African Americans, and Hispanics by Medicaid Status and Major Medicaid Subgroup, in Florida, 2009 Birth Year

The Indicator 23 tables in this report provide detailed statistics on infant mortality. Indicator tables 24 and 25 provide detailed information about the two constituent components of infant mortality: neonatal mortality (number of deaths during the first 28 completed days of life per 1000 live birth in a given year) and post-neonatal mortality (the number of deaths occurring after 28 days and before 365 days of life per 1000 live births in a given year). A drop in the postneonatal mortality rate was observed during the past five years but not in the neonatal mortality rate.

Florida Medicaid Maternal Child Health Status Indicators | 2006-2010 Birth Cohorts | Family Data Center | College of Medicine | University of Florida | June 2012 Page xiv

Changes in this Year’s Report

The 2010 Vital Statistics files sent to the Family Data Center (FDC) by the Florida Department of Health did not include infant social security number. The absence of this unique identifier affected the merge of Birth Vital Statistics to only one Medicaid subgroup—CMS High Risk OB. However, we were able to capture these cases by using other personal identifiers for the mother and child later on in the merging sequence. The result was a change in the 2010 births cohort merge rate of less than one tenth of one percent compared to the merge rate in the 2009 birth cohort.

Florida Medicaid Maternal Child Health Status Indicators | 2006-2010 Birth Cohorts | Family Data Center | College of Medicine | University of Florida | June 2012 Page xv

Structure of the Indicator Tables

The balance of this report provides detailed descriptive statistics on 25 indicators focused on pregnancy and birth outcomes for women in Florida who received prenatal services from both Medicaid and Non-Medicaid providers. A common series of tables and figures are provided for each indicator.

“A” tables provide the number and percent distribution, or rate of the indicator by Medicaid classification and by trend year. Each “A” table is followed by two figures that graph trend lines for the indicator.

Note: Indicators 1 (Deliveries) and 15 (Births) have no percent calculation in the “A” tables since they are their own denominators. Instead, these two indicators begin with a table showing the percent distribution of Medicaid vs. Non-Medicaid, as well as the percent distribution of Medicaid Subgroups within Medicaid for each trend year.

Indicators 23 (Neonatal Mortality), 24 (Infant Mortality) and 25 (Post-Neonatal Mortality) report deaths in the first year of life. Because they contain final mortality statistics, they report number and percent distribution for the 2005-2009 birth years which includes infant deaths recorded in 2010.

“B” tables provide the number and percent distribution or rate for Non-Medicaid and Medicaid women by the following race/ethnicity categories: Caucasian, African-American, Hispanic, Asian, Native American, and Other. Each “B” table is followed by two figures that graph the relative distribution of the indicator among race/ethnicity and Medicaid subgroups.

“C” tables provide the number and percent distribution of the indicator by Medicaid delivery system (traditional fee-for-service, MediPass or Health Maintenance Organization) and length of time enrolled in a Medicaid delivery system during pregnancy.

“D” tables provide the number and percent distribution of the indicator during 2009 and 2010 for women who were enrolled in the same Medicaid Health Maintenance Organization (HMO) for greater than 180 days or for at least 2/3 of their pregnancy.

Note: Because they contain final mortality statistics, tables 23D-24D report number and percent distribution for the preceding two available years, 2008 and 2009.

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Indicators

Indicator 1: Deliveries in Florida

Notes: Includes the total number of deliveries to Florida Residents --- Multiple births are counted as a single delivery. *Temporarily Eligible means Medicaid beneficiaries who were presumptively eligible but later determined to be financially ineligible. % Medicaid Status is the percent of each Subgroup (numerator) within that Medicaid Status (denominator); % Statewide is the percent of each Subgroup (numerator) from the Statewide Grand Total (denominator). Results are suppressed for individual cells where the case count is under 5, but are included in all table totals and corresponding charts (see Appendix 1 - Methodology, Data Suppression, pg 123).

MedicaidStatus Subgroup

2006

Deliveries%

MedicaidStatus

%Statewide

2007

Deliveries%

MedicaidStatus

%Statewide

2008

Deliveries%

MedicaidStatus

%Statewide

2009

Deliveries%

MedicaidStatus

%Statewide

2010

Deliveries%

MedicaidStatus

%Statewide

NonMedicaid

Non-Medicaid

Temporarily Eligible*

Total

Medicaid

SOBRA

Non SOBRA

CMS High Risk OB

Medically Needy

Medicaid SSI

Alien

Mcaid<8 Days or No PNC

Total

Grand Total

48.4%

2.5%

45.9%

100.0%

5.2%

94.8%

112,796

5,842

106,954

48.9%

2.9%

46.0%

100.0%

6.0%

94.0%

115,641

6,972

108,669

46.8%

2.2%

44.5%

100.0%

4.8%

95.2%

106,266

5,105

101,161

43.4%

1.5%

41.9%

100.0%

3.4%

96.6%

93,952

3,232

90,720

41.7%

1.2%

40.4%

100.0%

3.0%

97.0%

87,163

2,613

84,550

51.6%

1.2%

7.2%

1.0%

0.2%

4.0%

8.8%

29.2%

100.0%

2.4%

14.0%

1.9%

0.4%

7.8%

17.0%

56.6%

120,230

2,856

16,823

2,238

539

9,347

20,417

68,010

51.1%

1.3%

7.1%

1.0%

0.2%

3.8%

8.0%

29.7%

100.0%

2.6%

13.9%

1.9%

0.5%

7.5%

15.6%

58.1%

120,852

3,129

16,761

2,304

575

9,016

18,840

70,227

53.2%

1.3%

6.9%

1.0%

0.2%

4.1%

7.4%

32.2%

100.0%

2.5%

12.9%

1.8%

0.4%

7.8%

14.0%

60.5%

120,873

3,044

15,618

2,183

543

9,403

16,908

73,174

56.6%

1.3%

7.0%

1.0%

0.2%

4.2%

7.8%

35.1%

100.0%

2.2%

12.3%

1.8%

0.4%

7.3%

13.8%

62.1%

122,393

2,715

15,102

2,238

488

8,979

16,892

75,979

58.3%

1.2%

7.0%

1.0%

0.2%

4.3%

7.6%

36.9%

100.0%

2.1%

11.9%

1.8%

0.4%

7.4%

13.1%

63.3%

122,084

2,506

14,566

2,168

511

9,085

15,986

77,262

100.0%100.0%233,026 100.0%100.0%236,493 100.0%100.0%227,139 100.0%100.0%216,345 100.0%100.0%209,247

Table 1A: Number and Percent of Deliveries by Medicaid Status/Subgroup and Statewide Total

Non Medicaid Medicaid

0%

10..

20..

30..

40..

50..

60%

Figure 1Aa: Percent of Deliveries by Medicaid Status:Five-Year Trends

Year ofDelivery

2006

2007

2008

2009

2010

SOBRA Non SOBRA CMS High RiskOB

MedicallyNeedy

Medicaid SSI Alien Mcaid<8 Days or No PNC

0%

10%

20%

30%

40%

50%

60%

Figure 1Ab: Percent of Deliveries by Medicaid Subgroup: Five-Year Trends

Florida Medicaid Maternal Child Health Status Indicators | 2006-2010 Birth Cohorts | Family Data Center | College of Medicine | University of Florida | June 2012 1


Notes: Includes the total number of deliveries to Florida Residents --- Multiple births are counted as a single delivery. % (% Race/Ethnicity) is the percent of each Race/Ethnicity Category (numerator) from all Race/Ethnicity Categories within that Medicaid Subgroup (denominator - Table 1A). High percentages in certain Race/Ethnicity subgroups are due to very small denominators. Results are suppressed for individual cells where the case count is under 5, but are included in all table totals and corresponding charts (see Appendix 1 - Methodology, Data Suppression, pg 123).

2010


0%

10%

20%

30%

40%

50%

60%

Figure 1Ba: Percent of Deliveries by Race/Ethnicity andMedicaid Status

Race/Ethnicity

Caucasian

African-American

Hispanic

Asian

Native-American

Other

2010

SOBRA Non SOBRA CMS HighRisk OB

MedicallyNeedy

Medicaid SSI AlienMcaid<8

Days or NoPNC

0%

10%

20%

30%

40%

50%

60%

70%

80%

Figure 1Bb: Percent of Deliveries by Race/Ethnicity and Medicaid Subgroup

MedicaidStatus

Subgroup

2010

Caucasian

Deliveries %

African-American

Deliveries %

Hispanic

Deliveries %

Asian

Deliveries %

Native-American

Deliveries %

Other

Deliveries %

NonMedicaid

Non-Medicaid


Total

Medicaid

SOBRA

Non SOBRA

CMS High Risk OB

Medically Needy

Medicaid SSI

Alien


Total

Grand Total

58.1%

12.6%

59.5%

50,610

329

50,281

10.0%

11.8%

9.9%

8,677

308

8,369

25.0%

68.3%

23.7%

21,785

1,785

20,000

4.7%

4.4%

4.8%

4,140

115

4,025

0.2%

0.2%

151

151

2.1%

2.9%

2.0%

1,800

76

1,724

35.0%

44.0%

4.9%

27.5%

40.9%

19.5%

30.9%

43.3%

42,781

1,102

719

597

209

1,774

4,940

33,440

25.0%

28.8%

4.6%

54.2%

20.4%

30.2%

43.0%

23.5%

30,495

722

675

1,174

104

2,745

6,881

18,194

36.8%

23.8%

85.1%

16.2%

32.9%

47.5%

23.9%

30.1%

44,899

596

12,393

351

168

4,319

3,828

23,244

1.5%

1.5%

3.5%

0.3%

2.5%

1.6%

0.6%

1.3%

1,840

38

513

7

13

149

94

1,026

0.1%

0.1%

0.0%

0.0%

0.1%

0.1%

0.1%

108

3

1

1

7

19

77

1.6%

1.8%

1.8%

1.8%

3.3%

1.0%

1.4%

1.7%

1,961

45

265

38

17

91

224

1,281

44.6%93,391 18.7%39,172 31.9%66,684 2.9%5,980 0.1%259 1.8%3,761

Table 1B: Number and Percent of Deliveries by Race/Ethnicity and Medicaid Status/Subgroup



Notes: High exposure means mother had coverage in Medicaid for 180 days or more during pregnancy. Low exposure means mother had coverage in Medicaid for less than 180 days during pregnancy. % (% Medicaid Delivery System) is the percent of each Medicaid Delivery System (numerator) from the total for that LOC category (denominator). Results are suppressed for individual cells where the case count is under 5, but are included in all table totals and corresponding charts (see Appendix 1 - Methodology, Data Suppression, pg 123).

Length ofCoverage

MedicaidDeliverySystem

SOBRA

2009

# %

2010

# %

Non-SOBRA

2009

# %

2010

# %

CMS High Risk OB

2009

# %

2010

# %

Medically Needy

2009

# %

2010

# %

Total

FFS

MediPass

HMO

Total

HighExposure

FFS

MediPass

HMO

Total

LowExposure

FFS

MediPass

HMO

Total

100.0%

7.0%

2.5%

90.5%

75,979

5,341

1,907

68,731

100.0%

8.5%

3.0%

88.5%

77,262

6,561

2,336

68,365

100.0%

53.4%

16.9%

29.7%

16,892

9,012

2,862

5,018

100.0%

50.3%

17.9%

31.8%

15,986

8,048

2,854

5,084

100.0%

11.4%

3.8%

84.8%

8,979

1,022

343

7,614

100.0%

11.2%

3.8%

85.0%

9,085

1,016

343

7,726

100.0%

12.9%

5.5%

81.6%

488

63

27

398

100.0%

15.7%

6.1%

78.3%

511

80

31

400

100.0%

6.2%

2.1%

91.8%

55,651

3,446

1,144

51,061

100.0%

8.0%

3.0%

88.9%

58,609

4,710

1,775

52,124

100.0%

59.3%

16.6%

24.1%

11,537

6,844

1,918

2,775

100.0%

52.8%

20.2%

27.1%

11,492

6,066

2,316

3,110

100.0%

15.7%

5.7%

78.6%

4,346

684

246

3,416

100.0%

16.7%

6.3%

77.0%

4,497

752

282

3,463

100.0%

34.6%

16.5%

48.9%

133

46

22

65

100.0%

36.8%

15.5%

47.7%

155

57

24

74

100.0%

9.3%

3.8%

86.9%

20,328

1,895

763

17,670

100.0%

9.9%

3.0%

87.1%

18,653

1,851

561

16,241

100.0%

40.5%

17.6%

41.9%

5,355

2,168

944

2,243

100.0%

44.1%

12.0%

43.9%

4,494

1,982

538

1,974

100.0%

7.3%

2.1%

90.6%

4,633

338

97

4,198

100.0%

5.8%

1.3%

92.9%

4,588

264

61

4,263

100.0%

4.8%

1.4%

93.8%

355

17

5

333

100.0%

6.5%

2.0%

91.6%

356

23

7

326

Table 1C.1: Number and Percent of Deliveries within Medicaid Subgroup by Medicaid Delivery System and Length of Coverage (LOC)

Length of Coverage


Medicaid SSI

2009

# %

2010

# %

Alien

2009

# %

2010

# %

In Medicaid < 8 Days or No PNC

2009

# %

2010

# %

Total

2009

# %

2010

# %

Total

HMO

FFS

MediPass

Total

HighExposure

HMO

FFS

MediPass

Total

LowExposure

HMO

FFS

MediPass

Total

100.0%

22.5%

30.2%

47.3%

2,238

504

675

1,059

100.0%

22.2%

33.1%

44.6%

2,168

482

718

968

100.0%

100.0%

15,102

15,102

100.0%

100.0%

14,566

14,566

100.0%

4.1%

79.3%

16.7%

2,715

110

2,152

453

100.0%

3.7%

79.7%

16.6%

2,506

92

1,998

416

100.0%

4.7%

81.5%

13.8%

122,393

5,753

99,690

16,950

100.0%

5.0%

81.0%

14.0%

122,084

6,138

98,857

17,089

100.0%

22.3%

31.7%

46.0%

2,003

447

635

921

100.0%

22.7%

34.1%

43.2%

2,015

458

687

870

100.0%

100.0%

5

5

100.0%

100.0%

12

12

100.0%

9.1%

45.4%

45.5%

672

61

305

306

100.0%

11.1%

43.2%

45.7%

641

71

277

293

100.0%

5.2%

78.4%

16.5%

74,347

3,838

58,262

12,247

100.0%

6.4%

77.2%

16.5%

77,421

4,926

59,747

12,748

100.0%

24.3%

17.0%

58.7%

235

57

40

138

100.0%

15.7%

20.3%

64.1%

153

24

31

98

100.0%

100.0%

15,097

15,097

100.0%

100.0%

14,554

14,554

100.0%

2.4%

90.4%

7.2%

2,043

49

1,847

147

100.0%

1.1%

92.3%

6.6%

1,865

21

1,721

123

100.0%

4.0%

86.2%

9.8%

48,046

1,915

41,428

4,703

100.0%

2.7%

87.6%

9.7%

44,663

1,212

39,110

4,341


Indicator 2: Pre-term Deliveries in Florida

Notes: Pre-Term deliveries include infants delivered between 20 and 37 weeks of gestation as calculated from the clinical estimate of gestation. *Temporarily Eligible means Medicaid beneficiaries who were presumptively eligible but later determined to be financially ineligible. % (% Total) is the percent of the Indicator's deliveries for each Medicaid Status/Subgroup (numerator) from the total deliveries for that Medicaid Status/Subgroup (denominator - Table 1A). Results are suppressed for individual cells where the case count is under 5, but are included in all table totals and corresponding charts (see Appendix 1 - Methodology, Data Suppression, pg 123).

MedicaidStatus

Subgroup

2006

# %

2007

# %

2008

# %

2009

# %

2010

# %

NonMedicaid

Non-Medicaid


Total

Medicaid

SOBRA

Non SOBRA

CMS High Risk OB

Medically Needy

Medicaid SSI

Alien


Total

Grand Total

9.3%

6.8%

9.5%

10,536

398

10,138

9.2%

6.9%

9.4%

10,694

483

10,211

9.3%

7.2%

9.4%

9,898

369

9,529

8.7%

7.0%

8.8%

8,173

227

7,946

8.4%

5.8%

8.5%

7,362

152

7,210

11.0%

20.8%

6.3%

12.6%

13.4%

29.5%

11.0%

9.1%

13,194

595

1,065

283

72

2,759

2,242

6,178

10.9%

19.8%

6.3%

15.1%

12.2%

29.0%

11.1%

9.0%

13,126

621

1,048

347

70

2,616

2,096

6,328

11.0%

17.8%

6.6%

13.4%

15.1%

29.6%

11.4%

9.0%

13,268

542

1,037

293

82

2,780

1,929

6,605

10.3%

18.7%

6.1%

12.4%

12.5%

27.9%

11.2%

8.4%

12,570

507

921

278

61

2,507

1,897

6,399

10.2%

18.8%

5.9%

13.5%

12.5%

27.2%

10.8%

8.6%

12,502

470

856

293

64

2,473

1,731

6,615

10.2%23,730 10.1%23,820 10.2%23,166 9.6%20,743 9.5%19,864

Table 2A: Number and Percent Pre-term Deliveries of All Deliveries by Medicaid Status/Subgroup


0.0%

2.0%

4.0%

6.0%

8.0%

10.0%

Figure 2Aa: Percent Pre-term Deliveries of All Deliveries byMedicaid Status: Five-Year Trends

Year ofDelivery

2006

2007

2008

2009

2010

SOBRA Non SOBRACMS High Risk

OBMedicallyNeedy Medicaid SSI Alien

Mcaid<8 Daysor No PNC

0.0%

10.0%

20.0%

30.0%

Figure 2Ab: Percent Pre-term Deliveries of All Deliveries by Medicaid Subgroup:Five-Year Trends



Notes: Pre-Term deliveries include infants delivered between 20 and 37 weeks of gestation as calculated from the clinical estimate of gestation. % of (% Race/Ethnicity) is the percent of each Race/Ethnicity Category (numerator) for all Race/Ethnicity Categories from that Medicaid Subgroup (denominator). Results are suppressed for individual cells where the case count is under 5, but are included in all table totals and corresponding charts (see Appendix 1 - Methodology, Data Suppression, pg 123).

MedicaidStatus

Subgroup

2010

Caucasian

# %

African-American

# %

Hispanic

# %

Asian

# %

Native-American

# %

Other

# %

NonMedicaid

Non-Medicaid


Total

Medicaid

SOBRA

Non SOBRA

CMS High Risk OB

Medically Needy

Medicaid SSI

Alien


Total

Grand Total

54.4%

15.1%

55.2%

4,004

23

3,981

14.4%

15.1%

14.4%

1,058

23

1,035

24.4%

62.5%

23.6%

1,796

95

1,701

4.6%

3.9%

4.6%

339

6

333

0.2%

0.2%

18

18

2.0%

3.3%

2.0%

147

5

142

31.8%

40.0%

5.6%

22.2%

37.5%

23.1%

29.7%

38.8%

3,976

188

48

65

24

572

514

2,565

32.8%

35.1%

4.9%

60.8%

23.4%

36.4%

47.1%

30.0%

4,101

165

42

178

15

901

815

1,985

32.6%

22.1%

84.1%

14.7%

31.3%

38.0%

20.9%

28.5%

4,070

104

720

43

20

939

362

1,882

1.2%

0.6%

2.9%

0.0%

6.3%

1.5%

0.5%

1.0%

148

3

25

0

4

38

9

69

0.1%

0.0%

0.0%

0.3%

0.0%

0.1%

0.1%

13

0

0

1

1

2

9

1.6%

2.1%

2.5%

2.0%

1.6%

0.9%

1.7%

1.6%

194

10

21

6

1

22

29

105

40.2%7,980 26.0%5,159 29.5%5,866 2.5%487 0.2%31 1.7%341

Table 2B.1: Number and Percent Distribution Pre-term Deliveries by Race/Ethnicity and Medicaid Status/Subgroup



Notes: Pre-Term deliveries include infants delivered between 20 and 37 weeks of gestation as calculated from the clinical estimate of gestation. High percentages in certain Race/Ethnicity subgroups are due to very small denominators. % (% Race/Eth) is the percent of the Indicator's deliveries for each Race/Ethnicity Category (numerator) from the total deliveries for that Race/Ethnicity Category within each Medicaid Status/Subgroup (denominator - Table 1B). Results are suppressed for individual cells where the case count is under 5, but are included in all table totals and corresponding charts (see Appendix 1 - Methodology, Data Suppression, pg 123).

MedicaidStatus

Subgroup

2010Caucasian

%

African-American

%

Hispanic

%

Asian

%

Native-American

%

Other

%

NonMedicaid

Non-MedicaidTemporarily Eligible*Total

Medicaid

SOBRANon SOBRACMS High Risk OBMedically NeedyMedicaid SSIAlienMcaid<8 Days or No PNCTotal

Grand Total

7.9%

7.0%

7.9%

12.2%

7.5%

12.4%

8.2%

5.3%

8.5%

8.2%

5.2%

8.3%

11.9%

11.9%

8.2%

6.6%

8.2%

9.3%

17.1%6.7%

10.9%

11.5%

32.2%10.4%

7.7%

13.4%

22.9%6.2%

15.2%

14.4%

32.8%11.8%

10.9%

9.1%

17.4%5.8%

12.3%

11.9%

21.7%9.5%

8.1%

8.0%

7.9%4.9%

0.0%

30.8%

25.5%9.6%

6.7%

12.0%

0.0%0.0%

100.0%

14.3%10.5%

11.7%

9.9%

22.2%7.9%

15.8%

5.9%

24.2%12.9%

8.2%

8.5% 13.2% 8.8% 8.1% 12.0% 9.1%

Table 2B.2: Percent Pre-term Deliveries of All Deliveries by Race/Ethnicity and Medicaid Status/Subgroup

2010


0.0%

5.0%

10.0%

Figure 2B.2a: Percent Pre-term Deliveriesof All Deliveries by Race/Ethnicity

and Medicaid Status

Race/Ethnicity

Caucasian

African-American

Hispanic

Asian

Native-American

Other

2010

SOBRA Non SOBRA CMS High Risk OB

MedicallyNeedy


0.0%

20.0%

40.0%

60.0%

80.0%

100.0..

Figure 2B.2b: Percent Pre-term Deliveries of All Deliveries by Race/Ethnicityand Medicaid Subgroup



Notes: Pre-Term deliveries include infants delivered between 20 and 37 weeks of gestation as calculated from the clinical estimate of gestation. High exposure means mother had coverage in Medicaid for 180 days or more during pregnancy. Low exposure means mother had coverage in Medicaid for less than 180 days during pregnancy. % (% Medicaid Delivery System) is the percent of each Medicaid Delivery System (numerator) from the total for that LOC category (denominator). High percentages in certain Race/Ethnicity subgroups are due to very small denominators. Results are suppressed for individual cells where the case count is under 5, but are included in all table totals and corresponding charts (see Appendix 1 - Methodology, Data Suppression, pg 123).

Length of Coverage


SOBRA

2009

# %

2010

# %

Non-SOBRA

2009

# %

2010

# %

CMS High Risk OB

2009

# %

2010

# %

Medically Needy

2009

# %

2010

# %

Total

FFS

MediPass

HMO

Total

HighExposure

FFS

MediPass

HMO

Total

LowExposure

FFS

MediPass

HMO

Total

100.0%

7.2%

2.5%

90.3%

6,399

460

161

5,778

100.0%

9.2%

2.9%

87.8%

6,615

610

195

5,810

100.0%

54.7%

14.5%

30.8%

1,897

1,038

275

584

100.0%

49.7%

17.6%

32.7%

1,731

861

304

566

100.0%

12.1%

4.7%

83.2%

2,507

304

118

2,085

100.0%

12.0%

4.3%

83.7%

2,473

296

106

2,071

100.0%

11.5%

1.6%

86.9%

61

7

1

53

100.0%

12.5%

4.7%

82.8%

64

8

3

53

100.0%

7.1%

2.4%

90.5%

4,009

284

95

3,630

100.0%

10.4%

3.5%

86.1%

4,325

451

151

3,723

100.0%

63.1%

14.5%

22.4%

1,272

803

184

285

100.0%

54.1%

20.3%

25.6%

1,193

645

242

306

100.0%

17.6%

7.2%

75.2%

1,166

205

84

877

100.0%

18.7%

6.9%

74.4%

1,215

227

84

904

100.0%

33.3%

0.0%

66.7%

15

5

0

10

100.0%

25.0%

18.8%

56.3%

16

4

3

9

100.0%

7.4%

2.8%

89.9%

2,390

176

66

2,148

100.0%

6.9%

1.9%

91.1%

2,290

159

44

2,087

100.0%

37.6%

14.6%

47.8%

625

235

91

299

100.0%

40.1%

11.5%

48.3%

538

216

62

260

100.0%

7.4%

2.5%

90.1%

1,341

99

34

1,208

100.0%

5.5%

1.7%

92.8%

1,258

69

22

1,167

100.0%

4.3%

2.2%

93.5%

46

2

1

43

100.0%

8.3%

0.0%

91.7%

48

4

0

44

Table 2C.1: Number and Percent Distribution of Medicaid Pre-term Deliveries by Medicaid Delivery System and Length of Coverage (LOC)

Length of Coverage


Medicaid SSI

2009

# %

2010

# %

Alien

2009

# %

2010

# %


2009

# %

2010

# %

Total

2009

# %

2010

# %

HighExposure

FFS

MediPass

HMO

Total

LowExposure

FFS

MediPass

HMO

Total

Total

FFS

MediPass

HMO

Total

100.0%

43.9%

22.8%

33.3%

246

108

56

82

100.0%

43.2%

24.8%

32.0%

266

115

66

85

0

0

100.0%

100.0%

1

1

100.0%

53.4%

7.8%

38.8%

116

62

9

45

100.0%

54.0%

18.5%

27.4%

124

67

23

34

100.0%

21.5%

6.3%

72.2%

6,824

1,467

428

4,929

100.0%

21.1%

8.0%

70.9%

7,140

1,509

569

5,062

100.0%

53.1%

25.0%

21.9%

32

17

8

7

100.0%

55.6%

14.8%

29.6%

27

15

4

8

100.0%

100.0%

921

921

100.0%

100.0%

855

855

100.0%

7.9%

3.1%

89.0%

391

31

12

348

100.0%

9.8%

1.7%

88.4%

346

34

6

306

100.0%

9.7%

3.7%

86.6%

5,746

560

212

4,974

100.0%

9.3%

2.6%

88.2%

5,362

497

138

4,727

100.0%

45.0%

23.0%

32.0%

278

125

64

89

100.0%

44.4%

23.9%

31.7%

293

130

70

93

100.0%

100.0%

921

921

100.0%

100.0%

856

856

100.0%

18.3%

4.1%

77.5%

507

93

21

393

100.0%

21.5%

6.2%

72.3%

470

101

29

340

100.0%

16.1%

5.1%

78.8%

12,570

2,027

640

9,903

100.0%

16.0%

5.7%

78.3%

12,502

2,006

707

9,789



Notes: Pre-Term deliveries include infants delivered between 20 and 37 weeks of gestation as calculated from the clinical estimate of gestation. High exposure means mother had coverage in Medicaid for 180 days or more during pregnancy. Low exposure means mother had coverage in Medicaid for less than 180 days during pregnancy. % Total is the percent of the Indicator's deliveries for each Medicaid Delivery System(numerator) from the total deliveries for that Medicaid Delivery System and LOC category (denominator - Table 1C.1.) Results are suppressed for individual cells where the case count is under 5, but are included in all table totals and corresponding charts (see Appendix 1 - Methodology, Data Suppression, pg 123).

Notes: HMO Plans with very small case counts are excluded. Results are suppressed for individual cells where the case count is under 5, but are included in all table totals and corresponding charts (see Appendix 1 - Methodology, Data Suppression, pg 123).

Length of Coverage


SOBRA

2009

% Total

2010

% Total

Non-SOBRA

2009

% Total

2010

% Total

CMS High Risk OB

2009

% Total

2010

% Total

Medically Needy

2009

% Total

2010

% Total

Medicaid SSI

2009

% Total

2010

% Total

Alien

2009

% Total

2010

% Total

In Medicaid < 8 Daysor No PNC

2009

% Total

2010

% Total

Total

2009

% Total

2010

% Total

Total

FFSMediPassHMOTotal

HighExposure

FFSMediPassHMOTotal

LowExposure

FFSMediPassHMOTotal

8.4%

8.6%8.4%

8.4%

8.6%

9.3%8.3%

8.5%

11.2%

11.5%9.6%

11.6%

10.8%

10.7%10.7%

11.1%

27.9%

29.7%34.4%

27.4%

27.2%

29.1%30.9%

26.8%

12.5%

11.1%3.7%

13.3%

12.5%

10.0%9.7%

13.3%

12.4%

11.8%12.7%

13.2%

13.5%

13.4%14.5%

13.0%

6.1%

6.1%

5.9%

5.9%

18.7%

20.5%19.1%

18.3%

18.8%

24.3%31.5%

17.0%

10.3%

12.0%11.1%

9.9%

10.2%

11.7%11.5%

9.9%

7.2%

8.2%8.3%

7.1%

7.4%

9.6%8.5%

7.1%

11.0%

11.7%9.6%

10.3%

10.4%

10.6%10.4%

9.8%

26.8%

30.0%34.1%

25.7%

27.0%

30.2%29.8%

26.1%

11.3%

10.9%0.0%

15.4%

10.3%

7.0%12.5%

12.2%

12.3%

11.7%12.5%

12.9%

13.2%

13.2%14.4%

12.4%

0.0%

0.0%

8.3%

8.3%

17.3%

20.3%14.8%

14.8%

19.3%

22.9%32.4%

12.3%

9.2%

12.0%11.2%

8.5%

9.2%

11.8%11.6%

8.5%

11.8%

9.3%8.7%

12.2%

12.3%

8.6%7.8%

12.9%

11.7%

10.8%9.6%

13.3%

12.0%

10.9%11.5%

13.2%

28.9%

29.3%35.1%

28.8%

27.4%

26.1%36.1%

27.4%

13.0%

11.8%20.0%

12.9%

13.5%

17.4%0.0%

13.5%

13.6%

12.3%14.0%

17.5%

17.6%

15.3%16.7%

25.8%

6.1%

6.1%

5.9%

5.9%

19.1%

21.1%24.5%

18.8%

18.6%

27.6%28.6%

17.8%

12.0%

11.9%11.1%

12.0%

12.0%

11.4%11.4%

12.1%

Table 2C.2: Percent Medicaid Pre-term Deliveries of All Medicaid Deliveries by Medicaid Delivery System and Length of Coverage (LOC)

HMO Plan Name (group)

2009

# Deliveries %

2010

# Deliveries %

Amerigroup FloridaBuena Vista

Citrus Health CareHealthease of Florida, Inc.HumanaJMH Health Plan

Preferred MedicalStaywell Health PlanTotal Health Choice,Inc.United Health Care Plans

Universal Health Care, Inc.Vista Health Plan of South Florida 10.8%

18.0%

13.3%

11.5%

12.7%

11.8%

18.1%

10.9%

12.5%

17.2%

11.8%

11.7%

93

244

910

96

1,924

203

105

421

2,315

232

280

1,576

10

44

121

11

244

24

19

46

289

40

33

185

6.8%

11.6%

13.0%

13.4%

12.5%

13.6%

13.3%

14.5%

11.6%

14.7%

15.0%

12.8%

117

593

965

329

2,004

169

98

434

2,075

442

314

1,600

8

69

125

44

250

23

13

63

241

65

47

204

Table 2D: Number and Percent Pre-term Deliveries of All Medicaid Deliveriesfor Women Enrolled in Medicaid in the Same HMO >= 180 Days or >= Two-Thirds of the Pregnancy


Indicator 3: Deliveries for Women with First Trimester Entry into Prenatal Care in Florida

Notes: *Temporarily Eligible means Medicaid beneficiaries who were presumptively eligible but later determined to be financially ineligible. The denominator for Percent (%) on Table 3A excludes 21,695 women from total deliveries in 2006, 20,893 women from total deliveries in 2007, 23,568 women from total deliveries in 2008, 22,977 women from total deliveries in 2009, and 26,961 women from total deliveries in 2010 for whom data on first trimester entry into prenatal care was unknown. % (% Total) is the percent of the Indicator's deliveries for each Medicaid Status/Subgroup (numerator) from the total deliveries for that Medicaid Status/Subgroup (denominator - Table 1A). Results are suppressed for individual cells where the case count is under 5, but are included in all table totals and corresponding charts (see Appendix 1 - Methodology, Data Suppression, pg 123).


2006

# %

2007

# %

2008

# %

2009

# %

2010

# %

NonMedicaid

Non-Medicaid


Total

Medicaid

SOBRA

Non SOBRA

CMS High Risk OB

Medically Needy

Medicaid SSI

Alien


Total

Grand Total

87.1%

53.4%

88.9%

89,884

2,807

87,077

86.2%

54.9%

88.1%

91,742

3,423

88,319

87.9%

56.1%

89.4%

84,906

2,462

82,444

89.8%

59.8%

90.8%

76,751

1,656

75,095

90.2%

60.1%

91.1%

69,846

1,337

68,509

66.9%

27.4%

58.5%

69.2%

63.4%

66.8%

64.9%

71.3%

72,296

750

9,035

1,300

300

5,517

11,571

43,823

65.7%

25.0%

58.8%

69.3%

65.2%

65.1%

64.5%

69.6%

71,764

754

9,030

1,373

333

5,245

10,724

44,305

66.9%

27.5%

59.7%

71.1%

64.1%

65.8%

64.3%

70.9%

71,634

800

8,392

1,300

302

5,383

9,299

46,158

69.4%

29.5%

61.9%

73.6%

68.6%

67.4%

66.6%

73.2%

74,931

766

8,286

1,363

290

5,198

9,615

49,413

71.6%

35.5%

64.4%

72.6%

72.8%

69.4%

67.3%

75.3%

75,096

834

8,022

1,311

324

4,962

9,005

50,638

76.7%162,180 75.8%163,506 76.9%156,540 78.4%151,682 79.5%144,942

Table 3A: Number and Percent Deliveries for Women with First Trimester Entry into Prenatal Care of All Deliveries by Medicaid Status/Subgroup


0.0%

20.0%

40.0%

60.0%

80.0%

Figure 3Aa: Percent Deliveries for Women with FirstTrimester Entry into Prenatal Care by Medicaid Status:

Five-Year Trends

Year ofDelivery2006

2007

2008

2009

2010




0.0%

20.0%

40.0%

60.0%

Figure 3Ab: Percent Deliveries for Women with First Trimester Entry into Prenatal Careby Medicaid Subgroup: Five-Year Trends



Notes: % (% Race/Ethnicity) is the percent of each Race/Ethnicity Category (numerator) for all Race/Ethnicity Categories from that Medicaid Subgroup (denominator). The denominator for Percent (%) on Table 3B excludes 21,695 women from total deliveries in 2006, 20,893 women from total deliveries in 2007, 23,568 women from total deliveries in 2008, 22,977 women from total deliveries in 2009, and 26,961 women from total deliveries in 2010 for whom data on first trimester entry into prenatal care was unknown. Results are suppressed for individual cells where the case count is under 5, but are included in all table totals and corresponding charts (see Appendix 1 - Methodology, Data Suppression, pg 123).


2010

Caucasian

# %

African-American

# %

Hispanic

# %

Asian

# %

Native-American

# %

Other

# %

NonMedicaid

Non-Medicaid


Total

Medicaid

SOBRA

Non SOBRA

CMS High Risk OB

Medically Needy

Medicaid SSI

Alien


Total

Grand Total

61.1%

14.4%

62.0%

42,694

193

42,501

9.3%

11.4%

9.3%

6,515

152

6,363

22.7%

66.3%

21.8%

15,853

886

14,967

4.7%

4.9%

4.7%

3,311

65

3,246

0.2%

0.2%

106

106

2.0%

3.1%

1.9%

1,367

41

1,326

37.4%

52.6%

5.6%

28.3%

43.2%

18.9%

33.2%

45.0%

28,107

439

449

371

140

937

2,990

22,781

23.7%

14.7%

4.4%

53.4%

16.7%

27.9%

41.0%

22.6%

17,775

123

355

700

54

1,385

3,691

11,467

35.7%

27.6%

84.3%

16.6%

35.5%

50.5%

23.8%

29.3%

26,786

230

6,760

217

115

2,506

2,146

14,812

1.5%

2.9%

3.6%

0.2%

1.9%

1.4%

0.6%

1.3%

1,109

24

292

3

6

70

51

663

0.1%

0.0%

0.0%

0.1%

0.1%

0.1%

0.1%

67

0

1

1

3

10

52

1.7%

2.2%

2.1%

1.4%

2.8%

1.2%

1.3%

1.7%

1,252

18

165

19

9

61

117

863

48.8%70,801 16.8%24,290 29.4%42,639 3.0%4,420 0.1%173 1.8%2,619

Table 3B.1: Number and Percent Distribution of Deliveries for Women with First Trimester Entry into Prenatal Careby Race/Ethnicity and Medicaid Status/Subgroup



Notes: % (% Race/Ethnicity) is the percent of the Indicator's deliveries for each Race/Ethnicity Category (numerator) from the total deliveries for that Race/Ethnicity Category within each Medicaid Status/Subgroup (denominator - Table 1B). The denominator for Percent (%) on Table 3B.2 excludes 21,695 women from total deliveries in 2006, 20,893 women from total deliveries in 2007, 23,568 women from total deliveries in 2008, 22,977 women from total deliveries in 2009, and 26,961 women from total deliveries in 2010 for whom data on first trimester entry into prenatal care was unknown. High percentages in certain Race/Ethnicity subgroups are due to very small denominators. Results are suppressed for individual cells where the case count is under 5, but are included in all table totals and corresponding charts (see Appendix 1 - Methodology, Data Suppression, pg 123).


2010

Caucasian

%

African-American

%

Hispanic

%

Asian

%

Native-American

%

Other

%

NonMedicaid

Non-Medicaid


Total

Medicaid

SOBRA

Non SOBRA

CMS High Risk OB

Medically Needy

Medicaid SSI

Alien


Total

Grand Total

92.4%

67.2%

92.5%

85.6%

57.1%

86.7%

87.1%

59.0%

89.7%

89.7%

65.0%

90.4%

79.7%

79.7%

87.1%

58.6%

88.4%

73.0%

42.1%

73.0%

72.6%

74.9%

68.5%

68.3%

74.9%

68.0%

17.6%

62.5%

71.3%

66.7%

64.4%

64.2%

72.0%

72.8%

43.6%

63.9%

78.6%

77.2%

72.9%

71.8%

78.7%

70.1%

66.7%

65.3%

50.0%

50.0%

68.0%

73.9%

72.9%

65.0%

0.0%

100.0%

100.0%

42.9%

58.8%

70.3%

72.0%

41.9%

68.5%

65.5%

56.3%

74.4%

64.3%

75.2%

83.6% 71.9% 77.6% 83.8% 73.3% 79.1%

Table 3B.2: Percent of Deliveries for Women with First Trimester Entry into Prenatal Care by Race/Ethnicity and Medicaid Status/Subgroup

2010


0.0%

20.0%

40.0%

60.0%

80.0%

Figure 3B.2a: Percent of Deliveries for Women withFirst Trimester Entry into Prenatal Careby Race/Ethnicity and Medicaid Status

Race/Ethnicity

Caucasian

African-American

Hispanic

Asian

Native-American

Other

2010


MedicallyNeedy


0.0%

20.0%

40.0%

60.0%

80.0%

100.0%

Figure 3B.2b: Percent of Deliveries for Women with First Trimester Entry into PrenatalCare by Race/Ethnicity and Medicaid Subgroup




Length ofCoverage


SOBRA

2009

# %

2010

# %

Non-SOBRA

2009

# %

2010

# %

CMS High Risk OB

2009

# %

2010

# %

Medically Needy

2009

# %

2010

# %

Total

FFS

MediPass

HMO

Total

HighExposure

FFS

MediPass

HMO

Total

LowExposure

FFS

MediPass

HMO

Total

100.0%

6.7%

2.4%

90.8%

49,413

3,332

1,209

44,872

100.0%

8.0%

3.0%

89.0%

50,638

4,066

1,508

45,064

100.0%

52.6%

17.8%

29.6%

9,615

5,058

1,715

2,842

100.0%

50.0%

18.8%

31.2%

9,005

4,499

1,696

2,810

100.0%

10.2%

3.7%

86.1%

5,198

531

190

4,477

100.0%

10.0%

3.5%

86.5%

4,962

497

172

4,293

100.0%

11.7%

5.9%

82.4%

290

34

17

239

100.0%

14.2%

4.6%

81.2%

324

46

15

263

100.0%

5.9%

2.0%

92.1%

38,289

2,242

770

35,277

100.0%

7.4%

3.0%

89.6%

40,445

3,009

1,200

36,236

100.0%

58.3%

17.8%

23.9%

6,813

3,975

1,212

1,626

100.0%

52.4%

21.4%

26.2%

6,695

3,505

1,436

1,754

100.0%

13.3%

5.1%

81.6%

2,787

372

141

2,274

100.0%

14.7%

5.8%

79.5%

2,566

376

149

2,041

100.0%

30.7%

16.0%

53.3%

75

23

12

40

100.0%

39.1%

13.8%

47.1%

87

34

12

41

100.0%

9.8%

3.9%

86.3%

11,124

1,090

439

9,595

100.0%

10.4%

3.0%

86.6%

10,193

1,057

308

8,828

100.0%

38.7%

18.0%

43.4%

2,802

1,083

503

1,216

100.0%

43.0%

11.3%

45.7%

2,310

994

260

1,056

100.0%

6.6%

2.0%

91.4%

2,411

159

49

2,203

100.0%

5.1%

1.0%

94.0%

2,396

121

23

2,252

100.0%

5.1%

2.3%

92.6%

215

11

5

199

100.0%

5.1%

1.3%

93.7%

237

12

3

222

Table 3C.1: Number and Percent Distribution of Deliveries for Medicaid Women with First Trimester Entry into Prenatal Careby Medicaid Delivery System and Length of Coverage (LOC)

Length ofCoverage


Medicaid SSI

2009

# %

2010

# %

Alien

2009

# %

2010

# %


2009

# %

2010

# %

Total

2009

# %

2010

# %

Total

FFS

HMO

MediPass

Total

HighExposure

FFS

HMO

MediPass

Total

LowExposure

FFS

HMO

MediPass

Total

23.3%

46.9%

29.9%

100.0%

317

639

407

1,363

23.6%

44.2%

32.2%

100.0%

310

579

422

1,311

100.0%

100.0%

8,286

8,286

100.0%

100.0%

8,022

8,022

0.1%

0.4%

99.5%

100.0%

1

3

762

766

0.4%

1.3%

98.3%

100.0%

3

11

820

834

4.6%

12.8%

82.6%

100.0%

3,449

9,597

61,885

74,931

4.9%

12.9%

82.2%

100.0%

3,704

9,698

61,694

75,096

23.0%

45.3%

31.7%

100.0%

281

553

387

1,221

24.3%

42.8%

32.9%

100.0%

297

522

402

1,221

100.0%

100.0%

2

2

100.0%

100.0%

6

6

0

0

0

0

27.3%

54.5%

18.2%

100.0%

3

6

2

11

4.9%

14.6%

80.5%

100.0%

2,416

7,165

39,606

49,187

6.1%

14.6%

79.3%

100.0%

3,097

7,452

40,482

51,031

25.4%

60.6%

14.1%

100.0%

36

86

20

142

14.4%

63.3%

22.2%

100.0%

13

57

20

90

100.0%

100.0%

8,284

8,284

100.0%

100.0%

8,016

8,016

0.1%

0.4%

99.5%

100.0%

1

3

762

766

0.0%

0.6%

99.4%

100.0%

0

5

818

823

4.0%

9.4%

86.5%

100.0%

1,033

2,432

22,279

25,744

2.5%

9.3%

88.1%

100.0%

607

2,246

21,212

24,065



Notes: High exposure means mother had coverage in Medicaid for 180 days or more during pregnancy. Low exposure means mother had coverage in Medicaid for less than 180 days during pregnancy. % Total is the percent of the Indicator's deliveries for each Medicaid Delivery System (numerator) from the total deliveries for that Medicaid Delivery System and LOC (denominator - Table 1C.1.) The denominator for Percent (%) on Table 3C.2 excludes 12,147 Medicaid women from total deliveries in 2006, 11,680 Medicaid women from total deliveries in 2007, 13,874 Medicaid women from total deliveries in 2008, 14,465 Medicaid women from total deliveries in 2009, and 26,961 women from total deliveries in 2010 for whom data on first trimester entry into prenatal care was unknown. Results are suppressed for individual cells where the case count is under 5, but are included in all table totals and corresponding charts (see Appendix 1 - Methodology, Data Suppression, pg 123).


Length ofCoverage


SOBRA

2009

% Total

2010

% Total

Non-SOBRA

2009

% Total

2010

% Total

CMS High Risk OB

2009

% Total

2010

% Total

Medically Needy

2009

% Total

2010

% Total

Medicaid SSI

2009

% Total

2010

% Total

Alien

2009

% Total

2010

% Total


2009

% Total

2010

% Total

Total

2009

% Total

2010

% Total

Total

FFSMediPassHMOTotal

HighExposure

FFSMediPassHMOTotal

LowExposure

FFSMediPassHMOTotal

73.2%71.9%71.3%73.3%

75.3%72.5%74.2%75.6%

66.6%66.4%67.9%66.1%

67.3%67.3%68.7%66.5%

67.4%61.7%65.3%68.3%

69.4%68.4%62.8%69.8%

68.6%68.0%65.4%68.9%

72.8%70.8%53.6%74.7%

73.6%73.8%72.0%74.7%

72.6%73.1%73.8%71.2%

61.9%

61.9%

64.4%

64.4%

29.5%0.7%0.9%

37.4%

35.5%2.7%3.3%

44.4%

69.4%66.3%67.8%70.0%

71.6%67.9%69.7%72.4%

77.0%74.4%75.8%77.2%

78.9%74.3%78.1%79.3%

68.8%68.2%71.4%68.4%

69.4%69.5%72.3%67.2%

73.9%63.9%68.1%76.3%

73.0%70.9%64.8%74.1%

65.8%65.7%57.1%69.0%

65.4%73.9%57.1%62.1%

73.3%72.7%72.2%75.0%

72.4%73.0%73.7%70.8%

40.0%

40.0%

66.7%

66.7%

0.0%0.0%0.0%0.0%

1.7%2.1%4.3%0.7%

74.7%68.1%71.2%76.2%

76.3%69.8%72.9%77.9%

62.5%67.2%64.6%62.0%

63.6%67.8%62.1%63.2%

61.8%60.5%60.7%63.4%

61.8%60.6%54.1%65.3%

61.2%57.2%58.3%61.6%

65.9%61.4%52.3%66.4%

69.6%73.3%

100.0%68.9%

76.0%63.2%42.9%77.6%

76.8%81.9%70.6%69.0%

75.6%74.0%76.5%80.0%

62.0%

62.0%

64.4%

64.4%

39.7%2.1%2.0%

43.9%

48.0%4.1%0.0%

52.1%

61.2%61.5%60.9%61.2%

63.3%62.1%56.9%63.7%

Table 3C.2: Percent of Medicaid Deliveries for Women with First Trimester Entry into Prenatal Care of All Medicaid Deliveriesby Medicaid Delivery System and Length of Coverage (LOC)


2009

# Deliveries %

2010

# Deliveries %

Amerigroup FloridaBuena VistaCitrus Health CareHealthease of Florida, Inc.HumanaJMH Health Plan

Preferred MedicalStaywell Health PlanTotal Health Choice,Inc.United Health Care PlansUniversal Health Care, Inc.Vista Health Plan of South Florida 75.7%

65.3%

69.9%

69.2%

71.1%

66.2%

71.6%

69.5%

69.4%

69.9%

80.2%

72.4%

70

213

807

78

1,653

154

81

318

2,038

209

232

1,373

53

139

564

54

1,175

102

58

221

1,414

146

186

994

75.6%

67.7%

71.2%

67.0%

72.7%

76.7%

83.3%

73.3%

69.8%

70.5%

75.9%

70.2%

78

501

813

261

1,718

120

78

315

1,803

363

253

1,357

59

339

579

175

1,249

92

65

231

1,259

256

192

953

Table 3D: Number and Percent of Deliveries for Medicaid Women with First Trimester Entry into Prenatal Care forWomen Enrolled in Medicaid in the Same HMO >= 180 Days or >= Two-Thirds of the Pregnancy


Indicator 4: Deliveries for Women with Inadequate Prenatal Care in Florida

Notes: The adequacy of prenatal care is a measure developed by Dr. Kotelchuck at UNC that has been adopted nationwide.Inadequate prenatal care means the mother entered prenatal care after the start of the 5th month of pregnancy or did not receive at least 50% of the standard number of prenatal visits adjusted for gestational age. The measure does not assess the content or quality of the care provided. *Temporarily Eligible means Medicaid beneficiaries who were presumptively eligible but later determined to be financially ineligible. % (% Total) is the percent of the Indicator's deliveries for each Medicaid Status/Subgroup (numerator) from the total deliveries for that Medicaid Status/Subgroup (denominator - Table 1A). Results are suppressed for individual cells where the case count is under 5, but are included in all table totals and corresponding charts (see Appendix 1 - Methodology, Data Suppression, pg 123).


2006

# %

2007

# %

2008

# %

2009

# %

2010

# %

NonMedicaid

Non-Medicaid


Total

Medicaid

SOBRA

Non SOBRA

CMS High Risk OB

Medically NeedyMedicaid SSI

Alien


Total

Grand Total

7.7%

30.8%

6.4%

8,653

1,802

6,851

8.5%

30.2%

7.1%

9,815

2,106

7,709

7.3%

27.9%

6.3%

7,779

1,426

6,353

6.0%

24.8%

5.3%

5,605

801

4,804

5.5%

24.5%

4.9%

4,816

641

4,175

19.3%

66.1%

25.4%

17.3%

22.6%

20.9%

20.7%

15.2%

23,224

1,888

4,268

387

122

1,958

4,233

10,368

20.3%

68.6%

25.1%

18.4%

24.0%

22.2%

21.9%

16.4%

24,569

2,147

4,211

423

138

2,004

4,121

11,525

19.4%

65.9%

24.8%

16.8%

22.1%

20.5%

21.4%

15.8%

23,457

2,007

3,874

367

120

1,924

3,626

11,539

17.2%

65.3%

22.4%

14.3%

19.5%

19.1%

19.6%

13.8%

21,091

1,773

3,385

321

95

1,719

3,311

10,487

15.6%

57.0%

20.3%

15.7%

16.0%

16.4%

18.8%

12.6%

19,014

1,428

2,960

340

82

1,486

3,012

9,706

13.7%31,877 14.5%34,384 13.8%31,236 12.3%26,696 11.4%23,830

Table 4A: Number and Percent Deliveries for Women with Inadequate Prenatal Care of All Deliveries by Medicaid Status/Subgroup


0.0%

5.0%

10.0%

15.0%

20.0%

Figure 4Aa: Percent Deliveries for Women withInadequate Prenatal Care of All Deliveries

by Medicaid Status: Five-Year Trends

Year ofDelivery2006

2007

2008

2009

2010


MedicallyNeedy


0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%

Figure 4Ab: Percent Deliveries for Women with Inadequate Prenatal Careof All Deliveries by Medicaid Subgroup: Five-Year Trends



Notes: The adequacy of prenatal care is a measure developed by Dr. Kotelchuck at UNC that has been adopted nationwide.Inadequate prenatal care means the mother entered prenatal care after the start of the 5th month of pregnancy or did not receive at least 50% of the standard number of prenatal visits adjusted for gestational age. The measure does not assess the content or quality of the care provided. % (% Race/Ethnicity) is the percent of each Race/Ethnicity Category (numerator) for all Race/Ethnicity Categories from that Medicaid Subgroup (denominator). Results are suppressed for individual cells where the case count is under 5, but are included in all table totals and corresponding charts (see Appendix 1 - Methodology, Data Suppression, pg 123).


2010

Caucasian

# %

African-American

# %

Hispanic

# %

Asian

# %

Native-American

# %

Other

# %

NonMedicaid

Non-Medicaid


Total

Medicaid

SOBRA

Non SOBRA

CMS High Risk OB

Medically Needy

Medicaid SSI

Alien


Total

Grand Total

44.9%

10.8%

50.2%

2,163

69

2,094

15.0%

14.7%

15.1%

723

94

629

31.9%

67.4%

26.4%

1,535

432

1,103

4.8%

4.2%

4.9%

233

27

206

0.4%

0.5%

20

20

2.9%

3.0%

2.9%

142

19

123

34.2%

38.7%

3.7%

28.2%

41.5%

20.3%

33.4%

45.4%

6,506

553

109

96

34

302

1,007

4,405

29.2%

39.3%

5.3%

55.0%

23.2%

35.5%

45.9%

28.0%

5,555

561

158

187

19

527

1,383

2,720

33.1%

19.4%

85.3%

13.5%

28.0%

41.5%

19.0%

23.1%

6,302

277

2,525

46

23

616

572

2,243

1.6%

0.8%

3.6%

0.6%

4.9%

1.7%

0.3%

1.6%

312

11

106

2

4

25

10

154

0.1%

0.2%

0.0%

0.0%

0.3%

0.1%

0.1%

24

3

0

0

4

3

14

1.7%

1.6%

2.1%

2.6%

2.4%

0.8%

1.2%

1.8%

315

23

62

9

2

12

37

170

36.4%8,669 26.3%6,278 32.9%7,837 2.3%545 0.2%44 1.9%457

Table 4B.1: Number and Percent Distribution Deliveries for Women with Inadequate Prenatal Care by Race/Ethnicity and Medicaid Status/Subgroup



Notes: The adequacy of prenatal care is a measure developed by Dr. Kotelchuck at UNC that has been adopted nationwide.Inadequate prenatal care means the mother entered prenatal care after the start of the 5th month of pregnancy or did not receive at least 50% of the standard number of prenatal visits adjusted for gestational age. The measure does not assess the content or quality of the care provided. % (% Race/Ethnicity) is the percent of the Indicator's deliveries for each Race/Ethnicity Category (numerator) from the total deliveries for that Race/Ethnicity Category within each Medicaid Status/Subgroup (denominator - Table 1B). High percentages in certain Race/Ethnicity subgroups are due to very small denominators. Results are suppressed for individual cells where the case count is under 5, but are included in all table totals and corresponding charts (see Appendix 1 - Methodology, Data Suppression, pg 123).


2010

Caucasian

%

African-American

%

Hispanic

%

Asian

%

Native-American

%

Other

%

NonMedicaid

Non-Medicaid


Total

Medicaid

SOBRA

Non SOBRA

CMS High Risk OB

Medically Needy

Medicaid SSI

Alien


Total

Grand Total

4.3%

21.0%

4.2%

8.3%

30.5%

7.5%

7.0%

24.2%

5.5%

5.6%

23.5%

5.1%

13.2%

13.2%

7.9%

25.0%

7.1%

15.2%

50.2%

15.2%

16.1%

16.3%

17.0%

20.4%

13.2%

18.2%

77.7%

23.4%

15.9%

18.3%

19.2%

20.1%

14.9%

14.0%

46.5%

20.4%

13.1%

13.7%

14.3%

14.9%

9.6%

17.0%

28.9%

20.7%

28.6%

30.8%

16.8%

10.6%

15.0%

22.2%

100.0%

0.0%

0.0%

57.1%

15.8%

18.2%

16.1%

51.1%

23.4%

23.7%

11.8%

13.2%

16.5%

13.3%

9.3% 16.0% 11.8% 9.1% 17.0% 12.2%

Table 4B.2: Percent of Deliveries for Women with Inadequate Prenatal Care by Race/Ethnicity and Medicaid Status/Subgroup

2010


0.0%

5.0%

10.0%

15.0%

20.0%

Figure 4B.2a: Percent of Delivieries for Women withInadequate Prenatal Care by Race/Ethnicity and

Medicaid Status

Race/Ethnicity

Caucasian

African-American

Hispanic

Asian

Native-American

Other

2010




0.0%

20.0%

40.0%

60.0%

80.0%

100.0%

Figure 4B.2b: Percent of Deliveries for Women with Inadequate Prenatal Careby Race/Ethnicity and Medicaid Subgroup



Notes: The adequacy of prenatal care is a measure developed by Dr. Kotelchuck at UNC that has been adopted nationwide.Inadequate prenatal care means the mother entered prenatal care after the start of the 5th month of pregnancy or did not receive at least 50% of the standard number of prenatal visits adjusted for gestational age. The measure does not assess the content or quality of the care provided. % (% Medicaid Delivery System) is the percent of each Medicaid Delivery System (numerator) from the total for that LOC category (denominator). High exposure means mother had coverage in Medicaid for 180 days or more during pregnancy. Low exposure means mother had coverage in Medicaid for less than 180 days during pregnancy. Results are suppressed for individual cells where the case count is under 5, but are included in all table totals and corresponding charts (see Appendix 1 - Methodology, Data Suppression, pg 123).

Length ofCoverage


SOBRA

2009

# %

2010

# %

Non-SOBRA

2009

# %

2010

# %

CMS High Risk OB

2009

# %

2010

# %

Medically Needy

2009

# %

2010

# %

Total

FFSMediPassHMOTotal

HighExposure

FFSMediPassHMOTotal

LowExposure

FFSMediPassHMOTotal

100.0%7.5%

2.7%89.8%

10,487787

2829,418

100.0%9.4%

3.4%87.2%

9,706911

3298,466

100.0%53.1%

15.7%31.2%

3,3111,758

5201,033

100.0%50.0%

16.4%33.6%

3,0121,506

4941,012

100.0%13.4%

4.9%81.7%

1,719230

851,404

100.0%11.2%

4.8%83.9%

1,486167

721,247

100.0%13.7%

5.3%81.1%

9513

577

100.0%13.4%

11.0%75.6%

8211

962

100.0%8.0%2.5%

89.5%

5,671454140

5,077

100.0%11.1%3.6%

85.3%

5,479609199

4,671

100.0%60.5%15.1%24.4%

2,0431,235

309499

100.0%52.8%17.5%29.6%

1,9491,030

342577

100.0%24.2%9.3%

66.5%

63615459

423

100.0%18.2%9.6%

72.2%

61611259

445

100.0%34.6%19.2%46.2%

2695

12

100.0%26.7%20.0%53.3%

3086

16

100.0%6.9%

2.9%90.1%

4,816333

1424,341

100.0%7.1%

3.1%89.8%

4,227302

1303,795

100.0%41.2%

16.6%42.1%

1,268523

211534

100.0%44.8%

14.3%40.9%

1,063476

152435

100.0%7.0%

2.4%90.6%

1,08376

26981

100.0%6.3%

1.5%92.2%

87055

13802

100.0%5.8%

0.0%94.2%

694

065

100.0%5.8%

5.8%88.5%

523

346

Table 4C.1: Number and Percent Distribution of Deliveries for Medicaid Women with Inadequate Prenatal Careby Medicaid Delivery System and Length of Coverage (LOC)

Length ofCoverage


Medicaid SSI

2009

# %

2010

# %

Alien

2009

# %

2010

# %


2009

# %

2010

# %

Total

2009

# %

2010

# %

Total

FFS

MediPass

HMO

Total

HighExposure

FFS

MediPass

HMO

Total

LowExposure

FFS

MediPass

HMO

Total

100.0%

43.6%

26.2%

30.2%

321

140

84

97

100.0%

44.7%

22.9%

32.4%

340

152

78

110

100.0%

100.0%

3,385

3,385

100.0%

100.0%

2,960

2,960

100.0%

25.3%

6.1%

68.5%

1,773

449

109

1,215

100.0%

27.5%

6.1%

66.4%

1,428

393

87

948

100.0%

16.0%

5.1%

78.8%

21,091

3,377

1,085

16,629

100.0%

16.5%

5.6%

77.9%

19,014

3,140

1,069

14,805

100.0%

45.5%

22.6%

31.9%

288

131

65

92

100.0%

42.1%

23.7%

34.2%

316

133

75

108

100.0%

100.0%

2

2

100.0%

100.0%

2

2

100.0%

45.5%

9.1%

45.4%

672

306

61

305

100.0%

44.9%

10.7%

44.4%

619

278

66

275

100.0%

24.5%

6.8%

68.6%

9,338

2,289

639

6,410

100.0%

24.1%

8.3%

67.6%

9,011

2,170

747

6,094

100.0%

27.3%

57.6%

15.2%

33

9

19

5

100.0%

79.2%

12.5%

8.3%

24

19

3

2

100.0%

100.0%

3,383

3,383

100.0%

100.0%

2,958

2,958

100.0%

13.0%

4.4%

82.7%

1,101

143

48

910

100.0%

14.2%

2.6%

83.2%

809

115

21

673

100.0%

9.3%

3.8%

86.9%

11,753

1,088

446

10,219

100.0%

9.7%

3.2%

87.1%

10,003

970

322

8,711



Notes: The adequacy of prenatal care is a measure developed by Dr. Kotelchuck at UNC that has been adopted nationwide.Inadequate prenatal care means the mother entered prenatal care after the start of the 5th month of pregnancy or did not receive at least 50% of the standard number of prenatal visits adjusted for gestational age. The measure does not assess the content or quality of the care provided. % Total is the percent of the Indicator's deliveries for each Medicaid Delivery System (numerator) from the total deliveries for that Medicaid Delivery System and LOC category (denominator - Table 1C.1.) High exposure means mother had coverage in Medicaid for 180 days or more during pregnancy. Low exposure means mother had coverage in Medicaid for less than 180 days during pregnancy. Results are suppressed for individual cells where the case count is under 5, but are included in all table totals and corresponding charts (see Appendix 1 - Methodology, Data Suppression, pg 123).


Length ofCoverage

MedicaidDelivery System

SOBRA

2009

%

2010

%

Non-SOBRA

2009

%

2010

%

CMS High Risk OB

2009

%

2010

%

Medically Needy

2009

%

2010

%

Medicaid SSI

2009

%

2010

%

Alien

2009

%

2010

%


2009

%

2010

%

Total

2009

%

2010

%

Total

FFSMediPassHMOTotal

HighExposure

FFSMediPassHMOTotal

LowExposure

FFSMediPassHMOTotal

13.8%14.7%14.8%13.7%

12.6%13.9%14.1%12.4%

19.6%19.5%18.2%20.6%

18.8%18.7%17.3%19.9%

19.1%22.5%24.8%18.4%

16.4%16.4%21.0%16.1%

19.5%20.6%18.5%19.3%

16.0%13.8%29.0%15.5%

14.3%13.2%16.7%14.4%

15.7%15.7%16.2%15.3%

22.4%

22.4%

20.3%

20.3%

65.3%99.1%99.1%56.5%

57.0%94.5%94.6%47.4%

17.2%19.9%18.9%16.7%

15.6%18.4%17.4%15.0%

10.2%13.2%12.2%9.9%

9.3%12.9%11.2%9.0%

17.7%18.0%16.1%18.0%

17.0%17.0%14.8%18.6%

14.6%22.5%24.0%12.4%

13.7%14.9%20.9%12.9%

19.5%19.6%22.7%18.5%

19.4%14.0%25.0%21.6%

14.4%14.2%14.5%14.5%

15.7%15.3%16.4%15.7%

40.0%

40.0%

16.7%

16.7%

100.0%100.0%100.0%100.0%

96.6%94.9%93.0%99.3%

12.6%18.7%16.6%11.0%

11.6%17.0%15.2%10.2%

23.7%17.6%18.6%24.6%

22.7%16.3%23.2%23.4%

23.7%24.1%22.4%23.8%

23.7%24.0%28.3%22.0%

23.4%22.5%26.8%23.4%

19.0%20.8%21.3%18.8%

19.4%23.5%0.0%

19.5%

14.6%13.0%42.9%14.1%

14.0%6.5%

33.3%12.5%

15.7%19.4%12.5%6.5%

22.4%

22.4%

20.3%

20.3%

53.9%97.3%98.0%49.3%

43.4%93.5%

100.0%39.1%

24.5%23.1%23.3%24.7%

22.4%22.3%26.6%22.3%

Table 4C.2: Percent Deliveries of Medicaid Women with Inadequate Prenatal Careof All Medicaid Deliveries by Medicaid Delivery System and Length of Coverage (LOC)


2009

# Deliveries %

2010

# Deliveries %

Amerigroup FloridaBuena VistaCitrus Health CareHealthease of Florida, Inc.HumanaJMH Health PlanPreferred MedicalStaywell Health PlanTotal Health Choice,Inc.United Health Care PlansUniversal Health Care, Inc.Vista Health Plan of South Florida 11.8%

19.3%18.6%15.6%16.3%19.2%15.2%13.8%18.4%19.8%10.0%16.1%

9324491096

1,924203105421

2,315232280

1,576

1147

16915

314391658

4264628

253

9.4%21.9%16.1%16.1%16.0%10.7%12.2%10.8%16.7%15.6%11.8%15.9%

117593965329

2,00416998

4342,075

442314

1,600

1113015553

321181247

3476937

255

Table 4D: Number and Percent Deliveries for Medicaid Women with Inadequate Prenatal Carefor Women Enrolled in Medicaid in the Same HMO >= 180 Days or >= Two-Thirds of the Pregnancy


Indicator 5: Deliveries for Pregnant Women Screened by Healthy Start in Florida

Notes: *Temporarily Eligible means Medicaid beneficiaries who were presumptively eligible but later determined to be financially ineligible. % (% Total) is the percent of the Indicator's deliveries for each Medicaid Status/Subgroup (numerator) from the total deliveries for that Medicaid Status/Subgroup (denominator - Table 1A). Results are suppressed for individual cells where the case count is under 5, but are included in all table totals and corresponding charts (see Appendix 1 - Methodology, Data Suppression, pg 123).


2006

# %

2007

# %

2008

# %

2009

# %

2010

# %

NonMedicaid

Non-Medicaid


Total

Medicaid

SOBRA

Non SOBRA

CMS High Risk OB

Medically Needy

Medicaid SSI

Alien


Total

Grand Total

29.8%

58.5%

28.3%

33,643

3,418

30,225

30.4%

61.4%

28.4%

35,166

4,282

30,884

33.3%

64.1%

31.7%

35,372

3,274

32,098

40.1%

67.3%

39.1%

37,633

2,176

35,457

44.8%

68.2%

44.1%

39,086

1,782

37,304

56.7%

30.6%

55.3%

55.2%

52.5%

56.6%

51.9%

59.6%

68,126

873

9,295

1,236

283

5,288

10,603

40,548

57.4%

31.3%

56.3%

52.2%

53.9%

57.1%

53.1%

60.1%

69,310

978

9,443

1,203

310

5,146

10,012

42,218

61.1%

33.9%

58.2%

55.6%

56.5%

61.8%

57.0%

63.8%

73,803

1,032

9,090

1,214

307

5,814

9,643

46,703

63.7%

36.2%

62.4%

59.0%

55.3%

64.8%

60.3%

65.8%

78,008

983

9,421

1,321

270

5,815

10,182

50,016

63.4%

37.4%

61.2%

59.2%

60.5%

64.1%

59.5%

65.6%

77,453

936

8,914

1,284

309

5,827

9,515

50,668

43.7%101,769 44.2%104,476 48.1%109,175 53.5%115,641 55.7%116,539

Table 5A: Number and Percent Deliveries for Pregnant Women Screened by Healthy Start of All Deliveries by Medicaid Status/Subgroup


0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

Figure 5Aa: Percent Deliveries for Pregnant WomenScreened by Healthy Start of All Deliveries


Year ofDelivery

2006

2007

2008

2009

2010




0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

Figure 5Ab: Percent Deliveries for Pregnant Women Screened by Healthy Start of All Deliv-eries by Medicaid Subgroup: Five-Year Trends


Notes: % (% Race/Ethnicity) is the percent of each Race/Ethnicity Category (numerator) for all Race/Ethnicity Categories from that Medicaid Subgroup (denominator). Results are suppressed for individual cells where the case count is under 5, but are included in all table totals and corresponding charts (see Appendix 1 - Methodology, Data Suppression, pg 123).



2010

Caucasian

# %

African-American

# %

Hispanic

# %

Asian

# %

Native-American

# %

Other

# %

NonMedicaid

Non-Medicaid


Total

Medicaid

SOBRA

Non SOBRA

CMS High Risk OB

Medically Needy

Medicaid SSI

Alien


Total

Grand Total

58.2%

13.0%

60.3%

22,738

232

22,506

10.7%

13.1%

10.5%

4,166

233

3,933

24.3%

66.1%

22.3%

9,496

1,178

8,318

4.8%

4.5%

4.8%

1,857

81

1,776

0.2%

0.2%

60

60

2.0%

3.3%

1.9%

769

58

711

35.5%

48.3%

4.7%

27.6%

36.9%

21.0%

31.4%

43.3%

27,482

452

419

355

114

1,225

2,992

21,925

25.0%

20.3%

5.1%

55.3%

20.7%

30.9%

43.2%

23.7%

19,333

190

451

710

64

1,800

4,114

12,004

36.3%

26.9%

84.8%

14.9%

35.6%

45.2%

23.2%

29.9%

28,118

252

7,555

191

110

2,633

2,204

15,173

1.5%

2.1%

3.5%

0.2%

2.3%

1.7%

0.6%

1.3%

1,152

20

311

3

7

101

58

652

0.1%

0.2%

0.0%

0.0%

0.0%

0.1%

0.1%

70

2

1

0

2

14

51

1.7%

2.1%

2.0%

1.9%

4.5%

1.1%

1.4%

1.7%

1,298

20

177

25

14

66

133

863

43.1%50,220 20.2%23,499 32.3%37,614 2.6%3,009 0.1%130 1.8%2,067

Table 5B.1: Number and Percent Distribution of Deliveries of Pregnant Women Screened by Healthy Start by Race/Ethnicity and Medicaid Status/Subgroup



Notes: % (% Race/Ethnicity) is the percent of the Indicator's deliveries for each Race/Ethnicity Category (numerator) from the total deliveries for that Race/Ethnicity Category within each Medicaid Status/Subgroup (denominator - Table 1B). High percentages in certain Race/Ethnicity subgroups are due to very small denominators Results are suppressed for individual cells where the case count is under 5, but are included in all table totals and corresponding charts (see Appendix 1 - Methodology, Data Suppression, pg 123).


2010

Caucasian

%

African-American

%

Hispanic

%

Asian

%

Native-American

%

Other

%

NonMedicaid

Non-Medicaid


Total

Medicaid

SOBRA

Non SOBRA

CMS High Risk OB

Medically Needy

Medicaid SSI

Alien


Total

Grand Total

44.9%

70.5%

44.8%

48.0%

75.6%

47.0%

43.6%

66.0%

41.6%

44.9%

70.4%

44.1%

39.7%

39.7%

42.7%

76.3%

41.2%

64.2%

41.0%

58.3%

59.5%

54.5%

69.1%

60.6%

65.6%

63.4%

26.3%

66.8%

60.5%

61.5%

65.6%

59.8%

66.0%

62.6%

42.3%

61.0%

54.4%

65.5%

61.0%

57.6%

65.3%

62.6%

52.6%

60.6%

42.9%

53.8%

67.8%

61.7%

63.5%

64.8%

66.7%

100.0%

0.0%

28.6%

73.7%

66.2%

66.2%

44.4%

66.8%

65.8%

82.4%

72.5%

59.4%

67.4%

53.8% 60.0% 56.4% 50.3% 50.2% 55.0%

Table 5B.2: Percent Deliveries for Pregnant Women Screened by Healthy Start of All Deliveries by Race/Ethnicity and Medicaid Status/Subgroup

2010


0.0%

20.0%

40.0%

60.0%

Figure 5B.2a: Percent Deliveries for Pregnant WomenScreened by Healthy Start of All Deliveries by Race/Ethnicity

and Medicaid Status

Race/Ethnicity

Caucasian

African-American

Hispanic

Asian

Native-American

Other

2010


MedicallyNeedy


0.0%

20.0%

40.0%

60.0%

80.0%

100.0%

Figure 5B.2b: Percent Deliveries for Pregnant Women Screened by Healthy Start of All Deliveriesby Race/Ethnicity and Medicaid Subgroup



Notes: % (% Medicaid Delivery System) is the percent of each Medicaid Delivery System (numerator) from the total for that LOC category (denominator). High exposure means mother had coverage in Medicaid for 180 days or more during pregnancy. Low exposure means mother had coverage in Medicaid for less than 180 days during pregnancy. Results are suppressed for individual cells where the case count is under 5, but are included in all table totals and corresponding charts (see Appendix 1 - Methodology, Data Suppression, pg 123).

Length ofCoverage


SOBRA

2009

# %

2010

# %

Non-SOBRA

2009

# %

2010

# %

CMS High Risk OB

2009

# %

2010

# %

Medically Needy

2009

# %

2010

# %

Total

FFS

MediPass

HMO

Total

HighExposure

FFS

MediPass

HMO

Total

LowExposure

FFS

MediPass

HMO

Total

100.0%

6.9%

2.6%

90.5%

50,016

3,459

1,296

45,261

100.0%

8.2%

3.1%

88.8%

50,668

4,134

1,551

44,983

100.0%

53.2%

17.6%

29.1%

10,182

5,420

1,796

2,966

100.0%

49.4%

18.7%

31.8%

9,515

4,705

1,784

3,026

100.0%

10.8%

3.6%

85.6%

5,815

629

211

4,975

100.0%

10.2%

3.7%

86.1%

5,827

596

215

5,016

100.0%

10.7%

6.3%

83.0%

270

29

17

224

100.0%

14.6%

6.8%

78.6%

309

45

21

243

100.0%

5.9%

2.1%

92.0%

37,681

2,232

780

34,669

100.0%

7.4%

3.0%

89.5%

39,423

2,931

1,197

35,295

100.0%

58.2%

17.2%

24.6%

7,045

4,101

1,211

1,733

100.0%

51.0%

21.0%

28.0%

6,948

3,542

1,458

1,948

100.0%

14.4%

5.1%

80.5%

2,971

428

152

2,391

100.0%

14.0%

5.7%

80.3%

3,074

431

176

2,467

100.0%

28.4%

23.0%

48.6%

74

21

17

36

100.0%

32.3%

18.8%

49.0%

96

31

18

47

100.0%

9.9%

4.2%

85.9%

12,335

1,227

516

10,592

100.0%

10.7%

3.1%

86.2%

11,245

1,203

354

9,688

100.0%

42.0%

18.6%

39.3%

3,137

1,319

585

1,233

100.0%

45.3%

12.7%

42.0%

2,567

1,163

326

1,078

100.0%

7.1%

2.1%

90.9%

2,844

201

59

2,584

100.0%

6.0%

1.4%

92.6%

2,753

165

39

2,549

100.0%

4.1%

0.0%

95.9%

196

8

0

188

100.0%

6.6%

1.4%

92.0%

213

14

3

196

Table 5C.1: Number and Percent Distribution of Deliveries to Pregnant Women Screened by Healthy Startby Medicaid Delivery System and Length of Coverage (LOC)

Length ofCoverage


Medicaid SSI

2009

# %

2010

# %

Alien

2009

# %

2010

# %


2009

# %

2010

# %

Total

2009

# %

2010

# %

Total

FFS

MediPass

HMO

Total

HighExposure

FFS

MediPass

HMO

Total

LowExposure

FFS

MediPass

HMO

Total

100.0%

46.8%

23.8%

29.4%

1,321

618

315

388

100.0%

43.5%

21.3%

35.2%

1,284

558

274

452

100.0%

100.0%

9,421

9,421

100.0%

100.0%

8,914

8,914

100.0%

10.8%

2.6%

86.6%

983

106

26

851

100.0%

10.6%

2.8%

86.6%

936

99

26

811

100.0%

13.2%

4.7%

82.2%

78,008

10,261

3,661

64,086

100.0%

13.1%

5.0%

81.9%

77,453

10,137

3,871

63,445

100.0%

45.7%

23.7%

30.6%

1,186

542

281

363

100.0%

41.6%

21.8%

36.7%

1,186

493

258

435

100.0%

100.0%

2

2

100.0%

100.0%

7

7

100.0%

29.3%

7.1%

63.6%

225

66

16

143

100.0%

33.5%

11.7%

54.8%

188

63

22

103

100.0%

15.0%

5.0%

80.0%

49,184

7,390

2,457

39,337

100.0%

14.7%

6.1%

79.1%

50,922

7,491

3,129

40,302

100.0%

56.3%

25.2%

18.5%

135

76

34

25

100.0%

66.3%

16.3%

17.3%

98

65

16

17

100.0%

100.0%

9,419

9,419

100.0%

100.0%

8,907

8,907

100.0%

5.3%

1.3%

93.4%

758

40

10

708

100.0%

4.8%

0.5%

94.7%

748

36

4

708

100.0%

10.0%

4.2%

85.9%

28,824

2,871

1,204

24,749

100.0%

10.0%

2.8%

87.2%

26,531

2,646

742

23,143


Notes: High exposure means mother had coverage in Medicaid for 180 days or more during pregnancy. Low exposure means mother had coverage in Medicaid for less than 180 days during pregnancy. %(% Total) is the percent of the Indicator's deliveries for each Medicaid Delivery System (numerator - the Indicator’s C.1 Table) from the total deliveries for that Medicaid Delivery System and LOC category (denominator - Table 1C.1) . Results are suppressed for individual cells where the case count is under 5, but are included in all table totals and corresponding charts (see Appendix 1 - Methodology, Data Suppression, pg 123).



Length of Coverage


SOBRA

2009 2010

Non-SOBRA

2009 2010

CMS High Risk OB

2009 2010

Medically Needy

2009 2010

Medicaid SSI

2009 2010

Alien

2009 2010

In Medicaid < 8Days or No PNC

2009 2010

Total

2009 2010

Total

FFS

MediPass

HMO

Total

HighExposure

FFS

MediPass

HMO

Total

LowExposure

FFS

MediPass

HMO

Total

65.6%

63.0%

66.4%

65.8%

65.8%

64.8%

68.0%

65.9%

59.5%

58.5%

62.5%

59.5%

60.3%

60.1%

62.8%

59.1%

64.1%

58.7%

62.7%

64.9%

64.8%

61.5%

61.5%

65.3%

60.5%

56.3%

67.7%

60.8%

55.3%

46.0%

63.0%

56.3%

59.2%

57.6%

56.8%

63.0%

59.0%

58.4%

62.5%

57.5%

61.2%

61.2%

62.4%

62.4%

37.4%

23.8%

28.3%

40.6%

36.2%

23.4%

23.6%

39.5%

63.4%

59.3%

63.1%

64.2%

63.7%

60.5%

63.6%

64.3%

67.3%

62.2%

67.4%

67.7%

67.7%

64.8%

68.2%

67.9%

60.5%

58.4%

63.0%

62.6%

61.1%

59.9%

63.1%

62.5%

68.4%

57.3%

62.4%

71.2%

68.4%

62.6%

61.8%

70.0%

61.9%

54.4%

75.0%

63.5%

55.6%

45.7%

77.3%

55.4%

58.9%

56.7%

56.3%

63.3%

59.2%

58.8%

62.9%

57.2%

58.3%

58.3%

40.0%

40.0%

29.3%

21.5%

31.0%

37.2%

33.5%

21.6%

26.2%

46.9%

65.8%

58.8%

63.5%

67.5%

66.2%

60.3%

64.0%

67.5%

60.3%

65.0%

63.1%

59.7%

60.7%

64.7%

67.6%

59.9%

57.1%

58.7%

60.6%

54.6%

58.6%

60.8%

62.0%

55.0%

60.0%

62.5%

63.9%

59.8%

61.4%

59.5%

60.8%

61.6%

59.8%

60.9%

42.9%

60.1%

55.2%

47.1%

0.0%

56.5%

64.1%

66.3%

66.7%

54.8%

57.4%

55.1%

59.6%

62.5%

61.2%

61.2%

62.4%

62.4%

40.1%

29.3%

19.0%

41.1%

37.1%

27.2%

20.4%

38.3%

59.4%

61.0%

61.2%

59.2%

60.0%

61.0%

62.9%

59.7%

Table 5C.2: Percent Medicaid Deliveries to Pregnant Women Screened by Healthy Start of Medicaid Deliveriesby Medicaid Delivery System and Length of Coverage (LOC)


2009

# Deliveries %

2010

# Deliveries %


66.4%

59.0%63.5%

60.4%

51.7%

53.3%

48.7%

60.5%59.1%

63.2%

65.5%

93

244

91096

1,924

203

105

421

2,315232

280

1,576

47

162

53761

1,163

105

56

205

1,401137

177

1,033

53.8%

59.7%

56.1%56.8%

58.7%

50.3%

44.9%

48.4%

63.4%63.1%

61.5%

59.9%

117

593

965329

2,004

169

98

434

2,075442

314

1,600

63

354

541187

1,177

85

44

210

1,315279

193

958

Table 5D: Number and Percent of Deliveries to Pregnant Women Screened by Healthy Startfor Women Enrolled in Medicaid in the Same HMO >= 180 Days or >= Two-Thirds of the Pregnancy


Indicator 6: Deliveries for Pregnant Women Screened at "High Risk" by Healthy Start in Florida

Notes: High Ri sk is defined as a score of four or more on the Healthy Start prenatal risk screen. *Temporarily Eligible means Medicaid beneficiaries who were presumptively eligible but later determined to be financially ineligible. % (% Total) is the percent of the Indicator's deliveries for each Medicaid Status/Subgroup (numerator) from the total deliveries for that Medicaid Status/Subgroup (denominator - Table 5A), which covers all women screened by Healthy Start. Results are suppressed for individual cells where the case count is under 5, but are included in all table totals and corresponding charts (see Appendix 1 - Methodology, Data Suppression, pg 123).


2006

# %

2007

# %

2008

# %

2009

# %

2010

# %

NonMedicaid


Medicaid

SOBRANon SOBRACMS High Risk OBMedically NeedyMedicaid SSIAlienMcaid<8 Days or No PNCTotal

Grand Total

12.8%28.5%11.0%

4,301973

3,328

13.5%29.4%11.3%

4,7431,2603,483

12.1%28.3%10.4%

4,280926

3,354

8.9%17.8%8.4%

3,365388

2,977

12.5%24.5%11.9%

4,886436

4,450

38.0%36.8%22.8%65.2%30.4%50.2%51.8%35.6%

25,904321

2,12280686

2,6575,492

14,420

37.2%38.8%21.4%65.7%36.5%49.0%52.3%34.8%

25,776379

2,025790113

2,5215,236

14,712

36.7%38.2%22.2%63.9%36.2%46.7%53.6%34.1%

27,113394

2,021776111

2,7155,173

15,923

26.5%27.1%13.1%50.7%25.9%36.2%38.6%24.7%

20,643266

1,23467070

2,1073,929

12,367

36.8%31.7%20.7%69.8%32.0%50.4%50.9%34.8%

28,530297

1,84389699

2,9354,841

17,619

29.7%30,205 29.2%30,519 28.8%31,393 20.8%24,008 28.7%33,416

Table 6A: Number and Percent Deliveries for Pregnant Women Screened at "High Risk" by Healthy Start of Those Screened by Healthy Startby Medicaid Status/Subgroup


0.0%

10.0%

20.0%

30.0%

Figure 6Aa: Percent Deliveries for Pregnant Women Screened at"High Risk" by Healthy Start of Those Screened by Healthy Start by

Medicaid Status: Five-Year Trends

Year ofDelivery

2006

2007

2008

2009

2010


MedicallyNeedy Medicaid SSI Alien

Mcaid<8Days or No

PNC

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%

Figure 6Ab: Percent of Deliveries for Pregnant Women Screened at "High Risk" by Healthy Start of Those Screened by Healthy Start by Medicaid Subgroup: Five-Year Trends



Notes: High Risk is defined as a score of four or more on the Healthy Start prenatal risk screen. % (% Race/Ethnicity) is the percent of each Race/Ethnicity Category (numerator) for all Race/Ethnicity Categories from that Medicaid Subgroup (denominator). Results are suppressed for individual cells where the case count is under 5, but are included in all table totals and corresponding charts (see Appendix 1 - Methodology, Data Suppression, pg 123).


2010

Caucasian

# %

African-American

# %

Hispanic

# %

Asian

# %

Native-American

# %

Other

# %

NonMedicaid

Non-Medicaid


Total

Medicaid

SOBRA

Non SOBRA

CMS High Risk OB

Medically Needy

Medicaid SSI

Alien


Total

Grand Total

29.8%

10.3%

31.7%

1,457

45

1,412

44.2%

30.0%

45.6%

2,162

131

2,031

21.9%

55.3%

18.6%

1,068

241

827

1.5%

1.6%

1.4%

71

7

64

0.3%

0.3%

13

13

2.4%

2.8%

2.3%

115

12

103

22.2%

26.9%

2.7%

19.3%

24.2%

17.3%

18.5%

26.1%

6,334

80

50

173

24

508

897

4,602

52.4%

50.5%

12.9%

69.2%

44.4%

51.8%

66.1%

52.1%

14,956

150

238

620

44

1,519

3,202

9,183

23.2%

18.5%

81.7%

9.9%

27.3%

29.6%

13.4%

19.4%

6,605

55

1,506

89

27

869

648

3,411

0.4%

0.7%

1.0%

0.1%

0.0%

0.6%

0.3%

0.4%

120

2

18

1

0

18

13

68

0.1%

0.3%

0.0%

0.0%

0.0%

0.0%

0.1%

18

1

0

0

1

2

14

1.7%

3.0%

1.7%

1.5%

4.0%

0.7%

1.6%

1.9%

497

9

31

13

4

20

79

341

23.3%7,791 51.2%17,118 23.0%7,673 0.6%191 0.1%31 1.8%612

Table 6B.1: Number and Percent Distribution of Deliveries for Pregnant Women Screened at "High Risk" by Healthy Startby Race/Ethnicity and Medicaid Status/Subgroup



Notes: High Ri sk is defined as a score of four or more on the Healthy Start prenatal risk screen. % (% Race/Ethnicity) is the percent of the Indicator's deliveries for each Race/Ethnicity Category (numerator) from the total deliveries for that Race/Ethnicity Category within each Medicaid Status/Subgroup (denominator - Table 5B), which covers all women screened by Healthy Start. High percentages in certain Race/Ethnicity subgroups are due to very small denominators. Results are suppressed for individual cells where the case count is under 5, but are included in all table totals and corresponding charts (see Appendix 1 - Methodology, Data Suppression, pg 123).

Medicaid Status Subgroup

2010

Caucasian

%

African-American

%

Hispanic

%

Asian

%

Native-American

%

Other

%

Non Medicaid

Non-Medicaid


Total

Medicaid

SOBRA

Non SOBRA

CMS High Risk OB

Medically Needy

Medicaid SSI

Alien


Total

Grand Total

6.4%

19.4%

6.3%

51.9%

56.2%

51.6%

11.2%

20.5%

9.9%

3.8%

8.6%

3.6%

21.7%

21.7%

15.0%

20.7%

14.5%

23.0%

17.7%

11.9%

48.7%

21.1%

41.5%

30.0%

21.0%

77.4%

78.9%

52.8%

87.3%

68.8%

84.4%

77.8%

76.5%

23.5%

21.8%

19.9%

46.6%

24.5%

33.0%

29.4%

22.5%

10.4%

10.0%

5.8%

33.3%

0.0%

17.8%

22.4%

10.4%

25.7%

50.0%

0.0%

50.0%

14.3%

27.5%

38.3%

45.0%

17.5%

52.0%

28.6%

30.3%

59.4%

39.5%

15.5% 72.8% 20.4% 6.3% 23.8% 29.6%

Table 6B.2: Percent of Deliveries for Pregnant Women Screened at "High Risk" by Healthy Start of Those Screened by Healthy Startby Race/Ethnicity and Medicaid Status/Subgroup

2010


0.0%

20.0%

40.0%

60.0%

80.0%

Figure 6B.2a: Percent of Deliveries for Pregnant Women Screenedat "High Risk" by Healthy Start of Those Screened by Healthy Start

by Race/Ethnicity and Medicaid Status

Race/Ethnicity

Caucasian

African-American

Hispanic

Asian

Native-American

Other

2010

SOBRA Non SOBRACMS HighRisk OB


Mcaid<8Days or No

PNC

0.0%

20.0%

40.0%

60.0%

80.0%

Figure 6B.2b: Percent of Deliveries for Pregnant Women Screened at "High Risk" by HealthyStart by Race/Ethnicity and Medicaid Subgroup


Notes: High Ri sk is defined as a score of four or more on the Healthy Start prenatal risk screen. % (% Medicaid Delivery System) is the percent of each Medicaid Delivery System (numerator) from the total for that LOC category (denominator). High exposure means mother had coverage in Medicaid for 180 days or more during pregnancy. Low exposure means mother had coverage in Medicaid for less than 180 days during pregnancy. Results are suppressed for individual cells where the case count is under 5, but are included in all table totals and corresponding charts (see Appendix 1 - Methodology, Data Suppression, pg 123).


Length ofCoverage


SOBRA

2009

# %

2010

# %

Non-SOBRA

2009

# %

2010

# %

CMS High Risk OB

2009

# %

2010

# %

Medically Needy

2009

# %

2010

# %

Total

FFS

MediPass

HMO

Total

HighExposure

FFS

MediPass

HMO

Total

LowExposure

FFS

MediPass

HMO

Total

100.0%

10.7%

3.7%

85.6%

12,367

1,321

462

10,584

100.0%

11.7%

3.9%

84.4%

17,619

2,063

682

14,874

100.0%

55.5%

15.5%

29.1%

3,929

2,179

608

1,142

100.0%

50.7%

18.3%

31.0%

4,841

2,452

887

1,502

100.0%

17.0%

4.8%

78.1%

2,107

359

102

1,646

100.0%

13.8%

5.3%

80.9%

2,935

405

155

2,375

100.0%

14.3%

10.0%

75.7%

70

10

7

53

100.0%

21.2%

10.1%

68.7%

99

21

10

68

100.0%

10.5%

3.1%

86.3%

8,691

916

271

7,504

100.0%

11.4%

4.0%

84.7%

13,370

1,518

530

11,322

100.0%

60.2%

14.9%

24.9%

2,829

1,704

421

704

100.0%

52.1%

20.2%

27.7%

3,641

1,897

737

1,007

100.0%

21.1%

6.4%

72.5%

1,236

261

79

896

100.0%

16.9%

7.5%

75.6%

1,806

306

135

1,365

100.0%

30.0%

23.3%

46.7%

30

9

7

14

100.0%

33.3%

20.0%

46.7%

45

15

9

21

100.0%

11.0%

5.2%

83.8%

3,676

405

191

3,080

100.0%

12.8%

3.6%

83.6%

4,249

545

152

3,552

100.0%

43.2%

17.0%

39.8%

1,100

475

187

438

100.0%

46.3%

12.5%

41.3%

1,200

555

150

495

100.0%

11.3%

2.6%

86.1%

871

98

23

750

100.0%

8.8%

1.8%

89.5%

1,129

99

20

1,010

100.0%

2.5%

0.0%

97.5%

40

1

0

39

100.0%

11.1%

1.9%

87.0%

54

6

1

47

Table 6C.1: Number and Percent Distribution of Deliveries for Pregnant Medicaid Women Screened at "High Risk" by Healthy Startby Medicaid Delivery System and Length of Coverage (LOC)

Length of Coverage


Medicaid SSI

2009

# %

2010

# %

Alien

2009

# %

2010

# %


2009

# %

2010

# %

Total

2009

# %

2010

# %

Total

HMO

FFS

MediPass

Total

HighExposure

HMO

FFS

MediPass

Total

LowExposure

HMO

FFS

MediPass

Total

100.0%

22.4%

30.7%

46.9%

670

150

206

314

100.0%

21.4%

33.9%

44.6%

896

192

304

400

100.0%

100.0%

1,234

1,234

100.0%

100.0%

1,843

1,843

100.0%

4.5%

75.2%

20.3%

266

12

200

54

100.0%

5.1%

76.4%

18.5%

297

15

227

55

100.0%

6.5%

73.0%

20.5%

20,643

1,341

15,065

4,237

100.0%

6.8%

74.3%

18.9%

28,530

1,941

21,193

5,396

100.0%

21.7%

31.2%

47.1%

609

132

190

287

100.0%

21.8%

35.6%

42.7%

832

181

296

355

100.0%

100.0%

1

1

100.0%

100.0%

3

3

100.0%

9.0%

55.1%

36.0%

89

8

49

32

100.0%

12.5%

52.1%

35.4%

96

12

50

34

100.0%

6.8%

69.4%

23.8%

13,485

918

9,358

3,209

100.0%

8.1%

71.1%

20.8%

19,793

1,604

14,064

4,125

100.0%

29.5%

26.2%

44.3%

61

18

16

27

100.0%

17.2%

12.5%

70.3%

64

11

8

45

100.0%

100.0%

1,233

1,233

100.0%

100.0%

1,840

1,840

100.0%

2.3%

85.3%

12.4%

177

4

151

22

100.0%

1.5%

88.1%

10.4%

201

3

177

21

100.0%

5.9%

79.7%

14.4%

7,158

423

5,707

1,028

100.0%

3.9%

81.6%

14.5%

8,737

337

7,129

1,271



Notes: High Ri sk is defined as a score of four or more on the Healthy Start prenatal risk screen. High exposure means mother had coverage in Medicaid for 180 days or more during pregnancy. Low exposure means mother had coverage in Medicaid for less than 180 days during pregnancy. % (% Total) is the percent of the Indicator's deliveries for each Medicaid Delivery System (numerator - the Indicator’s C.1 Table) from the total deliveries for that Medicaid Delivery System and Subgroup (denominator - Table 5C.1), which covers medicaid women screened by Healthy Start. Results are suppressed for individual cells where the case count is under 5, but are included in all table totals and corresponding charts (see Appendix 1 - Methodology, Data Suppression, pg 123).


Length ofCoverage


SOBRA

2009

%

2010

%

Non-SOBRA

2009

%

2010

%

CMS High Risk OB

2009

%

2010

%

Medically Needy

2009

%

2010

%

Medicaid SSI

2009

%

2010

%

Alien

2009

%

2010

%


2009

%

2010

%

Total

2009

%

2010

%

Total

FFSMediPassHMOTotal

HighExposure

FFSMediPassHMOTotal

LowExposure

FFSMediPassHMOTotal

24.7%38.2%35.6%23.4%

34.8%49.9%44.0%33.1%

38.6%40.2%33.9%38.5%

50.9%52.1%49.7%49.6%

36.2%57.1%48.3%33.1%

50.4%68.0%72.1%47.3%

25.9%34.5%41.2%23.7%

32.0%46.7%47.6%28.0%

50.7%50.8%47.6%53.1%

69.8%71.7%70.1%67.3%

13.1%

13.1%

20.7%

20.7%

27.1%50.9%46.2%23.5%

31.7%55.6%57.7%28.0%

26.5%41.3%36.6%23.5%

36.8%53.2%50.1%33.4%

23.1%41.0%34.7%21.6%

33.9%51.8%44.3%32.1%

40.2%41.6%34.8%40.6%

52.4%53.6%50.5%51.7%

41.6%61.0%52.0%37.5%

58.8%71.0%76.7%55.3%

40.5%42.9%41.2%38.9%

46.9%48.4%50.0%44.7%

51.3%53.0%47.0%52.3%

70.2%72.0%70.2%68.0%

50.0%

50.0%

42.9%

42.9%

39.6%48.5%50.0%34.3%

51.1%54.0%54.5%48.5%

27.4%43.4%37.4%23.8%

38.9%55.1%51.3%34.9%

29.8%33.0%37.0%29.1%

37.8%45.3%42.9%36.7%

35.1%36.0%32.0%35.5%

46.7%47.7%46.0%45.9%

30.6%48.8%39.0%29.0%

41.0%60.0%51.3%39.6%

20.4%12.5%

20.7%

25.4%42.9%33.3%24.0%

45.2%35.5%52.9%64.0%

65.3%69.2%68.8%47.1%

13.1%

13.1%

20.7%

20.7%

23.4%55.0%40.0%21.3%

26.9%58.3%75.0%25.0%

24.8%35.8%35.1%23.1%

32.9%48.0%45.4%30.8%

Table 6C.2: Percent Medicaid Deliveries for Pregnant Women Screened at "High Risk" by Healthy Start of Medicaid Deliveriesfor Pregnant Women Screened by Healthy Start by Medicaid Delivery System and Length of Coverage (LOC)


2009

# Screened %

2010

# Screened %


45.1%41.3%45.9%42.7%41.0%39.3%43.9%45.8%43.8%52.5%44.1%

4716253761

1,16310556

2051,401

137177

1,033

1173

22228

497432290

6416093

456

42.9%56.5%49.7%56.7%56.2%44.7%56.8%51.9%55.5%56.6%56.5%58.8%

63354541187

1,1778544

2101,315

279193958

272002691066623825

109730158109563

Table 6D: Number and Percent Deliveries for Pregnant Women Screened at "High Risk" by Healthy Start for Women Enrolled inMedicaid in the Same HMO >= 180 Days or >= Two-Thirds of the Pregnancy


Indicator 7: Deliveries for Women Who Reported Smoking During Pregnancy in Florida



2006

# %

2007

# %

2008

# %

2009

# %

2010

# %

NonMedicaid

Non-Medicaid


Total

Medicaid

SOBRA

Non SOBRA

CMS High Risk OB

Medically Needy

Medicaid SSI

Alien


Total

Grand Total

4.8%

2.9%

4.9%

5,429

170

5,259

4.7%

4.9%

4.7%

5,463

343

5,120

4.0%

3.3%

4.0%

4,235

167

4,068

3.2%

2.3%

3.2%

2,984

74

2,910

2.5%

2.8%

2.5%

2,220

72

2,148

13.9%

21.7%

0.9%

19.1%

12.1%

10.7%

16.9%

16.1%

16,681

620

145

427

65

1,002

3,460

10,962

13.1%

20.1%

0.7%

16.5%

13.7%

10.6%

16.1%

15.1%

15,795

629

117

381

79

959

3,024

10,606

12.2%

19.8%

0.8%

15.4%

13.1%

9.4%

15.0%

14.0%

14,792

602

123

337

71

888

2,538

10,233

11.7%

17.5%

0.7%

15.8%

11.7%

9.0%

14.9%

13.1%

14,260

475

105

354

57

811

2,522

9,936

10.6%

17.4%

0.6%

15.9%

12.3%

8.4%

14.2%

11.6%

12,935

435

94

344

63

761

2,277

8,961

9.5%22,110 9.0%21,258 8.4%19,027 8.0%17,244 7.2%15,155

Table 7A: Number and Percent Deliveries for Women Who Reported Smoking During Pregnancy of All Deliveries by Medicaid Status/Subgroup


0.0%

2.0%

4.0%

6.0%

8.0%

10.0%

12.0%

14.0%

Figure 7Aa: Percent of Deliveries for WomenWho Reported Smoking During Pregnancy of All Deliveries


Year ofDelivery

2006

2007

2008

2009

2010




0.0%

5.0%

10.0%

15.0%

20.0%

Figure 7Ab: Percent of Deliveries for Women Who Reported Smoking During Pregnancy ofAll Deliveries by Medicaid Subgroup: Five-Year Trends





2010Caucasian

# %

African-American

# %

Hispanic

# %

Asian

# %

Native-American

# %

Other

# %

Non Medicaid

Non-Medicaid


Total

Medicaid

SOBRA

Non SOBRA

CMS High Risk OB

Medically Needy

Medicaid SSI

Alien


Total

Grand Total

81.9%

70.8%

82.3%

1,819

51

1,768

6.6%

8.3%

6.5%

146

6

140

7.8%

16.7%

7.5%

174

12

162

1.1%

1.4%

1.1%

24

1

23

0.4%

0.4%

8

8

2.2%

2.8%

2.2%

49

2

47

76.7%

71.3%

26.6%

55.5%

84.1%

62.4%

68.7%

81.5%

9,918

310

25

191

53

475

1,565

7,299

13.7%

20.2%

2.1%

32.3%

9.5%

25.4%

21.7%

9.9%

1,776

88

2

111

6

193

493

883

7.3%

6.4%

62.8%

10.2%

4.8%

10.0%

7.3%

6.5%

948

28

59

35

3

76

166

581

0.3%

0.2%

3.2%

0.3%

0.0%

0.7%

0.2%

0.3%

40

1

3

1

0

5

4

26

0.2%

0.2%

0.0%

0.0%

0.4%

0.2%

0.2%

31

1

0

0

3

5

22

1.7%

1.6%

5.3%

1.7%

1.6%

1.2%

1.9%

1.7%

222

7

5

6

1

9

44

150

77.4%11,737 12.7%1,922 7.4%1,122 0.4%64 0.3%39 1.8%271

Table 7B.1: Number and Percent Distribution of Deliveries for Women Who Reported Smoking During Pregnancy by Race/Ethnicity and Medicaid Status/Subgroup



Notes: % (% Race/Ethnicity) is the percent of the Indicator's deliveries for each Race/Ethnicity Category (numerator) from the total deliveries for that Race/Ethnicity Category within each Medicaid Status/Subgroup (denominator - Table 1B). High percentages in certain Race/Ethnicity subgroups are due to very small denominators. Results are suppressed for individual cells where the case count is under 5, but are included in all table totals and corresponding charts (see Appendix 1 - Methodology, Data Suppression, pg 123).


2010

Caucasian

%

African-American

%

Hispanic

%

Asian

%

Native-American

%

Other

%

Non Medicaid

Non-Medicaid


Total

Medicaid

SOBRA

Non SOBRA

CMS High Risk OB

Medically Needy

Medicaid SSI

Alien


Total

Grand Total

3.6%

15.5%

3.5%

1.7%

1.9%

1.7%

0.8%

0.7%

0.8%

0.6%

0.9%

0.6%

5.3%

5.3%

2.7%

2.6%

2.7%

23.2%

28.1%

3.5%

32.0%

25.4%

26.8%

31.7%

21.8%

5.8%

12.2%

0.3%

9.5%

5.8%

7.0%

7.2%

4.9%

2.1%

4.7%

0.5%

10.0%

1.8%

1.8%

4.3%

2.5%

2.2%

2.6%

0.6%

14.3%

0.0%

3.4%

4.3%

2.5%

28.7%

33.3%

0.0%

0.0%

42.9%

26.3%

28.6%

11.3%

15.6%

1.9%

15.8%

5.9%

9.9%

19.6%

11.7%

12.6% 4.9% 1.7% 1.1% 15.1% 7.2%

Table 7B.2: Percent Deliveries for Women Who Reported Smoking During Pregnancy of All Deliveries by Race/Ethnicity and Medicaid Status/Subgroup

2010


0.0%

5.0%

10.0%

15.0%

20.0%

25.0%

30.0%

Fig. 7B.2a: Percent Deliveries for Women Who ReportedSmoking During Pregnancy of All Deliveries


Race/Ethnicity

Caucasian

African-American

Hispanic

Asian

Native-American

Other

2010


MedicallyNeedy


Days or NoPNC

0.0%

10.0%

20.0%

30.0%

40.0%

Figure 7B.2b: Percent Deliveries for Women Who Reported Smoking DuringPregnancy of All Deliveries by Race/Ethnicity and Medicaid Subgroup




Length ofCoverage


SOBRA

2009

# %

2010

# %

Non-SOBRA

2009

# %

2010

# %

CMS High Risk OB

2009

# %

2010

# %

Medically Needy

2009

# %

2010

# %

Total

FFS

MediPass

HMO

Total

HighExposure

FFS

MediPass

HMO

Total

LowExposure

FFS

MediPass

HMO

Total

100.0%

6.8%

3.3%

89.9%

9,936

677

325

8,934

100.0%

8.8%

4.3%

86.8%

8,961

793

388

7,780

100.0%

46.1%

22.6%

31.3%

2,522

1,163

570

789

100.0%

44.4%

23.1%

32.5%

2,277

1,012

525

740

100.0%

17.0%

6.8%

76.2%

811

138

55

618

100.0%

15.4%

7.6%

77.0%

761

117

58

586

100.0%

14.0%

7.0%

78.9%

57

8

4

45

100.0%

23.8%

12.7%

63.5%

63

15

8

40

100.0%

6.2%

2.5%

91.3%

7,390

459

185

6,746

100.0%

8.7%

4.3%

87.1%

6,910

598

295

6,017

100.0%

51.7%

20.6%

27.7%

1,720

890

354

476

100.0%

45.9%

24.5%

29.6%

1,655

760

405

490

100.0%

17.2%

6.9%

75.9%

553

95

38

420

100.0%

17.9%

9.3%

72.8%

504

90

47

367

100.0%

26.9%

11.5%

61.5%

26

7

3

16

100.0%

39.4%

18.2%

42.4%

33

13

6

14

100.0%

8.6%

5.5%

85.9%

2,546

218

140

2,188

100.0%

9.5%

4.5%

86.0%

2,051

195

93

1,763

100.0%

34.0%

26.9%

39.0%

802

273

216

313

100.0%

40.5%

19.3%

40.2%

622

252

120

250

100.0%

16.7%

6.6%

76.7%

258

43

17

198

100.0%

10.5%

4.3%

85.2%

257

27

11

219

100.0%

3.2%

3.2%

93.5%

31

1

1

29

100.0%

6.7%

6.7%

86.7%

30

2

2

26

Table 7C.1: Number and Percent Distribution of Deliveries for Medicaid Women Who Reported Smoking During Pregnancyby Medicaid Delivery System and Length of Coverage (LOC)

Length of Coverage


Medicaid SSI

2009

# %

2010

# %

Alien

2009

# %

2010

# %


2009

# %

2010

# %

Total

2009

# %

2010

# %

Total

FFS

MediPass

HMO

Total

HighExposure

FFS

MediPass

HMO

Total

LowExposure

FFS

MediPass

HMO

Total

100.0%

39.5%

26.8%

33.6%

354

140

95

119

100.0%

35.8%

24.1%

40.1%

344

123

83

138

100.0%

100.0%

105

105

100.0%

100.0%

94

94

100.0%

17.9%

6.1%

76.0%

475

85

29

361

100.0%

22.8%

6.9%

70.3%

435

99

30

306

100.0%

15.5%

7.6%

76.9%

14,260

2,211

1,078

10,971

100.0%

16.7%

8.4%

74.9%

12,935

2,159

1,092

9,684

100.0%

39.2%

25.3%

35.5%

324

127

82

115

100.0%

33.0%

25.2%

41.8%

318

105

80

133

0

0

100.0%

100.0%

1

1

100.0%

40.4%

11.8%

47.8%

136

55

16

65

100.0%

43.0%

15.8%

41.1%

158

68

25

65

100.0%

16.1%

6.7%

77.2%

10,149

1,633

678

7,838

100.0%

17.1%

9.0%

74.0%

9,579

1,634

858

7,087

100.0%

43.3%

43.3%

13.3%

30

13

13

4

100.0%

69.2%

11.5%

19.2%

26

18

3

5

100.0%

100.0%

105

105

100.0%

100.0%

93

93

100.0%

8.8%

3.8%

87.3%

339

30

13

296

100.0%

11.2%

1.8%

87.0%

277

31

5

241

100.0%

14.1%

9.7%

76.2%

4,111

578

400

3,133

100.0%

15.6%

7.0%

77.4%

3,356

525

234

2,597


Notes: % (% Total) is the percent of the Indicator's deliveries for each Medicaid Delivery System (numerator - the Indicator’s C.1 Table) from the total deliveries for that Medicaid Delivery System and Subgroup (denominator - Table 1C.1) . High exposure means mother had coverage in Medicaid for 180 days or more during pregnancy. Low exposure means mother had coverage in Medicaid for less than 180 days during pregnancy. Results are suppressed for individual cells where the case count is under 5, but are included in all table totals and corresponding charts (see Appendix 1 - Methodology, Data Suppression, pg 123).



Length ofCoverage


SOBRA

2009

%

2010

%

Non-SOBRA

2009

%

2010

%

CMS High Risk OB

2009

%

2010

%

Medically Needy

2009

%

2010

%

Medicaid SSI

2009

%

2010

%

Alien

2009

%

2010

%


2009

%

2010

%

Total

2009

%

2010

%

Total

FFSMediPassHMOTotal

HighExposure

FFSMediPassHMOTotal

LowExposure

FFSMediPassHMOTotal

13.1%

12.7%17.0%

13.0%

11.6%

12.1%16.6%

11.4%

14.9%

12.9%19.9%

15.7%

14.2%

12.6%18.4%

14.6%

9.0%

13.5%16.0%

8.1%

8.4%

11.5%16.9%

7.6%

11.7%

12.7%14.8%

11.3%

12.3%

18.8%25.8%

10.0%

15.8%

13.2%18.8%

17.6%

15.9%

12.7%17.2%

19.2%

0.7%

0.7%

0.6%

0.6%

17.5%

18.8%26.4%

16.8%

17.4%

23.8%32.6%

15.3%

11.7%

13.0%18.7%

11.0%

10.6%

12.6%17.8%

9.8%

13.3%13.3%

16.2%13.2%

11.8%12.7%

16.6%11.5%

14.9%13.0%

18.5%17.2%

14.4%12.5%

17.5%15.8%

12.7%13.9%

15.4%12.3%

11.2%12.0%

16.7%10.6%

19.5%15.2%

13.6%24.6%

21.3%22.8%

25.0%18.9%

16.2%13.8%

18.3%18.1%

15.8%12.1%

17.5%19.4%

0.0%

0.0%

8.3%

8.3%

20.2%18.0%

26.2%21.3%

24.6%23.2%

35.2%23.5%

13.7%13.3%

17.7%13.5%

12.4%12.8%

17.4%11.9%

12.5%

11.5%18.3%

12.4%

11.0%

10.5%16.6%

10.9%

15.0%

12.6%22.9%

14.0%

13.8%

12.7%22.3%

12.7%

5.6%

12.7%17.5%

4.7%

5.6%

10.2%18.0%

5.1%

8.7%

5.9%20.0%

8.7%

8.4%

8.7%28.6%

8.0%

12.8%

9.4%22.8%

10.0%

17.0%

18.4%12.5%

16.1%

0.7%

0.7%

0.6%

0.6%

16.6%

20.4%26.5%

16.0%

14.9%

25.2%23.8%

14.0%

8.6%

12.3%20.9%

7.6%

7.5%

12.1%19.3%

6.6%

Table 7C.2: Percent of Medicaid Deliveries for Women Who Reported Smoking During Pregnancy of Medicaid Deliveriesby Medicaid Delivery System and Length of Coverage (LOC)


2009

# Deliveries %

2010

# Deliveries %


15.6%15.8%

4.2%

12.6%

1.0%3.8%

3.8%

17.6%

18.5%8.9%

13.6%

93

244910

96

1,924

203105

421

2,315

232280

1,576

1

38144

4

243

24

16

407

4325

215

3.4%

15.9%17.0%

4.3%

11.8%

1.2%2.0%

4.4%

16.3%

10.4%9.6%

13.0%

117

593965

329

2,004

16998

434

2,075

442314

1,600

4

94164

14

236

22

19

339

4630

208

Table 7D: Number and Percent of Deliveries to Women Who Reported Smoking During Pregnancy for Women Enrolled inMedicaid in the Same HMO >= 180 Days or >= Two-Thirds of the Pregnancy


Notes: Overall Deliveries in SOBRA and Non-SOBRA do not sum to Overall Deliveries in Medicaid because six other smaller Medicaid subgroups are not included. Space considerations prohibit inclusion of breakouts for all eight Medicaid subgroups. % Dist is the percent of deliveries within % (% Total) is the percent of the Indicator's deliveries for each Medicaid Status/Subgroup (numerator) from the total deliveries for that Medicaid Status/Subgroup (denominator - Table 1A). Results are suppressed for individual cells where the case count is under 5, but are included in all table totals and corresponding charts (see Appendix 1 - Methodology, Data Suppression, pg 123).

Indicator 8: Deliveries by Prepregnancy Body Mass Index (BMI) in Florida

Medicaid Status Pre- Pregnancy BMI

2009

Deliveries %

2010

Deliveries %

Total

Underweight

Normal Weight

Overweight

Obese

Total

Non-Medicaid

Underweight

Normal Weight

Overweight

Obese

Total

Medicaid

Underweight

Normal Weight

Overweight

Obese

Total

SOBRA

Underweight

Normal Weight

Overweight

Obese

Total

Non-SOBRA

Underweight

Normal Weight

Overweight

Obese

Total

100.0%

20.2%

25.5%

49.4%

4.9%

202,371

40,916

51,545

99,961

9,949

100.0%

20.5%

25.8%

48.8%

4.9%

196,025

40,127

50,616

95,685

9,597

100.0%

17.1%

24.9%

54.0%

4.0%

87,769

15,001

21,867

47,367

3,534

100.0%

16.8%

25.2%

54.1%

3.9%

81,796

13,781

20,575

44,211

3,229

100.0%

22.6%

25.9%

45.9%

5.6%

114,602

25,915

29,678

52,594

6,415

100.0%

23.1%

26.3%

45.1%

5.6%

114,229

26,346

30,041

51,474

6,368

100.0%

22.4%

25.1%

46.7%

5.8%

71,977

16,110

18,045

33,628

4,194

100.0%

23.1%

25.7%

45.4%

5.8%

73,117

16,890

18,778

33,201

4,248

100.0%

25.4%

25.2%

43.3%

6.1%

15,821

4,026

3,982

6,849

964

100.0%

25.6%

25.3%

43.1%

6.1%

15,107

3,864

3,822

6,504

917

Table 8A: Number and Percent of Deliveries by Prepregnancy Body Mass Index (BMI) by Medicaid Status/Subgroup


Notes: Overall Deliveries in SOBRA and Non-SOBRA do not sum to Overall Deliveries in Medicaid because six other smaller Medicaid subgroups are not included. Space considerations prohibit inclusion of breakouts for all eight Medicaid subgroups. % (% Pre-Pregnancy BMI) is the percent of deliveries of the Pre-Pregnancy BMI category (numerator) from that Medicaid Status category (denominator). Results are suppressed for individual cells where the case count is under 5, but are included in all table totals and corresponding charts (see Appendix 1 - Methodology, Data Suppression, pg 123).


Medicaid Status Pre- Pregnancy BMI

2010

Caucasian

Deliveries %

African-American

Deliveries %

Hispanic

Deliveries %

Asian

Deliveries %

Native-American

Deliveries %

Other

Deliveries %

Total

Underweight

Normal Weight

Overweight

Obese

Total

Non-Medicaid

Underweight

Normal Weight

Overweight

Obese

Total

Medicaid

Underweight

Normal Weight

Overweight

Obese

Total

SOBRA

Underweight

Normal Weight

Overweight

Obese

Total

Non-SOBRA

Underweight

Normal Weight

Overweight

Obese

Total

100.0%

18.4%

23.3%

52.8%

5.4%

89,282

16,451

20,808

47,164

4,859

100.0%

29.8%

27.1%

38.5%

4.5%

36,263

10,821

9,845

13,975

1,622

100.0%

19.4%

29.4%

47.4%

3.8%

61,158

11,845

17,960

29,007

2,346

100.0%

5.8%

18.5%

66.0%

9.7%

5,533

321

1,021

3,654

537

100.0%

35.7%

25.8%

34.4%

4.1%

244

87

63

84

10

100.0%

17.0%

25.9%

50.8%

6.3%

3,545

602

919

1,801

223

100.0%

15.8%

23.4%

56.8%

4.0%

48,418

7,649

11,337

27,480

1,952

100.0%

29.7%

30.8%

36.8%

2.7%

7,849

2,334

2,414

2,891

210

100.0%

16.6%

28.3%

51.8%

3.2%

19,857

3,296

5,628

10,292

641

100.0%

5.6%

19.0%

67.1%

8.3%

3,852

216

732

2,584

320

100.0%

42.4%

22.3%

31.7%

3.6%

139

59

31

44

5

100.0%

13.5%

25.8%

54.7%

6.0%

1,681

227

433

920

101

100.0%

21.5%

23.2%

48.2%

7.1%

40,864

8,802

9,471

19,684

2,907

100.0%

29.9%

26.2%

39.0%

5.0%

28,414

8,487

7,431

11,084

1,412

100.0%

20.7%

29.9%

45.3%

4.1%

41,301

8,549

12,332

18,715

1,705

100.0%

6.2%

17.2%

63.7%

12.9%

1,681

105

289

1,070

217

100.0%

26.7%

30.5%

38.1%

4.8%

105

28

32

40

5

100.0%

20.1%

26.1%

47.3%

6.5%

1,864

375

486

881

122

100.0%

21.3%

23.2%

48.6%

6.9%

32,086

6,824

7,456

15,590

2,216

100.0%

29.7%

26.5%

38.8%

4.9%

17,007

5,053

4,513

6,602

839

100.0%

21.4%

28.9%

45.2%

4.5%

21,774

4,668

6,287

9,831

988

100.0%

6.5%

18.1%

62.9%

12.5%

947

62

171

596

118

100.0%

28.9%

30.3%

34.2%

6.6%

76

22

23

26

5

100.0%

21.3%

26.7%

45.3%

6.7%

1,227

261

328

556

82

100.0%

22.8%

23.5%

45.4%

8.3%

4,756

1,085

1,118

2,160

393

100.0%

29.0%

25.6%

40.5%

5.0%

6,466

1,875

1,653

2,616

322

100.0%

23.8%

27.4%

43.9%

4.9%

3,575

852

979

1,568

176

100.0%

7.1%

17.6%

65.9%

9.4%

85

6

15

56

8

100.0%

11.8%

35.3%

52.9%

17

2

6

9

100.0%

21.2%

24.5%

45.7%

8.7%

208

44

51

95

18

Table 8B: Number and Percent Distribution of Deliveries by Prepregnancy Body Mass Index (BMI) by Race/Ethnicity and Medicaid Status/Subgroup



Notes: Overall Deliveries in SOBRA and Non-SOBRA do not sum to Overall Deliveries in Medicaid because six other smaller Medicaid subgroups are not included. Deliveries with invalid Pre-Pregnancy BMI entries are excluded. % (% Medicaid Delivery System) is the percent of each Medicaid Delivery System (numerator) from the total for that LOC (denominator). Results are suppressed for individual cells where the case count is under 5, but are included in all table totals and corresponding charts (see Appendix 1 - Methodology, Data Suppression, pg 123).

Length ofCoverage

MedicaidDelivery System Pre- Pregnancy BMI

2009

SOBRA

# %

Non-SOBRA

# %

2010

SOBRA

# %

Non-SOBRA

# %

Total

FFS

UnderweightNormal WeightO v erweightO beseT otal

MediPass


HMO


Total

HighExposure

FFS


MediPass


HMO


Total

LowExposure

FFS


MediPass


HMO


Total

100.0%22.2%25.2%46.9%5.8%

65,10014,44216,38930,5103,759

100.0%24.2%25.6%43.5%6.7%

4,6701,1301,1952,030

315

100.0%23.0%25.9%45.4%5.7%

64,66714,86916,71929,3913,688

100.0%23.6%25.9%44.3%6.1%

4,7961,1331,2422,127

294

100.0%21.8%23.8%47.5%6.9%

1,813396431861125

100.0%25.1%25.3%43.5%6.2%

2,716681686

1,181168

100.0%24.2%24.1%44.4%7.3%

2,270550546

1,008166

100.0%28.1%25.0%40.9%6.0%

2,754774689

1,127164

100.0%25.1%24.2%44.6%6.1%

5,0641,2721,2252,257

310

100.0%26.3%24.9%43.1%5.7%

8,4352,2152,1013,638

481

100.0%23.8%24.5%45.3%6.4%

6,1801,4711,5132,802

394

100.0%25.9%25.0%43.0%6.1%

7,5571,9571,8913,250

459

100.0%71,977 100.0%15,821 100.0%73,117 100.0%15,107

100.0%22.4%25.1%46.9%5.7%

48,46310,84612,16422,7092,744

100.0%26.4%26.0%41.7%5.9%

2,600687677

1,083153

100.0%23.2%25.7%45.3%5.7%

49,42611,48312,72522,3892,829

100.0%24.4%26.2%43.2%6.1%

2,944718772

1,273181

100.0%21.1%25.0%47.5%6.4%

1,09323127351970

100.0%26.4%25.9%41.8%5.8%

1,819481472761105

100.0%24.0%23.8%44.6%7.6%

1,726414411769132

100.0%28.9%24.8%40.2%6.0%

2,235647555899134

100.0%25.7%23.9%43.8%6.5%

3,299848789

1,446216

100.0%26.7%24.9%42.4%6.0%

6,4261,7161,6032,724

383

100.0%23.8%24.5%45.4%6.3%

4,4501,0591,0892,021

281

100.0%26.7%25.0%42.6%5.7%

5,6981,5231,4242,426

325

100.0%52,855 100.0%10,845 100.0%55,602 100.0%10,877

100.0%21.6%25.4%46.9%6.1%

16,6373,5964,2257,8011,015

100.0%21.4%25.0%45.7%7.8%

2,070443518947162

100.0%22.2%26.2%45.9%5.6%

15,2413,3863,9947,002

859

100.0%22.4%25.4%46.1%6.1%

1,852415470854113

100.0%22.9%21.9%47.5%7.6%

72016515834255

100.0%22.3%23.9%46.8%7.0%

89720021442063

100.0%25.0%24.8%43.9%6.3%

54413613523934

100.0%24.5%25.8%43.9%5.8%

51912713422830

100.0%24.0%24.7%45.9%5.3%

1,76542443681194

100.0%24.8%24.8%45.5%4.9%

2,00949949891498

100.0%23.8%24.5%45.1%6.5%

1,730412424781113

100.0%23.3%25.1%44.3%7.2%

1,859434467824134

100.0%19,122 100.0%4,976 100.0%17,515 100.0%4,230

Table 8C: Number and Percent Distribution of Deliveries by Prepregnancy Body Mass Index (BMI)by Medicaid Delivery System and Length of Coverage (LOC)



Notes: Deliveries with invalid Pre-Pregnancy BMI entries are excluded. HMO Plans with very small case counts are excluded. % Dist is the percent of deliveries for each Pre-Pregnancy BMI category (numerator) from each HMO Plan (denominator). Results are suppressed for individual cells where the case count is under 5, but are included in all table totals and corresponding charts (see Appendix 1 - Methodology, Data Suppression, pg 123).

HMO Plan Name (group) Pre- Pregnancy BMI

2009

Deliveries %

2010

Deliveries %

Amerigroup Florida

Underw eightNormalO v erw eightO beseT otal

Buena Vista


Citrus Health Care


Healthease of Florida, Inc.


Humana


JMH Health Plan


Preferred Medical


Staywell Health Plan


United Health Care Plans


Universal Health Care, Inc.


Vista Health Plan of South Florida


100.0%24.4%25.3%43.6%6.8%

1,481361375645100

100.0%26.0%25.1%43.3%5.6%

1,48438637264383

100.0%35.4%25.5%35.0%4.2%

26393679211

100.0%33.9%17.9%42.2%6.0%

30110254

12718

100.0%29.2%24.8%36.3%9.7%

22666568222

100.0%22.4%22.7%45.4%9.5%

4019091

18238

100.0%28.6%22.6%42.7%6.1%

2,205631499941134

100.0%27.1%24.0%43.0%5.9%

1,972535474847116

100.0%29.6%22.8%41.1%6.5%

37211085

15324

100.0%25.7%22.9%47.1%4.3%

39710291

18717

100.0%28.3%25.3%38.4%8.1%

992825388

100.0%24.7%32.6%34.8%7.9%

892229317

100.0%23.7%19.5%49.5%7.4%

19045379414

100.0%22.8%19.1%51.2%6.8%

16237318311

100.0%26.0%23.9%44.0%6.1%

1,813472433797111

100.0%25.6%24.7%43.1%6.6%

1,882482464811125

100.0%26.2%25.6%40.4%7.7%

86622722235067

100.0%27.3%21.4%42.8%8.4%

90124619338676

100.0%29.2%23.0%42.5%5.3%

22666529612

100.0%22.7%22.9%46.5%7.8%

55012512625643

100.0%28.4%25.9%42.0%3.7%

812321343

100.0%28.0%24.3%43.9%3.7%

1073026474

Table 8D: Number and Percent Deliveries by Prepregnancy Body Mass Index (BMI) for Women Enrolled in Medicaid in the Same HMO >= 180 Days or >= Two-Thirds of the Pregnancy


Indicator 9: Deliveries to Adolescents (Age 18 or Younger) in Florida



2006

# %

2007

# %

2008

# %

2009

# %

2010

# %

NonMedicaid

Non-Medicaid


Total

Medicaid

SOBRA

Non SOBRA

CMS High Risk OB

Medically Needy

Medicaid SSI

Alien


Total

Grand Total

2.4%

8.2%

2.1%

2,716

479

2,237

2.5%

7.8%

2.1%

2,834

543

2,291

2.2%

7.3%

1.9%

2,290

372

1,918

1.8%

6.3%

1.6%

1,668

203

1,465

1.5%

5.0%

1.4%

1,305

131

1,174

10.6%

12.0%

6.5%

20.7%

9.6%

8.3%

13.4%

10.8%

12,786

342

1,093

464

52

778

2,734

7,323

10.6%

12.1%

6.1%

22.3%

11.0%

7.9%

14.3%

10.5%

12,756

378

1,017

514

63

715

2,691

7,378

10.0%

10.8%

5.5%

21.0%

10.9%

7.8%

14.5%

9.8%

12,085

329

859

458

59

731

2,457

7,192

9.0%

10.3%

4.5%

19.3%

8.6%

6.5%

13.8%

8.8%

11,049

279

679

432

42

582

2,327

6,708

7.9%

9.3%

3.9%

17.0%

6.5%

5.5%

12.4%

7.6%

9,593

233

563

369

33

504

1,987

5,904

6.7%15,502 6.6%15,590 6.3%14,375 5.9%12,717 5.2%10,898

Table 9A: Number and Percent Deliveries to Adolescents (Age 18 or Younger) of All Deliveries by Medicaid Status/Subgroup


0.0%

2.0%

4.0%

6.0%

8.0%

10.0%

Figure 9Aa: Percent of Deliveries to Adolescents (Age 18 orYounger) of All Deliveries by Medicaid Status: Five-Year Trends

Year ofDelivery2006

2007

2008

2009

2010




0.0%

5.0%

10.0%

15.0%

20.0%

Figure 9Ab: Percent of Deliveries to Adolescents (Age 18 or Younger) of All Deliveriesby Medicaid Subgroup: Five-Year Trends





2010Caucasian

# %

African-American

# %

Hispanic

# %

Asian

# %

Native-American

# %

Other

# %

NonMedicaid

Non-Medicaid


Total

Medicaid

SOBRA

Non SOBRA

CMS High Risk OB

Medically Needy

Medicaid SSI

Alien


Total

Grand Total

43.2%

15.3%

46.3%

564

20

544

24.0%

16.8%

24.8%

313

22

291

28.2%

63.4%

24.3%

368

83

285

0.4%

0.0%

0.4%

5

0

5

0.8%

0.9%

11

11

3.4%

4.6%

3.2%

44

6

38

32.2%

29.6%

2.0%

17.3%

48.5%

18.7%

26.9%

39.0%

3,092

69

11

64

16

94

535

2,303

34.9%

39.9%

5.0%

62.3%

21.2%

47.2%

48.0%

30.4%

3,345

93

28

230

7

238

953

1,796

30.8%

29.2%

91.5%

18.7%

24.2%

32.9%

23.3%

28.2%

2,953

68

515

69

8

166

463

1,664

0.3%

0.0%

0.2%

0.0%

0.0%

0.2%

0.2%

0.4%

29

0

1

0

0

1

4

23

0.1%

0.0%

0.0%

0.0%

0.2%

0.1%

0.1%

9

0

0

0

1

2

6

1.7%

1.3%

1.4%

1.6%

6.1%

0.8%

1.5%

1.9%

165

3

8

6

2

4

30

112

33.5%3,656 33.6%3,658 30.5%3,321 0.3%34 0.2%20 1.9%209

Table 9B.1: Number and Percent Distribution of Deliveries to Adolescents (Age 18 or Younger) by Race/Ethnicity and Medicaid Status/Subgroup





2010

Caucasian

%

African-American

%

Hispanic

%

Asian

%

Native-American

%

Other

%

NonMedicaid

Non-Medicaid


Total

Medicaid

SOBRA

Non SOBRA

CMS High Risk OB

Medically Needy

Medicaid SSI

Alien


Total

Grand Total

1.1%

6.1%

1.1%

3.6%

7.1%

3.5%

1.7%

4.6%

1.4%

0.1%

0.0%

0.1%

7.3%

7.3%

2.4%

7.9%

2.2%

7.2%

6.3%

1.5%

10.7%

7.7%

5.3%

10.8%

6.9%

11.0%

12.9%

4.1%

19.6%

6.7%

8.7%

13.8%

9.9%

6.6%

11.4%

4.2%

19.7%

4.8%

3.8%

12.1%

7.2%

1.6%

0.0%

0.2%

0.0%

0.0%

0.7%

4.3%

2.2%

8.3%

0.0%

0.0%

0.0%

14.3%

10.5%

7.8%

8.4%

6.7%

3.0%

15.8%

11.8%

4.4%

13.4%

8.7%

3.9% 9.3% 5.0% 0.6% 7.7% 5.6%

Table 9B.2: Percent Deliveries to Adolescents (Age 18 or Younger) of All Deliveries by Race/Ethnicity and Medicaid Status/Subgroup

2010


0.0%

2.0%

4.0%

6.0%

8.0%

10.0%

Fig. 9B.2a: Percent Deliveries to Adolescents(Age 18 or Younger) of All Deliveries


Race/Ethnicity

Caucasian

African-American

Hispanic

Asian

Native-American

Other

2010


MedicallyNeedy

Medicaid SSI Alien Mcaid<8 Daysor No PNC

0.0%

5.0%

10.0%

15.0%

20.0%

Figure 9B.2b: Percent Deliveries to Adolescents (Age 18 or Younger) of All Deliveriesby Race/Ethnicity and Medicaid Subgroup




Length ofCoverage


SOBRA

2009

# %

2010

# %

Non-SOBRA

2009

# %

2010

# %

CMS High Risk OB

2009

# %

2010

# %

Medically Needy

2009

# %

2010

# %

Total

FFS

MediPass

HMO

Total

HighExposure

FFS

MediPass

HMO

Total

LowExposure

FFS

MediPass

HMO

Total

100.0%

18.2%

9.1%

72.6%

6,708

1,224

613

4,871

100.0%

23.8%

10.2%

66.0%

5,904

1,403

605

3,896

100.0%

49.4%

20.6%

30.0%

2,327

1,150

480

697

100.0%

48.5%

22.2%

29.2%

1,987

964

442

581

100.0%

21.1%

10.5%

68.4%

582

123

61

398

100.0%

22.8%

10.5%

66.7%

504

115

53

336

100.0%

16.7%

9.5%

73.8%

42

7

4

31

100.0%

18.2%

27.3%

54.5%

33

6

9

18

100.0%

19.8%

9.0%

71.3%

4,661

921

419

3,321

100.0%

26.4%

11.4%

62.2%

4,362

1,153

497

2,712

100.0%

54.2%

22.3%

23.5%

1,691

916

377

398

100.0%

51.4%

24.9%

23.8%

1,561

802

388

371

100.0%

25.9%

13.6%

60.5%

324

84

44

196

100.0%

32.5%

16.4%

51.1%

274

89

45

140

100.0%

54.5%

36.4%

9.1%

11

6

4

1

100.0%

23.1%

53.8%

23.1%

13

3

7

3

100.0%

14.8%

9.5%

75.7%

2,047

303

194

1,550

100.0%

16.2%

7.0%

76.8%

1,542

250

108

1,184

100.0%

36.8%

16.2%

47.0%

636

234

103

299

100.0%

38.0%

12.7%

49.3%

426

162

54

210

100.0%

15.1%

6.6%

78.3%

258

39

17

202

100.0%

11.3%

3.5%

85.2%

230

26

8

196

100.0%

3.2%

0.0%

96.8%

31

1

0

30

100.0%

15.0%

10.0%

75.0%

20

3

2

15

Table 9C.1: Number and Percent Distribution of Deliveries to Adolescents (Age 18 or Younger)by Medicaid Delivery System and Length of Coverage (LOC)

Length ofCoverage


Medicaid SSI

2009

# %

2010

# %

Alien

2009

# %

2010

# %


2009

# %

2010

# %

Total

2009

# %

2010

# %

Total

FFS

MediPass

HMO

Total

HighExposure

FFS

MediPass

HMO

Total

LowExposure

FFS

MediPass

HMO

Total

100.0%

53.2%

25.7%

21.1%

432

230

111

91

100.0%

52.0%

26.8%

21.1%

369

192

99

78

100.0%

100.0%

679

679

100.0%

100.0%

563

563

100.0%

30.8%

9.7%

59.5%

279

86

27

166

100.0%

29.6%

9.0%

61.4%

233

69

21

143

100.0%

25.5%

11.7%

62.7%

11,049

2,820

1,296

6,933

100.0%

28.7%

12.8%

58.5%

9,593

2,749

1,229

5,615

100.0%

52.0%

25.4%

22.6%

398

207

101

90

100.0%

50.0%

27.7%

22.3%

346

173

96

77

0

0

100.0%

100.0%

1

1

100.0%

61.0%

17.0%

22.0%

100

61

17

22

100.0%

53.9%

16.9%

29.2%

89

48

15

26

100.0%

30.5%

13.4%

56.1%

7,185

2,195

962

4,028

100.0%

34.1%

15.8%

50.1%

6,646

2,268

1,048

3,330

100.0%

67.6%

29.4%

2.9%

34

23

10

1

100.0%

82.6%

13.0%

4.3%

23

19

3

1

100.0%

100.0%

679

679

100.0%

100.0%

562

562

100.0%

14.0%

5.6%

80.4%

179

25

10

144

100.0%

14.6%

4.2%

81.3%

144

21

6

117

100.0%

16.2%

8.6%

75.2%

3,864

625

334

2,905

100.0%

16.3%

6.1%

77.5%

2,947

481

181

2,285


Notes: High exposure means mother had coverage in Medicaid for 180 days or more during pregnancy. Low exposure means mother had coverage in Medicaid for less than 180 days during pregnancy. % (% Total) is the percent of the Indicator's deliveries for each Medicaid Delivery System (numerator - the Indicator’s C.1 Table) from the total deliveries for that Medicaid Delivery System and Subgroup (denominator - Table 1C.1) . Results are suppressed for individual cells where the case count is under 5, but are included in all table totals and corresponding charts (see Appendix 1 - Methodology, Data Suppression, pg 123).



Length ofCoverage


SOBRA

2009

%

2010

%

Non-SOBRA

2009

%

2010

%

CMS High Risk OB

2009

%

2010

%

Medically Needy

2009

%

2010

%

Medicaid SSI

2009

%

2010

%

Alien

2009

%

2010

%


2009

%

2010

%

Total

2009

%

2010

%

Total

FFSMediPassHMOTotal

HighExposure

FFSMediPassHMOTotal

LowExposure

FFSMediPassHMOTotal

8.8%22.9%32.1%7.1%

7.6%21.4%25.9%5.7%

13.8%12.8%16.8%13.9%

12.4%12.0%15.5%11.4%

6.5%12.0%17.8%5.2%

5.5%11.3%15.5%4.3%

8.6%11.1%14.8%7.8%

6.5%7.5%

29.0%4.5%

19.3%21.7%22.0%13.5%

17.0%19.8%20.5%10.9%

4.5%

4.5%

3.9%

3.9%

10.3%19.0%24.5%7.7%

9.3%16.6%22.8%7.2%

9.0%16.6%22.5%7.0%

7.9%16.1%20.0%5.7%

8.4%26.7%36.6%6.5%

7.4%24.5%28.0%5.2%

14.7%13.4%19.7%14.3%

13.6%13.2%16.8%11.9%

7.5%12.3%17.9%5.7%

6.1%11.8%16.0%4.0%

8.3%13.0%18.2%1.5%

8.4%5.3%

29.2%4.1%

19.9%22.5%22.6%14.2%

17.2%19.9%21.0%11.2%

0.0%

0.0%

8.3%

8.3%

14.9%19.9%27.9%7.2%

13.9%16.4%21.1%9.4%

9.7%17.9%25.1%6.9%

8.6%17.8%21.3%5.6%

10.1%16.0%25.4%8.8%

8.3%13.5%19.3%7.3%

11.9%10.8%10.9%13.3%

9.5%8.2%

10.0%10.6%

5.6%11.5%17.5%4.8%

5.0%9.8%

13.1%4.6%

8.7%5.9%0.0%9.0%

5.6%13.0%28.6%4.6%

14.5%16.7%17.5%2.5%

15.0%19.4%12.5%3.2%

4.5%

4.5%

3.9%

3.9%

8.8%17.0%20.4%7.8%

7.7%17.1%28.6%6.8%

8.0%13.3%17.4%7.0%

6.6%11.1%14.9%5.8%

Table 9C.2: Percent of Medicaid Deliveries to Adolescents (Age 18 or Younger) of Medicaid Deliveriesby Medicaid Delivery System and Length of Coverage (LOC)


2009

# Deliveries %

2010

# Deliveries %

Amerigroup Florida

Buena Vista

Citrus Health Care


Humana

JMH Health Plan

Preferred Medical


Total Health Choice,Inc.



Vista Health Plan of South Florida 10.8%

16.0%

17.6%

8.3%

22.1%

26.1%

21.0%

19.7%

19.1%

19.4%

17.1%

22.0%

93

244

910

96

1,924

203

105

421

2,315

232

280

1,576

10

39

160

8

425

53

22

83

443

45

48

347

11.1%

16.5%

17.1%

13.1%

21.9%

17.2%

19.4%

19.4%

17.3%

18.6%

14.3%

20.3%

117

593

965

329

2,004

169

98

434

2,075

442

314

1,600

13

98

165

43

439

29

19

84

360

82

45

324

Table 9D: Number and Percent of Deliveries to Adolescents (Age 18 or Younger) for Women Enrolled in Medicaid in the SameHMO >= 180 Days or >= Two-Thirds of the Pregnancy


Indicator 10: Vaginal Deliveries without Physical Complications in Florida



2006

# %

2007

# %

2008

# %

2009

# %

2010

# %

NonMedicaid

Non-Medicaid


Total

Medicaid

SOBRA

Non SOBRA

CMS High Risk OB

Medically Needy

Medicaid SSI

Alien


Total

Grand Total

56.1%

62.5%

55.7%

63,252

3,654

59,598

55.9%

61.9%

55.6%

64,698

4,315

60,383

55.8%

63.0%

55.5%

59,317

3,216

56,101

55.2%

62.2%

54.9%

51,839

2,009

49,830

55.5%

64.0%

55.2%

48,369

1,672

46,697

58.4%

61.8%

60.4%

56.3%

58.3%

32.5%

61.2%

60.5%

70,167

1,765

10,167

1,259

314

3,039

12,498

41,125

57.5%

59.4%

59.3%

56.3%

58.8%

31.9%

60.2%

59.5%

69,437

1,860

9,934

1,298

338

2,879

11,343

41,785

57.3%

58.8%

59.4%

53.9%

59.3%

31.3%

60.9%

59.5%

69,319

1,790

9,271

1,176

322

2,941

10,303

43,516

57.5%

60.2%

60.6%

55.9%

60.5%

34.1%

60.2%

59.0%

70,356

1,635

9,150

1,250

295

3,063

10,161

44,802

58.3%

59.3%

61.3%

54.5%

57.3%

39.2%

61.2%

59.4%

71,176

1,487

8,936

1,182

293

3,562

9,786

45,930

57.3%133,419 56.7%134,135 56.6%128,636 56.5%122,195 57.1%119,545

Table 10A: Number and Percent Vaginal Deliveries without Physical Complications of All Deliveries by Medicaid Status/Subgroup


0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

Figure 10Aa: Percent Vaginal Deliver ies without PhysicalComplications of All Deliveries


Year ofDelivery

2006

2007

2008

2009

2010




0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

Figure 10Ab: Percent Vaginal Deliver ies without Physical Complications of All Deliveriesby Medicaid Subgroup: Five-Year Trends





2010

Caucasian

# %

African-American

# %

Hispanic

# %

Asian

# %

Native-American

# %

Other

# %

Medicaid

SOBRA

Non SOBRA

CMS High Risk OB

Medically Needy

Medicaid SSI

Alien


Total

NonMedicaid

Non-Medicaid


Total

Grand Total

36.6%

43.9%

5.2%

26.3%

44.7%

20.6%

31.8%

44.9%

26,029

653

464

311

131

733

3,111

20,626

25.1%

29.5%

4.6%

55.8%

20.5%

29.9%

43.6%

23.9%

17,877

439

413

659

60

1,065

4,263

10,978

35.0%

23.6%

84.9%

15.7%

28.7%

46.6%

22.4%

28.0%

24,913

351

7,587

185

84

1,661

2,193

12,852

1.6%

1.3%

3.6%

0.3%

1.7%

1.7%

0.7%

1.5%

1,148

19

321

3

5

61

64

675

0.1%

0.1%

0.0%

0.0%

0.1%

0.1%

0.1%

58

2

0

0

4

12

40

1.6%

1.5%

1.7%

2.0%

4.4%

1.1%

1.5%

1.7%

1,151

23

151

24

13

38

143

759

60.0%

12.4%

61.7%

29,024

207

28,817

9.6%

12.1%

9.5%

4,633

203

4,430

23.4%

67.9%

21.8%

11,320

1,135

10,185

4.8%

4.8%

4.8%

2,315

81

2,234

0.2%

0.2%

91

91

2.0%

2.8%

2.0%

986

46

940

46.1%55,053 18.8%22,510 30.3%36,233 2.9%3,463 0.1%149 1.8%2,137

Table 10B.1: Number and Percent Distribution of Vaginal Deliveries without Physical Complications by Race/Ethnicity and Medicaid Status/Subgroup





2010

Caucasian

%

African-American

%

Hispanic

%

Asian

%

Native-American

%

Other

%

NonMedicaid

Non-Medicaid


Total

Medicaid

SOBRA

Non SOBRA

CMS High Risk OB

Medically Needy

Medicaid SSI

Alien


Total

Grand Total

57.3%

62.9%

57.3%

53.4%

65.9%

52.9%

52.0%

63.6%

50.9%

55.9%

70.4%

55.5%

60.3%

60.3%

54.8%

60.5%

54.5%

60.8%

59.3%

64.5%

52.1%

62.7%

41.3%

63.0%

61.7%

58.6%

60.8%

61.2%

56.1%

57.7%

38.8%

62.0%

60.3%

55.5%

58.9%

61.2%

52.7%

50.0%

38.5%

57.3%

55.3%

62.4%

50.0%

62.6%

42.9%

38.5%

40.9%

68.1%

65.8%

53.7%

66.7%

0.0%

0.0%

57.1%

63.2%

51.9%

58.7%

51.1%

57.0%

63.2%

76.5%

41.8%

63.8%

59.3%

58.9% 57.5% 54.3% 57.9% 57.5% 56.8%

Table 10B.2: Percent Vaginal Deliveries without Physical Complications of All Deliveries by Race/Ethnicity and Medicaid Status/Subgroup

2010


0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

Fig. 10B.2a: Percent of Vaginal Deliveries without PhysicalComplications of All Deliveries


Race/Ethnicity

Caucasian

African-American

Hispanic

Asian

Native-American

Other

2010


MedicallyNeedy


0.0%

20.0%

40.0%

60.0%

80.0%

Figure 10B.2b: Percent of Vaginal Deliveries without PhysicalComplications of All Deliveries by Race/Ethnicity and Medicaid Subgroup




Length ofCoverage


SOBRA

2009

# %

2010

# %

Non-SOBRA

2009

# %

2010

# %

CMS High Risk OB

2009

# %

2010

# %

Medically Needy

2009

# %

2010

# %

Total

FFS

MediPass

HMO

Total

HighExposure

FFS

MediPass

HMO

Total

LowExposure

FFS

MediPass

HMO

Total

100.0%

7.2%

2.6%

90.2%

44,802

3,212

1,163

40,427

100.0%

8.8%

3.2%

88.1%

45,930

4,032

1,452

40,446

100.0%

52.2%

17.7%

30.0%

10,161

5,307

1,802

3,052

100.0%

50.2%

17.9%

31.9%

9,786

4,911

1,753

3,122

100.0%

11.9%

4.3%

83.8%

3,063

364

131

2,568

100.0%

10.9%

3.8%

85.3%

3,562

388

136

3,038

100.0%

14.2%

6.4%

79.3%

295

42

19

234

100.0%

17.4%

5.1%

77.5%

293

51

15

227

100.0%

6.3%

2.1%

91.6%

32,900

2,083

693

30,124

100.0%

8.3%

3.1%

88.6%

35,085

2,913

1,097

31,075

100.0%

57.8%

17.5%

24.7%

6,959

4,021

1,219

1,719

100.0%

52.2%

20.3%

27.5%

7,023

3,664

1,428

1,931

100.0%

15.4%

5.7%

79.0%

1,607

247

91

1,269

100.0%

16.4%

6.2%

77.4%

1,802

295

112

1,395

100.0%

37.5%

18.2%

44.3%

88

33

16

39

100.0%

40.4%

13.1%

46.5%

99

40

13

46

100.0%

9.5%

3.9%

86.6%

11,902

1,129

470

10,303

100.0%

10.3%

3.3%

86.4%

10,845

1,119

355

9,371

100.0%

40.2%

18.2%

41.6%

3,202

1,286

583

1,333

100.0%

45.1%

11.8%

43.1%

2,763

1,247

325

1,191

100.0%

8.0%

2.7%

89.2%

1,456

117

40

1,299

100.0%

5.3%

1.4%

93.4%

1,760

93

24

1,643

100.0%

4.3%

1.4%

94.2%

207

9

3

195

100.0%

5.7%

1.0%

93.3%

194

11

2

181

Table 10C.1: Number and Percent Distribution of Medicaid Vaginal Deliveries without Physical Complicationsby Medicaid Delivery System and Length of Coverage (LOC)

Length ofCoverage


Medicaid SSI

2009

# %

2010

# %

Alien

2009

# %

2010

# %


2009

# %

2010

# %

Total

2009

# %

2010

# %

Total

FFS

MediPass

HMO

Total

HighExposure

FFS

MediPass

HMO

Total

LowExposure

FFS

MediPass

HMO

Total

100.0%

46.2%

23.5%

30.2%

1,250

578

294

378

100.0%

44.6%

22.8%

32.7%

1,182

527

269

386

100.0%

100.0%

9,150

9,150

100.0%

100.0%

8,936

8,936

100.0%

17.2%

4.7%

78.1%

1,635

281

77

1,277

100.0%

17.1%

3.6%

79.3%

1,487

255

53

1,179

100.0%

13.9%

5.0%

81.1%

70,356

9,784

3,486

57,086

100.0%

14.3%

5.2%

80.6%

71,176

10,164

3,678

57,334

100.0%

45.0%

23.2%

31.8%

1,121

504

260

357

100.0%

43.0%

23.2%

33.7%

1,106

476

257

373

100.0%

100.0%

2

2

100.0%

100.0%

8

8

100.0%

44.7%

9.6%

45.7%

438

196

42

200

100.0%

45.5%

10.3%

44.2%

407

185

42

180

100.0%

16.4%

5.4%

78.2%

43,115

7,084

2,321

33,710

100.0%

16.6%

6.5%

76.9%

45,530

7,573

2,949

35,008

100.0%

57.4%

26.4%

16.3%

129

74

34

21

100.0%

67.1%

15.8%

17.1%

76

51

12

13

100.0%

100.0%

9,148

9,148

100.0%

100.0%

8,928

8,928

100.0%

7.1%

2.9%

90.0%

1,197

85

35

1,077

100.0%

6.5%

1.0%

92.5%

1,080

70

11

999

100.0%

9.9%

4.3%

85.8%

27,241

2,700

1,165

23,376

100.0%

10.1%

2.8%

87.1%

25,646

2,591

729

22,326





Length ofCoverage


SOBRA

2009

%

2010

%

Non-SOBRA

2009

%

2010

%

CMS High Risk OB

2009

%

2010

%

Medically Needy

2009

%

2010

%

Medicaid SSI

2009

%

2010

%

Alien

2009

%

2010

%


2009

%

2010

%

Total

2009

%

2010

%

Total

FFS

MediPassHMO

Total

HighExposure

FFS

MediPassHMO

Total

LowExposure

FFS

MediPassHMO

Total

59.0%60.1%

61.0%58.8%

59.4%61.5%

62.2%59.2%

60.2%58.9%

63.0%60.8%

61.2%61.0%

61.4%61.4%

34.1%35.6%

38.2%33.7%

39.2%38.2%

39.7%39.3%

60.5%66.7%

70.4%58.8%

57.3%63.8%

48.4%56.8%

55.9%54.6%

58.3%56.0%

54.5%54.4%

55.8%53.8%

60.6%

60.6%

61.3%

61.3%

60.2%62.0%

70.0%59.3%

59.3%61.3%

57.6%59.0%

57.5%57.7%

60.6%57.3%

58.3%59.5%

59.9%58.0%

59.1%60.4%

60.6%59.0%

59.9%61.8%

61.8%59.6%

60.3%58.8%

63.6%61.9%

61.1%60.4%

61.7%62.1%

37.0%36.1%

37.0%37.1%

40.1%39.2%

39.7%40.3%

66.2%71.7%

72.7%60.0%

63.9%70.2%

54.2%62.2%

56.0%54.7%

58.2%56.2%

54.9%54.7%

56.1%54.3%

40.0%

40.0%

66.7%

66.7%

65.2%64.1%

68.9%65.6%

63.5%63.1%

59.2%65.0%

58.0%57.8%

60.5%57.9%

58.8%59.4%

59.9%58.6%

58.5%59.6%

61.6%58.3%

58.1%60.5%

63.3%57.7%

59.8%59.3%

61.8%59.4%

61.5%62.9%

60.4%60.3%

31.4%34.6%

41.2%30.9%

38.4%35.2%

39.3%38.5%

58.3%52.9%

60.0%58.6%

54.5%47.8%

28.6%55.5%

54.9%53.6%

59.6%52.5%

49.7%52.0%

50.0%41.9%

60.6%

60.6%

61.3%

61.3%

58.6%57.8%

71.4%58.3%

57.9%56.9%

52.4%58.0%

56.7%57.4%

60.8%56.4%

57.4%59.7%

60.1%57.1%

Table 10C.2: Percent of Medicaid Vaginal Deliveries without Physical Complications of Medicaid Deliveriesby Medicaid Delivery System and Length of Coverage (LOC)


2009

# Deliveries %

2010

# Deliveries %

Amerigroup Florida

Buena VistaCitrus Health Care

Healthease of Florida, Inc.Humana

JMH Health PlanPreferred Medical

Staywell Health PlanTotal Health Choice,Inc.

United Health Care PlansUniversal Health Care, Inc.


51.2%

57.6%

59.4%

58.5%

48.8%

43.8%

54.6%

61.9%

56.9%

59.3%

56.6%

93

244

910

96

1,924

203

105

421

2,315

232

280

1,576

42

125

524

57

1,126

99

46

230

1,432

132

166

892

56.4%

60.9%

60.8%

52.3%

57.9%

51.5%

63.3%

53.2%

61.8%

57.5%

61.8%

58.3%

117

593

965

329

2,004

169

98

434

2,075

442

314

1,600

66

361

587

172

1,160

87

62

231

1,283

254

194

932

Table 10D: Number and Percent of Vaginal Deliveries without Physical Complications for Women Enrolled in Medicaid in theSame HMO >= 180 Days or >= Two-Thirds of the Pregnancy


Indicator 11: Vaginal Deliveries with Physical Complications in Florida



2006

% #

2007

% #

2008

% #

2009

% #

2010

% #

NonMedicaid

Non-Medicaid


Total

Medicaid

SOBRA

Non SOBRA

CMS High Risk OB

Medically Needy

Medicaid SSI

Alien


Total

Grand Total

7,354

572

6,782

6.5%

9.8%

6.3%

6,731

640

6,091

5.8%

9.2%

5.6%

5,925

436

5,489

5.6%

8.5%

5.4%

5,083

261

4,822

5.4%

8.1%

5.3%

4,683

194

4,489

5.4%

7.4%

5.3%

10,067

317

1,803

171

41

1,450

1,550

4,735

8.4%

11.1%

10.7%

7.6%

7.6%

15.5%

7.6%

7.0%

9,360

387

1,740

159

45

1,315

1,296

4,418

7.7%

12.4%

10.4%

6.9%

7.8%

14.6%

6.9%

6.3%

8,935

328

1,679

145

42

1,219

1,102

4,420

7.4%

10.8%

10.8%

6.6%

7.7%

13.0%

6.5%

6.0%

8,153

281

1,224

136

30

1,030

1,085

4,367

6.7%

10.3%

8.1%

6.1%

6.1%

11.5%

6.4%

5.7%

7,449

278

1,011

143

34

637

1,016

4,330

6.1%

11.1%

6.9%

6.6%

6.7%

7.0%

6.4%

5.6%

17,4217.5% 16,0916.8% 14,8606.5% 13,2366.1% 12,1325.8%

Table 11A: Number and Percent Vaginal Deliveries with Physical Complications of All Deliveries by Medicaid Status/Subgroup


0.0%

2.0%

4.0%

6.0%

8.0%

Figure 11Aa: Percent Vaginal Deliveries with PhysicalComplications of All Deliveries


Year ofDelivery

2006

2007

2008

2009

2010




0.0%

5.0%

10.0%

15.0%

Figure 11Ab: Percent Vaginal Deliveries with Physical Complications of All Deliveries byMedicaid Subgroup: Five-Year Trends





2010

Caucasian

# %

African-American

# %

Hispanic

# %

Asian

# %

Native-American

# %

Other

# %

NonMedicaid

Non-Medicaid


Total

Medicaid

SOBRA

Non SOBRA

CMS High Risk OB

Medically Needy

Medicaid SSI

Alien


Total

Grand Total

61.7%

12.4%

63.9%

2,891

24

2,867

10.6%

10.8%

10.6%

496

21

475

20.0%

68.0%

17.9%

936

132

804

5.0%

2.6%

5.1%

235

5

230

0.1%

0.1%

4

4

2.6%

6.2%

2.4%

121

12

109

36.5%

43.2%

4.5%

28.7%

26.5%

20.9%

32.1%

47.3%

2,721

120

45

41

9

133

326

2,047

26.3%

37.1%

3.5%

54.5%

29.4%

34.9%

45.2%

24.2%

1,957

103

35

78

10

222

459

1,050

33.7%

17.6%

86.6%

12.6%

38.2%

41.9%

20.7%

24.9%

2,510

49

876

18

13

267

210

1,077

1.3%

0.7%

2.3%

0.7%

2.9%

1.3%

0.5%

1.4%

99

2

23

1

1

8

5

59

0.1%

0.0%

0.0%

0.7%

0.2%

0.0%

0.2%

9

0

0

1

1

0

7

2.1%

1.4%

3.2%

2.8%

2.9%

0.9%

1.6%

2.1%

153

4

32

4

1

6

16

90

46.3%5,612 20.2%2,453 28.4%3,446 2.8%334 0.1%13 2.3%274

Table 11B.1: Number and Percent Distribution of Vaginal Deliveries with Physical Complications by Race/Ethnicity and Medicaid Status/Subgroup





2010

Caucasian

%

African-American

%

Hispanic

%

Asian

%

Native-American

%

Other

%

NonMedicaid

Non-Medicaid


Total

Medicaid

SOBRA

Non SOBRA

CMS High Risk OB

Medically Needy

Medicaid SSI

Alien


Total

Grand Total

5.7%

7.3%

5.7%

5.7%

6.8%

5.7%

4.3%

7.4%

4.0%

5.7%

4.3%

5.7%

2.6%

2.6%

6.7%

15.8%

6.3%

6.4%

10.9%

6.3%

6.9%

4.3%

7.5%

6.6%

6.1%

6.4%

14.3%

5.2%

6.6%

9.6%

8.1%

6.7%

5.8%

5.6%

8.2%

7.1%

5.1%

7.7%

6.2%

5.5%

4.6%

5.4%

5.3%

4.5%

14.3%

7.7%

5.4%

5.3%

5.8%

8.3%

0.0%

0.0%

100.0%

14.3%

0.0%

9.1%

7.8%

8.9%

12.1%

10.5%

5.9%

6.6%

7.1%

7.0%

6.0% 6.3% 5.2% 5.6% 5.0% 7.3%

Table 11B.2: Percent Vaginal Deliveries with Physical Complications of All Deliveries by Race/Ethnicity and Medicaid Status/Subgroup

2010


0.0%

2.0%

4.0%

6.0%

8.0%

Fig. 11B.2a: Percent of Vaginal Deliveries withPhysical Complications by Race/Ethnicity

and Medicaid Status

Race/Ethnicity

Caucasian

African-American

Hispanic

Asian

Native-American

Other

2010


MedicallyNeedy


0.0%

20.0%

40.0%

60.0%

80.0%

100.0%

Figure 11B.2b: Percentof Vaginal Deliveries with Physical Complicationsby Race/Ethnicity and Medicaid Subgroup




Length ofCoverage


SOBRA

2009

# %

2010

# %

Non-SOBRA

2009

# %

2010

# %

CMS High Risk OB

2009

# %

2010

# %

Medically Needy

2009

# %

2010

# %

Total

FFS

MediPass

HMO

Total

HighExposure

FFS

MediPass

HMO

Total

LowExposure

FFS

MediPass

HMO

Total

100.0%

6.4%

2.6%

91.0%

4,367

280

115

3,972

100.0%

7.6%

3.0%

89.3%

4,330

331

131

3,868

100.0%

55.8%

14.7%

29.5%

1,085

605

160

320

100.0%

45.6%

19.2%

35.2%

1,016

463

195

358

100.0%

10.7%

3.6%

85.7%

1,030

110

37

883

100.0%

12.4%

6.0%

81.6%

637

79

38

520

100.0%

10.0%

6.7%

83.3%

30

3

2

25

100.0%

11.8%

5.9%

82.4%

34

4

2

28

100.0%

6.1%

2.3%

91.6%

3,055

187

71

2,797

100.0%

7.6%

3.2%

89.1%

3,140

240

101

2,799

100.0%

62.7%

14.6%

22.7%

731

458

107

166

100.0%

47.8%

21.3%

30.9%

724

346

154

224

100.0%

17.4%

5.8%

76.8%

413

72

24

317

100.0%

19.3%

8.5%

72.2%

331

64

28

239

100.0%

28.6%

14.3%

57.1%

7

2

1

4

100.0%

25.0%

12.5%

62.5%

8

2

1

5

100.0%

7.1%

3.4%

89.6%

1,312

93

44

1,175

100.0%

7.6%

2.5%

89.8%

1,190

91

30

1,069

100.0%

41.5%

15.0%

43.5%

354

147

53

154

100.0%

40.1%

14.0%

45.9%

292

117

41

134

100.0%

6.2%

2.1%

91.7%

617

38

13

566

100.0%

4.9%

3.3%

91.8%

306

15

10

281

100.0%

4.3%

4.3%

91.3%

23

1

1

21

100.0%

7.7%

3.8%

88.5%

26

2

1

23

Table 11C.1: Number and Percent Medicaid Vaginal Deliveries with Physical Complications by Medicaid Delivery System and Length of Coverage (LOC)

Length ofCoverage


Medicaid SSI

2009

# %

2010

# %

Alien

2009

# %

2010

# %


2009

# %

2010

# %

Total

2009

# %

2010

# %

Total

FFS

MediPass

HMO

Total

HighExposure

FFS

MediPass

HMO

Total

LowExposure

FFS

MediPass

HMO

Total

100.0%

48.5%

22.1%

29.4%

136

66

30

40

100.0%

41.3%

24.5%

34.3%

143

59

35

49

100.0%

100.0%

1,224

1,224

100.0%

100.0%

1,011

1,011

100.0%

22.8%

5.0%

72.2%

281

64

14

203

100.0%

25.5%

5.8%

68.7%

278

71

16

191

100.0%

13.8%

4.4%

81.8%

8,153

1,128

358

6,667

100.0%

13.5%

5.6%

80.9%

7,449

1,007

417

6,025

100.0%

50.0%

21.2%

28.8%

118

59

25

34

100.0%

38.5%

25.4%

36.2%

130

50

33

47

0

0

100.0%

100.0%

2

2

100.0%

53.4%

6.8%

39.7%

73

39

5

29

100.0%

54.4%

14.4%

31.1%

90

49

13

28

100.0%

18.6%

5.3%

76.1%

4,397

817

233

3,347

100.0%

17.0%

7.5%

75.6%

4,425

751

330

3,344

100.0%

38.9%

27.8%

33.3%

18

7

5

6

100.0%

69.2%

15.4%

15.4%

13

9

2

2

100.0%

100.0%

1,224

1,224

100.0%

100.0%

1,009

1,009

100.0%

12.0%

4.3%

83.7%

208

25

9

174

100.0%

11.7%

1.6%

86.7%

188

22

3

163

100.0%

8.3%

3.3%

88.4%

3,756

311

125

3,320

100.0%

8.5%

2.9%

88.7%

3,024

256

87

2,681


Notes: High exposure means mother had coverage in Medicaid for 180 days or more during pregnancy. Low exposure means mother had coverage in Medicaid for less than 180 days during pregnancy. % (% Total) is the percent of the Indicator's deliveries for each Medicaid Delivery System (numerator - the Indicator’s C.1 Table) from the total deliveries for that Medicaid Delivery System and Subgroup (denominator - Table 1C.1) . ..



Length ofCoverage


SOBRA

2009

%

2010

%

Non-SOBRA

2009

%

2010

%

CMS High Risk OB

2009

%

2010

%

Medically Needy

2009

%

2010

%

Medicaid SSI

2009

%

2010

%

Alien

2009

%

2010

%


2009

%

2010

%

Total

2009

%

2010

%

Total

MediPassFFSHMOTotal

HighExposure

MediPassFFSHMOTotal

LowExposure

MediPassFFSHMOTotal

5.7%5.2%5.8%6.0%

5.6%5.0%5.7%5.6%

6.4%6.7%6.4%5.6%

6.4%5.8%7.0%6.8%

11.5%10.8%11.6%10.8%

7.0%7.8%6.7%

11.1%

6.1%4.8%6.3%7.4%

6.7%5.0%7.0%6.5%

6.1%6.2%5.9%6.0%

6.6%6.1%6.8%7.3%

8.1%

8.1%

6.9%

6.9%

10.3%14.1%9.4%

12.7%

11.1%17.1%9.6%

17.4%

6.7%6.7%6.7%6.2%

6.1%5.9%6.1%6.8%

5.5%5.4%5.5%6.2%

5.4%5.1%5.4%5.7%

6.3%6.7%6.0%5.6%

6.3%5.7%7.2%6.6%

9.5%10.5%9.3%9.8%

7.4%8.5%6.9%9.9%

5.3%4.3%6.2%4.5%

5.2%3.5%6.8%4.2%

5.9%6.4%5.4%5.6%

6.5%5.7%6.8%7.2%

0.0%

0.0%

16.7%

16.7%

10.9%12.7%9.5%8.2%

14.0%16.7%10.1%18.3%

5.9%6.7%5.7%6.1%

5.7%5.9%5.6%6.7%

6.5%4.9%6.6%5.8%

6.4%4.9%6.6%5.3%

6.6%6.8%6.9%5.6%

6.5%5.9%6.8%7.6%

13.3%11.2%13.5%13.4%

6.7%5.7%6.6%

16.4%

6.5%5.9%6.3%

20.0%

7.3%8.7%7.1%

14.3%

7.7%5.1%

15.0%8.8%

8.5%9.2%6.5%8.3%

8.1%

8.1%

6.9%

6.9%

10.2%17.0%9.4%

18.4%

10.1%17.9%9.5%

14.3%

7.8%6.6%8.0%6.5%

6.8%5.9%6.9%7.2%

Table 11C.2: Percent Medicaid Vaginal Deliveries with Physical Complications of Medcaid Deliveries by Medicaid Delivery System and Length of Coverage (LOC)


2009

# Deliveries %

2010

# Deliveries %

Amerigroup Florida

Buena Vista

Citrus Health Care


Humana

JMH Health Plan

Preferred Medical






10.7%

6.2%

4.2%

7.0%

6.9%

20.0%

4.8%

6.0%

6.9%

8.2%

8.0%

93

244

910

96

1,924

203

105

421

2,315

232

280

1,576

4

26

56

4

135

14

21

20

140

16

23

126

3.4%

3.7%

5.4%

5.5%

7.3%

1.2%

1.0%

4.1%

6.4%

7.9%

6.1%

6.8%

117

593

965

329

2,004

169

98

434

2,075

442

314

1,600

4

22

52

18

147

2

1

18

133

35

19

109

Table 11D: Number and Percent of Vaginal Deliveries with Physical Complications for Women Enrolled in Medicaid in the SameHMO >= 180 Days or >= Two-Thirds of the Pregnancy


Indicator 12: Cesarean Deliveries in Florida

Notes: Cesarean refers to delivery of a fetus through a surgical incision through the abdominal wall and uterine wall. *Temporarily Eligible means Medicaid beneficiaries who were presumptively eligible but later determined to be financially ineligible. % (% Total) is the percent of the Indicator's deliveries for each Medicaid Status/Subgroup (numerator) from the total deliveries for that Medicaid Status/Subgroup (denominator - Table 1A). Results are suppressed for individual cells where the case count is under 5, but are included in all table totals and corresponding charts (see Appendix 1 - Methodology, Data Suppression, pg 123).


2006

# %

2007

# %

2008

# %

2009

# %

2010

# %

NonMedicaid

Non-Medicaid


Total

Medicaid

SOBRA

Non SOBRA

CMS High Risk OB

Medically Needy

Medicaid SSI

Alien


Total

Grand Total

37.4%

27.7%

37.9%

42,190

1,616

40,574

38.2%

28.9%

38.8%

44,212

2,017

42,195

38.6%

28.5%

39.1%

41,024

1,453

39,571

39.4%

29.8%

39.8%

37,030

962

36,068

39.1%

28.6%

39.5%

34,111

747

33,364

33.3%

27.1%

28.8%

36.1%

34.1%

52.0%

31.2%

32.6%

39,996

774

4,853

808

184

4,858

6,369

22,150

34.8%

28.2%

30.4%

36.8%

33.4%

53.5%

32.9%

34.2%

42,055

882

5,087

847

192

4,822

6,201

24,024

35.3%

30.4%

29.9%

39.5%

33.0%

55.8%

32.5%

34.5%

42,619

926

4,668

862

179

5,243

5,503

25,238

35.9%

29.4%

31.3%

38.1%

33.4%

54.4%

33.4%

35.3%

43,884

799

4,728

852

163

4,886

5,646

26,810

35.6%

29.6%

31.7%

38.9%

36.0%

53.8%

32.4%

34.9%

43,459

741

4,619

843

184

4,886

5,184

27,002

35.3%82,186 36.5%86,267 36.8%83,643 37.4%80,914 37.1%77,570

Table 12A: Number and Percent Cesarean Deliveries of All Deliveries by Medicaid Status/Subgroup


0.0%

10.0%

20.0%

30.0%

40.0%

Figure 12Aa: Percent Cesarean Deliveries of All Deliveriesby Medicaid Status: Five-Year Trends

Year ofDelivery

2006

2007

2008

2009

2010




0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

Figure 12Ab: Percent of Cesarean Deliveries of All Deliveriesby Medicaid Subgroup: Five-Year Trends


Notes: Cesarean refers to delivery of a fetus through a surgical incision through the abdominal wall and uterine wall. % (% Race/Ethnicity) is the percent of each Race/Ethnicity Category (numerator) for all Race/Ethnicity Categories from that Medicaid Subgroup (denominator). Results are suppressed for individual cells where the case count is under 5, but are included in all table totals and corresponding charts (see Appendix 1 - Methodology, Data Suppression, pg 123).



2010

Caucasian

# %

African-American

# %

Hispanic

# %

Asian

# %

Native-American

# %

Other

# %

Non Medicaid

Non-Medicaid


Total

Medicaid

SOBRA

Non SOBRA

CMS High Risk OB

Medically Needy

Medicaid SSI

Alien


Total

Grand Total

54.8%

13.1%

55.7%

18,695

98

18,597

10.4%

11.2%

10.4%

3,548

84

3,464

27.9%

69.3%

27.0%

9,529

518

9,011

4.7%

3.9%

4.7%

1,590

29

1,561

0.2%

0.2%

56

56

2.0%

2.4%

2.0%

693

18

675

32.3%

44.4%

4.5%

29.1%

37.5%

18.6%

29.0%

39.9%

14,031

329

210

245

69

908

1,503

10,767

24.5%

24.3%

4.9%

51.8%

18.5%

29.8%

41.6%

22.8%

10,661

180

227

437

34

1,458

2,159

6,166

40.2%

26.5%

85.1%

17.6%

38.6%

48.9%

27.5%

34.5%

17,476

196

3,930

148

71

2,391

1,425

9,315

1.4%

2.3%

3.7%

0.4%

3.8%

1.6%

0.5%

1.1%

593

17

169

3

7

80

25

292

0.1%

0.1%

0.0%

0.0%

0.0%

0.1%

0.1%

41

1

1

0

2

7

30

1.5%

2.4%

1.8%

1.2%

1.6%

1.0%

1.3%

1.6%

657

18

82

10

3

47

65

432

42.2%32,726 18.3%14,209 34.8%27,005 2.8%2,183 0.1%97 1.7%1,350

Table 12B.1: Number and Percent Distribution of Cesarean Deliveries by Race/Ethnicity and Medicaid Status/Subgroup



Notes: Cesarean refers to delivery of a fetus through a surgical incision through the abdominal wall and uterine wall. % (% Race/Ethnicity) is the percent of the Indicator's deliveries for each Race/Ethnicity Category (numerator) from the total deliveries for that Race/Ethnicity Category within each Medicaid Status/Subgroup (denominator - Table 1B). High percentages in certain Race/Ethnicity subgroups are due to very small denominators. Results are suppressed for individual cells where the case count is under 5, but are included in all table totals and corresponding charts (see Appendix 1 - Methodology, Data Suppression, pg 123).


2010

Caucasian

%

African-American

%

Hispanic

%

Asian

%

Native-American

%

Other

%

Medicaid

SOBRA

Non SOBRA

CMS High Risk OB

Medically Needy

Medicaid SSI

Alien


Total

Non Medicaid

Non-Medicaid


Total

Grand Total

32.8%

29.9%

29.2%

41.0%

33.0%

51.2%

30.4%

32.2%

35.0%

24.9%

33.6%

37.2%

32.7%

53.1%

31.4%

33.9%

38.9%

32.9%

31.7%

42.2%

42.3%

55.4%

37.2%

40.1%

32.2%

44.7%

32.9%

42.9%

53.8%

53.7%

26.6%

28.5%

38.0%

33.3%

100.0%

0.0%

28.6%

36.8%

39.0%

33.5%

40.0%

30.9%

26.3%

17.6%

51.6%

29.0%

33.7%

36.9%

29.8%

37.0%

40.9%

27.3%

41.4%

43.7%

29.0%

45.1%

38.4%

25.2%

38.8%

37.1%

37.1%

38.5%

23.7%

39.2%

35.0% 36.3% 40.5% 36.5% 37.5% 35.9%

Table 12B.2: Percent Cesarean Deliveries of All Deliveries by Race/Ethnicity and Medicaid Status/Subgroup

2010


0.0%

10.0%

20.0%

30.0%

40.0%

Fig. 12B.2a: Percent Cesarean Deliveries of AllDeliveries by Race/Ethnicity and Medicaid Status

Race/Ethnicity

Caucasian

African-American

Hispanic

Asian

Native-American

Other

2010


MedicallyNeedy


0.0%

20.0%

40.0%

60.0%

80.0%

100.0%

Figure 12B.2b: Percent Cesarean Deliveries of All Deliveries by Race/Ethnicity and Medicaid Subgroup




Length ofCoverage


SOBRA

2009

# %

2010

# %

Non-SOBRA

2009

# %

2010

# %

CMS High Risk OB

2009

# %

2010

# %

Medically Needy

2009

# %

2010

# %

Total

FFS

HMO

MediPass

Total

HighExposure

FFS

HMO

MediPass

Total

LowExposure

FFS

HMO

MediPass

Total

100.0%

2.3%

6.9%

90.8%

26,810

629

1,849

24,332

100.0%

2.8%

8.1%

89.1%

27,002

753

2,198

24,051

100.0%

15.9%

54.9%

29.2%

5,646

900

3,100

1,646

100.0%

17.5%

51.6%

30.9%

5,184

906

2,674

1,604

100.0%

3.6%

11.2%

85.2%

4,886

175

548

4,163

100.0%

3.5%

11.2%

85.3%

4,886

169

549

4,168

100.0%

3.7%

11.0%

85.3%

163

6

18

139

100.0%

7.6%

13.6%

78.8%

184

14

25

145

100.0%

1.9%

6.0%

92.1%

19,696

380

1,176

18,140

100.0%

2.8%

7.6%

89.5%

20,384

577

1,557

18,250

100.0%

15.4%

61.5%

23.1%

3,847

592

2,365

890

100.0%

19.6%

54.9%

25.5%

3,745

734

2,056

955

100.0%

5.6%

15.7%

78.7%

2,326

131

365

1,830

100.0%

6.0%

16.6%

77.4%

2,364

142

393

1,829

100.0%

13.2%

28.9%

57.9%

38

5

11

22

100.0%

20.8%

31.3%

47.9%

48

10

15

23

100.0%

3.5%

9.5%

87.0%

7,114

249

673

6,192

100.0%

2.7%

9.7%

87.7%

6,618

176

641

5,801

100.0%

17.1%

40.9%

42.0%

1,799

308

735

756

100.0%

12.0%

42.9%

45.1%

1,439

172

618

649

100.0%

1.7%

7.1%

91.1%

2,560

44

183

2,333

100.0%

1.1%

6.2%

92.7%

2,522

27

156

2,339

100.0%

0.8%

5.6%

93.6%

125

1

7

117

100.0%

2.9%

7.4%

89.7%

136

4

10

122

Table 12C.1: Number and Percent Distribution of Medicaid Cesarean Deliveries by Medicaid Delivery System and Length of Coverage (LOC)

Length ofCoverage


Medicaid SSI2009

# %

2010

# %

Alien2009

# %

2010

# %

In Medicaid < 8 Days or No PNC2009

# %

2010

# %

Total2009

# %

2010

# %

Total

FFSMediPass

HMOTotal

HighExposure

FFSMediPass

HMOTotal

LowExposure

FFS

MediPassHMO

Total

100.0%

48.7%

21.1%

30.2%

852

415

180

257

100.0%

45.3%

21.1%

33.6%

843

382

178

283

100.0%

100.0%

4,728

4,728

100.0%

100.0%

4,619

4,619

100.0%

13.5%

2.4%

84.1%

799

108

19

672

100.0%

12.1%

3.1%

84.8%

741

90

23

628

100.0%

13.8%

4.4%

81.9%

43,884

6,038

1,909

35,937

100.0%

13.6%

4.7%

81.7%

43,459

5,918

2,043

35,498

100.0%

46.9%

21.2%

31.9%

764

358

162

244

100.0%

44.2%

21.6%

34.3%

779

344

168

267

100.0%

100.0%

3

3

100.0%

100.0%

2

2

100.0%

44.1%

8.7%

47.2%

161

71

14

76

100.0%

41.0%

11.1%

47.9%

144

59

16

69

100.0%

16.2%

4.8%

79.0%

26,835

4,346

1,284

21,205

100.0%

16.1%

6.0%

77.9%

27,466

4,424

1,647

21,395

100.0%

64.8%

20.5%

14.8%

88

57

18

13

100.0%

59.4%

15.6%

25.0%

64

38

10

16

100.0%

100.0%

4,725

4,725

100.0%

100.0%

4,617

4,617

100.0%

5.8%

0.8%

93.4%

638

37

5

596

100.0%

5.2%

1.2%

93.6%

597

31

7

559

100.0%

9.9%

3.7%

86.4%

17,049

1,692

625

14,732

100.0%

9.3%

2.5%

88.2%

15,993

1,494

396

14,103






2009

# Deliveries %

2010

# Deliveries %

Amerigroup Florida

Buena VistaCitrus Health Care

Healthease of Florida, Inc.Humana

JMH Health PlanPreferred Medical

Staywell Health PlanTotal Health Choice,Inc.

United Health Care PlansUniversal Health Care, Inc.


38.1%

36.3%

36.5%

34.5%

44.3%

36.2%

40.6%

32.1%

36.2%

32.5%

35.4%

93

244

910

96

1,924

203

105

421

2,315

232

280

1,576

47

93

330

35

663

90

38

171

743

84

91

558

40.2%

35.4%

33.8%

42.2%

34.8%

47.3%

35.7%

42.6%

31.8%

34.6%

32.2%

34.9%

117

593

965

329

2,004

169

98

434

2,075

442

314

1,600

47

210

326

139

697

80

35

185

659

153

101

559

Table 12D: Number and Percent of Cesarean Deliveries for Women Enrolled in Medicaid in the Same HMO >= 180 Days or >=Two-Thirds of the Pregnancy

Length ofCoverage


SOBRA

2009

%

2010

%

Non-SOBRA

2009

%

2010

%

CMS High Risk OB

2009

%

2010

%

Medically Needy

2009

%

2010

%

Medicaid SSI

2009

%

2010

%

Alien

2009

%

2010

%


2009

%

2010

%

Total

2009

%

2010

%

Total

FFSMediPassHMOTotal

HighExposure

FFSMediPassHMOTotal

LowExposure

FFSMediPassHMOTotal

35.3%

34.6%

33.0%

35.4%

34.9%

33.5%

32.2%

35.2%

33.4%

34.4%

31.4%

32.8%

32.4%

33.2%

31.7%

31.5%

54.4%

53.6%

51.0%

54.7%

53.8%

54.0%

49.3%

53.9%

33.4%

28.6%

22.2%

34.9%

36.0%

31.3%

45.2%

36.3%

38.1%

39.2%

35.7%

38.1%

38.9%

39.5%

36.9%

39.4%

31.3%

31.3%

31.7%

31.7%

29.4%

23.8%

17.3%

31.2%

29.6%

21.6%

25.0%

31.4%

35.9%

35.6%

33.2%

36.0%

35.6%

34.6%

33.3%

35.9%

35.4%

34.1%

33.2%

35.5%

34.8%

33.1%

32.5%

35.0%

33.3%

34.6%

30.9%

32.1%

32.6%

33.9%

31.7%

30.7%

53.5%

53.4%

53.3%

53.6%

52.6%

52.3%

50.4%

52.8%

28.6%

23.9%

22.7%

33.8%

31.0%

26.3%

41.7%

31.1%

38.1%

38.9%

36.2%

38.4%

38.7%

39.5%

36.7%

38.9%

60.0%

60.0%

16.7%

16.7%

24.0%

23.2%

23.0%

24.9%

22.5%

20.1%

22.5%

24.9%

36.1%

35.5%

33.5%

36.4%

35.5%

34.7%

33.4%

35.8%

35.0%

35.5%

32.6%

35.0%

35.5%

34.6%

31.4%

35.7%

33.6%

33.9%

32.6%

33.7%

32.0%

31.2%

32.0%

32.9%

55.3%

54.1%

45.4%

55.6%

55.0%

59.1%

44.3%

54.9%

35.2%

41.2%

20.0%

35.1%

38.2%

43.5%

57.1%

37.4%

37.4%

41.3%

31.6%

32.5%

41.8%

38.8%

41.7%

51.6%

31.3%

31.3%

31.7%

31.7%

31.2%

25.2%

10.2%

32.3%

32.0%

25.2%

33.3%

32.5%

35.5%

36.0%

32.6%

35.6%

35.8%

34.4%

32.7%

36.1%

Table 12C.2: Percent Cesarean Deliveries of Medicaid Deliveries by Medicaid Delivery System and Length of Coverage (LOC)


Indicator 13: Deliveries to Women Participating in Women, Infants and Children (WIC)Nutrition Program in Florida

Notes: The Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) serves low- to moderate-income pregnant, breastfeeding and postpartum women; infants; and children under five who are at nutritional risk. The vast majority of non-Medicaid women are financially ineligible for WIC participation. *Temporarily Eligible means Medicaid beneficiaries who were presumptively eligible but later determined to be financially ineligible. % (% Total) is the percent of the Indicator's deliveries for each Medicaid Status/Subgroup (numerator) from the total deliveries for that Medicaid Status/Subgroup (denominator - Table 1A). Results are suppressed for individual cells where the case count is under 5, but are included in all table totals and corresponding charts (see Appendix 1 - Methodology, Data Suppression, pg 123).


2006

# %

2007

# %

2008

# %

2009

# %

2010

# %

NonMedicaid

Non-Medicaid


Total

Medicaid

SOBRA

Non SOBRA

CMS High Risk OB

Medically Needy

Medicaid SSI

Alien


Total

Grand Total

16.1%

64.0%

13.5%

18,185

3,738

14,447

17.7%

65.8%

14.6%

20,416

4,590

15,826

18.2%

67.1%

15.7%

19,299

3,428

15,871

17.9%

68.2%

16.1%

16,794

2,205

14,589

16.9%

70.7%

15.2%

14,701

1,847

12,854

70.3%

36.8%

69.8%

76.2%

55.5%

74.6%

68.2%

71.9%

84,571

1,051

11,737

1,705

299

6,974

13,921

48,884

72.8%

41.8%

71.5%

78.1%

61.2%

77.1%

70.7%

74.5%

88,034

1,308

11,989

1,799

352

6,952

13,321

52,313

76.4%

46.3%

74.8%

83.0%

64.6%

79.4%

74.8%

77.9%

92,345

1,408

11,678

1,812

351

7,464

12,650

56,982

79.4%

48.2%

79.8%

85.3%

67.4%

82.9%

77.7%

80.4%

97,239

1,308

12,050

1,908

329

7,447

13,132

61,065

79.0%

45.3%

81.3%

82.2%

67.1%

83.9%

75.6%

79.7%

96,403

1,134

11,848

1,783

343

7,626

12,088

61,581

44.1%102,756 45.9%108,450 49.2%111,644 52.7%114,033 53.1%111,104

Table 13A: Number and Percent Deliveries to Women Participating in WIC Nutrition Program of All Deliveries by Medicaid Status/Subgroup


0.0%

20.0%

40.0%

60.0%

80.0%

Figure 13Aa: Percent of Deliveries to Women Participatingin WIC Nutrition Program of All Deliveries by Medicaid

Status: Five-Year Trends

Year ofDelivery

2006

2007

2008

2009

2010




0.0%

20.0%

40.0%

60.0%

80.0%

Figure 13Ab: Percent of Delivieries to Women Participating in WIC Nutrition Program of AllDeliveries by Medicaid Subgroup: Five-Year Trends


Notes: The Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) serves low- to moderate-income pregnant, breastfeeding, and postpartum women; infants; and children under five who are at nutritional risk. The vast majority of non-Medicaid women are financially ineligible for WIC participation. % (% Race/Ethnicity) is the percent of each Race/Ethnicity Category (numerator) for all Race/Ethnicity Categories from that Medicaid Subgroup (denominator). Results are suppressed for individual cells where the case count is under 5, but are included in all table totals and corresponding charts (see Appendix 1 - Methodology, Data Suppression, pg 123).



2010

Caucasian

# %

African-American

# %

Hispanic

# %

Asian

# %

Native-American

# %

Other

# %

NonMedicaid

Non-Medicaid


Total

Medicaid

SOBRA

Non SOBRA

CMS High Risk OB

Medically Needy

Medicaid SSI

Alien


Total

Grand Total

31.9%

9.5%

35.2%

4,696

175

4,521

20.2%

11.5%

21.4%

2,966

213

2,753

42.8%

72.9%

38.4%

6,289

1,347

4,942

2.8%

3.7%

2.6%

406

68

338

0.1%

0.1%

17

17

2.2%

2.4%

2.2%

327

44

283

33.1%

35.7%

3.5%

28.3%

37.3%

18.7%

30.4%

41.2%

31,924

405

410

504

128

1,426

3,673

25,378

25.3%

33.4%

4.3%

54.0%

21.0%

29.4%

42.9%

24.4%

24,403

379

514

962

72

2,243

5,187

15,046

38.7%

27.6%

87.9%

16.0%

36.2%

49.5%

24.7%

31.5%

37,308

313

10,420

286

124

3,772

2,987

19,406

1.2%

1.3%

2.7%

0.2%

1.7%

1.4%

0.4%

1.1%

1,196

15

325

4

6

107

54

685

0.1%

0.3%

0.0%

0.0%

0.1%

0.1%

0.1%

90

3

1

0

6

14

66

1.5%

1.7%

1.5%

1.5%

3.8%

0.9%

1.4%

1.6%

1,482

19

178

27

13

72

173

1,000

33.0%36,620 24.6%27,369 39.2%43,597 1.4%1,602 0.1%107 1.6%1,809

Table 13B.1: Number and Percent Distribution of Delivieries to Women Participating in WIC Nutrition Program by Race/Ethnicity and Medicaid Status/Subgroup



Notes: The Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) serves low- to moderate-income pregnant, breastfeeding, and postpartum women; infants; and children under five who are at nutritional risk. The vast majority of non-Medicaid women are financially ineligible for WIC participation. % (% Race/Ethnicity) is the percent of the Indicator's deliveries for each Race/Ethnicity Category (numerator) from the total deliveries for that Race/Ethnicity Category within each Medicaid Status/Subgroup (denominator - Table 1B). High percentages in certain Race/Ethnicity subgroups are due to very small denominators. Results are suppressed for individual cells where the case count is under 5, but are included in all table totals and corresponding charts (see Appendix 1 - Methodology, Data Suppression, pg 123).


2010

Caucasian

%

African-American

%

Hispanic

%

Asian

%

Native-American

%

Other

%

NonMedicaid

Non-Medicaid


Total

Medicaid

SOBRA

Non SOBRA

CMS High Risk OB

Medically Needy

Medicaid SSI

Alien


Total

Grand Total

9.3%

53.2%

9.0%

34.2%

69.2%

32.9%

28.9%

75.5%

24.7%

9.8%

59.1%

8.4%

11.3%

11.3%

18.2%

57.9%

16.4%

74.6%

36.8%

57.0%

84.4%

61.2%

80.4%

74.4%

75.9%

80.0%

52.5%

76.1%

81.9%

69.2%

81.7%

75.4%

82.7%

83.1%

52.5%

84.1%

81.5%

73.8%

87.3%

78.0%

83.5%

65.0%

39.5%

63.4%

57.1%

46.2%

71.8%

57.4%

66.8%

83.3%

100.0%

100.0%

0.0%

85.7%

73.7%

85.7%

75.6%

42.2%

67.2%

71.1%

76.5%

79.1%

77.2%

78.1%

39.2% 69.9% 65.4% 26.8% 41.3% 48.1%

Table 13B.2: Percent Deliveries to Women Participating in WIC Nutrition Program of All Deliveries by Race/Ethnicity and Medicaid Status/Subgroup

2010


0%

20%

40%

60%

80%

Fig. 13B.2a: Percent Deliveries to Women Partici-pating in WIC Nutrition Program of All Deliveries


Race/Ethnicity

Caucasian

African-American

Hispanic

Asian

Native-American

Other

2010


MedicallyNeedy


0%

20%

40%

60%

80%

100%

Figure 13B.2b: Percent Deliveries to Women Participating in WIC Nutrition Program ofAll Deliveries by Race/Ethnicity and Medicaid Subgroup




Length ofCoverage


SOBRA

2009

# %

2010

# %

Non-SOBRA

2009

# %

2010

# %

CMS High Risk OB

2009

# %

2010

# %

Medically Needy

2009

# %

2010

# %

Total

FFS

MediPass

HMO

Total

HighExposure

FFS

MediPass

HMO

Total

LowExposure

FFS

MediPass

HMO

Total

100.0%

7.4%

2.8%

89.9%

61,065

4,502

1,694

54,869

100.0%

8.8%

3.4%

87.8%

61,581

5,434

2,077

54,070

100.0%

53.0%

18.5%

28.5%

13,132

6,965

2,425

3,742

100.0%

49.5%

19.5%

31.0%

12,088

5,985

2,360

3,743

100.0%

11.1%

3.9%

85.1%

7,447

824

287

6,336

100.0%

10.6%

3.8%

85.5%

7,626

812

291

6,523

100.0%

14.6%

7.3%

78.1%

329

48

24

257

100.0%

16.6%

7.9%

75.5%

343

57

27

259

100.0%

6.3%

2.2%

91.4%

45,924

2,912

1,029

41,983

100.0%

8.2%

3.3%

88.5%

47,982

3,943

1,586

42,453

100.0%

57.9%

17.9%

24.2%

9,215

5,336

1,649

2,230

100.0%

50.9%

21.7%

27.5%

8,977

4,566

1,945

2,466

100.0%

14.7%

5.5%

79.7%

3,750

552

208

2,990

100.0%

15.8%

6.2%

78.0%

3,833

606

238

2,989

100.0%

36.3%

19.6%

44.1%

102

37

20

45

100.0%

35.9%

17.9%

46.2%

117

42

21

54

100.0%

10.5%

4.4%

85.1%

15,141

1,590

665

12,886

100.0%

11.0%

3.6%

85.4%

13,599

1,491

491

11,617

100.0%

41.6%

19.8%

38.6%

3,917

1,629

776

1,512

100.0%

45.6%

13.3%

41.0%

3,111

1,419

415

1,277

100.0%

7.4%

2.1%

90.5%

3,697

272

79

3,346

100.0%

5.4%

1.4%

93.2%

3,793

206

53

3,534

100.0%

4.8%

1.8%

93.4%

227

11

4

212

100.0%

6.6%

2.7%

90.7%

226

15

6

205

Table 13C.1: Number and Percent Distribution of Deliveries to Medicaid Women Participating in WIC Nutrition Programby Medicaid Delivery System and Length of Coverage (LOC)

Length ofCoverage


Medicaid SSI

2009

# %

2010

# %

Alien

2009

# %

2010

# %


2009

# %

2010

# %

Total

2009

# %

2010

# %

Total

FFS

MediPass

HMO

Total

HighExposure

FFS

MediPass

HMO

Total

LowExposure

FFS

MediPass

HMO

Total

100.0%

47.1%

23.4%

29.5%

1,908

899

447

562

100.0%

43.9%

23.7%

32.5%

1,783

782

422

579

100.0%

100.0%

12,050

12,050

100.0%

100.0%

11,848

11,848

100.0%

18.3%

4.3%

77.4%

1,308

239

56

1,013

100.0%

18.3%

4.0%

77.7%

1,134

208

45

881

100.0%

13.9%

5.1%

81.1%

97,239

13,477

4,933

78,829

100.0%

13.8%

5.4%

80.8%

96,403

13,278

5,222

77,903

100.0%

45.6%

23.3%

31.1%

1,723

786

402

535

100.0%

42.2%

24.2%

33.6%

1,656

699

401

556

100.0%

100.0%

3

3

100.0%

100.0%

9

9

100.0%

41.9%

9.0%

49.1%

401

168

36

197

100.0%

42.7%

9.9%

47.5%

375

160

37

178

100.0%

16.0%

5.5%

78.5%

61,118

9,791

3,344

47,983

100.0%

15.9%

6.7%

77.4%

62,949

10,016

4,228

48,705

100.0%

61.1%

24.3%

14.6%

185

113

45

27

100.0%

65.4%

16.5%

18.1%

127

83

21

23

100.0%

100.0%

12,047

12,047

100.0%

100.0%

11,839

11,839

100.0%

7.8%

2.2%

90.0%

907

71

20

816

100.0%

6.3%

1.1%

92.6%

759

48

8

703

100.0%

10.2%

4.4%

85.4%

36,121

3,686

1,589

30,846

100.0%

9.8%

3.0%

87.3%

33,454

3,262

994

29,198





Length ofCoverage

MedicaidDelivery S..

SOBRA

2009

%

2010

%

Non-SOBRA

2009

%

2010

%

CMS High Risk OB

2009

%

2010

%

Medically Needy

2009

%

2010

%

Medicaid SSI

2009

%

2010

%

Alien

2009

%

2010

%


2009

%

2010

%

Total

2009

%

2010

%

Total

FFSMediPassHMOTotal

HighExposure

FFSMediPassHMOTotal

LowExposure

FFSMediPassHMOTotal

80.4%

84.3%88.8%

79.8%

79.7%

82.8%88.9%

79.1%

77.7%

77.3%84.7%

74.6%

75.6%

74.4%82.7%

73.6%

82.9%

80.6%83.7%

83.2%

83.9%

79.9%84.8%

84.4%

67.4%

76.2%88.9%

64.6%

67.1%

71.3%87.1%

64.8%

85.3%

84.9%88.7%

83.3%

82.2%

80.8%87.6%

80.6%

79.8%

79.8%

81.3%

81.3%

48.2%

52.8%50.9%

47.1%

45.3%

50.0%48.9%

44.1%

79.4%

79.5%85.7%

79.1%

79.0%

77.7%85.1%

78.8%

82.5%84.5%

89.9%82.2%

81.9%83.7%

89.4%81.4%

79.9%78.0%

86.0%80.4%

78.1%75.3%

84.0%79.3%

86.3%80.7%

84.6%87.5%

85.2%80.6%

84.4%86.3%

76.7%80.4%

90.9%69.2%

75.5%73.7%

87.5%73.0%

86.0%85.3%

89.9%84.3%

82.2%80.3%

87.6%80.9%

60.0%

60.0%

75.0%

75.0%

59.7%54.9%

59.0%64.6%

58.5%54.6%

52.1%64.3%

82.2%79.9%

87.1%82.4%

81.3%78.6%

85.8%81.5%

74.5%

83.9%87.2%

72.9%

72.9%

80.6%87.5%

71.5%

73.1%

75.1%82.2%

67.4%

69.2%

71.6%77.1%

64.7%

79.8%

80.5%81.4%

79.7%

82.7%

78.0%86.9%

82.9%

63.9%

64.7%80.0%

63.7%

63.5%

65.2%85.7%

62.9%

78.7%

81.9%78.9%

67.5%

83.0%

84.7%87.5%

74.2%

79.8%

79.8%

81.3%

81.3%

44.4%

48.3%40.8%

44.2%

40.7%

39.0%38.1%

40.8%

75.2%

78.4%83.0%

74.5%

74.9%

75.1%82.0%

74.7%

Table 13C.2: Percent Deliveries to Medicaid Women Participating in WIC Nutrition Program of Medicaid Deliveriesby Medicaid Delivery System and Length of Coverage (LOC)


2009

# Deliveries %

2010

# Deliveries %


83.2%78.2%76.0%80.9%74.9%74.3%72.7%82.2%75.9%83.9%83.3%

9324491096

1,924203105421

2,315232280

1,576

7420371273

1,55615278

3061,903

176235

1,313

70.9%75.5%76.9%69.9%83.4%71.0%79.6%72.1%81.7%82.6%80.3%78.7%

117593965329

2,00416998

4342,075

442314

1,600

83448742230

1,67112078

3131,695

365252

1,259

Table 13D: Number and Percent of Deliveries to Women Participating in WIC Nutrition Program for Women Enrolled in Medicaidin the Same HMO >= 180 Days or >= Two-Thirds of the Pregnancy


Indicator 14: Interpregnancy Intervals (IPIs) in Florida

Notes: Interpregnancy interval is defined as the number of months between the date the last pregnancy ended and the date of the last menstrual period. Women who have a first pregnancy are excluded. Overall Deliveries in SOBRA and Non-SOBRA do not sum to Overall Deliveries in Medicaid because six other smaller Medicaid subgroups are not included. % (% Total) is the percent of the Indicator's deliveries for each Interpregnancy Interval Category (numerator) from the total deliveries for that Medicaid Status/Subgroup (denominator - Table 1A). Results are suppressed for individual cells where the case count is under 5, but are included in all table totals and corresponding charts (see Appendix 1 - Methodology, Data Suppression, pg 123).

Medicaid Status Inter Preg. Interval

2006

Deliveries %

2007

Deliveries %

2008

Deliveries %

2009

Deliveries %

2010

Deliveries %

Total

< 18 Months

18-27 Months

28+ Months

Total

Non-Medicaid

< 18 Months

18-27 Months

28+ Months

Total

Medicaid

< 18 Months

18-27 Months

28+ Months

Total

SOBRA

< 18 Months

18-27 Months

28+ Months

Total

Non-SOBRA

< 18 Months

18-27 Months

28+ Months

Total

100.0%

60.2%

13.8%

25.9%

135,259

81,485

18,678

35,096

100.0%

59.2%

13.9%

26.9%

137,766

81,593

19,118

37,055

100.0%

58.5%

14.3%

27.3%

131,795

77,063

18,782

35,950

100.0%

57.9%

15.1%

27.1%

125,538

72,662

18,917

33,959

100.0%

57.2%

15.9%

26.9%

117,433

67,180

18,647

31,606

100.0%

62.9%

14.9%

22.2%

63,541

39,963

9,488

14,090

100.0%

62.5%

14.7%

22.8%

65,302

40,838

9,607

14,857

100.0%

61.2%

15.1%

23.7%

59,346

36,338

8,964

14,044

100.0%

60.3%

16.4%

23.3%

52,054

31,398

8,527

12,129

100.0%

58.7%

17.3%

24.0%

46,190

27,113

8,007

11,070

100.0%

57.9%

12.8%

29.3%

71,718

41,522

9,190

21,006

100.0%

56.2%

13.1%

30.6%

72,464

40,755

9,511

22,198

100.0%

56.2%

13.6%

30.2%

72,449

40,725

9,818

21,906

100.0%

56.2%

14.1%

29.7%

73,484

41,264

10,390

21,830

100.0%

56.2%

14.9%

28.8%

71,243

40,067

10,640

20,536

100.0%

59.1%

13.2%

27.7%

34,597

20,439

4,581

9,577

100.0%

57.0%

13.8%

29.3%

36,648

20,873

5,053

10,722

100.0%

57.1%

14.1%

28.8%

38,757

22,129

5,456

11,172

100.0%

58.1%

14.5%

27.4%

40,106

23,309

5,801

10,996

100.0%

58.1%

15.1%

26.8%

40,169

23,320

6,072

10,777

100.0%

47.8%

14.6%

37.6%

17,209

8,234

2,508

6,467

100.0%

46.7%

14.1%

39.2%

15,586

7,277

2,196

6,113

100.0%

45.3%

14.9%

39.8%

13,937

6,312

2,076

5,549

100.0%

44.1%

15.2%

40.7%

14,068

6,201

2,136

5,731

100.0%

44.2%

16.6%

39.2%

13,110

5,800

2,174

5,136

Table 14A: Number and Percent of Deliveries by Interpregnancy Intervals and Medicaid Status/Subgroup


Notes: Interpregnancy interval is defined as the number of months between the date the last pregnancy ended and the date of the last menstrual period. Women who have a first pregnancy are excluded. Overall Deliveries in SOBRA and Non-SOBRA do not sum to Overall Deliveries in Medicaid because six other smaller Medicaid subgroups are not included. % (% Interpregancy Interval) is the percent of Interpregnancy Interval Category for the Race/Ethnicity Category (numerator) from that Medicaid Status/Subgroup's total for the Race/Ethnicity (denominator). Results are suppressed for individual cells where the case count is under 5, but are included in all table totals and corresponding charts (see Appendix 1 - Methodology, Data Suppression, pg 123).


Medicaid Status Inter Preg. Interval

2010

Caucasian

Deliveries %

African-American

Deliveries %

Hispanic

Deliveries %

Asian

Deliveries %

Native-American

Deliveries %

Other

Deliveries %

Total

< 18 Months

18-27 Months

28+ Months

Total

Non-Medicaid

< 18 Months

18-27 Months

28+ Months

Total

Medicaid

< 18 Months

18-27 Months

28+ Months

Total

SOBRA

< 18 Months

18-27 Months

28+ Months

Total

Non-SOBRA

< 18 Months

18-27 Months

28+ Months

Total

100.0%

54.2%

18.0%

27.8%

49,859

27,021

8,990

13,848

100.0%

53.5%

14.8%

31.8%

23,662

12,655

3,494

7,513

100.0%

62.5%

14.0%

23.5%

38,820

24,269

5,436

9,115

100.0%

66.7%

13.7%

19.6%

3,033

2,023

416

594

100.0%

51.8%

17.6%

30.6%

170

88

30

52

100.0%

59.5%

14.9%

25.6%

1,889

1,124

281

484

100.0%

53.9%

19.8%

26.3%

26,263

14,154

5,204

6,905

100.0%

68.8%

11.5%

19.7%

4,887

3,362

563

962

100.0%

63.6%

14.9%

21.6%

12,049

7,661

1,790

2,598

100.0%

66.7%

14.6%

18.8%

2,039

1,359

297

383

100.0%

48.6%

18.0%

33.3%

111

54

20

37

100.0%

62.2%

15.8%

22.0%

841

523

133

185

100.0%

54.5%

16.0%

29.4%

23,596

12,867

3,786

6,943

100.0%

49.5%

15.6%

34.9%

18,775

9,293

2,931

6,551

100.0%

62.0%

13.6%

24.3%

26,771

16,608

3,646

6,517

100.0%

66.8%

12.0%

21.2%

994

664

119

211

100.0%

57.6%

16.9%

25.4%

59

34

10

15

100.0%

57.3%

14.1%

28.5%

1,048

601

148

299

100.0%

56.5%

16.0%

27.6%

17,063

9,635

2,727

4,701

100.0%

55.6%

15.2%

29.2%

9,635

5,361

1,461

2,813

100.0%

61.7%

14.0%

24.2%

12,216

7,543

1,716

2,957

100.0%

67.6%

12.0%

20.4%

584

395

70

119

100.0%

62.5%

15.0%

22.5%

40

25

6

9

100.0%

57.2%

14.6%

28.2%

631

361

92

178

100.0%

46.0%

17.0%

37.0%

4,070

1,874

690

1,506

100.0%

39.7%

17.2%

43.2%

5,737

2,275

984

2,478

100.0%

49.8%

15.2%

35.0%

3,044

1,516

463

1,065

100.0%

56.9%

12.5%

30.6%

72

41

9

22

100.0%

42.9%

21.4%

35.7%

14

6

3

5

100.0%

50.9%

14.5%

34.7%

173

88

25

60

Table 14B: Number and Percent Distribution of Deliveries by Interpregnancy Intervals, Race/Ethnicity and Medicaid Status/Subgroup



Notes: Interpregnancy interval is defined as the number of months between the date the last pregnancy ended and the date of the last menstrual period. Women who have a first pregnancy are excluded. Overall Deliveries in SOBRA and Non-SOBRA do not sum to Overall Deliveries in Medicaid because six other smaller Medicaid subgroups are not included. % (% Interpregnancy Interval) is the percent of each Interpregnancy Interval category (numerator) from the thtal for that Medicaid Delivery System (denominator). Results are suppressed for individual cells where the case count is under 5, but are included in all table totals and corresponding charts (see Appendix 1 - Methodology, Data Suppression, pg 123).

Length of Coverage


Inter Preg. Interval

2009

SOBRA

# %

Non-SOBRA

# %

2010

SOBRA

# %

Non-SOBRA

# %

Total

FFS

< 18 Months18-27 Months28+ MonthsTotal

MediPass


HMO


Total

HighExposure

FFS


MediPass


HMO


Total

LowExposure

FFS


MediPass


HMO


Total

100.0%59.5%14.1%26.4%

35,36921,0474,9959,327

100.0%43.3%15.8%40.9%

3,9101,693

6171,600

100.0%59.6%14.8%25.6%

34,36720,4895,0708,808

100.0%44.7%16.1%39.3%

3,9811,779

6391,563

100.0%49.1%16.7%34.2%

1,078529180369

100.0%46.4%15.1%38.6%

2,3651,097

356912

100.0%48.7%18.1%33.2%

1,380672250458

100.0%45.0%16.2%38.8%

2,2771,024

369884

100.0%47.4%17.1%35.5%

3,6591,733

6261,300

100.0%43.8%14.9%41.3%

7,7933,4111,1633,219

100.0%48.8%17.0%34.2%

4,4222,159

7521,511

100.0%43.7%17.0%39.2%

6,8522,9971,1662,689

100.0%40,106 100.0%14,068 100.0%40,169 100.0%13,110

100.0%60.0%14.4%25.6%

25,83515,5013,7216,613

100.0%40.1%16.9%43.0%

2,387957404

1,026

100.0%60.2%15.0%24.8%

25,88215,5703,8916,421

100.0%41.6%17.1%41.3%

2,6581,106

4541,098

100.0%50.0%16.0%34.0%

62031099

211

100.0%45.8%16.1%38.1%

1,533702247584

100.0%50.5%17.8%31.6%

1,009510180319

100.0%44.6%16.7%38.7%

1,826815305706

100.0%47.9%18.5%33.6%

2,2561,080

418758

100.0%43.4%15.3%41.3%

5,9012,561

9052,435

100.0%48.8%18.3%32.9%

3,0501,487

5591,004

100.0%43.4%17.4%39.1%

5,1652,242

9012,022

100.0%28,711 100.0%9,821 100.0%29,941 100.0%9,649

100.0%58.2%13.4%28.5%

9,5345,5461,2742,714

100.0%48.3%14.0%37.7%

1,523736213574

100.0%58.0%13.9%28.1%

8,4854,9191,1792,387

100.0%50.9%14.0%35.1%

1,323673185465

100.0%47.8%17.7%34.5%

45821981

158

100.0%47.5%13.1%39.4%

832395109328

100.0%43.7%18.9%37.5%

37116270

139

100.0%46.3%14.2%39.5%

45120964

178

100.0%46.5%14.8%38.6%

1,403653208542

100.0%44.9%13.6%41.4%

1,892850258784

100.0%49.0%14.1%37.0%

1,372672193507

100.0%44.8%15.7%39.5%

1,687755265667

100.0%11,395 100.0%4,247 100.0%10,228 100.0%3,461

Table 14C: Number and Percent Distribution of Medicaid Deliveries by Interpregnancy Intervals,Medicaid Delivery System and Length of Coverage (LOC)



Notes: Interpregnancy interval is defined as the number of months between the date the last pregnancy ended and the date of the last menstrual period. Women who have a first pregnancy are excluded. Overall Deliveries in SOBRA and Non-SOBRA do not sum to Overall Deliveries in Medicaid because six other smaller Medicaid subgroups are not included. % (% Interpregnancy Interval) is the percent of each Interpregnancy Interval Category (numerator) from the thtal for that HMO Plan Name (group) (denominator). Results are suppressed for individual cells where the case count is under 5, but are included in all table totals and corresponding charts (see Appendix 1 - Methodology, Data Suppression, pg 123).

HMO Plan Name (group) Inter Preg. Interval

2009

Deliveries %

2010

Deliveries %

Amerigroup Florida


Buena Vista


Citrus Health Care




Humana


JMH Health Plan


Preferred Medical








Vista Health Plan of South Florida


100.0%45.4%16.1%38.5%

1,163528187448

100.0%44.0%16.4%39.6%

1,145504188453

100.0%47.2%10.2%42.6%

2161022292

100.0%46.6%17.0%36.4%

2531184392

100.0%36.5%18.5%44.9%

178653380

100.0%44.0%18.6%37.4%

33414762

125

100.0%43.8%16.3%39.9%

1,805791294720

100.0%44.2%16.8%39.0%

1,599707269623

100.0%48.4%17.4%34.2%

31015054

106

100.0%50.5%14.3%35.2%

30715544

108

100.0%38.1%17.9%44.0%

84321537

100.0%39.4%19.7%40.8%

71281429

100.0%53.8%8.4%

37.8%

143771254

100.0%47.5%12.5%40.0%

120571548

100.0%43.7%14.3%42.1%

1,434626205603

100.0%43.9%19.0%37.1%

1,430628271531

100.0%44.5%15.6%39.9%

724322113289

100.0%43.2%17.2%39.6%

722312124286

100.0%43.4%13.6%42.9%

198862785

100.0%44.2%18.3%37.5%

45320083

170

100.0%44.3%19.7%36.1%

61271222

100.0%53.1%11.1%35.8%

81439

29

Table 14D: Number and Percent Distribution of Deliveries by Interpregnancy Intervals forWomen Enrolled in Medicaid in the Same HMO >= 180 Days or >= Two-Thirds of the Pregnancy


Indicator 15: Births in Florida

Notes: *Temporarily Eligible means Medicaid beneficiaries who were presumptively eligible but later determined to be financially ineligible. % Medicaid Total is the percent of each Subgroup (numerator) within that Medicaid Status (denominator). % Statewide is the percent of each Subgroup (numerator) from the Grand Total (denominator). High percentages in certain Race/Ethnicity subgroups are due to very small denominators. Results are suppressed for individual cells where the case count is under 5, but are included in all table totals and corresponding charts (see Appendix 1 - Methodology, Data Suppression, pg 123).


2006

Births%

MedicaidStatus

% Total

2007

Births%

MedicaidStatus

% Total

2008

Births%

MedicaidStatus

% Total

2009

Births%

MedicaidStatus

% Total

2010

Births%

MedicaidStatus

% Total

NonMedicaid

Non-Medicaid


Total

Medicaid

SOBRA

Non SOBRA

CMS High Risk OB

Medically Needy

Medicaid SSI

Alien

Mcaid < 8 Days or No PNC

Total

Grand Total

48.5%

2.5%

46.0%

100.0%

5.1%

94.9%

114,736

5,875

108,861

49.0%

2.9%

46.0%

100.0%

6.0%

94.0%

117,635

7,018

110,617

46.8%

2.2%

44.6%

100.0%

4.7%

95.3%

108,144

5,136

103,008

43.6%

1.5%

42.1%

100.0%

3.4%

96.6%

95,772

3,253

92,519

41.8%

1.2%

40.5%

100.0%

3.0%

97.0%

88,814

2,633

86,181

51.5%

1.2%

7.1%

1.0%

0.2%

4.2%

8.7%

29.0%

100.0%

2.4%

13.9%

1.9%

0.5%

8.1%

17.0%

56.4%

121,967

2,905

16,921

2,275

549

9,881

20,684

68,752

51.0%

1.3%

7.0%

1.0%

0.2%

4.0%

7.9%

29.6%

100.0%

2.6%

13.8%

1.9%

0.5%

7.8%

15.6%

57.9%

122,641

3,168

16,876

2,338

584

9,554

19,092

71,029

53.2%

1.3%

6.8%

1.0%

0.2%

4.3%

7.4%

32.1%

100.0%

2.5%

12.8%

1.8%

0.4%

8.1%

14.0%

60.3%

122,706

3,081

15,742

2,215

548

9,977

17,127

74,016

56.4%

1.3%

6.9%

1.0%

0.2%

4.3%

7.8%

35.0%

100.0%

2.2%

12.2%

1.8%

0.4%

7.6%

13.8%

61.9%

124,096

2,755

15,187

2,265

490

9,398

17,145

76,856

58.2%

1.2%

6.9%

1.0%

0.2%

4.5%

7.6%

36.8%

100.0%

2.1%

11.9%

1.8%

0.4%

7.7%

13.1%

63.1%

123,736

2,542

14,668

2,194

521

9,505

16,172

78,134

100.0%100.0%236,703 100.0%100.0%240,276 100.0%100.0%230,850 100.0%100.0%219,868 100.0%100.0%212,550

Table 15A: Number and Percent of Births by Medicaid Status/Subgroup


0%

10%

20%

30%

40%

50%

60%

Figure 15Aa: Percent of Births by Medicaid Status:Five-Year Trends

Year ofBirth

2006

2007

2008

2009

2010


MedicallyNeedy

Medicaid SSI Alien Mcaid < 8 Daysor No PNC

0%

10%

20%

30%

40%

50%

60%

Figure 15Ab: Percent of Births by Medicaid Subgroup: Five-Year Trends



Notes: % (% Race/Eth) is the percent of each Race/Ethnicity Category (numerator) from all Race/Ethnicity Categories within that Medicaid Subgroup (denominator - Table 15A). Results are suppressed for individual cells where the case count is under 5, but are included in all table totals and corresponding charts (see Appendix 1 - Methodology, Data Suppression, pg 123).


Caucasian

2009

Births %

African-American

2009

Births %

Hispanic

2009

Births %

Asian

2009

Births %

Native-American

2009

Births %

Other

2009

Births %

NonMedicaid

Non-Medicaid


Total

Medicaid

SOBRA

Non SOBRA

CMS High Risk OB

Medically Needy

Medicaid SSI

Alien


Total

Grand Total

57.6%

10.9%

59.2%

55,165

356

54,809

10.2%

11.2%

10.1%

9,751

363

9,388

25.5%

71.1%

23.9%

24,442

2,312

22,130

4.7%

4.0%

4.7%

4,472

131

4,341

0.2%

0.9%

0.2%

204

28

176

1.8%

1.9%

1.8%

1,738

63

1,675

34.8%

37.3%

4.6%

25.5%

39.0%

19.8%

29.6%

43.9%

43,142

1,027

705

577

191

1,859

5,074

33,709

25.6%

34.6%

4.0%

56.1%

21.4%

31.3%

45.0%

23.6%

31,756

953

613

1,271

105

2,940

7,720

18,154

36.5%

24.1%

85.8%

16.5%

37.1%

46.3%

23.4%

29.5%

45,308

663

13,031

374

182

4,347

4,013

22,698

1.5%

2.1%

3.4%

0.2%

1.4%

1.5%

0.6%

1.3%

1,815

57

509

5

7

145

96

996

0.2%

0.1%

0.6%

0.0%

0.1%

0.2%

0.1%

230

4

86

1

7

30

102

1.5%

1.9%

1.6%

1.6%

1.0%

1.1%

1.2%

1.6%

1,845

51

243

37

5

100

212

1,197

44.7%98,307 18.9%41,507 31.7%69,750 2.9%6,287 0.2%434 1.6%3,583

Table 15B.1: Number and Percent Distribution of Births by Race/Ethnicity and Medicaid Status/Subgroup



Notes: % of Race/Eth is the percent of each Race/Ethnicity Category (numerator) from all Race/Ethnicity Categori es within that Medicaid Subgroup (denominator - Table 1A). High percentages in certain Race/Ethnicity subgroups are due to very small denominators. Results are suppressed for individual cells where the case count is under 5, but are included in all table totals and corresponding charts (see Appendix 1 - Methodology, Data Suppression, pg 123).

MedicaidStatus

Subgroup

Caucasian

2010

Births %

African-American

2010

Births %

Hispanic

2010

Births %

Asian

2010

Births %

Native-American

2010

Births %

Other

2010

Births %

NonMedicaid

Non-Medicaid


Total

Medicaid

SOBRA

Non SOBRA

CMS High Risk OB

Medically Needy

Medicaid SSI

Alien


Total

Grand Total

58.1%

12.7%

59.5%

51,629

334

51,295

10.0%

11.8%

9.9%

8,865

311

8,554

24.9%

68.1%

23.6%

22,134

1,794

20,340

4.7%

4.5%

4.7%

4,202

118

4,084

0.2%

0.2%

152

152

2.1%

2.9%

2.0%

1,832

76

1,756

35.0%

43.9%

5.0%

27.6%

41.3%

19.6%

30.8%

43.3%

43,315

1,117

727

605

215

1,867

4,979

33,805

25.1%

28.9%

4.7%

54.1%

20.5%

30.6%

43.2%

23.6%

31,053

734

686

1,187

107

2,908

6,981

18,450

36.7%

23.7%

85.0%

16.2%

32.4%

47.0%

23.9%

30.0%

45,419

603

12,473

356

169

4,471

3,869

23,478

1.5%

1.5%

3.5%

0.3%

2.5%

1.6%

0.6%

1.3%

1,854

38

514

7

13

156

94

1,032

0.1%

0.1%

0.0%

0.0%

0.1%

0.1%

0.1%

111

3

1

1

7

21

78

1.6%

1.8%

1.8%

1.7%

3.3%

1.0%

1.4%

1.7%

1,984

47

267

38

17

96

228

1,291

44.7%94,944 18.8%39,918 31.8%67,553 2.8%6,056 0.1%263 1.8%3,816

Table 15B.2: Number and Percent Distribution of Births by Race/Ethnicity and Medicaid Status/Subgroup

2010


0%

10%

20%

30%

40%

50%

60%

Figure 15B.2a: Percent of Births by Race/Eth-nicity and Medicaid Status

Race/Ethnicity

Caucasian

African-American

Hispanic

Asian

Native-American

Other

2010


MedicallyNeedy

Medicaid SSI Alien Mcaid < 8 Daysor No PNC

0%

20%

40%

60%

80%

Figure 15B.2b: Percent of Births by Race/Ethnicity and Medicaid Subgroup




Length of Coverage


SOBRA

2009

Births %

2010

Births %

Non-SOBRA

2009

Births %

2010

Births %

CMS High Risk OB

2009

Births %

2010

Births %

Medically Needy

2009

Births %

2010

Births %

Total

FFS

MediPass

HMO

Total

HighExposure

FFS

MediPass

HMO

Total

LowExposure

FFS

MediPass

HMO

Total

100.0%

7.0%

2.5%

90.5%

76,856

5,355

1,908

69,593

100.0%

8.4%

3.0%

88.5%

78,134

6,594

2,356

69,184

100.0%

52.7%

16.7%

30.5%

17,145

9,040

2,871

5,234

100.0%

50.0%

17.7%

32.2%

16,172

8,092

2,866

5,214

100.0%

11.0%

3.7%

85.3%

9,398

1,031

346

8,021

100.0%

11.0%

3.7%

85.3%

9,505

1,044

352

8,109

100.0%

12.9%

5.5%

81.6%

490

63

27

400

100.0%

15.5%

6.0%

78.5%

521

81

31

409

100.0%

6.1%

2.0%

91.8%

56,227

3,457

1,144

51,626

100.0%

8.0%

3.0%

89.0%

59,185

4,734

1,794

52,657

100.0%

58.6%

16.4%

25.0%

11,725

6,869

1,926

2,930

100.0%

52.5%

20.0%

27.5%

11,639

6,108

2,328

3,203

100.0%

15.1%

5.5%

79.4%

4,555

690

249

3,616

100.0%

16.4%

6.1%

77.5%

4,716

772

290

3,654

100.0%

34.3%

16.4%

49.3%

134

46

22

66

100.0%

36.9%

15.3%

47.8%

157

58

24

75

100.0%

9.2%

3.7%

87.1%

20,629

1,898

764

17,967

100.0%

9.8%

3.0%

87.2%

18,949

1,860

562

16,527

100.0%

40.1%

17.4%

42.5%

5,420

2,171

945

2,304

100.0%

43.8%

11.9%

44.4%

4,533

1,984

538

2,011

100.0%

7.0%

2.0%

91.0%

4,843

341

97

4,405

100.0%

5.7%

1.3%

93.0%

4,789

272

62

4,455

100.0%

4.8%

1.4%

93.8%

356

17

5

334

100.0%

6.3%

1.9%

91.8%

364

23

7

334

Table 15C.1: Number and Percent Distribution of Medicaid Births by Medicaid Delivery System and Length of Coverage (LOC)

Length of Coverage


Medicaid SSI

2009

Births %

2010

Births %

Alien

2009

Births %

2010

Births %


2009

Births %

2010

Births %

Total

2009

Births %

2010

Births %

Total

FFS

MediPass

HMO

Total

HighExposure

FFS

MediPass

HMO

Total

LowExposure

FFS

MediPass

HMO

Total

100.0%

46.9%

22.3%

30.9%

2,265

1,062

504

699

100.0%

44.3%

22.1%

33.6%

2,194

972

485

737

100.0%

100.0%

15,187

15,187

100.0%

100.0%

14,668

14,668

100.0%

16.5%

4.0%

79.5%

2,755

455

110

2,190

100.0%

16.6%

3.6%

79.8%

2,542

421

92

2,029

100.0%

13.7%

4.6%

81.6%

124,096

17,006

5,766

101,324

100.0%

13.9%

5.0%

81.1%

123,736

17,204

6,182

100,350

100.0%

45.5%

22.0%

32.4%

2,029

924

447

658

100.0%

42.8%

22.6%

34.6%

2,040

874

461

705

100.0%

100.0%

5

5

100.0%

100.0%

12

12

100.0%

45.5%

9.0%

45.5%

677

308

61

308

100.0%

45.6%

10.9%

43.5%

653

298

71

284

100.0%

16.3%

5.1%

78.6%

75,352

12,294

3,849

59,209

100.0%

16.4%

6.3%

77.3%

78,402

12,844

4,968

60,590

100.0%

58.5%

24.2%

17.4%

236

138

57

41

100.0%

63.6%

15.6%

20.8%

154

98

24

32

100.0%

100.0%

15,182

15,182

100.0%

100.0%

14,656

14,656

100.0%

7.1%

2.4%

90.6%

2,078

147

49

1,882

100.0%

6.5%

1.1%

92.4%

1,889

123

21

1,745

100.0%

9.7%

3.9%

86.4%

48,744

4,712

1,917

42,115

100.0%

9.6%

2.7%

87.7%

45,334

4,360

1,214

39,760


Indicator 16: Births with Low Birth Weight in Florida

Notes: Low birth weight newborns are infants weighing less than 2500 grams. *Temporarily Eligible means Medicaid beneficiaries who were presumptively eligible but later determined to be financially ineligible. % (% Total) is the percent of the Indicator's births for each Medicaid Status/Subgroup (numerator) from the total births for that Medicaid Status/Subgroup (denominator - Table 15A). Results are suppressed for individual cells where the case count is under 5, but are included in all table totals and corresponding charts (see Appendix 1 - Methodology, Data Suppression, pg 123).


2006

# %

2007

# %

2008

# %

2009

# %

2010

# %

NonMedicaid

Non-Medicaid


Total

Medicaid

SOBRA

Non SOBRA

CMS High Risk OB

Medically Needy

Medicaid SSI

Alien


Total

Grand Total

7.4%

5.6%

7.5%

8,493

331

8,162

7.5%

5.7%

7.6%

8,802

397

8,405

7.4%

5.6%

7.5%

8,034

289

7,745

7.4%

5.6%

7.5%

7,097

181

6,916

7.1%

5.5%

7.2%

6,346

146

6,200

10.0%

17.8%

5.3%

14.0%

11.5%

26.9%

9.7%

8.2%

12,140

517

903

318

63

2,660

2,013

5,666

9.9%

15.9%

5.0%

14.8%

11.8%

27.3%

10.1%

8.3%

12,163

503

850

346

69

2,605

1,927

5,863

10.0%

15.1%

5.4%

14.1%

12.6%

27.5%

10.5%

8.1%

12,242

464

854

313

69

2,747

1,801

5,994

9.6%

16.3%

5.3%

14.0%

10.0%

26.0%

10.4%

8.0%

11,946

449

799

316

49

2,443

1,779

6,111

9.7%

16.2%

5.4%

14.7%

11.1%

25.3%

10.1%

8.2%

12,051

412

791

322

58

2,406

1,630

6,432

8.7%20,633 8.7%20,965 8.8%20,276 8.7%19,043 8.7%18,397

Table 16A: Number and Percent Births with Low Birth Weight of All Births by Medicaid Status/Subgroup


0.0%

2.0%

4.0%

6.0%

8.0%

10.0%

Figure 16Aa: Percent Births with Low Birth Weight of AllBirths by Medicaid Status: Five-Year Trends

Year ofBirth2006

2007

2008

2009

2010


MedicallyNeedy

Medicaid SSI AlienMcaid < 8Days or No

PNC

0.0%

5.0%

10.0%

15.0%

20.0%

25.0%

Figure 16Ab: Percent Births with Low Birth Weight of All Birthsby Medicaid Subgroup: Five-Year Trends


Notes: Low birth weight newborns are infants weighing less than 2500 grams. % Subgroup is the percent of each Race/Ethnicity Category (numerator) for all Race/Ethnicity Categories from that Medicaid Subgroup (denominator). Results are suppressed for individual cells where the case count is under 5, but are included in all table totals and corresponding charts (see Appendix 1 - Methodology, Data Suppression, pg 123).



2010

Caucasian

# %

African-American

# %

Hispanic

# %

Asian

# %

Native-American

# %

Other

# %

NonMedicaid

Non-Medicaid


Total

Medicaid

SOBRA

Non SOBRA

CMS High Risk OB

Medically Needy

Medicaid SSI

Alien


Total

Grand Total

49.7%

14.4%

50.5%

3,152

21

3,131

17.1%

11.6%

17.3%

1,087

17

1,070

24.9%

61.0%

24.0%

1,577

89

1,488

6.0%

10.3%

5.9%

381

15

366

0.2%

0.2%

10

10

2.2%

2.7%

2.2%

139

4

135

29.5%

39.3%

5.6%

23.6%

37.9%

23.0%

25.6%

35.5%

3,560

162

44

76

22

553

418

2,285

37.6%

37.6%

7.6%

61.8%

24.1%

39.9%

53.6%

35.3%

4,532

155

60

199

14

960

874

2,270

29.8%

19.4%

79.0%

12.7%

31.0%

34.7%

19.0%

26.2%

3,592

80

625

41

18

834

310

1,684

1.4%

1.0%

4.9%

0.0%

5.2%

1.6%

0.2%

1.2%

163

4

39

0

3

38

3

76

0.1%

0.0%

0.0%

0.3%

0.0%

0.1%

0.1%

11

0

0

1

1

1

8

1.6%

2.7%

2.9%

1.6%

1.7%

0.8%

1.5%

1.7%

193

11

23

5

1

20

24

109

36.5%6,712 30.5%5,619 28.1%5,169 3.0%544 0.1%21 1.8%332

Table 16B.1: Number and Percent Distribution of Births with Low Birth Weight by Race/Ethnicity and Medicaid Status/Subgroup



Notes: Low birth weight newborns are infants weighing less than 2500 grams. The denominator for Percent (%) is the total number of births for that Medicaid Subgroup from Table 15A. High percentages in certain Race/Ethnicity subgroups are due to very small denominators. Results are suppressed for individual cells where the case count is under 5, but are included in all table totals and corresponding charts (see Appendix 1 - Methodology, Data Suppression, pg 123).


2010

Caucasian

%

African-American

%

Hispanic

%

Asian

%

Native-American

%

Other

%

NonMedicaid

Non-Medicaid


Total

Medicaid

SOBRA

Non SOBRA

CMS High Risk OB

Medically Needy

Medicaid SSI

Alien


Total

Grand Total

6.1%

6.3%

6.1%

12.3%

5.5%

12.5%

7.1%

5.0%

7.3%

9.1%

12.7%

9.0%

6.6%

6.6%

7.6%

5.3%

7.7%

8.2%

14.5%

6.1%

12.6%

10.2%

29.6%

8.4%

6.8%

14.6%

21.1%

8.7%

16.8%

13.1%

33.0%

12.5%

12.3%

7.9%

13.3%

5.0%

11.5%

10.7%

18.7%

8.0%

7.2%

8.8%

10.5%

7.6%

0.0%

23.1%

24.4%

3.2%

7.4%

9.9%

0.0%

0.0%

100.0%

14.3%

4.8%

10.3%

9.7%

23.4%

8.6%

13.2%

5.9%

20.8%

10.5%

8.4%

7.1% 14.1% 7.7% 9.0% 8.0% 8.7%

Table 16B.2: Percent Births with Low Birth Weight of All Births by Race/Ethnicity and Medicaid Status/Subgroup

2010


0.0%

5.0%

10.0%

15.0%

Figure 16B.2a: Percent Births with Low Birth Weightof All Births by Race/Ethnicity and Medicaid Status

Race/Ethnicity

Caucasian

African-American

Hispanic

Asian

Native-American

Other

2010


MedicallyNeedy


PNC

0.0%

20.0%

40.0%

60.0%

80.0%

100.0%

Figure 16B.2b: Percent Births with Low Birth Weight of All Birthsby Race/Ethnicity and Medicaid Subgroup



Notes: Low birth weight newborns are infants weighing less than 2500 grams. High exposure means mother had coverage in Medicaid for 180 days or more duri ng pregnancy. Low exposure means mother had coverage in Medicaid for less than 180 days during pregnancy. % (% Medicaid Delivery System) is the percent of each Medicaid Delivery System (numerator) from the total for that LOC category (denominator). Results are suppressed for individual cells where the case count is under 5, but are included in all table totals and corresponding charts (see Appendix 1 - Methodology, Data Suppression, pg 123).

Length of Coverage MedicaidDelivery System

SOBRA

2009

# %

2010

# %

Non-SOBRA

2009

# %

2010

# %

CMS High Risk OB

2009

# %

2010

# %

Medically Needy

2009

# %

2010

# %

Total

FFS

MediPass

HMO

Total

High Exposure

FFS

MediPass

HMO

Total

Low Exposure

FFS

MediPass

HMO

Total

100.0%

6.6%

2.3%

91.1%

6,111

402

139

5,570

100.0%

8.5%

3.5%

88.0%

6,432

545

226

5,661

100.0%

51.1%

13.0%

35.9%

1,779

909

231

639

100.0%

48.5%

15.9%

35.6%

1,630

790

259

581

100.0%

11.2%

4.2%

84.6%

2,443

273

103

2,067

100.0%

11.7%

4.2%

84.1%

2,406

282

100

2,024

100.0%

10.2%

2.0%

87.8%

49

5

1

43

100.0%

15.5%

3.4%

81.0%

58

9

2

47

100.0%

6.9%

2.1%

91.0%

3,807

263

79

3,465

100.0%

9.8%

4.1%

86.2%

4,206

411

171

3,624

100.0%

58.1%

13.1%

28.9%

1,216

706

159

351

100.0%

52.5%

17.9%

29.6%

1,178

618

211

349

100.0%

16.2%

6.3%

77.5%

1,154

187

73

894

100.0%

18.0%

6.7%

75.4%

1,201

216

80

905

100.0%

16.7%

8.3%

75.0%

12

2

1

9

100.0%

36.4%

18.2%

45.5%

11

4

2

5

100.0%

6.0%

2.6%

91.4%

2,304

139

60

2,105

100.0%

6.0%

2.5%

91.5%

2,226

134

55

2,037

100.0%

36.1%

12.8%

51.2%

563

203

72

288

100.0%

38.1%

10.6%

51.3%

452

172

48

232

100.0%

6.7%

2.3%

91.0%

1,289

86

30

1,173

100.0%

5.5%

1.7%

92.9%

1,205

66

20

1,119

100.0%

8.1%

0.0%

91.9%

37

3

0

34

100.0%

10.6%

0.0%

89.4%

47

5

0

42

Table 16C.1: Number and Percent Distribution of Births with Low Birth Weight by Medicaid Delivery System and Length of Coverage (LOC)

Length of Coverage MedicaidDelivery System

Medicaid SSI

2009

# %

2010

# %

Alien

2009

# %

2010

# %


2009

# %

2010

# %

Total

2009

# %

2010

# %

Total

FFS

MediPass

HMO

Total

High Exposure

FFS

MediPass

HMO

Total

Low Exposure

FFS

MediPass

HMO

Total

100.0%

40.8%

19.0%

40.2%

316

129

60

127

100.0%

43.8%

20.2%

36.0%

322

141

65

116

100.0%

100.0%

799

799

100.0%

100.0%

791

791

100.0%

18.7%

3.6%

77.7%

449

84

16

349

100.0%

18.7%

7.0%

74.3%

412

77

29

306

100.0%

15.1%

4.6%

80.3%

11,946

1,802

550

9,594

100.0%

15.3%

5.7%

79.0%

12,051

1,844

681

9,526

100.0%

40.1%

18.8%

41.1%

282

113

53

116

100.0%

43.0%

20.7%

36.3%

300

129

62

109

0

0

100.0%

100.0%

1

1

100.0%

53.1%

7.3%

39.6%

96

51

7

38

100.0%

50.0%

20.0%

30.0%

110

55

22

33

100.0%

20.1%

5.7%

74.2%

6,567

1,322

372

4,873

100.0%

20.5%

7.8%

71.7%

7,007

1,433

548

5,026

100.0%

47.1%

20.6%

32.4%

34

16

7

11

100.0%

54.5%

13.6%

31.8%

22

12

3

7

100.0%

100.0%

799

799

100.0%

100.0%

790

790

100.0%

9.3%

2.5%

88.1%

353

33

9

311

100.0%

7.3%

2.3%

90.4%

302

22

7

273

100.0%

8.9%

3.3%

87.8%

5,379

480

178

4,721

100.0%

8.1%

2.6%

89.2%

5,044

411

133

4,500


Notes: Low birth weight newborns are infants weighing less than 2500 grams. High exposure means mother had coverage in Medicaid for 180 days or more during pregnancy. Low exposure means mother had coverage in Medicaid for less than 180 days during pregnancy. % (% Total) is the percent of the Indicator's bir ths for each Medicaid Delivery System(numerator - the Indicator’s C.1 Table) from the total births for that Medicaid Delivery System and Subgroup (denominator - Table 15C.1) . Results are suppressed for individual cells where the case count is under 5, but are included in all table totals and corresponding charts (see Appendix 1 - Methodology, Data Suppression, pg 123).



Length of Coverage

Medicaid DeliverySystem

SOBRA

2009

%

2010

%

Non-SOBRA

2009

%

2010

%

CMS High Risk OB

2009

%

2010

%

Medically Needy

2009

%

2010

%

Medicaid SSI

2009

%

2010

%

Alien

2009

%

2010

%


2009

%

2010

%

Total

2009

%

2010

%

Total

FFS

MediPass

HMO

Total

High Exposure

FFS

MediPass

HMO

Total

Low Exposure

FFS

MediPass

HMO

Total

8.0%

7.5%

7.3%

8.0%

8.2%

8.3%

9.6%

8.2%

10.4%

10.1%

8.0%

12.2%

10.1%

9.8%

9.0%

11.1%

26.0%

26.5%

29.8%

25.8%

25.3%

27.0%

28.4%

25.0%

10.0%

7.9%

3.7%

10.8%

11.1%

11.1%

6.5%

11.5%

14.0%

12.1%

11.9%

18.2%

14.7%

14.5%

13.4%

15.7%

5.3%

5.3%

5.4%

5.4%

16.3%

18.5%

14.5%

15.9%

16.2%

18.3%

31.5%

15.1%

9.6%

10.6%

9.5%

9.5%

9.7%

10.7%

11.0%

9.5%

6.8%

7.6%

6.9%

6.7%

7.1%

8.7%

9.5%

6.9%

10.4%

10.3%

8.3%

12.0%

10.1%

10.1%

9.1%

10.9%

25.3%

27.1%

29.3%

24.7%

25.5%

28.0%

27.6%

24.8%

9.0%

4.3%

4.5%

13.6%

7.0%

6.9%

8.3%

6.7%

13.9%

12.2%

11.9%

17.6%

14.7%

14.8%

13.4%

15.5%

0.0%

0.0%

8.3%

8.3%

14.2%

16.6%

11.5%

12.3%

16.8%

18.5%

31.0%

11.6%

8.7%

10.8%

9.7%

8.2%

8.9%

11.2%

11.0%

8.3%

11.2%

7.3%

7.9%

11.7%

11.7%

7.2%

9.8%

12.3%

10.4%

9.4%

7.6%

12.5%

10.0%

8.7%

8.9%

11.5%

26.6%

25.2%

30.9%

26.6%

25.2%

24.3%

32.3%

25.1%

10.4%

17.6%

0.0%

10.2%

12.9%

21.7%

0.0%

12.6%

14.4%

11.6%

12.3%

26.8%

14.3%

12.2%

12.5%

21.9%

5.3%

5.3%

5.4%

5.4%

17.0%

22.4%

18.4%

16.5%

16.0%

17.9%

33.3%

15.6%

11.0%

10.2%

9.3%

11.2%

11.1%

9.4%

11.0%

11.3%

Table 16C.2: Percent Medicaid Births with Low Birth Weight of Medicaid Births by Medicaid Delivery System and Length of Coverage (LOC)

HMO Plan Name

2009

# Births %

2010

# Births %


14.3%11.5%13.4%12.0%8.8%

11.4%10.4%13.1%14.6%11.4%9.6%

9324591697

1,929204105424

2,321233281

1,581

735

10513

231181244

3043432

152

5.9%12.4%11.3%11.9%11.1%14.1%12.1%14.7%11.0%13.2%13.0%11.8%

119595971329

2,01317099

4362,097

448315

1,609

774

11039

223241264

2315941

190

Table 16D: Number and Percent of Births with Low Birth Weight for Women Enrolled in Medicaid in the Same HMO >= 180 Daysor >= Two-Thirds of the Pregnancy


Indicator 17: Births with Very Low Birth Weight in Florida

Notes: Very Low birth weight newborns are infants weighing less than 1500 grams. *Temporarily Eligible means Medicaid beneficiaries who were presumptively eligible but later determined to be financially ineligible. % (% Total) is the percent of the Indicator's births for each Medicaid Status/Subgroup (numerator) from the total births for that Medicaid Status/Subgroup (denominator - Table 15A). Results are suppressed for individual cells where the case count is under 5, but are included in all table totals and corresponding charts (see Appendix 1 - Methodology, Data Suppression, pg 123).


2006

# %

2007

# %

2008

# %

2009

# %

2010

# %

NonMedicaid

Non-Medicaid


Total

Medicaid

SOBRA

Non SOBRA

CMS High Risk OB

Medically Needy

Medicaid SSI

Alien


Total

Grand Total

1.3%

0.6%

1.3%

1,502

34

1,468

1.4%

0.9%

1.4%

1,630

63

1,567

1.4%

0.9%

1.5%

1,549

47

1,502

1.4%

0.8%

1.4%

1,319

26

1,293

1.3%

1.0%

1.3%

1,166

27

1,139

1.9%

5.5%

0.7%

2.2%

4.0%

8.1%

1.5%

1.2%

2,291

159

118

51

22

797

313

831

1.9%

5.1%

0.8%

2.2%

2.6%

8.0%

1.4%

1.3%

2,318

160

134

51

15

761

267

930

1.9%

5.2%

0.8%

2.2%

3.1%

8.1%

1.6%

1.2%

2,296

161

130

49

17

813

271

855

1.8%

5.1%

0.8%

2.0%

2.7%

7.1%

1.7%

1.2%

2,194

140

122

45

13

664

285

925

1.9%

5.7%

0.9%

2.1%

2.7%

7.5%

1.6%

1.3%

2,294

144

128

47

14

713

257

991

1.6%3,793 1.6%3,948 1.7%3,845 1.6%3,513 1.6%3,460

Table 17A: Number and Percent Births with Very Low Birth Weight of All Births by Medicaid Status/Subgroup


0.0%

0.5%

1.0%

1.5%

Figure 17Aa: Percent Births with Very Low Birth Weightof All Births by Medicaid Status: Five-Year Trends

Year ofBirth2006

2007

2008

2009

2010


MedicallyNeedy


PNC

0.0%

2.0%

4.0%

6.0%

8.0%

Figure 17Ab: Percent Births Very Low Birth Weight of All Birthsby Medicaid Subgroup: Five-Year Trends


Notes: Very Low birth weight newborns are infants weighing less than 1500 grams. % (% Race/Ethnicity) is the percent of each Race/Ethnicity Category (numerator) for all Race/Ethnicity Categories from that Medicaid Subgroup (denominator). Results are suppressed for individual cells where the case count is under 5, but are included in all table totals and corresponding charts (see Appendix 1 - Methodology, Data Suppression, pg 123).



2010

Caucasian

# %

African-American

# %

Hispanic

# %

Asian

# %

Native-American

# %

Other

# %

NonMedicaid

Non-Medicaid


Total

Medicaid

SOBRA

Non SOBRA

CMS High Risk OB

Medically Needy

Medicaid SSI

Alien


Total

Grand Total

44.5%

14.8%

45.2%

519

4

515

22.2%

22.2%

22.2%

259

6

253

26.8%

48.1%

26.3%

313

13

300

3.9%

7.4%

3.8%

45

2

43

0.3%

0.3%

3

3

2.3%

7.4%

2.2%

27

2

25

26.7%

38.9%

8.6%

25.5%

42.9%

23.7%

20.6%

30.8%

612

56

11

12

6

169

53

305

40.9%

39.6%

9.4%

59.6%

14.3%

41.9%

60.7%

38.7%

938

57

12

28

2

299

156

384

30.3%

19.4%

80.5%

12.8%

42.9%

31.7%

17.9%

28.3%

695

28

103

6

6

226

46

280

0.8%

0.7%

1.6%

0.0%

0.0%

1.4%

0.0%

0.5%

18

1

2

0

0

10

0

5

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

0.1%

1

0

0

0

0

0

1

1.3%

1.4%

0.0%

2.1%

0.0%

1.3%

0.8%

1.6%

30

2

0

1

0

9

2

16

32.7%1,131 34.6%1,197 29.1%1,008 1.8%63 0.1%4 1.6%57

Table 17B.1: Number and Percent Distribution of Births with Very Low Birth Weight by Race/Ethnicity and Medicaid Status/Subgroup



Notes: Very Low birth weight newborns are infants weighing less than 1500 grams. % (% Race/Ethnicity) is the percent of the Indicator's births for each Race/Ethnicity Category (numerator) from the total births for that Race/Ethnicity Category within each Medicaid Status/Subgroup (denominator - Table 15B). Results are suppressed for individual cells where the case count is under 5, but are included in all table totals and corresponding charts (see Appendix 1 - Methodology, Data Suppression, pg 123).


2010

Caucasian

%

African-American

%

Hispanic

%

Asian

%

Native-American

%

Other

%

NonMedicaid

Non-Medicaid


Total

Medicaid

SOBRA

Non SOBRA

CMS High Risk OB

Medically Needy

Medicaid SSI

Alien


Total

Grand Total

1.0%

1.2%

1.0%

2.9%

1.9%

3.0%

1.4%

0.7%

1.5%

1.1%

1.7%

1.1%

2.0%

2.0%

1.5%

2.6%

1.4%

1.4%

5.0%

1.5%

2.0%

2.8%

9.1%

1.1%

0.9%

3.0%

7.8%

1.7%

2.4%

1.9%

10.3%

2.2%

2.1%

1.5%

4.6%

0.8%

1.7%

3.6%

5.1%

1.2%

1.2%

1.0%

2.6%

0.4%

0.0%

0.0%

6.4%

0.0%

0.5%

0.9%

0.0%

0.0%

0.0%

0.0%

0.0%

1.3%

1.5%

4.3%

0.0%

2.6%

0.0%

9.4%

0.9%

1.2%

1.2% 3.0% 1.5% 1.0% 1.5% 1.5%

Table 17B.2: Percent Births with Very Low Birth Weight of All Births by Race/Ethnicity and Medicaid Status/Subgroup

2010


0.0%

1.0%

2.0%

3.0%

Figure 17B.2a: Percent Births with Very Low Birth Weightof All Births by Race/Ethnicity and Medicaid Status

Race/Ethnicity

Caucasian

African-American

Hispanic

Asian

Native-American

Other

2010


MedicallyNeedy


PNC

0.0%

2.0%

4.0%

6.0%

8.0%

10.0%

Figure 17B.2b: Percent Births with Very Low Birth Weight of All Birthsby Race/Ethnicity and Medicaid Subgroup



Notes: Very Low birth weight newborns are infants weighing less than 1500 grams. High exposure means mother had coverage in Medicaid for 180 days or more during pregnancy. Low exposure means mother had coverage in Medicaid for less than 180 days during pregnancy. % (% Medicaid Delivery System) is the percent of each Medicaid Delivery System (numerator) from the total for that LOC category (denominator). Results are suppressed for individual cells where the case count is under 5, but are included in all table totals and corresponding charts (see Appendix 1 - Methodology, Data Suppression, pg 123).

Length of Coverage


SOBRA

2009

# %

2010

# %

Non-SOBRA

2009

# %

2010

# %

CMS High Risk OB

2009

# %

2010

# %

Medically Needy

2009

# %

2010

# %

Total

FFS

MediPass

HMO

Total

High Exposure

FFS

MediPass

HMO

Total

Low Exposure

FFS

MediPass

HMO

Total

100.0%

5.2%

2.2%

92.6%

925

48

20

857

100.0%

7.5%

3.0%

89.5%

991

74

30

887

100.0%

50.9%

12.3%

36.8%

285

145

35

105

100.0%

53.3%

14.4%

32.3%

257

137

37

83

100.0%

9.9%

3.6%

86.4%

664

66

24

574

100.0%

11.2%

3.6%

85.1%

713

80

26

607

100.0%

23.1%

0.0%

76.9%

13

3

0

10

100.0%

7.1%

0.0%

92.9%

14

1

0

13

100.0%

9.9%

1.8%

88.3%

334

33

6

295

100.0%

12.8%

5.9%

81.3%

358

46

21

291

100.0%

65.4%

12.2%

22.4%

156

102

19

35

100.0%

62.3%

16.8%

21.0%

167

104

28

35

100.0%

18.1%

5.7%

76.2%

227

41

13

173

100.0%

22.7%

6.0%

71.3%

282

64

17

201

100.0%

100.0%

0.0%

0.0%

1

1

0

0

0

0

0

0

100.0%

2.5%

2.4%

95.1%

591

15

14

562

100.0%

4.4%

1.4%

94.2%

633

28

9

596

100.0%

33.3%

12.4%

54.3%

129

43

16

70

100.0%

36.7%

10.0%

53.3%

90

33

9

48

100.0%

5.7%

2.5%

91.8%

437

25

11

401

100.0%

3.7%

2.1%

94.2%

431

16

9

406

100.0%

16.7%

0.0%

83.3%

12

2

0

10

100.0%

7.1%

0.0%

92.9%

14

1

0

13

Table 17C.1: Number and Percent Distribution of Births with Very Low Birth Weight by Medicaid Delivery System and Length of Coverage (LOC)

Length of Coverage


Medicaid SSI

2009

# %

2010

# %

Alien

2009

# %

2010

# %


2009

# %

2010

# %

Total

2009

# %

2010

# %

Total

FFS

MediPass

HMO

Total

High Exposure

FFS

MediPass

HMO

Total

Low Exposure

FFS

MediPass

HMO

Total

100.0%

37.8%

31.1%

31.1%

45

17

14

14

100.0%

34.0%

21.3%

44.7%

47

16

10

21

100.0%

100.0%

122

122

100.0%

100.0%

128

128

100.0%

18.6%

4.3%

77.1%

140

26

6

108

100.0%

18.1%

5.6%

76.4%

144

26

8

110

100.0%

13.9%

4.5%

81.6%

2,194

305

99

1,790

100.0%

14.6%

4.8%

80.6%

2,294

334

111

1,849

100.0%

40.6%

37.5%

21.9%

32

13

12

7

100.0%

36.8%

23.7%

39.5%

38

14

9

15

0

0

0

0

100.0%

84.2%

0.0%

15.8%

19

16

0

3

100.0%

60.0%

16.0%

24.0%

25

15

4

6

100.0%

26.8%

6.5%

66.7%

769

206

50

513

100.0%

27.9%

9.1%

63.0%

870

243

79

548

100.0%

30.8%

15.4%

53.8%

13

4

2

7

100.0%

22.2%

11.1%

66.7%

9

2

1

6

100.0%

100.0%

122

122

100.0%

100.0%

128

128

100.0%

8.3%

5.0%

86.8%

121

10

6

105

100.0%

9.2%

3.4%

87.4%

119

11

4

104

100.0%

6.9%

3.4%

89.6%

1,425

99

49

1,277

100.0%

6.4%

2.2%

91.4%

1,424

91

32

1,301



Notes: Very Low birth weight newborns are infants weighing less than 1500 grams. High exposure means mother had coverage in Medicaid for 180 days or more during pregnancy. Low exposure means mother had coverage in Medicaid for less than 180 days during pregnancy. % (% Total) is the percent of the Indicator's births for each Medicaid Delivery System (numerator - the Indicator’s C.1 Table) from the total births for that Medicaid Delivery System and Subgroup (denominator - Table 15C.1) . Results are suppressed for individual cells where the case count is under 5, but are included in all table totals and corresponding charts (see Appendix 1 - Methodology, Data Suppression, pg 123).


HMO Plan Name

2009

# Births %

2010

# Births %Amerigroup FloridaBuena VistaCitrus Health CareHealthease of Florida, Inc.HumanaJMH Health PlanPreferred MedicalStaywell Health PlanTotal Health Choice,Inc.United Health Care PlansUniversal Health Care, Inc.Vista Health Plan of South Florida 1.1%

4.9%1.2%1.0%2.1%1.5%2.9%3.1%

2.1%3.0%1.4%1.5%

9324591697

1,929204105424

2,321233281

1,581

112111

4133

13

4974

24

0.0%1.8%2.2%3.6%2.2%1.8%1.0%2.8%

1.9%2.9%2.5%2.0%

119595971329

2,01317099

436

2,097448315

1,609

01121124531

12

40138

32

Table 17D: Number and Percent Births with Very Low Birth Weight for Women Enrolled in Medicaid in the Same HMO >= 180Days or >= Two-Thirds of the Pregnancy

Length of Coverage


SOBRA

2009

%

2010

%

Non-SOBRA

2009

%

2010

%

CMS High Risk OB

2009

%

2010

%

Medically Needy

2009

%

2010

%

Medicaid SSI

2009

%

2010

%

Alien

2009

%

2010

%


2009

%

2010

%

Total

2009

%

2010

%

Total

FFSMediPassHMOTotal

High Exposure

FFSMediPassHMOTotal

Low Exposure

FFSMediPassHMOTotal

1.2%0.9%

1.0%1.2%

1.3%1.1%

1.3%1.3%

1.7%1.6%

1.2%2.0%

1.6%1.7%

1.3%1.6%

7.1%6.4%

6.9%7.2%

7.5%7.7%

7.4%7.5%

2.7%4.8%

0.0%2.5%

2.7%1.2%

0.0%3.2%

2.0%1.6%

2.8%2.0%

2.1%1.6%

2.1%2.8%

0.8%

0.8%

0.9%

0.9%

5.1%5.7%

5.5%4.9%

5.7%6.2%

8.7%5.4%

1.8%1.8%

1.7%1.8%

1.9%1.9%

1.8%1.8%

0.6%

1.0%0.5%

0.6%

0.6%

1.0%1.2%

0.6%

1.3%

1.5%1.0%

1.2%

1.4%

1.7%1.2%

1.1%

5.0%

5.9%5.2%

4.8%

6.0%

8.3%5.9%

5.5%

0.7%

2.2%0.0%

0.0%

0.0%

0.0%0.0%

0.0%

1.6%

1.4%2.7%

1.1%

1.9%

1.6%2.0%

2.1%

0.0%

0.0%

0.0%

0.0%

2.8%

5.2%0.0%

1.0%

3.8%

5.0%5.6%

2.1%

1.0%

1.7%1.3%

0.9%

1.1%

1.9%1.6%

0.9%

2.9%0.8%

1.8%3.1%

3.3%1.5%

1.6%3.6%

2.4%2.0%

1.7%3.0%

2.0%1.7%

1.7%2.4%

9.0%7.3%

11.3%9.1%

9.0%5.9%

14.5%9.1%

3.4%11.8%

0.0%3.0%

3.8%4.3%

0.0%3.9%

5.5%2.9%

3.5%17.1%

5.8%2.0%

4.2%18.8%

0.8%

0.8%

0.9%

0.9%

5.8%6.8%

12.2%5.6%

6.3%8.9%

19.0%6.0%

2.9%2.1%

2.6%3.0%

3.1%2.1%

2.6%3.3%

Table 17C.2: Percent Medicaid Births with Very Low Birth Weight of Medicaid Births by Medicaid Delivery System and Length of Coverage (LOC)


Indicator 18: Term Births with Low Birth Weight in Florida

Notes: Term low birth weight newborns are born on or after 37 weeks of gestation according to the clinical estimate of gestation as reported on the birth certificate and weighing less than 2500 grams. *Temporarily Eligible means Medicaid beneficiaries who were presumptively eligible but later determined to be financially ineligible. % (% Total) is the percent of the Indicator's births for each Medicaid Status/Subgroup (numerator) from the total births for that Medicaid Status/Subgroup (denominator - Table 15A). Results are suppressed for individual cells where the case count is under 5, but are included in all table totals and corresponding charts (see Appendix 1 - Methodology, Data Suppression, pg 123).


2006

# %

2007

# %

2008

# %

2009

# %

2010

# %

NonMedicaid

Non-Medicaid


Total

Medicaid

SOBRA

Non SOBRA

CMS High Risk OB

Medically Needy

Medicaid SSI

Alien


Total

Grand Total

2.0%

2.2%

2.0%

2,340

127

2,213

2.0%

2.1%

2.0%

2,340

146

2,194

1.9%

1.8%

1.9%

2,051

94

1,957

2.1%

2.2%

2.1%

1,972

71

1,901

2.0%

2.4%

1.9%

1,733

62

1,671

3.0%

4.3%

2.1%

5.0%

2.9%

4.4%

3.3%

2.9%

3,679

124

360

114

16

431

673

1,961

2.9%

3.5%

1.9%

4.8%

2.7%

4.4%

3.3%

2.7%

3,551

112

314

112

16

422

632

1,943

2.8%

3.3%

1.8%

4.8%

2.9%

4.4%

3.4%

2.7%

3,488

101

286

107

16

438

578

1,962

2.9%

3.2%

1.8%

5.7%

2.7%

4.4%

3.3%

2.8%

3,645

89

274

130

13

411

567

2,161

3.0%

3.3%

1.9%

5.3%

1.9%

4.4%

3.3%

2.9%

3,697

83

282

117

10

418

529

2,258

2.5%6,019 2.5%5,891 2.4%5,539 2.6%5,617 2.6%5,430

Table 18A: Number and Percent Term Births with Low Birth Weight of All Births by Medicaid Status/Subgroup


0.0%

0.5%

1.0%

1.5%

2.0%

2.5%

3.0%

Figure 18Aa: Percent Term Births with Low Birth Weightof All Births by Medicaid Status: Five-Year Trends

Year ofBirth2006

2007

2008

2009

2010


MedicallyNeedy


PNC

0.0%

1.0%

2.0%

3.0%

4.0%

5.0%

6.0%

Figure 18Ab: Percent Term Births with Low Birth Weight of All Births by Medicaid Subgroup: Five-Year Trends


Notes: Term low birth weight newborns are born on or after 37 weeks of gestation according to the clinical estimate of gestation as reported on the birth certificate and weighing less than 2500 grams. % (% Race/Ethnicity) is the percent of each Race/Ethnicity Category (numerator) for all Race/Ethnicity Categories from that Medicaid Subgroup (denominator). Results are suppressed for individual cells where the case count is under 5, but are included in all table totals and corresponding charts (see Appendix 1 - Methodology, Data Suppression, pg 123).



2010

Caucasian

# %

African-American

# %

Hispanic

# %

Asian

# %

Native-American

# %

Other

# %

NonMedicaid

Non-Medicaid


Total

Medicaid

SOBRA

Non SOBRA

CMS High Risk OB

Medically Needy

Medicaid SSI

Alien


Total

Grand Total

45.6%

11.3%

46.9%

791

7

784

16.3%

8.1%

16.6%

282

5

277

26.7%

66.1%

25.2%

462

41

421

8.9%

14.5%

8.7%

154

9

145

0.0%

0.0%

0

0

2.5%

0.0%

2.6%

44

0

44

29.4%

43.4%

3.9%

27.4%

20.0%

21.1%

23.1%

35.2%

1,086

36

11

32

2

88

122

795

38.6%

34.9%

7.8%

59.8%

60.0%

37.1%

57.8%

37.1%

1,426

29

22

70

6

155

306

838

28.3%

18.1%

75.5%

12.8%

20.0%

39.5%

18.3%

24.0%

1,048

15

213

15

2

165

97

541

1.9%

1.2%

8.2%

0.0%

0.0%

1.4%

0.0%

1.8%

71

1

23

0

0

6

0

41

0.1%

0.0%

0.0%

0.0%

0.0%

0.0%

0.1%

2

0

0

0

0

0

2

1.7%

2.4%

4.6%

0.0%

0.0%

1.0%

0.8%

1.8%

64

2

13

0

0

4

4

41

34.6%1,877 31.5%1,708 27.8%1,510 4.1%225 0.0%2 2.0%108

Table 18B.1: Number and Percent Distribution of Term Births with Low Birth Weight by Race/Ethnicity and Medicaid Status/Subgroup



Notes: Term low birth weight newborns are born on or after 37 weeks of gestation according to the clinical estimate of gestation as reported on the birth certificate and weighing less than 2500 grams. % (% Race/Ethnicity) is the percent of the Indicator's births for each Race/Ethnicity Category (numerator) from the total births for that Race/Ethnicity Category within each Medicaid Status/Subgroup (denominator - Table 15B). High percentages in certain Race/Ethnicity subgroups are due to very small denominators. Results are suppressed for individual cells where the case count is under 5, but are included in all table totals and corresponding charts (see Appendix 1 - Methodology, Data Suppression, pg 123).


2010

Caucasian

%

African-American

%

Hispanic

%

Asian

%

Native-American

%

Other

%

NonMedicaid

Non-Medicaid


Total

Medicaid

SOBRA

Non SOBRA

CMS High Risk OB

Medically Needy

Medicaid SSI

Alien


Total

Grand Total

1.5%

2.1%

1.5%

3.2%

1.6%

3.2%

2.1%

2.3%

2.1%

3.7%

7.6%

3.6%

0.0%

0.0%

2.4%

0.0%

2.5%

2.5%

3.2%

1.5%

5.3%

0.9%

4.7%

2.5%

2.4%

4.6%

4.0%

3.2%

5.9%

5.6%

5.3%

4.4%

4.5%

2.3%

2.5%

1.7%

4.2%

1.2%

3.7%

2.5%

2.3%

3.8%

2.6%

4.5%

0.0%

0.0%

3.8%

0.0%

4.0%

1.8%

0.0%

0.0%

0.0%

0.0%

0.0%

2.6%

3.2%

4.3%

4.9%

0.0%

0.0%

4.2%

1.8%

3.2%

2.0% 4.3% 2.2% 3.7% 0.8% 2.8%

Table 18B.2: Percent Term Births with Low Birth Weight of All Births by Race/Ethnicity and Medicaid Status/Subgroup

2010


0.0%

1.0%

2.0%

3.0%

4.0%

Figure 18B.2a: Percent Term Birthswith Low Birth Weight of All Births


Race/Ethnicity

Caucasian

African-American

Hispanic

Asian

Native-American

Other

2010


MedicallyNeedy


PNC

0.0%

2.0%

4.0%

6.0%

Figure 18B.2b: Percent Term Births with Low Birth Weight of All Births byRace/Ethnicity and Medicaid Subgroup



Notes: Term low birth weight newborns are born on or after 37 weeks of gestation according to the clinical estimate of gestation as reported on the birth certificate and weighing less than 2500 grams. High exposure means mother had coverage in Medicaid for 180 days or more during pregnancy. Low exposure means mother had coverage in Medicaid for less than 180 days during pregnancy. % (% Medicaid Delivery System) is the percent of each Medicaid Delivery System (numerator) from the total for that LOC category (denominator). Results are suppressed for individual cells where the case count is under 5, but are included in all table totals and corresponding charts (see Appendix 1 - Methodology, Data Suppression, pg 123).

Length of CoverageMedicaidDelivery System

SOBRA

2009

# %

2010

# %

Non-SOBRA

2009

# %

2010

# %

CMS High Risk OB

2009

# %

2010

# %

Medically Needy

2009

# %

2010

# %

Total

FFS

MediPass

HMO

Total

High Exposure

FFS

MediPass

HMO

Total

Low Exposure

FFS

MediPass

HMO

Total

100.0%

7.2%

2.5%

90.4%

2,161

155

53

1,953

100.0%

9.1%

4.4%

86.5%

2,258

205

100

1,953

100.0%

52.9%

15.0%

32.1%

567

300

85

182

100.0%

50.7%

14.7%

34.6%

529

268

78

183

100.0%

12.2%

5.1%

82.7%

411

50

21

340

100.0%

11.2%

3.6%

85.2%

418

47

15

356

100.0%

0.0%

7.7%

92.3%

13

0

1

12

100.0%

40.0%

0.0%

60.0%

10

4

0

6

100.0%

6.8%

1.7%

91.6%

1,552

105

26

1,421

100.0%

9.4%

4.3%

86.3%

1,709

161

73

1,475

100.0%

58.2%

14.8%

27.0%

411

239

61

111

100.0%

53.3%

16.8%

29.9%

405

216

68

121

100.0%

16.7%

7.2%

76.1%

222

37

16

169

100.0%

16.2%

5.5%

78.3%

235

38

13

184

100.0%

0.0%

33.3%

66.7%

3

0

1

2

100.0%

75.0%

0.0%

25.0%

4

3

0

1

100.0%

8.2%

4.4%

87.4%

609

50

27

532

100.0%

8.0%

4.9%

87.1%

549

44

27

478

100.0%

39.1%

15.4%

45.5%

156

61

24

71

100.0%

41.9%

8.1%

50.0%

124

52

10

62

100.0%

6.9%

2.6%

90.5%

189

13

5

171

100.0%

4.9%

1.1%

94.0%

183

9

2

172

100.0%

0.0%

0.0%

100.0%

10

0

0

10

100.0%

16.7%

0.0%

83.3%

6

1

0

5

Table 18C.1: Number and Percent Distribution of Medicaid Term Births with Low Birth Weight by Medicaid Delivery System and Length of Coverage (LOC)

Length of Coverage MedicaidDelivery Syst..

Medicaid SSI

2009

# %

2010

# %

Alien

2009

# %

2010

# %


2009

# %

2010

# %

Total

2009

# %

2010

# %

Total

FFS

MediPass

HMO

Total

High Exposure

FFS

MediPass

HMO

Total

Low Exposure

FFS

MediPass

HMO

Total

100.0%

39.2%

18.5%

42.3%

130

51

24

55

100.0%

44.4%

18.8%

36.8%

117

52

22

43

100.0%

100.0%

274

274

100.0%

100.0%

282

282

100.0%

23.6%

4.5%

71.9%

89

21

4

64

100.0%

16.9%

8.4%

74.7%

83

14

7

62

100.0%

15.8%

5.2%

79.0%

3,645

577

188

2,880

100.0%

16.0%

6.0%

78.0%

3,697

590

222

2,885

100.0%

38.8%

18.2%

43.0%

121

47

22

52

100.0%

43.4%

19.5%

37.2%

113

49

22

42

0

0

0

0

100.0%

52.2%

13.0%

34.8%

23

12

3

8

100.0%

46.4%

21.4%

32.1%

28

13

6

9

100.0%

18.9%

5.5%

75.6%

2,332

440

129

1,763

100.0%

19.2%

7.3%

73.5%

2,494

480

182

1,832

100.0%

44.4%

22.2%

33.3%

9

4

2

3

100.0%

75.0%

0.0%

25.0%

4

3

0

1

100.0%

100.0%

274

274

100.0%

100.0%

282

282

100.0%

13.6%

1.5%

84.8%

66

9

1

56

100.0%

1.8%

1.8%

96.4%

55

1

1

53

100.0%

10.4%

4.5%

85.1%

1,313

137

59

1,117

100.0%

9.1%

3.3%

87.5%

1,203

110

40

1,053


Notes: Term low birth weight newborns are born on or after 37 weeks of gestation according to the clinical estimate of gestation as reported on the birth certificate and weighing less than 2500 grams. High exposure means mother had coverage in Medicaid for 180 days or more during pregnancy. Low exposure means mother had coverage in Medicaid for less than 180 days during pregnancy. % (% Total) is the percent of the Indicator's births for each Medicaid Delivery System (numerator - the Indicator’s C.1 Table) from the total births for that Medicaid Delivery System and Subgroup (denominator - Table 15C.1) . Results are suppressed for individual cells where the case count is under 5, but are included in all table totals and corresponding charts (see Appendix 1 - Methodology, Data Suppression, pg 123).



Length of Coverage


SOBRA

2009

%

2010

%

Non-SOBRA

2009

%

2010

%

CMS High Risk OB

2009

%

2010

%

Medically Needy

2009

%

2010

%

Medicaid SSI

2009

%

2010

%

Alien

2009

%

2010

%


2009

%

2010

%

Total

2009

%

2010

%

Total

FFSMediPassHMOTotal

High Exposure

FFSMediPassHMOTotal

Low Exposure

FFSMediPassHMOTotal

2.8%

2.9%

2.8%

2.8%

2.9%

3.1%

4.2%

2.8%

3.3%

3.3%

3.0%

3.5%

3.3%

3.3%

2.7%

3.5%

4.4%

4.8%

6.1%

4.2%

4.4%

4.5%

4.3%

4.4%

2.7%

0.0%

3.7%

3.0%

1.9%

4.9%

0.0%

1.5%

5.7%

4.8%

4.8%

7.9%

5.3%

5.3%

4.5%

5.8%

1.8%

1.8%

1.9%

1.9%

3.2%

4.6%

3.6%

2.9%

3.3%

3.3%

7.6%

3.1%

2.9%

3.4%

3.3%

2.8%

3.0%

3.4%

3.6%

2.9%

2.8%

3.0%

2.3%

2.8%

2.9%

3.4%

4.1%

2.8%

3.5%

3.5%

3.2%

3.8%

3.5%

3.5%

2.9%

3.8%

4.9%

5.4%

6.4%

4.7%

5.0%

4.9%

4.5%

5.0%

2.2%

0.0%

4.5%

3.0%

2.5%

5.2%

0.0%

1.3%

6.0%

5.1%

4.9%

7.9%

5.5%

5.6%

4.8%

6.0%

0.0%

0.0%

0.0%

0.0%

3.4%

3.9%

4.9%

2.6%

4.3%

4.4%

8.5%

3.2%

3.1%

3.6%

3.4%

3.0%

3.2%

3.7%

3.7%

3.0%

3.0%

2.6%

3.5%

3.0%

2.9%

2.4%

4.8%

2.9%

2.9%

2.8%

2.5%

3.1%

2.7%

2.6%

1.9%

3.1%

3.9%

3.8%

5.2%

3.9%

3.8%

3.3%

3.2%

3.9%

2.8%

0.0%

0.0%

3.0%

1.6%

4.3%

0.0%

1.5%

3.8%

2.9%

3.5%

7.3%

2.6%

3.1%

0.0%

3.1%

1.8%

1.8%

1.9%

1.9%

3.2%

6.1%

2.0%

3.0%

2.9%

0.8%

4.8%

3.0%

2.7%

2.9%

3.1%

2.7%

2.7%

2.5%

3.3%

2.6%

Table 18C.2: Percent Term Medicaid Births with Low Birth Weight of Medicaid Births by Medicaid Delivery System and Length of Coverage (LOC)

HMO Plan Name

2009

# Births %

2010

# Births %


2.9%3.6%4.1%4.2%2.9%3.8%3.5%4.2%3.4%5.0%3.2%

9324591697

1,929204105424

2,321233281

1,581

27

334

8164

15988

1450

1.7%4.2%3.4%4.0%3.9%5.9%4.0%4.8%3.8%3.3%2.9%3.9%

119595971329

2,01317099

4362,097

448315

1,609

225331379104

2180159

62

Table 18D: Number and Percent Term Births with Low Birth Weight for Women Enrolled in Medicaid in the Same HMO >= 180Days or >= Two-Thirds of the Pregnancy


Indicator 19: Pre-term Births with Low Birth Weight in Florida

Notes: Pre-term low birth weight newborns are born before 37 weeks of gestation according to the clinical estimate of gestation as reported on the birth certificate and weighing less than 2500 grams. *Temporarily Eligible means Medicaid beneficiaries who were presumptively eligible but later determined to be financially ineligible. % (% Total) is the percent of the Indicator's births for each Medicaid Status/Subgroup (numerator) from the total births for that Medicaid Status/Subgroup (denominator - Table 15A). Results are suppressed for individual cells where the case count is under 5, but are included in all table totals and corresponding charts (see Appendix 1 - Methodology, Data Suppression, pg 123).


2006

# %

2007

# %

2008

# %

2009

# %

2010

# %

NonMedicaid

Non-Medicaid


Total

Medicaid

SOBRA

Non SOBRA

CMS High Risk OB

Medically Needy

Medicaid SSI

Alien


Total

Grand Total

5.3%

3.4%

5.4%

6,122

199

5,923

5.5%

3.5%

5.6%

6,414

248

6,166

5.5%

3.8%

5.6%

5,950

194

5,756

5.3%

3.3%

5.4%

5,088

108

4,980

5.1%

3.2%

5.2%

4,572

83

4,489

6.9%

13.4%

3.2%

8.9%

8.0%

22.5%

6.4%

5.4%

8,418

389

540

202

44

2,228

1,334

3,681

7.0%

12.2%

3.2%

10.0%

9.1%

22.8%

6.8%

5.5%

8,578

386

533

234

53

2,182

1,289

3,901

7.1%

11.5%

3.6%

9.3%

9.5%

23.1%

7.1%

5.4%

8,700

353

567

205

52

2,304

1,210

4,009

6.6%

12.7%

3.4%

8.2%

7.1%

21.6%

7.0%

5.1%

8,250

350

522

185

35

2,030

1,208

3,920

6.7%

12.5%

3.4%

9.3%

9.2%

20.9%

6.8%

5.3%

8,303

317

505

205

48

1,989

1,093

4,146

6.1%14,540 6.2%14,992 6.3%14,650 6.1%13,338 6.1%12,875

Table 19A: Number and Percent Pre-term Births with Low Birth Weight of All Births by Medicaid Status/Subgroup


0.0%

1.0%

2.0%

3.0%

4.0%

5.0%

6.0%

7.0%

Figure 19Aa: Percent Pre-term Births with Low Birth Weightof All Births by Medicaid Status: Five-Year Trends

Year ofBirth2006

2007

2008

2009

2010


MedicallyNeedy


PNC

0.0%

5.0%

10.0%

15.0%

20.0%

Figure 19Ab: Percent of Pre-term Births with Low Birth Weight of All Birthsby Medicaid Subgroup: Five-Year Trends


Notes: Pre-term low birth weight newborns are born before 37 weeks of gestation according to the clinical estimate of gestation as reported on the birth certificate and weighing less than 2500 grams. % (% Race/Ethnicity) is the percent of each Race/Ethnicity Category (numerator) for all Race/Ethnicity Categories from that Medicaid Subgroup (denominator). Results are suppressed for individual cells where the case count is under 5, but are included in all table totals and corresponding charts (see Appendix 1 - Methodology, Data Suppression, pg 123).



2010

Caucasian

# %

African-American

# %

Hispanic

# %

Asian

# %

Native-American

# %

Other

# %

NonMedicaid

Non-Medicaid


Total

Medicaid

SOBRA

Non SOBRA

CMS High Risk OB

Medically Needy

Medicaid SSI

Alien


Total

Grand Total

51.3%

15.7%

51.9%

2,344

13

2,331

17.3%

14.5%

17.4%

792

12

780

24.2%

57.8%

23.6%

1,108

48

1,060

4.9%

7.2%

4.9%

226

6

220

0.2%

0.2%

10

10

2.0%

4.8%

2.0%

92

4

88

29.7%

39.1%

6.5%

21.5%

41.7%

23.4%

26.9%

35.7%

2,463

124

33

44

20

466

294

1,482

37.1%

37.5%

7.5%

62.9%

16.7%

40.5%

51.6%

34.2%

3,083

119

38

129

8

805

564

1,420

30.5%

20.2%

80.8%

12.7%

33.3%

33.6%

19.3%

27.4%

2,531

64

408

26

16

669

211

1,137

1.1%

0.6%

3.2%

0.0%

6.3%

1.6%

0.3%

0.8%

90

2

16

0

3

32

3

34

0.1%

0.0%

0.0%

0.5%

0.1%

0.1%

0.1%

9

0

0

1

1

1

6

1.5%

2.5%

2.0%

2.4%

2.1%

0.8%

1.8%

1.6%

127

8

10

5

1

16

20

67

37.3%4,807 30.1%3,875 28.3%3,639 2.5%316 0.1%19 1.7%219

Table 19B.1: Number and Percent Distribution of Pre-term Births with Low Birth Weight by Race/Ethnicity and Medicaid Status/Subgroup



Notes: Pre-term low birth weight newborns are born before 37 weeks of gestation according to the clinical estimate of gestation as reported on the birth certificate and weighing less than 2500 grams. % (% Race/Ethnicity) is the percent of the Indicator's births for each Race/Ethnicity Category (numerator) from the total births for that Race/Ethnicity Category within each Medicaid Status/Subgroup (denominator - Table 15B). High percentages in certain Race/Ethnicity subgroups are due to very small denominators. Results are suppressed for individual cells where the case count is under 5, but are included in all table totals and corresponding charts (see Appendix 1 - Methodology, Data Suppression, pg 123).


2010

Caucasian

%

African-American

%

Hispanic

%

Asian

%

Native-American

%

Other

%

NonMedicaid

Non-Medicaid


Total

Medicaid

SOBRA

Non SOBRA

CMS High Risk OB

Medically Needy

Medicaid SSI

Alien


Total

Grand Total

4.5%

3.9%

4.5%

8.9%

3.9%

9.1%

5.0%

2.7%

5.2%

5.4%

5.1%

5.4%

6.6%

6.6%

5.0%

5.3%

5.0%

5.7%

11.1%

4.5%

7.3%

9.3%

25.0%

5.9%

4.4%

9.9%

16.2%

5.5%

10.9%

7.5%

27.7%

8.1%

7.7%

5.6%

10.6%

3.3%

7.3%

9.5%

15.0%

5.5%

4.8%

4.9%

5.3%

3.1%

0.0%

23.1%

20.5%

3.2%

3.3%

8.1%

0.0%

0.0%

100.0%

14.3%

4.8%

7.7%

6.4%

17.0%

3.7%

13.2%

5.9%

16.7%

8.8%

5.2%

5.1% 9.7% 5.4% 5.2% 7.2% 5.7%

Table 19B.2: Percent Pre-term Births with Low Birth Weight of All Births by Race/Ethnicity and Medicaid Status/Subgroup

2010


0.0%

2.0%

4.0%

6.0%

8.0%

10.0%

Figure 19B.2a: Percent Pre-term Births with Low BirthWeight of All Births


Race/Ethnicity

Caucasian

African-American

Hispanic

Asian

Native-American

Other

2010


MedicallyNeedy


PNC

0.0%

20.0%

40.0%

60.0%

80.0%

100.0%

Figure 19B.2b: Percent Pre-term BIrths with Low Birth Weight of All Births byRace/Ethnicity and Medicaid Subgroup



Notes: Pre-term low birth weight newborns are born before 37 weeks of gestation according to the clinical estimate of gestation as reported on the birth certificate and weighing less than 2500 grams. High exposure means mother had coverage in Medicaid for 180 days or more during pregnancy. Low exposure means mother had coverage in Medicaid for less than 180 days during pregnancy. % (% Medicaid Delivery System) is the percent of each Medicaid Delivery System (numerator) from the total for that LOC category (denominator). Results are suppressed for individual cells where the case count is under 5, but are included in all table totals and corresponding charts (see Appendix 1 - Methodology, Data Suppression, pg 123).

Length of Coverage


SOBRA

2009

# %

2010

# %

Non-SOBRA

2009

# %

2010

# %

CMS High Risk OB

2009

# %

2010

# %

Medically Needy

2009

# %

2010

# %

Total

FFS

MediPass

HMO

Total

High Exposure

FFS

MediPass

HMO

Total

Low Exposure

FFS

MediPass

HMO

Total

100.0%

6.3%

2.2%

91.5%

3,920

247

85

3,588

100.0%

8.2%

3.0%

88.8%

4,146

340

126

3,680

100.0%

50.2%

12.0%

37.8%

1,208

606

145

457

100.0%

47.4%

16.2%

36.4%

1,093

518

177

398

100.0%

11.0%

4.0%

85.0%

2,030

223

82

1,725

100.0%

11.8%

4.3%

83.9%

1,989

235

85

1,669

100.0%

11.4%

0.0%

88.6%

35

4

0

31

100.0%

10.4%

4.2%

85.4%

48

5

2

41

100.0%

7.0%

2.3%

90.7%

2,250

158

52

2,040

100.0%

10.0%

3.9%

86.1%

2,497

250

98

2,149

100.0%

57.9%

12.2%

29.9%

803

465

98

240

100.0%

52.0%

18.2%

29.8%

768

399

140

229

100.0%

16.1%

6.1%

77.8%

932

150

57

725

100.0%

18.4%

6.9%

74.7%

968

178

67

723

100.0%

22.2%

0.0%

77.8%

9

2

0

7

100.0%

14.3%

28.6%

57.1%

7

1

2

4

100.0%

5.3%

2.0%

92.7%

1,670

89

33

1,548

100.0%

5.5%

1.7%

92.8%

1,649

90

28

1,531

100.0%

34.8%

11.6%

53.6%

405

141

47

217

100.0%

36.6%

11.4%

52.0%

325

119

37

169

100.0%

6.6%

2.3%

91.1%

1,098

73

25

1,000

100.0%

5.6%

1.8%

92.7%

1,021

57

18

946

100.0%

7.7%

0.0%

92.3%

26

2

0

24

100.0%

9.8%

0.0%

90.2%

41

4

0

37

Table 19C.1: Number and Percent Distribution of Pre-term Medicaid Births with Low Birth Weight by Medicaid Delivery System and Length of Coverage (LOC)

Length of Coverage


Medicaid SSI

2009

# %

2010

# %

Alien

2009

# %

2010

# %


2009

# %

2010

# %

Total

2009

# %

2010

# %

Total

HMO

FFS

MediPass

Total

High Exposure

HMO

FFS

MediPass

Total

Low Exposure

HMO

FFS

MediPass

Total

100.0%

19.5%

38.4%

42.2%

185

36

71

78

100.0%

21.0%

35.6%

43.4%

205

43

73

89

100.0%

100.0%

522

522

100.0%

100.0%

505

505

100.0%

3.1%

79.1%

17.7%

350

11

277

62

100.0%

6.6%

74.1%

19.2%

317

21

235

61

100.0%

4.4%

80.9%

14.8%

8,250

359

6,671

1,220

100.0%

5.5%

79.5%

15.0%

8,303

454

6,601

1,248

100.0%

19.4%

39.4%

41.3%

160

31

63

66

100.0%

21.4%

35.8%

42.8%

187

40

67

80

0

0

100.0%

100.0%

1

1

100.0%

5.5%

41.1%

53.4%

73

4

30

39

100.0%

19.0%

29.1%

51.9%

79

15

23

41

100.0%

5.7%

73.5%

20.8%

4,227

242

3,105

880

100.0%

8.0%

70.9%

21.1%

4,507

362

3,196

949

100.0%

20.0%

32.0%

48.0%

25

5

8

12

100.0%

16.7%

33.3%

50.0%

18

3

6

9

100.0%

100.0%

522

522

100.0%

100.0%

504

504

100.0%

2.5%

89.2%

8.3%

277

7

247

23

100.0%

2.5%

89.1%

8.4%

238

6

212

20

100.0%

2.9%

88.6%

8.5%

4,023

117

3,566

340

100.0%

2.4%

89.7%

7.9%

3,796

92

3,405

299



Notes: Pre-term low birth weight newborns are born before 37 weeks of gestation according to the clinical estimate of gestation as reported on the birth certificate and weighing less than 2500 grams. High exposure means mother had coverage in Medicaid for 180 days or more during pregnancy. Low exposure means mother had coverage in Medicaid for less than 180 days during pregnancy. % (% Total) is the percent of the Indicator's births for each Medicaid Payor Type (numerator - the Indicator’s C.1 Table) from the total births for that Medicaid Payor Type and Subgroup (denominator - Table 15C.1). Results are suppressed for individual cells where the case count is under 5, but are included in all table totals and corresponding charts (see Appendix 1 - Methodology, Data Suppression, pg 123).


Length ofCoverage


SOBRA

2009

%

2010

%

Non-SOBRA

2009

%

2010

%

CMS High Risk OB

2009

%

2010

%

Medically Needy

2009

%

2010

%

Medicaid SSI

2009

%

2010

%

Alien

2009

%

2010

%


2009

%

2010

%

Total

2009

%

2010

%

Total

FFS

MediPass

HMO

Total

HighExposure

FFS

MediPass

HMO

Total

LowExposure

FFS

MediPass

HMO

Total

5.1%

4.6%

4.5%

5.2%

5.3%

5.2%

5.3%

5.3%

7.0%

6.7%

5.1%

8.7%

6.8%

6.4%

6.2%

7.6%

21.6%

21.6%

23.7%

21.5%

20.9%

22.5%

24.1%

20.6%

7.1%

6.3%

0.0%

7.8%

9.2%

6.2%

6.5%

10.0%

8.2%

7.3%

7.1%

10.2%

9.3%

9.2%

8.9%

9.9%

3.4%

3.4%

3.4%

3.4%

12.7%

13.6%

10.0%

12.6%

12.5%

14.5%

22.8%

11.6%

6.6%

7.2%

6.2%

6.6%

6.7%

7.3%

7.3%

6.6%

4.0%

4.6%

4.5%

4.0%

4.2%

5.3%

5.5%

4.1%

6.8%

6.8%

5.1%

8.2%

6.6%

6.5%

6.0%

7.1%

20.5%

21.7%

22.9%

20.0%

20.5%

23.1%

23.1%

19.8%

6.7%

4.3%

0.0%

10.6%

4.5%

1.7%

8.3%

5.3%

7.9%

7.1%

6.9%

9.6%

9.2%

9.2%

8.7%

9.5%

0.0%

0.0%

8.3%

8.3%

10.8%

12.7%

6.6%

9.7%

12.1%

13.8%

21.1%

8.1%

5.6%

7.2%

6.3%

5.2%

5.7%

7.4%

7.3%

5.3%

8.1%

4.7%

4.3%

8.6%

8.7%

4.8%

5.0%

9.3%

7.5%

6.5%

5.0%

9.4%

7.2%

6.0%

6.9%

8.4%

22.7%

21.4%

25.8%

22.7%

21.3%

21.0%

29.0%

21.2%

7.3%

11.8%

0.0%

7.2%

11.3%

17.4%

0.0%

11.1%

10.6%

8.7%

8.8%

19.5%

11.7%

9.2%

12.5%

18.8%

3.4%

3.4%

3.4%

3.4%

13.3%

15.6%

14.3%

13.1%

12.6%

16.3%

28.6%

12.1%

8.3%

7.2%

6.1%

8.5%

8.4%

6.9%

7.6%

8.6%

Table 19C.2: Percent of Pre-term Medicaid Births with Low Birth Weight of Medicaid Births by Medicaid Delivery System and Length of Coverage (LOC)

HMO Plan Name

2009

# Births %

2010

# Births %


11.0%7.9%9.3%7.8%5.9%7.6%6.8%8.9%

11.2%6.0%6.5%

9324591697

1,929204105424

2,321233281

1,581

527729

150128

292062617

102

4.2%8.2%7.9%7.9%7.0%8.2%8.1%9.9%7.2%9.8%

10.2%8.0%

119595971329

2,01317099

4362,097

448315

1,609

5497726

141148

431504432

128

Table 19D: Number and Percent of Pre-term Births with Low Birth Weight for Women Enrolled in Medicaid in the Same HMO>= 180 Days or >= Two-Thirds of the Pregnancy


Indicator 20: Deliveries for Women Planning to Breastfeed in Florida


MedicaidStatus

Subgroup

2006

# %

2007

# %

2008

# %

2009

# %

2010

# %

NonMedicaid

Non-Medicaid


Total

Medicaid

SOBRA

Non SOBRA

CMS High Risk OB

Medically Needy

Medicaid SSI

Alien


Total

Grand Total

83.8%

85.4%

83.8%

94,565

4,991

89,574

84.1%

84.4%

84.1%

97,270

5,885

91,385

85.3%

86.2%

85.2%

90,612

4,403

86,209

87.3%

87.5%

87.2%

81,981

2,828

79,153

88.9%

88.1%

88.9%

77,475

2,301

75,174

71.1%

55.8%

89.3%

48.8%

66.8%

69.4%

59.4%

71.7%

85,447

1,595

15,020

1,092

360

6,491

12,128

48,761

71.6%

56.3%

89.5%

48.5%

70.6%

71.2%

60.8%

71.7%

86,493

1,762

15,000

1,117

406

6,419

11,446

50,343

72.4%

58.2%

89.6%

49.4%

71.8%

73.3%

61.1%

72.6%

87,570

1,772

13,987

1,078

390

6,893

10,325

53,125

73.3%

60.3%

90.0%

49.5%

70.9%

74.4%

61.5%

73.7%

89,711

1,636

13,590

1,108

346

6,681

10,383

55,967

75.1%

59.9%

90.0%

52.8%

76.7%

75.1%

63.6%

75.7%

91,641

1,502

13,113

1,145

392

6,822

10,167

58,500

77.2%180,012 77.7%183,763 78.4%178,182 79.4%171,692 80.8%169,116

Table 20A: Number and Percent Deliveries for Women Planning to Breastfeed of All Deliveries by Medicaid Status/Subgroup


0.0%

20.0%

40.0%

60.0%

80.0%

Figure 20Aa: Percent Deliveries for Women Planning toBreastfeed of All Deliveries


Year ofDelivery

2006

2007

2008

2009

2010




0.0%

20.0%

40.0%

60.0%

80.0%

Figure 20Ab: Percent Deliveries for Women Planning to Breastfeed of All Deliveries byMedicaid Subgroup: Five-Year Trends




MedicaidStatus

Subgroup

2010Caucasian

# %

African-American

# %

Hispanic

# %

Asian

# %

Native-American

# %

Other

# %

NonMedicaid

Non-Medicaid


Total

Medicaid

SOBRA

Non SOBRA

CMS High Risk OB


Alien

Medicaid SSI

Medically Needy

Total

Grand Total

58.0%

12.0%

59.4%

44,946

275

44,671

9.1%

11.3%

9.0%

7,037

260

6,777

25.7%

69.8%

24.3%

19,902

1,606

18,296

5.0%

4.0%

5.0%

3,846

92

3,754

0.1%

0.1%

105

105

2.1%

3.0%

2.1%

1,639

68

1,571

33.7%

38.5%

28.9%

5.0%

45.1%

18.7%

30.5%

42.2%

30,906

151

331

653

678

1,275

3,103

24,715

20.6%

19.1%

49.6%

4.7%

21.0%

24.5%

37.3%

20.3%

18,886

75

568

619

315

1,668

3,792

11,849

42.2%

35.5%

18.9%

85.1%

30.1%

53.9%

29.8%

34.2%

38,700

139

216

11,158

452

3,676

3,031

20,028

1.6%

3.3%

0.4%

3.3%

1.6%

1.8%

0.7%

1.4%

1,499

13

5

436

24

123

75

823

0.1%

0.1%

0.0%

0.1%

0.1%

0.2%

0.1%

84

1

1

2

7

17

56

1.7%

3.6%

2.1%

1.9%

2.1%

1.1%

1.5%

1.8%

1,566

14

24

246

31

73

149

1,029

44.9%75,852 15.3%25,923 34.7%58,602 3.2%5,345 0.1%189 1.9%3,205

Table 20B.1: Number and Percent Distribution of Deliveries for Women Planning to Breastfeed by Race/Ethnicity and Medicaid Status/Subgroup




MedicaidStatus

Subgroup

2010Caucasian

%

African-American

%

Hispanic

%

Asian

%

Native-American

%

Other

%

NonMedicaid

Non-Medicaid


Total

Medicaid

SOBRA

Non SOBRA

CMS High Risk OB

Medically Needy

Medicaid SSI

Alien


Total

Grand Total

88.8%

83.6%

88.8%

81.1%

84.4%

81.0%

91.4%

90.0%

91.5%

92.9%

80.0%

93.3%

69.5%

69.5%

91.1%

89.5%

91.1%

72.2%

61.5%

90.8%

55.4%

72.2%

71.9%

62.8%

73.9%

61.9%

43.6%

91.7%

48.4%

72.1%

60.8%

55.1%

65.1%

86.2%

75.8%

90.0%

61.5%

82.7%

85.1%

79.2%

86.2%

81.5%

63.2%

85.0%

71.4%

100.0%

82.6%

79.8%

80.2%

77.8%

66.7%

100.0%

100.0%

100.0%

89.5%

72.7%

79.9%

68.9%

92.8%

63.2%

82.4%

80.2%

66.5%

80.3%

81.2% 66.2% 87.9% 89.4% 73.0% 85.2%

Table 20B.2: Percent Deliveries for Women Planning to Breastfeed of All Deliveries by Race/Ethnicity and Medicaid Status/Subgroup

2010


0.0%

20.0%

40.0%

60.0%

80.0%

Figure 20B.2a: Percent Deliveries to WomenPlanning to Breastfeed of All Deliveriesby Race/Ethnicity and Medicaid Status

Race/Ethnicity

Caucasian

African-American

Hispanic

Asian

Native-American

Other

2010


MedicallyNeedy


Days or NoPNC

0.0%

20.0%

40.0%

60.0%

80.0%

100.0%

Figure 20B.2b: Percent Deliveries to Women Planning to Breastfeed of All Deliveriesby Race/Ethnicity and Medicaid Subgroup



Notes: High exposure means mother had coverage in Medicaid for 180 days or more during pregnancy. Low exposure means mother had coverage in Medicaid for less than 180 days during pregnancy. % (% Medicaid Delivery System ) is the percent of each Medicaid Delivery System (numerator) from the total for that LOC category (denominator). Results are suppressed for individual cells where the case count is under 5, but are included in all table totals and corresponding charts (see Appendix 1 - Methodology, Data Suppression, pg 123).

Length ofCoverage


SOBRA

2009

# %

2010

# %

Non-SOBRA

2009

# %

2010

# %

CMS High Risk OB

2009

# %

2010

# %

Medically Needy

2009

# %

2010

# %

Total

FFS

MediPass

HMO

Total

HighExposure

FFS

MediPass

HMO

Total

LowExposure

FFS

MediPass

HMO

Total

100.0%

6.3%

2.0%

91.7%

55,967

3,498

1,134

51,335

100.0%

7.6%

2.5%

89.9%

58,500

4,447

1,481

52,572

100.0%

53.6%

15.7%

30.8%

10,383

5,563

1,627

3,193

100.0%

50.4%

16.7%

32.9%

10,167

5,123

1,698

3,346

100.0%

8.9%

2.9%

88.2%

6,681

595

194

5,892

100.0%

8.8%

2.9%

88.3%

6,822

601

198

6,023

100.0%

9.5%

5.2%

85.3%

346

33

18

295

100.0%

13.3%

4.8%

81.9%

392

52

19

321

100.0%

5.4%

1.7%

92.9%

41,072

2,228

680

38,164

100.0%

7.0%

2.6%

90.4%

44,472

3,125

1,142

40,205

100.0%

60.7%

15.5%

23.8%

6,880

4,178

1,064

1,638

100.0%

53.3%

19.4%

27.3%

7,117

3,795

1,381

1,941

100.0%

13.6%

4.8%

81.6%

2,949

401

141

2,407

100.0%

13.8%

5.1%

81.1%

3,145

434

159

2,552

100.0%

30.5%

17.1%

52.4%

82

25

14

43

100.0%

33.9%

12.8%

53.2%

109

37

14

58

100.0%

8.5%

3.0%

88.4%

14,895

1,270

454

13,171

100.0%

9.4%

2.4%

88.2%

14,028

1,322

339

12,367

100.0%

39.5%

16.1%

44.4%

3,503

1,385

563

1,555

100.0%

43.5%

10.4%

46.1%

3,050

1,328

317

1,405

100.0%

5.2%

1.4%

93.4%

3,732

194

53

3,485

100.0%

4.5%

1.1%

94.4%

3,677

167

39

3,471

100.0%

3.0%

1.5%

95.5%

264

8

4

252

100.0%

5.3%

1.8%

92.9%

283

15

5

263

Table 20C.1: Number and Percent Distribution of Deliveries for Medicaid Women Planning to Breastfeedby Medicaid Delivery System and Length of Coverage (LOC)

Length ofCoverage


Medicaid SSI

2009

# %

2010

# %

Alien

2009

# %

2010

# %


2009

# %

2010

# %

Total

2009

# %

2010

# %

Total

FFS

MediPass

HMO

Total

HighExposure

FFS

MediPass

HMO

Total

LowExposure

FFS

MediPass

HMO

Total

100.0%

50.2%

21.5%

28.3%

1,108

556

238

314

100.0%

45.9%

21.2%

32.8%

1,145

526

243

376

100.0%

100.0%

13,590

13,590

100.0%

100.0%

13,113

13,113

100.0%

12.1%

2.9%

85.0%

1,636

198

48

1,390

100.0%

10.4%

2.1%

87.5%

1,502

156

31

1,315

100.0%

11.6%

3.6%

84.7%

89,711

10,443

3,259

76,009

100.0%

11.9%

4.0%

84.1%

91,641

10,905

3,670

77,066

100.0%

49.0%

21.0%

30.0%

981

481

206

294

100.0%

45.0%

21.7%

33.4%

1,061

477

230

354

100.0%

100.0%

4

4

100.0%

100.0%

11

11

100.0%

40.2%

8.0%

51.8%

326

131

26

169

100.0%

39.8%

9.9%

50.4%

284

113

28

143

100.0%

14.2%

4.1%

81.7%

52,294

7,444

2,131

42,719

100.0%

14.2%

5.3%

80.5%

56,199

7,981

2,954

45,264

100.0%

59.1%

25.2%

15.7%

127

75

32

20

100.0%

58.3%

15.5%

26.2%

84

49

13

22

100.0%

100.0%

13,586

13,586

100.0%

100.0%

13,102

13,102

100.0%

5.1%

1.7%

93.2%

1,310

67

22

1,221

100.0%

3.5%

0.2%

96.2%

1,218

43

3

1,172

100.0%

8.0%

3.0%

89.0%

37,417

2,999

1,128

33,290

100.0%

8.3%

2.0%

89.7%

35,442

2,924

716

31,802


Notes: High exposure means mother had coverage in Medicaid for 180 days or more during pregnancy. Low exposure means mother had coverage in Medicaid for less than 180 days during pregnancy. % (% Total) is the percent of the Indicator's deliveries for each Medicaid Payor Type (numerator - the Indicator’s C.1 Table) from the total deliveries for that Medicaid Payor Type and Subgroup (denominator - Table 1C.1). Results are suppressed for individual cells where the case count is under 5, but are included in all table totals and corresponding charts (see Appendix 1 - Methodology, Data Suppression, pg 123).



Length ofCoverage


SOBRA

2009

%

2010

%

Non-SOBRA

2009

%

2010

%

CMS High Risk OB

2009

%

2010

%

Medically Needy

2009

%

2010

%

Medicaid SSI

2009

%

2010

%

Alien

2009

%

2010

%


2009

%

2010

%

Total

2009

%

2010

%

Total

FFSMediPassHMOTotal

HighExposure

FFSMediPassHMOTotal

LowExposure

FFSMediPassHMOTotal

73.7%

65.5%59.5%

74.7%

75.7%

67.8%63.4%

76.9%

61.5%

61.7%56.8%

63.6%

63.6%

63.7%59.5%

65.8%

74.4%

58.2%56.6%

77.4%

75.1%

59.2%57.7%

78.0%

70.9%

52.4%66.7%

74.1%

76.7%

65.0%61.3%

80.3%

49.5%

52.5%47.2%

46.5%

52.8%

54.3%50.4%

52.4%

90.0%

90.0%

90.0%

90.0%

60.3%

43.7%43.6%

64.6%

59.9%

37.5%33.7%

65.8%

73.3%

61.6%56.6%

76.2%

75.1%

63.8%59.8%

78.0%

73.8%

64.7%59.4%

74.7%

75.9%

66.3%64.3%

77.1%

59.6%

61.0%55.5%

59.0%

61.9%

62.6%59.6%

62.4%

67.9%

58.6%57.3%

70.5%

69.9%

57.7%56.4%

73.7%

61.7%

54.3%63.6%

66.2%

70.3%

64.9%58.3%

78.4%

49.0%

52.2%46.1%

46.3%

52.7%

54.8%50.2%

51.5%

80.0%

80.0%

91.7%

91.7%

48.5%

42.8%42.6%

55.4%

44.3%

38.6%39.4%

51.6%

70.3%

60.8%55.5%

73.3%

72.6%

62.6%60.0%

75.8%

73.3%

67.0%59.5%

74.5%

75.2%

71.4%60.4%

76.1%

65.4%

63.9%59.6%

69.3%

67.9%

67.0%58.9%

71.2%

80.6%

57.4%54.6%

83.0%

80.1%

63.3%63.9%

81.4%

74.4%

47.1%80.0%

75.7%

79.5%

65.2%71.4%

80.7%

54.0%

54.3%56.1%

50.0%

54.9%

50.0%54.2%

71.0%

90.0%

90.0%

90.0%

90.0%

64.1%

45.6%44.9%

66.1%

65.3%

35.0%14.3%

68.1%

77.9%

63.8%58.9%

80.4%

79.4%

67.4%59.1%

81.3%

Table 20C.2: Percent of Deliveries for Medicaid Women Planning to Breastfeed of All Medicaid Deliveriesby Medicaid Delivery System and Length of Coverage (LOC)


2009

# Deliveries %

2010

# Deliveries %

Amerigroup Florida

Buena Vista

Citrus Health Care


Humana

JMH Health Plan

Preferred Medical






60.2%

60.9%

71.9%

58.8%

71.9%

72.4%

68.9%

56.5%

60.8%

58.9%

57.5%

93

244

910

96

1,924

203

105

421

2,315

232

280

1,576

70

147

554

69

1,131

146

76

290

1,309

141

165

906

68.4%

64.1%

59.1%

65.7%

61.1%

72.2%

67.3%

67.1%

61.2%

65.8%

65.9%

61.7%

117

593

965

329

2,004

169

98

434

2,075

442

314

1,600

80

380

570

216

1,225

122

66

291

1,270

291

207

987

Table 20D: Number and Percent of Deliveries to Women Planning to Breastfeed for Women Enrolled in Medicaid in the SameHMO >= 180 Days or >= Two-Thirds of the Pregnancy


Indicator 21: Births for Infants Screened for Health and Developmental Risk in Florida

Notes: Infants whose parents or guardians permitted their infants to be screened using the Healthy Start Postnatal Screening Tool. *Temporarily Eligible means Medicaid beneficiaries who were presumptively eligible but later determined to be financially ineligible. % (% Total) is the percent of the Indicator's births for each Medicaid Status/Subgroup (numerator) from the total bi rths for that Medicaid Status/Subgroup (denominator - Table 15A). Results are suppressed for individual cells where the case count is under 5, but are included in all table totals and corresponding charts (see Appendix 1 - Methodology, Data Suppression, pg 123).


2006

# %

2007

# %

2008

# %

2009

# %

2010

# %

NonMedicaid

Non-Medicaid


Total

Medicaid

SOBRA

Non SOBRA

CMS High Risk OB

Medically NeedyMedicaid SSI

Alien


TotalGrand Total

74.7%

88.3%

73.9%

85,667

5,188

80,479

75.5%

88.8%

74.7%

88,812

6,230

82,582

82.8%

92.6%

82.3%

89,533

4,758

84,775

49.8%

77.0%

48.8%

47,685

2,504

45,181

48.5%

75.4%

47.7%

43,098

1,986

41,112

85.7%

85.8%

91.8%

87.3%

85.1%

92.6%

84.5%

83.5%

104,492

2,493

15,532

1,985

467

9,154

17,473

57,388

87.6%

86.0%

93.1%

88.9%

81.8%

91.1%

86.6%

86.1%

107,436

2,726

15,717

2,079

478

8,706

16,541

61,189

90.4%

87.8%

95.2%

90.0%

88.0%

94.4%

89.6%

89.2%

110,952

2,704

14,985

1,994

482

9,417

15,343

66,027

70.2%

72.3%

84.3%

73.8%

72.2%

75.6%

68.6%

66.9%

87,112

1,991

12,802

1,672

354

7,101

11,753

51,439

68.5%

67.5%

83.6%

69.9%

64.9%

74.8%

68.5%

64.9%

84,783

1,717

12,268

1,533

338

7,114

11,072

50,741

80.3%190,159 81.7%196,248 86.8%200,485 61.3%134,797 60.2%127,881

Table 21A: Number and Percent Births for Infants Screened for Health and Developmental Risks of All Births by Medicaid Status/Subgroup


0.0%

20.0%

40.0%

60.0%

80.0%

Figure 21Aa: Percent Births for Infants Screened forHealth and Developmental Risks of All Births


Year ofBirth2006

2007

2008

2009

2010


MedicallyNeedy


PNC

0.0%

20.0%

40.0%

60.0%

80.0%

Figure 21Ab: Percent of Births for Infants Screened for Health and Developmental Risksof All Births by Medicaid Subgroup: Five-Year Trends





2010

Caucasian

# %

African-American

# %

Hispanic

# %

Asian

# %

Native-American

# %

Other

# %

NonMedicaid

Non-Medicaid


Total

Medicaid

SOBRA

Non SOBRA

CMS High Risk OB

Medically Needy

Medicaid SSI

Alien


Total

Grand Total

51.9%

9.0%

54.0%

22,386

178

22,208

10.9%

11.8%

10.9%

4,696

235

4,461

30.5%

72.9%

28.4%

13,131

1,447

11,684

4.5%

3.9%

4.5%

1,931

78

1,853

0.2%

0.2%

97

97

2.0%

2.4%

2.0%

857

48

809

30.6%

39.8%

4.2%

24.7%

36.1%

15.2%

27.2%

39.8%

25,979

683

521

379

122

1,079

3,010

20,185

25.4%

31.1%

4.7%

56.6%

22.2%

30.5%

44.6%

24.3%

21,511

534

573

868

75

2,173

4,939

12,349

41.1%

26.0%

87.0%

16.8%

36.1%

52.0%

26.1%

33.1%

34,857

446

10,669

257

122

3,701

2,891

16,771

1.4%

1.0%

2.8%

0.4%

2.1%

1.5%

0.6%

1.2%

1,175

18

348

6

7

104

67

625

0.1%

0.2%

0.0%

0.1%

0.0%

0.2%

0.1%

79

3

1

1

3

18

53

1.4%

1.9%

1.3%

1.4%

3.6%

0.8%

1.3%

1.5%

1,182

33

156

22

12

54

147

758

37.8%48,365 20.5%26,207 37.5%47,988 2.4%3,106 0.1%176 1.6%2,039

Table 21B.1: Number and Percent Distribution of Births for Infants Screened for Health and Developmental Risksby Race/Ethnicity and Medicaid Status/Subgroup



Notes: % (% Race/Ethnicity) is the percent of the Indicator's births for each Race/Ethnicity Category (numerator) from the total births for that Race/Ethnicity Category within each Medicaid Status/Subgroup (denominator - Table 15B). High percentages in certain Race/Ethnicity subgroups are due to very small denominators Results are suppressed for individual cells where the case count is under 5, but are included in all table totals and corresponding charts (see Appendix 1 - Methodology, Data Suppression, pg 123).


2010

Caucasian

%

African-American

%

Hispanic

%

Asian

%

Native-American

%

Other

%

NonMedicaid


Medicaid

SOBRANon SOBRACMS High Risk OBMedically NeedyMedicaid SSIAlienMcaid < 8 Days or No PNCTotal

Grand Total

43.4%53.3%

43.3%

53.0%75.6%

52.2%

59.3%80.7%

57.4%

46.0%66.1%

45.4%

63.8%

63.8%

46.8%63.2%

46.1%

60.0%

61.1%71.7%

62.6%

56.7%

57.8%60.5%

59.7%

69.3%

72.8%83.5%

73.1%

70.1%

74.7%70.7%

66.9%

76.7%

74.0%85.5%

72.2%

72.2%

82.8%74.7%

71.4%

63.4%

47.4%67.7%

85.7%

53.8%

66.7%71.3%

60.6%

71.2%

100.0%100.0%

100.0%

42.9%85.7%

67.9%

59.6%

70.2%58.4%

57.9%

70.6%

56.3%64.5%

58.7%

50.9% 65.7% 71.0% 51.3% 66.9% 53.4%

Table 21B.2: Number and Percent Births for Infants Screened for Health and Developmental Risks of All Birthsby Race/Ethnicity and Medicaid Status/Subgroup

2010


0.0%

20.0%

40.0%

60.0%

80.0%

Figure 21B.2a: Percent Births for Infants Screened for Health andDevelopmental Risks of All Births


Race/Ethnicity

Caucasian

African-American

Hispanic

Asian

Native-American

Other

2010


MedicallyNeedy


PNC

0.0%

20.0%

40.0%

60.0%

80.0%

100.0%

Figure 21B.2b: Percent of Births for Infants Screened for Health and DevelopmentalRisks of All Births by Race/Ethnicity and Medicaid Subgroup





Medicaid SSI

2009

# %

2010

# %

Alien

2009

# %

2010

# %


2009

# %

2010

# %

Total

2009

# %

2010

# %

Total

FFS

MediPass

HMO

Total

High Exposure

FFS

MediPass

HMO

Total

Low Exposure

FFS

MediPass

HMO

Total

100.0%

48.0%

21.5%

30.5%

1,672

802

360

510

100.0%

45.1%

22.4%

32.6%

1,533

691

343

499

100.0%

100.0%

12,802

12,802

100.0%

100.0%

12,268

12,268

100.0%

18.0%

3.7%

78.3%

1,991

359

74

1,558

100.0%

17.3%

4.0%

78.7%

1,717

297

68

1,352

100.0%

13.8%

4.5%

81.7%

87,112

12,003

3,910

71,199

100.0%

13.7%

5.1%

81.2%

84,783

11,648

4,300

68,835

100.0%

46.3%

21.4%

32.3%

1,490

690

319

481

100.0%

43.8%

23.0%

33.2%

1,426

624

328

474

100.0%

100.0%

4

4

100.0%

100.0%

10

10

100.0%

47.3%

8.2%

44.5%

499

236

41

222

100.0%

45.8%

11.9%

42.3%

461

211

55

195

100.0%

17.1%

5.1%

77.8%

50,925

8,686

2,612

39,627

100.0%

16.8%

6.7%

76.5%

51,693

8,706

3,451

39,536

100.0%

61.5%

22.5%

15.9%

182

112

41

29

100.0%

62.6%

14.0%

23.4%

107

67

15

25

100.0%

100.0%

12,798

12,798

100.0%

100.0%

12,258

12,258

100.0%

8.2%

2.2%

89.5%

1,492

123

33

1,336

100.0%

6.8%

1.0%

92.1%

1,256

86

13

1,157

100.0%

9.2%

3.6%

87.2%

36,187

3,317

1,298

31,572

100.0%

8.9%

2.6%

88.5%

33,090

2,942

849

29,299


SOBRA

2009

# %

2010

# %

Non-SOBRA

2009

# %

2010

# %

CMS High Risk OB

2009

# %

2010

# %

Medically Needy

2009

# %

2010

# %

Total

FFS

MediPass

HMO

Total

High Exposure

FFS

MediPass

HMO

Total

Low Exposure

FFS

MediPass

HMO

Total

100.0%

7.2%

2.5%

90.2%

51,439

3,723

1,311

46,405

100.0%

8.6%

3.2%

88.2%

50,741

4,340

1,637

44,764

100.0%

53.8%

16.1%

30.0%

11,753

6,328

1,896

3,529

100.0%

49.7%

17.8%

32.4%

11,072

5,505

1,976

3,591

100.0%

10.5%

3.5%

85.9%

7,101

748

250

6,103

100.0%

10.7%

3.6%

85.7%

7,114

763

257

6,094

100.0%

12.1%

5.4%

82.5%

354

43

19

292

100.0%

15.4%

5.6%

79.0%

338

52

19

267

100.0%

6.4%

2.1%

91.5%

37,584

2,424

788

34,372

100.0%

8.1%

3.2%

88.7%

38,489

3,128

1,237

34,124

100.0%

59.8%

15.7%

24.5%

8,041

4,806

1,265

1,970

100.0%

52.2%

20.0%

27.7%

7,956

4,157

1,595

2,204

100.0%

15.5%

5.7%

78.8%

3,209

497

183

2,529

100.0%

17.0%

6.8%

76.3%

3,254

552

220

2,482

100.0%

33.7%

16.3%

50.0%

98

33

16

49

100.0%

35.1%

16.5%

48.5%

97

34

16

47

100.0%

9.4%

3.8%

86.8%

13,855

1,299

523

12,033

100.0%

9.9%

3.3%

86.8%

12,252

1,212

400

10,640

100.0%

41.0%

17.0%

42.0%

3,712

1,522

631

1,559

100.0%

43.3%

12.2%

44.5%

3,116

1,348

381

1,387

100.0%

6.4%

1.7%

91.8%

3,892

251

67

3,574

100.0%

5.5%

1.0%

93.6%

3,860

211

37

3,612

100.0%

3.9%

1.2%

94.9%

256

10

3

243

100.0%

7.5%

1.2%

91.3%

241

18

3

220

Table 21C.1: Number and Percent Medicaid Births for Infants Screened for Health and Developmental Risksby Medicaid Delivery System and Length of Coverage (LOC)



Notes: High exposure means mother had coverage in Medicaid for 180 days or more during pregnancy. Low exposure means mother had coverage in Medicaid for less than 180 days during pregnancy. % (% Total) is the percent of the Indicator's births for each Medicaid Delivery System (numerator - the Indicator’s C.1 Table) from the total births for that Medicaid Delivery System and Subgroup (denominator - Table 15C.) . Results are suppressed for individual cells where the case count is under 5, but are included in all table totals and corresponding charts (see Appendix 1 - Methodology, Data Suppression, pg 123).


HMO Plan Name

2009

# Births %

2010

# Births %


61.6%70.1%81.4%74.7%85.8%97.1%83.7%68.1%62.2%41.6%71.7%

9324591697

1,929204105424

2,321233281

1,581

7715164279

1,440175102355

1,580145117

1,134

79.8%66.2%65.9%76.6%68.9%88.2%90.9%84.2%64.9%59.8%55.9%66.0%

119595971329

2,01317099

4362,097

448315

1,609

95394640252

1,38615090

3671,361

268176

1,062

Table 21D: Number and Percent of Infants Screened for Health and Developmental Risks for Women Enrolled in Medicaid in theSame HMO >= 180 Days or >= Two-Thirds of the Pregnancy

Length of Coverage


SOBRA

2009

%

2010

%

Non-SOBRA

2009

%

2010

%

CMS High Risk OB

2009

%

2010

%

Medically Needy

2009

%

2010

%

Medicaid SSI

2009

%

2010

%

Alien

2009

%

2010

%


2009

%

2010

%

Total

2009

%

2010

%

Total

FFS

MediPass

HMO

Total

High Exposure

FFS

MediPass

HMO

Total

Low Exposure

FFS

MediPass

HMO

Total

66.9%

69.5%

68.7%

66.7%

64.9%

65.8%

69.5%

64.7%

68.6%

70.0%

66.0%

67.4%

68.5%

68.0%

68.9%

68.9%

75.6%

72.6%

72.3%

76.1%

74.8%

73.1%

73.0%

75.2%

72.2%

68.3%

70.4%

73.0%

64.9%

64.2%

61.3%

65.3%

73.8%

75.5%

71.4%

73.0%

69.9%

71.1%

70.7%

67.7%

84.3%

84.3%

83.6%

83.6%

72.3%

78.9%

67.3%

71.1%

67.5%

70.5%

73.9%

66.6%

70.2%

70.6%

67.8%

70.3%

68.5%

67.7%

69.6%

68.6%

66.8%

70.1%

68.9%

66.6%

65.0%

66.1%

69.0%

64.8%

68.6%

70.0%

65.7%

67.2%

68.4%

68.1%

68.5%

68.8%

70.5%

72.0%

73.5%

69.9%

69.0%

71.5%

75.9%

67.9%

73.1%

71.7%

72.7%

74.2%

61.8%

58.6%

66.7%

62.7%

73.4%

74.7%

71.4%

73.1%

69.9%

71.4%

71.1%

67.2%

80.0%

80.0%

83.3%

83.3%

73.7%

76.6%

67.2%

72.1%

70.6%

70.8%

77.5%

68.7%

67.6%

70.7%

67.9%

66.9%

65.9%

67.8%

69.5%

65.3%

67.2%

68.4%

68.5%

67.0%

64.7%

65.2%

71.2%

64.4%

68.5%

70.1%

66.8%

67.7%

68.7%

67.9%

70.8%

69.0%

80.4%

73.6%

69.1%

81.1%

80.6%

77.6%

59.7%

81.1%

71.9%

58.8%

60.0%

72.8%

66.2%

78.3%

42.9%

65.9%

77.1%

81.2%

71.9%

70.7%

69.5%

68.4%

62.5%

78.1%

84.3%

84.3%

83.6%

83.6%

71.8%

83.7%

67.3%

71.0%

66.5%

69.9%

61.9%

66.3%

74.2%

70.4%

67.7%

75.0%

73.0%

67.5%

69.9%

73.7%

Table 21C.2: Percent Births for Infants Screened for Health and Developmental Risks by Medicaid Delivery System and Length of Coverage (LOC)


Indicator 22: Births for Infants Screened “At Risk” for Healthand Developmental Problems in Florida

Notes: At risk is defined as infants scoring four or more points on the Healthy Start Infant Screening Tool. *Temporarily Eligible means Medicaid beneficiaries who were presumptively eligible but later determined to be financially ineligible. % (% Total) is the percent of the Indicator's births for each Medicaid Status/Subgroup (numerator) from the total bi rths for that Medicaid Status/Subgroup (denominator - Table 15A). Results are suppressed for individual cells where the case count is under 5, but are included in all table totals and corresponding charts (see Appendix 1 - Methodology, Data Suppression, pg 123).


2006

# %

2007

# %

2008

# %

2009

# %

2010

# %

NonMedicaid

Non-Medicaid

Temporarily Eligible*Total

Medicaid

SOBRANon SOBRA

CMS High Risk OBMedically Needy

Medicaid SSIAlien

Mcaid < 8 Days or No PNCTotal

Grand Total

9.9%

14.4%

9.6%

8,505

746

7,759

11.1%

23.9%

10.2%

9,884

1,488

8,396

10.9%

24.6%

10.1%

9,768

1,171

8,597

12.0%

25.1%

11.3%

5,718

628

5,090

14.6%

26.7%

14.0%

6,305

530

5,775

17.2%

68.4%

10.4%

29.4%

17.3%

30.8%

21.2%

13.0%

17,973

1,706

1,617

583

81

2,818

3,709

7,459

20.1%

69.3%

24.0%

30.7%

19.7%

33.8%

22.9%

13.9%

21,640

1,889

3,779

638

94

2,945

3,783

8,512

20.4%

66.2%

25.3%

31.1%

19.7%

35.5%

22.6%

14.4%

22,604

1,791

3,793

620

95

3,346

3,474

9,485

21.1%

69.9%

25.6%

30.6%

17.8%

37.1%

23.7%

15.0%

18,407

1,392

3,278

512

63

2,637

2,786

7,739

24.1%

77.5%

27.9%

40.9%

24.3%

42.7%

27.9%

17.5%

20,473

1,330

3,419

627

82

3,041

3,085

8,889

13.9%26,478 16.1%31,524 16.1%32,372 17.9%24,125 20.9%26,778

Table 22A: Number and Percent Births for Infants Screened "At Risk" for Health and Developmental Problems of All Births by Medicaid Status/Subgroup


0.0%

5.0%

10.0%

15.0%

20.0%

25.0%

Figure 22Aa: Percent of Births for Infants Screened "At Risk" forHealth and Developmental Problems of All Births by Medicaid Status:

Five-Year Trends

Year ofBirth2006

2007

2008

2009

2010



Mcaid < 8Days or No

PNC

0.0%

20.0%

40.0%

60.0%

80.0%

Figure 22Ab: Percent of Births for Infants Screened "At Risk" for Health and DevelopmentalProblems of All Births by Medicaid Subgroup: Five-Year Trends



Notes: At risk is defined as infants scoring four or more points on the Healthy Start Infant Screening Tool. % (% Race/Ethnicity) is the percent of each Race/Ethnicity Category (numerator) for all Race/Ethnicity Categories from that Medicaid Subgroup (denominator). Results are suppressed for individual cells where the case count is under 5, but are included in all table totals and corresponding charts (see Appendix 1 - Methodology, Data Suppression, pg 123).


2010

Caucasian

# %

African-American

# %

Hispanic

# %

Asian

# %

Native-American

# %

Other

# %

NonMedicaid

Non-Medicaid


Total

Medicaid

SOBRA

Non SOBRA

CMS High Risk OB

Medically Needy

Medicaid SSI

Alien


Total

Grand Total

41.1%

3.8%

44.5%

2,590

20

2,570

15.5%

8.3%

16.2%

977

44

933

35.5%

84.0%

31.0%

2,238

445

1,793

5.3%

2.5%

5.5%

332

13

319

0.3%

0.4%

21

21

2.3%

1.5%

2.4%

147

8

139

21.5%

37.5%

2.1%

15.6%

28.0%

16.1%

18.9%

29.7%

4,406

499

71

98

23

489

582

2,644

36.8%

39.8%

3.4%

69.4%

37.8%

36.8%

60.2%

38.9%

7,543

529

116

435

31

1,119

1,858

3,455

38.8%

20.1%

91.8%

12.3%

29.3%

45.2%

18.8%

27.8%

7,935

267

3,140

77

24

1,376

580

2,471

1.1%

0.7%

1.8%

0.3%

2.4%

1.1%

0.5%

1.3%

235

9

62

2

2

32

14

114

0.1%

0.2%

0.0%

0.2%

0.0%

0.1%

0.2%

22

2

0

1

1

3

15

1.6%

1.8%

0.9%

2.2%

2.4%

0.8%

1.6%

2.1%

332

24

30

14

2

24

48

190

26.1%6,996 31.8%8,520 38.0%10,173 2.1%567 0.2%43 1.8%479

Table 22B.1: Number and Percent Distribution Births for Infants Screened "At Risk" for Health and Developmental Problemsby Race/Ethnicity and Medicaid Status/Subgroup



Notes: At risk is defined as infants scoring four or more points on the Healthy Start Infant Screening Tool. % (% Race/Ethnicity) is the percent of the Indicator's births for each Race/Ethnicity Category (numerator) from the total births for that Race/Ethnicity Category within each Medicaid Status/Subgroup (denominator - Table 15B). High percentages in certain Race/Ethnicity subgroups are due to very small denominators. Results are suppressed for individual cells where the case count is under 5, but are included in all table totals and corresponding charts (see Appendix 1 - Methodology, Data Suppression, pg 123).


2010

Caucasian

%

African-American

%

Hispanic

%

Asian

%

Native-American

%

Other

%

NonMedicaid


Medicaid

SOBRANon SOBRACMS High Risk OBMedically NeedyMedicaid SSIAlienMcaid < 8 Days or No PNCTotal

Grand Total

11.6%11.2%

11.6%

20.8%18.7%

20.9%

17.0%30.8%

15.3%

17.2%16.7%

17.2%

21.6%

21.6%

17.2%16.7%

17.2%

17.0%73.1%

13.6%25.9%

18.9%45.3%

19.3%13.1%

35.1%99.1%

20.2%50.1%

41.3%51.5%

37.6%28.0%

22.8%59.9%

29.4%30.0%

19.7%37.2%

20.1%14.7%

20.0%50.0%

17.8%33.3%

28.6%30.8%

20.9%18.2%

27.8%66.7%

0.0%100.0%

33.3%

16.7%28.3%

28.1%72.7%

19.2%63.6%

16.7%44.4%

32.7%25.1%

14.5% 32.5% 21.2% 18.3% 24.4% 23.5%

Table 22B.2: Number and Percent Births for Infants Screened "At Risk" for Health and Developmental Problems of All Birthsby Race/Ethnicity and Medicaid Status/Subgroup

2010


0.0%

10.0%

20.0%

30.0%

Figure 22B.2a: Percent Births for Infants Screened "At Risk"for Health and Developmental Problems of All Births


Race/Ethnicity

Caucasian

African-American

Hispanic

Asian

Native-American

Other

2010



Mcaid < 8Days or No

PNC

0.0%

20.0%

40.0%

60.0%

80.0%

100.0%

Figure 22B.2b: Percent of Births for Infants Screened "At Risk" for Health and DevelopmentalProblems of All Births by Race/Ethnicity and Medicaid Subgroup



Notes: At risk is defined as infants scoring four or more points on the Healthy Start Infant Screening Tool. High exposure means mother had coverage in Medicaid for 180 days or more during pregnancy. Low exposure means mother had coverage in Medicaid for less than 180 days during pregnancy. % (% Medicaid Delivery System) is the percent of each Medicaid Delivery System (numerator) from the total for that LOC category (denominator). Results are suppressed for individual cells where the case count is under 5, but are included in all table totals and corresponding charts (see Appendix 1 - Methodology, Data Suppression, pg 123).


SOBRA

2009

# %

2010

# %

Non-SOBRA

2009

# %

2010

# %

CMS High Risk OB

2009

# %

2010

# %

Medically Needy

2009

# %

2010

# %

Total

FFS

HMO

MediPass

Total

High Exposure

FFS

HMO

MediPass

Total

Low Exposure

FFS

HMO

MediPass

Total

3.0%

8.5%

88.5%

100.0%

229

660

6,850

7,739

3.8%

11.3%

84.8%

100.0%

342

1,008

7,539

8,889

14.0%

55.7%

30.3%

100.0%

390

1,551

845

2,786

15.6%

52.6%

31.8%

100.0%

482

1,623

980

3,085

4.4%

11.6%

84.0%

100.0%

115

306

2,216

2,637

4.3%

11.8%

83.9%

100.0%

131

359

2,551

3,041

1.6%

19.0%

79.4%

100.0%

1

12

50

63

7.3%

13.4%

79.3%

100.0%

6

11

65

82

2.4%

8.1%

89.5%

100.0%

126

428

4,707

5,261

4.1%

11.9%

84.0%

100.0%

256

745

5,246

6,247

13.1%

62.3%

24.6%

100.0%

253

1,202

475

1,930

17.3%

55.7%

27.0%

100.0%

394

1,266

614

2,274

7.6%

17.3%

75.1%

100.0%

88

201

872

1,161

8.0%

18.8%

73.3%

100.0%

110

258

1,008

1,376

5.3%

47.4%

47.4%

100.0%

1

9

9

19

19.2%

26.9%

53.8%

100.0%

5

7

14

26

4.2%

9.4%

86.5%

100.0%

103

232

2,143

2,478

3.3%

10.0%

86.8%

100.0%

86

263

2,293

2,642

16.0%

40.8%

43.2%

100.0%

137

349

370

856

10.9%

44.0%

45.1%

100.0%

88

357

366

811

1.8%

7.1%

91.1%

100.0%

27

105

1,344

1,476

1.3%

6.1%

92.7%

100.0%

21

101

1,543

1,665

0.0%

6.8%

93.2%

100.0%

0

3

41

44

1.8%

7.1%

91.1%

100.0%

1

4

51

56

Table 22C.1: Number and Percent Distribution of Births for Medicaid Infants Screened "At Risk" for Health and Developmental Problems of Medicaid Birthsby Medicaid Delivery System and Length of Coverage (LOC)


Medicaid SSI

2009

# %

2010

# %

Alien

2009

# %

2010

# %


2009

# %

2010

# %

Total

2009

# %

2010

# %

Total

FFS

MediPass

HMO

Total

High Exposure

FFS

MediPass

HMO

Total

Low Exposure

FFS

MediPass

HMO

Total

100.0%

52.1%

18.9%

28.9%

512

267

97

148

100.0%

47.8%

20.6%

31.6%

627

300

129

198

100.0%

100.0%

3,278

3,278

100.0%

100.0%

3,419

3,419

100.0%

25.6%

5.3%

69.1%

1,392

356

74

962

100.0%

25.9%

5.9%

68.2%

1,330

345

78

907

100.0%

17.1%

4.9%

78.0%

18,407

3,152

906

14,349

100.0%

17.8%

5.7%

76.5%

20,473

3,646

1,168

15,659

100.0%

51.4%

19.0%

29.6%

459

236

87

136

100.0%

46.9%

20.8%

32.4%

578

271

120

187

100.0%

100.0%

3

3

100.0%

100.0%

5

5

100.0%

47.3%

8.2%

44.5%

499

236

41

222

100.0%

45.4%

11.2%

43.4%

546

248

61

237

100.0%

24.8%

6.4%

68.8%

9,332

2,312

596

6,424

100.0%

25.3%

8.6%

66.2%

11,052

2,795

946

7,311

100.0%

58.5%

18.9%

22.6%

53

31

10

12

100.0%

59.2%

18.4%

22.4%

49

29

9

11

100.0%

100.0%

3,275

3,275

100.0%

100.0%

3,414

3,414

100.0%

13.4%

3.7%

82.9%

893

120

33

740

100.0%

12.4%

2.2%

85.5%

784

97

17

670

100.0%

9.3%

3.4%

87.3%

9,075

840

310

7,925

100.0%

9.0%

2.4%

88.6%

9,421

851

222

8,348


Notes: At risk is defined as infants scoring four or more points on the Healthy Start Infant Screening Tool. High exposure means mother had coverage in Medicaid for 180 days or more during pregnancy. Low exposure means mother had coverage in Medicaid for less than 180 days during pregnancy. % (% Total) is the percent of the Indicator's births for each Medicaid Delivery System (numerator - the Indicator’s C.1 Table) from the total births for that Medicaid Delivery System and Subgroup (denominator - Table 15C.) . Results are suppressed for individual cells where the case count is under 5, but are included in all table totals and corresponding charts (see Appendix 1 - Methodology, Data Suppression, pg 123).



Length of Coverage


SOBRA

2009

%

2010

%

Non-SOBRA

2009

%

2010

%

CMS High Risk OB

2009

%

2010

%

Medically Needy

2009

%

2010

%

Medicaid SSI

2009

%

2010

%

Alien

2009

%

2010

%


2009

%

2010

%

Total

2009

%

2010

%

Total

HMOMediPassFFSTotal

High Exposure

HMOMediPassFFSTotal

Low Exposure

HMOMediPassFFSTotal

15.0%14.8%17.5%17.7%

17.5%16.8%20.9%23.2%

23.7%23.9%20.6%24.5%

27.9%27.3%24.4%29.5%

37.1%36.3%46.0%40.9%

42.7%41.9%51.0%47.1%

17.8%17.1%5.3%

27.9%

24.3%24.3%31.6%21.2%

30.6%29.0%26.9%33.3%

40.9%39.7%37.6%43.4%

25.6%25.6%

27.9%27.9%

69.9%61.7%

100.0%99.2%

77.5%67.1%

114.7%116.2%

21.1%20.2%23.2%26.3%

24.1%22.7%27.2%31.3%

14.0%13.7%16.0%17.7%

16.2%15.4%20.7%23.8%

24.0%24.1%20.0%25.0%

28.6%27.9%24.7%30.5%

36.2%34.5%48.1%40.4%

42.3%40.6%50.0%46.7%

19.4%18.4%6.3%

27.3%

26.8%29.8%31.3%20.6%

30.8%28.3%27.3%34.2%

40.5%39.5%36.6%43.4%

75.0%75.0%

50.0%50.0%

100.0%100.0%100.0%100.0%

118.4%121.5%110.9%117.5%

18.3%16.2%22.8%26.6%

21.4%18.5%27.4%32.1%

17.9%17.8%19.7%17.9%

21.6%21.6%21.5%21.7%

23.1%23.7%21.7%22.9%

26.0%26.4%23.1%26.5%

37.9%37.6%40.3%41.8%

43.1%42.7%56.8%47.9%

17.2%16.9%0.0%

30.0%

23.2%23.2%33.3%22.2%

29.1%41.4%24.4%27.7%

45.8%44.0%60.0%43.3%

25.6%25.6%

27.9%27.9%

59.9%55.4%

100.0%97.6%

62.4%57.9%

130.8%112.8%

25.1%25.1%23.9%25.3%

28.5%28.5%26.1%28.9%

Table 22C.2: Percent Medicaid Births for Infants Screened "At Risk" for Health and Developmental Problems of Medicaid Birthsby Medicaid Delivery System and Length of Coverage (LOC)

HMO Plan Name

2009

# Screened %

2010

# Screened %


26.5%26.6%21.5%26.7%21.7%22.5%25.6%29.1%30.3%24.8%27.2%

7715164279

1,440175102355

1,580145117

1,134

1540

17117

384382391

4604429

309

17.9%37.8%28.3%27.8%34.0%24.0%23.3%27.0%34.4%39.6%38.6%35.9%

95394640252

1,38615090

3671,361

268176

1,062

1714918170

471362199

46810668

381

Table 22D: Number and Percent Births for Infants Screened "At Risk" for Health and Developmental Problems for WomenEnrolled in Medicaid in the Same HMO >= 180 Days or >= Two-Thirds of the Pregnancy


Indicator 23: Infant Mortality in Florida

Notes: The infant mortality rate is the number of infant deaths per 1,000 live births.Deaths occur in the first year of life. *High rates are the result of very small numbers in the category being measured, and are not representative of the Medicaid population as a whole. *Temporarily Eligible means Medicaid beneficiaries who were presumptively eligible but later determined to be financially ineligible. The denominator for Rate is the total number (#) of births for that Row/Column combination from Table 15A. Results are suppressed for individual cells where the case count is under 5, but are included in all table totals and corresponding charts (see Appendix 1 - Methodology, Data Suppression, pg 123).


2005

# Rate

2006

# Rate

2007

# Rate

2008

# Rate

2009

# Rate

NonMedicaid

Non-Medicaid


Total

Medicaid

SOBRA

Non SOBRA

CMS High Risk OB

Medically Needy

Medicaid SSI

Alien


Total

Grand Total

5.1

7.6

5.0

553

34

519

4.6

3.7

4.7

530

22

508

5.2

7.1

5.1

611

50

561

5.2

4.3

5.3

563

22

541

4.5

5.8

4.5

434

19

415

8.6

28.2

3.8

12.8

7.8

23.8

9.3

6.3

997

73

61

28

4

226

205

400

8.8

26.9

3.3

20.2

9.1

28.0

8.1

6.5

1,076

78

55

46

5

277

167

448

8.2

25.3

4.0

10.7

8.6

23.6

8.7

6.1

1,003

80

67

25

5

225

166

435

8.4

27.6

3.7

14.4

10.9

24.6

9.3

5.9

1,025

85

59

32

6

245

159

439

7.9

29.4

3.1

13.7

12.2

20.1

10.4

5.9

983

81

47

31

6

189

179

450

6.91,550 6.81,606 6.71,614 6.91,588 6.41,417

Table 23A: Number and Rate of Infant Deaths (per 1,000 Live Births) by Medicaid Status/Subgroup, (Birth Years 2005-2009)


0.0

2.0

4.0

6.0

8.0

Figure 23Aa: Rate of Infant Deaths (per 1,000 Live Births)by Medicaid Status: Five-Year Trends

Year ofBirth2005

2006

2007

2008

2009


MedicallyNeedy


PNC

0.0

10.0

20.0

30.0

Figure 23Ab: Rate of Infant Deaths (per 1,000 Live Births)by Medicaid Subgroup: Five-Year Trends



Notes: The infant mortality rate is the number of infant deaths in the first year of life per 1,000 live births. % (% Race/Ethnicity) is the percent of each Race/Ethnicity Category (numerator) for all Race/Ethnicity Categories from that Medicaid Subgroup (denominator). Results are suppressed for individual cells where the case count is under 5, but are included in all table totals and corresponding charts (see Appendix 1 - Methodology, Data Suppression, pg 123).


2009

Caucasian

# %

African-American

# %

Hispanic

# %

Asian

# %

Native-American

# %

Other

# %

NonMedicaid

Non-Medicaid


Total

Medicaid

SOBRA

Non SOBRA

CMS High Risk OB

Medically Needy

Medicaid SSI

Alien


Total

Grand Total

48.2%

5.3%

50.1%

209

1

208

22.4%

31.6%

21.9%

97

6

91

23.0%

57.9%

21.4%

100

11

89

3.9%

0.0%

4.1%

17

0

17

0.2%

0.0%

0.2%

1

0

1

2.3%

5.3%

2.2%

10

1

9

28.5%

19.8%

8.5%

16.1%

50.0%

21.2%

28.5%

35.8%

280

16

4

5

3

40

51

161

42.3%

56.8%

6.4%

71.0%

16.7%

41.3%

55.3%

37.1%

416

46

3

22

1

78

99

167

26.4%

23.5%

85.1%

12.9%

16.7%

36.5%

14.0%

22.7%

260

19

40

4

1

69

25

102

0.7%

0.0%

0.0%

0.0%

0.0%

1.1%

1.1%

0.7%

7

0

0

0

0

2

2

3

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

0

0

0

0

0

0

0

2.0%

0.0%

0.0%

0.0%

16.7%

0.0%

1.1%

3.8%

20

0

0

0

1

0

2

17

34.5%489 36.2%513 25.4%360 1.7%24 0.1%1 2.1%30

Table 23B.1: Number and Percent Distribution of Infant Deaths by Race/Ethnicity and Medicaid Status/Subgroup, (Birth Year 2009)



Notes: The infant mortality rate is the number of infant deaths in the first year of life per 1,000 li ve births. *High rates are the result of very small numbers in the category being measured, and are not representative of the Medicaid population as a whole. The denominator for Rate is the total number of births for that Medicaid Subgroup in Year 2008 from Table 15B. Results are suppressed for individual cells where the case count is under 5, but are included in all table totals and corresponding charts (see Appendix 1 - Methodology, Data Suppression, pg 123).


2009

Caucasian

Rate

African-American

Rate

Hispanic

Rate

Asian

Rate

Native-American

Rate

Other

Rate

NonMedicaid

Non-Medicaid


Total

Medicaid

SOBRA

Non SOBRA

CMS High Risk OBMedically Needy

Medicaid SSI

Alien


Total

Grand Total

3.8

2.8

3.8

9.9

16.5

9.7

4.1

4.8

4.0

3.8

0.0

3.9

4.9

0.0

5.7

5.8

15.9

5.4

6.5

15.6

5.7

8.7

15.7

21.5

10.1

4.8

13.1

48.3

4.9

17.3

9.5

26.5

12.8

9.2

5.7

28.7

3.1

10.7

5.5

15.9

6.2

4.5

3.9

0.0

0.0

0.0

0.0

13.8

20.8

3.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

10.8

0.0

0.0

0.0

200.0

0.0

9.4

14.2

5.0 12.4 5.2 3.8 2.3 8.4

Table 23B.2: Rate of Infant Deaths (per 1,000 Live Births) by Race/Ethnicity and Medicaid Status/Subgroup (Birth Year 2009)

2009


0.0

5.0

10.0

Figure 23B.2a: Rate of Infant Deaths (per 1,000 Live Births)by Race/Ethnicity and Medicaid Status (Birth Year 2009)

Race/Ethnicity

Caucasian

African-American

Hispanic

Asian

Native-American

Other

2009



Mcaid < 8Days or No

PNC

0.0

50.0

100.0

150.0

200.0

Figure 23B.2b: Rate of Infant Deaths (per 1,000 Live Births)by Race/Ethnicity and Medicaid Subgroup (Birth Year 2009)



Notes: High exposure means mother had coverage in Medicaid for 180 days or more during pregnancy. Low exposure means mother had coverage in Medicaid for less than 180 days during pregnancy. % (% Medicaid Delivery System ) is the percent of each Medicaid Delivery System (numerator) from the total for that LOC category (denominator). The denominator for Year of birth 2008 data is not reported for the births indicator but can be found in the HSI 2005-2009 report table 15C.2. Results are suppressed for individual cells where the case count is under 5, but are included in all table totals and corresponding charts (see Appendix 1 - Methodology, Data Suppression, pg 123).

Length ofCoverage

MedicaidDelivery Syst..

Medicaid SSI

2008

# %

2009

# %

Alien

2008

# %

2009

# %


2008

# %

2009

# %

Total

2008

# %

2009

# %

Total

FFS

MediPass

HMO

Total

High Exposure

FFS

MediPass

HMO

Total

Low Exposure

FFS

MediPass

HMO

Total

100.0%

43.8%

31.3%

25.0%

32

14

10

8

100.0%

41.9%

25.8%

32.3%

31

13

8

10

100.0%

100.0%

59

59

100.0%

100.0%

47

47

100.0%

16.5%

4.7%

78.8%

85

14

4

67

100.0%

22.2%

8.6%

69.1%

81

18

7

56

100.0%

17.6%

8.6%

73.9%

1,025

180

88

757

100.0%

19.4%

6.3%

74.3%

983

191

62

730

100.0%

26.3%

36.8%

36.8%

19

5

7

7

100.0%

45.8%

29.2%

25.0%

24

11

7

6

0

0

0

0

100.0%

57.1%

28.6%

14.3%

7

4

2

1

100.0%

75.0%

8.3%

16.7%

12

9

1

2

100.0%

20.9%

13.6%

65.6%

302

63

41

198

100.0%

33.0%

8.2%

58.8%

403

133

33

237

100.0%

69.2%

23.1%

7.7%

13

9

3

1

100.0%

28.6%

14.3%

57.1%

7

2

1

4

100.0%

100.0%

59

59

100.0%

100.0%

47

47

100.0%

12.8%

2.6%

84.6%

78

10

2

66

100.0%

13.0%

8.7%

78.3%

69

9

6

54

100.0%

16.2%

6.5%

77.3%

723

117

47

559

100.0%

10.0%

5.0%

85.0%

580

58

29

493

Length of Coverage


SOBRA

2008

# %

2009

# %

Non-SOBRA

2008

# %

2009

# %

CMS High Risk OB

2008

# %

2009

# %

Medically Needy

2008

# %

2009

# %

Total

FFS

MediPass

HMO

Total

High Exposure

FFS

MediPass

HMO

Total

Low Exposure

FFS

MediPass

HMO

Total

100.0%

6.8%

2.7%

90.4%

439

30

12

397

100.0%

7.3%

2.2%

90.4%

450

33

10

407

100.0%

50.9%

27.0%

22.0%

159

81

43

35

100.0%

56.4%

14.0%

29.6%

179

101

25

53

100.0%

16.3%

7.8%

75.9%

245

40

19

186

100.0%

13.2%

6.3%

80.4%

189

25

12

152

100.0%

16.7%

0.0%

83.3%

6

1

0

5

100.0%

16.7%

0.0%

83.3%

6

1

0

5

100.0%

6.0%

0.0%

94.0%

149

9

0

140

100.0%

11.3%

2.2%

86.6%

186

21

4

161

100.0%

52.2%

35.8%

11.9%

67

35

24

8

100.0%

67.9%

12.8%

19.3%

109

74

14

21

100.0%

16.7%

13.3%

70.0%

60

10

8

42

100.0%

25.4%

9.9%

64.8%

71

18

7

46

0

0

0

0

100.0%

0.0%

0.0%

100.0%

1

0

0

1

100.0%

7.2%

4.1%

88.6%

290

21

12

257

100.0%

4.5%

2.3%

93.2%

264

12

6

246

100.0%

50.0%

20.7%

29.3%

92

46

19

27

100.0%

38.6%

15.7%

45.7%

70

27

11

32

100.0%

16.2%

5.9%

77.8%

185

30

11

144

100.0%

5.9%

4.2%

89.8%

118

7

5

106

100.0%

16.7%

0.0%

83.3%

6

1

0

5

100.0%

20.0%

0.0%

80.0%

5

1

0

4

Table 23C.1: Number and Percent Distribution of Medicaid Infant Deaths by Medicaid Delivery System and Length of Coverage (LOC) (Birth Years 2008-2009)


Notes: The infant mortality rate is the number of infant deaths in the first year of life per 1,000 live births. High exposure means mother had coverage in Medicaid for 180 days or more during pregnancy. Low exposure means mother had coverage in Medicaid for less than 180 days during pregnancy. The denominator for Rate is the total number(#) of births for that Row/Column combination from Table 15C.2 in Year 2009. The denominator for Year of birth 2008 data is not reported for the births indicator but can be found in the HSI 2005-2009 report table 15C.2. Results are suppressed for individual cells where the case count is under 5, but are included in all table totals and corresponding charts (see Appendix 1 - Methodology, Data Suppression, pg 123).



Length of Coverage


SOBRA

2008

Rate

2009

Rate

Non-SOBRA

2008

Rate

2009

Rate

CMS High Risk OB

2008

Rate

2009

Rate

Medically Needy

2008

Rate

2009

Rate

Medicaid SSI

2008

Rate

2009

Rate

Alien

2008

Rate

2009

Rate


2008

Rate

2009

Rate

Total

2008

Rate

2009

Rate

Total

FFS

MediPassHMO

Total

High Exposure

FFS

MediPassHMO

Total

Low Exposure

FFS

MediPassHMO

Total

5.9

5.5

5.4

6.0

5.9

6.2

5.2

5.8

9.3

8.2

10.5

11.1

10.4

11.2

8.7

10.1

24.6

31.7

33.9

22.8

20.1

24.2

34.7

19.0

10.9

11.8

0.0

11.9

12.2

15.9

0.0

12.5

14.4

12.8

14.6

18.5

13.7

12.2

15.9

14.3

3.7

3.7

3.1

3.1

27.6

24.7

27.2

28.3

29.4

39.6

63.6

25.6

8.4

9.8

11.4

7.8

7.9

11.2

10.8

7.2

3.2

3.7

0.0

3.2

3.3

6.1

3.5

3.1

8.0

6.6

10.4

9.7

9.3

10.8

7.3

7.2

15.0

16.6

26.4

13.6

15.6

26.1

28.1

12.7

0.0

0.0

0.0

0.0

7.5

0.0

0.0

15.2

9.9

5.5

11.6

17.6

11.8

11.9

15.7

9.1

0.0

0.0

0.0

0.0

12.4

15.4

26.3

4.4

17.7

29.2

16.4

6.5

4.9

6.6

11.4

4.0

5.3

10.8

8.6

4.0

10.8

7.0

6.2

11.7

12.8

6.3

7.9

13.7

10.6

10.0

10.7

11.6

12.9

12.4

11.6

13.9

31.0

45.7

42.8

28.4

24.4

20.5

51.5

24.1

13.3

21.7

0.0

13.0

14.0

58.8

0.0

12.0

43.8

49.5

37.5

28.6

29.7

14.5

17.5

97.6

3.7

3.7

3.1

3.1

31.0

32.7

28.2

30.8

33.2

61.2

122.4

28.7

11.9

13.3

11.4

11.7

11.9

12.3

15.1

11.7

Table 23C.2: Rate of Medicaid Infant Deaths (per 1,000 Live Births) by Medicaid Delivery System and Length of Coverage (LOC) (Birth Years 2008-2009)

HMO Plan Name

2008

# Births Rate

2009

# Births Rate

Amerigroup FloridaBuena VistaCitrus Health CareHealthease of Florida, Inc.HumanaJMH Health PlanPreferred MedicalStaywell Health PlanTotal Health Choice,Inc.United Health Care PlansUniversal Health Care, Inc.Vista Health Plan of South Florida 11.8

0.011.30.09.05.3

11.84.6

10.48.8

11.511.1

17034

1,06327

2,101190169433

2,597227435

1,531

20

120

19122

2725

17

0.020.414.210.313.50.0

19.07.1

12.917.217.88.2

9324591697

1,929204105424

2,321233281

1,581

05

131

26023

3045

13

Table 23D: Number and Rate of Medicaid Infant Deaths (per 1,000 Live Births) for Women Enrolled in Medicaid in the SameHMO >= 180 Days or >= Two-Thirds of the Pregnancy (Birth Years 2008-2009)


Indicator 24: Neonatal Mortality in Florida

Notes: The neonatal mortality rate is the number of infant deaths occurring within the first 28 days of life, per 1,000 live births. *High rates are the result of very small numbers in the category being measured, and are not representative of the Medicaid population as a whole. *Temporarily Eligible means Medicaid beneficiaries who were presumptively eligible but later determined to be financially ineligible. The denominator for Rate is the total number (#) of births for that Row/Column combination from Table 15A. Results are suppressed for individual cells where the case count is under 5, but are included in all table totals and corresponding charts (see Appendix 1 - Methodology, Data Suppression, pg 123).


2005

# Rate

2006

# Rate

2007

# Rate

2008

# Rate

2009

# Rate

NonMedicaid

Non-Medicaid


Total

Medicaid

SOBRA

Non SOBRA

CMS High Risk OB

Medically Needy

Medicaid SSI

Alien


Total

Grand Total

3.7

5.2

3.6

399

23

376

3.4

2.4

3.5

390

14

376

3.6

4.4

3.6

424

31

393

3.8

3.1

3.8

410

16

394

3.6

4.9

3.6

349

16

333

4.9

17.0

2.4

7.3

7.8

14.3

4.6

3.7

571

44

38

16

4

136

100

233

5.4

19.3

2.2

10.1

7.3

18.7

4.6

3.8

660

56

38

23

4

185

96

258

4.7

18.9

2.1

6.0

3.4

14.0

4.2

3.6

581

60

35

14

2

134

81

255

5.1

18.2

2.7

6.8

10.9

17.1

4.6

3.4

622

56

43

15

6

171

79

252

4.8

21.1

1.9

7.9

6.1

12.2

5.9

3.6

601

58

29

18

3

115

102

276

4.3970 4.41,050 4.21,005 4.51,032 4.3950

Table 24A: Number and Rate of Neonatal Deaths (per 1,000 Live Births) by Medicaid Status/Subgroup (Birth Years 2005-2009)


0.0

1.0

2.0

3.0

4.0

5.0

Figure 24Aa: Rate of Neonatal Deaths (per1,000 Live Births) by Medicaid Status:

Five-Year Trends

Year ofBirth2005

2006

2007

2008

2009


MedicallyNeedy Medicaid SSI Alien Mcaid < 8 Days

or No PNC

0.0

5.0

10.0

15.0

20.0

Figure 24Ab: Rate of Neonatal Deaths (per 1,000 Live Births)by Medicaid Subgroup: Five-Year Trends


Notes: The neonatal mortality rate is the number of infant deaths occurring within the first 28 days of life, per 1,000 live births. *High rates are the result of very small numbers in the category being measured, and are not representative of the Medicaid population as a whole. % (% Race/Ethnicity) is the percent of each Race/Ethnicity Category (numerator) for all Race/Ethnicity Categories from that Medicaid Subgroup (denominator). Results are suppressed for individual cells where the case count is under 5, but are included in all table totals and corresponding charts (see Appendix 1 - Methodology, Data Suppression, pg 123).



2009

Caucasian

# %

African-American

# %

Hispanic

# %

Asian

# %

Native-American

# %

Other

# %

NonMedicaid

Non-Medicaid


Total

Medicaid

SOBRA

Non SOBRA

CMS High Risk OB

Medically Needy

Medicaid SSI

Alien


Total

Grand Total

48.4%

6.3%

50.5%

169

1

168

22.6%

25.0%

22.5%

79

4

75

22.6%

62.5%

20.7%

79

10

69

4.0%

0.0%

4.2%

14

0

14

0.0%

0.0%

0.0%

0

0

0

2.3%

6.3%

2.1%

8

1

7

25.0%

17.2%

10.3%

27.8%

100.0%

16.5%

25.5%

30.4%

150

10

3

5

3

19

26

84

43.9%

63.8%

6.9%

50.0%

0.0%

40.0%

54.9%

41.3%

264

37

2

9

0

46

56

114

28.3%

19.0%

82.8%

22.2%

0.0%

42.6%

15.7%

23.9%

170

11

24

4

0

49

16

66

0.8%

0.0%

0.0%

0.0%

0.0%

0.9%

2.0%

0.7%

5

0

0

0

0

1

2

2

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

0

0

0

0

0

0

0

2.0%

0.0%

0.0%

0.0%

0.0%

0.0%

2.0%

3.6%

12

0

0

0

0

0

2

10

33.6%319 36.1%343 26.2%249 2.0%19 0.0%0 2.1%20

Table 24B.1: Number and Percent Distribution of Neonatal Deaths by Race/Ethnicity and Medicaid Status/Subgroup (Birth Year 2009)



Notes: The neonatal mortality rate is the number of infant deaths occurring within the first 28 days of life, per 1,000 live births. *High rates are the result of very small numbers in the category being measured, and are not representative of the Medicaid population as a whole. The denominator for Rate is the total number (#) of births for that Row/Column combination from Table 15A. Results are suppressed for individual cells where the case count is under 5, but are included in all table totals and corresponding charts (see Appendix 1 - Methodology, Data Suppression, pg 123).


2009

Caucasian

Rate

African-American

Rate

Hispanic

Rate

Asian

Rate

Native-American

Rate

Other

Rate

NonMedicaid

Non-Medicaid


Total

Medicaid

SOBRA

Non SOBRA

CMS High Risk OB

Medically Needy

Medicaid SSI

Alien


Total

Grand Total

3.1

2.8

3.1

8.1

11.0

8.0

3.2

4.3

3.1

3.1

0.0

3.2

0.0

0.0

0.0

4.6

15.9

4.2

3.5

9.7

4.3

8.7

15.7

10.2

5.1

2.5

8.3

38.8

3.3

7.1

0.0

15.6

7.3

6.3

3.8

16.6

1.8

10.7

0.0

11.3

4.0

2.9

2.8

0.0

0.0

0.0

0.0

6.9

20.8

2.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

6.5

0.0

0.0

0.0

0.0

0.0

9.4

8.4

3.2 8.3 3.6 3.0 0.0 5.6

Table 24B.2: Rate of Neonatal Deaths (per 1,000 Live Births) by Race/Ethnicity and Medicaid Status/Subgroup (Birth Year 2009)

2009


0.0

2.0

4.0

6.0

8.0

Figure 24B.2a: Rate of Neonatal Deaths (per 1,000 Live Births)by Race/Ethnicity and Medicaid Status (Birth Year 2009)

Race/Ethnicity

Caucasian

African-American

Hispanic

Asian

Native-American

Other

2009


MedicallyNeedy


PNC

0.0

10.0

20.0

30.0

40.0

Figure 24B.2b: Rate of Neonatal Deaths (per 1,000 Live Births) by Race/Ethnicityand Medicaid Subgroup (Birth Year 2009)



Notes: The neonatal mortality rate is the number of infant deaths occurring within the first 28 days of life, per 1,000 live births. High exposure means mother had coverage in Medicaid for 180 days or more during pregnancy. Low exposure means mother had coverage in Medicaid for less than 180 days during pregnancy. % (% Medicaid Delivery System ) is the percent of each Medicaid Delivery System (numerator) from the total for that LOC category (denominator). Results are suppressed for individual cells where the case count is under 5, but are included in all table totals and corresponding charts (see Appendix 1 - Methodology, Data Suppression, pg 123).

Length of Coverage


SOBRA

2008

# %

2009

# %

Non-SOBRA

2008

# %

2009

# %

CMS High Risk OB

2008

# %

2009

# %

Medically Needy

2008

# %

2009

# %

Total

FFS

MediPass

HMO

Total

High Exposure

FFS

MediPass

HMO

Total

Low Exposure

FFS

MediPass

HMO

Total

100.0%

3.6%

2.4%

94.0%

252

9

6

237

100.0%

5.4%

1.1%

93.5%

276

15

3

258

100.0%

38.0%

38.0%

24.1%

79

30

30

19

100.0%

53.9%

13.7%

32.4%

102

55

14

33

100.0%

14.6%

6.4%

78.9%

171

25

11

135

100.0%

13.9%

7.0%

79.1%

115

16

8

91

100.0%

16.7%

0.0%

83.3%

6

1

0

5

100.0%

33.3%

0.0%

66.7%

3

1

0

2

100.0%

7.1%

0.0%

92.9%

56

4

0

52

100.0%

13.1%

1.2%

85.7%

84

11

1

72

100.0%

40.0%

52.0%

8.0%

25

10

13

2

100.0%

71.7%

9.4%

18.9%

53

38

5

10

100.0%

10.0%

20.0%

70.0%

30

3

6

21

100.0%

31.6%

10.5%

57.9%

38

12

4

22

0

0

0

0

100.0%

0.0%

0.0%

100.0%

1

0

0

1

100.0%

2.6%

3.1%

94.4%

196

5

6

185

100.0%

2.1%

1.0%

96.9%

192

4

2

186

100.0%

37.0%

31.5%

31.5%

54

20

17

17

100.0%

34.7%

18.4%

46.9%

49

17

9

23

100.0%

15.6%

3.5%

80.9%

141

22

5

114

100.0%

5.2%

5.2%

89.6%

77

4

4

69

100.0%

16.7%

0.0%

83.3%

6

1

0

5

100.0%

50.0%

0.0%

50.0%

2

1

0

1

Table 24C.1: Number and Percent Distribution of Medicaid Neonatal Deathsby Medicaid Delivery System and Length of Coverage (LOC) (Birth Years 2008-2009)

Length of Coverage


Medicaid SSI

2008

# %

2009

# %

Alien

2008

# %

2009

# %


2008

# %

2009

# %

Total

2008

# %

2009

# %

Total

FFS

MediPass

HMO

Total

High Exposure

FFS

MediPass

HMO

Total

Low Exposure

FFS

MediPass

HMO

Total

100.0%

40.0%

46.7%

13.3%

15

6

7

2

100.0%

55.6%

22.2%

22.2%

18

10

4

4

100.0%

100.0%

43

43

100.0%

100.0%

29

29

100.0%

16.1%

5.4%

78.6%

56

9

3

44

100.0%

24.1%

8.6%

67.2%

58

14

5

39

100.0%

12.9%

9.2%

78.0%

622

80

57

485

100.0%

18.5%

5.7%

75.9%

601

111

34

456

100.0%

0.0%

80.0%

20.0%

5

0

4

1

100.0%

61.5%

30.8%

7.7%

13

8

4

1

0

0

0

0

100.0%

0.0%

50.0%

50.0%

2

0

1

1

100.0%

83.3%

0.0%

16.7%

6

5

0

1

100.0%

14.4%

20.3%

65.3%

118

17

24

77

100.0%

37.9%

7.2%

54.9%

195

74

14

107

100.0%

60.0%

30.0%

10.0%

10

6

3

1

100.0%

40.0%

0.0%

60.0%

5

2

0

3

100.0%

100.0%

43

43

100.0%

100.0%

29

29

100.0%

16.7%

3.7%

79.6%

54

9

2

43

100.0%

17.3%

9.6%

73.1%

52

9

5

38

100.0%

12.5%

6.5%

81.0%

504

63

33

408

100.0%

9.1%

4.9%

86.0%

406

37

20

349



Notes: High exposure means mother had coverage in Medicaid for 180 days or more during pregnancy. Low exposure means mother had coverage in Medicaid for less than 180 days during pregnancy. The denominator for Rate is the total number(#) of births for that Row/Column combination from Table 15C.1 in Year 2009. The denominator for Year of birth 2008 data is not reported for the births indicator but can be found in the HSI 2005-2009 report table 15C.2. Results are suppressed for individual cells where the case count is under 5, but are included in all table totals and corresponding charts (see Appendix 1 - Methodology, Data Suppression, pg 123).


HMO Plan Name

2008

# Births Rate

2009

# Births Rate


0.0

5.6

0.03.3

0.05.9

0.03.9

8.8

6.97.8

17034

1,063

272,101

190169

4332,597

227

4351,531

20

6

07

01

010

2

312

0.016.3

6.6

10.37.8

0.09.5

4.78.6

8.6

10.73.2

93245

916

971,929

204105

4242,321

233

2811,581

04

6

115

01

220

2

35

Table 24D: Number and Rate of Neonatal Deaths (per 1,000 Live Births) for Women Enrolled in Medicaid in the Same HMO >=180 Days or >= Two-Thirds of the Pregnancy, (Birth Years 2008-2009)

Length of Coverage


SOBRA

2008

Rate

2009

Rate

Non-SOBRA

2008

Rate

2009

Rate

CMS High Risk OB

2008

Rate

2009

Rate

Medically Needy

2008

Rate

2009

Rate

Medicaid SSI

2008

Rate

2009

Rate

Alien

2008

Rate

2009

Rate


2008

Rate

2009

Rate

Total

2008

Rate

2009

Rate

Total

FFS

MediPass

HMO

Total

High Exposure

FFS

MediPass

HMO

Total

Low Exposure

FFS

MediPass

HMO

Total

3.4

1.7

2.7

3.6

3.6

2.8

1.6

3.7

4.6

3.0

7.4

6.0

5.9

6.1

4.9

6.3

17.1

19.8

19.6

16.6

12.2

15.5

23.1

11.3

10.9

11.8

0.0

11.9

6.1

15.9

0.0

5.0

6.8

5.5

10.2

4.6

7.9

9.4

7.9

5.7

2.7

2.7

1.9

1.9

18.2

15.9

20.4

18.6

21.1

30.8

45.5

17.8

5.1

4.4

7.4

5.0

4.8

6.5

5.9

4.5

1.2

1.6

0.0

1.2

1.5

3.2

0.9

1.4

3.0

1.9

5.6

2.4

4.5

5.5

2.6

3.4

7.5

5.0

19.8

6.8

8.3

17.4

16.1

6.1

0.0

0.0

0.0

0.0

7.5

0.0

0.0

15.2

2.6

0.0

6.6

2.5

6.4

8.7

8.9

1.5

0.0

0.0

0.0

0.0

3.5

0.0

13.2

4.4

8.9

16.2

0.0

3.2

1.9

1.8

6.7

1.6

2.6

6.0

3.6

1.8

7.3

1.7

3.1

8.4

9.3

2.1

2.6

10.4

6.2

4.3

9.6

7.3

9.0

7.8

9.5

10.0

23.6

33.5

19.5

22.5

15.9

11.7

41.2

15.7

13.3

21.7

0.0

13.0

5.6

58.8

0.0

3.0

33.7

33.0

37.5

28.6

21.2

14.5

0.0

73.2

2.7

2.7

1.9

1.9

21.5

29.4

28.2

20.1

25.0

61.2

102.0

20.2

8.3

7.1

8.0

8.6

8.3

7.9

10.4

8.3

Table 24C.2: Rate of Medicaid Neonatal Deaths (per 1,000 Live Births) by Medicaid Delivery System and Length of Coverage (LOC) (Birth Years 2008-2009)


Indicator 25: Post-Neonatal Mortality in Florida

Notes: Rate of Post-Neonatal mortality is the number of infant deaths ages 28 to 365 days per 1,000 live births. *Temporarily Eligible means Medicaid beneficiaries who were presumptively eligible but later determined to be financially ineligible. The denominator for Rate is the total number (#) of births for that Row/Column combination from Table 15A. *High rates are the result of very small numbers in the category being measured, and are not representative of the Medicaid population as a whole. Results are suppressed for individual cells where the case count is under 5, but are included in all table totals and corresponding charts (see Appendix 1 - Methodology, Data Suppression, pg 123).


2005

# Rate

2006

# Rate

2007

# Rate

2008

# Rate

2009

# Rate

NonMedicaid

Non-Medicaid


Total

Medicaid

SOBRA

Non SOBRA

CMS High Risk OB

Medically Needy

Medicaid SSI

Alien


Total

Grand Total

1.4

2.5

1.4

156

11

145

1.2

1.4

1.2

142

8

134

1.6

2.7

1.6

191

19

172

1.5

1.2

1.5

157

6

151

0.9

0.9

0.9

88

3

85

3.7

11.2

1.4

6.0

0.0

9.6

4.9

2.6

430

29

23

13

0

91

107

167

3.4

7.6

1.0

10.1

1.8

9.5

3.4

2.8

420

22

17

23

1

94

71

192

3.5

6.3

1.9

4.7

5.1

9.7

4.5

2.6

426

20

32

11

3

93

85

182

3.3

9.4

1.0

7.7

0.0

7.7

4.7

2.6

410

29

16

17

0

77

81

190

3.1

8.7

1.2

5.7

6.1

7.9

4.5

2.3

386

24

18

13

3

74

77

177

2.6586 2.4562 2.6617 2.5567 2.2474

Table 25A: Number and Rate of Post-Neonatal Deaths (per 1,000 Live Births) by Medicaid Status/Subgroup (Birth Years 2005-2009)


0.0

1.0

2.0

3.0

Figure 25Aa: Rate of Post-Neonatal Deaths (per 1,000 Live Births)


Year ofBirth2005

2006

2007

2008

2009

SOBRA Non SOBRA CMS High RiskOB Medically Needy Medicaid SSI Alien Mcaid < 8 Days

or No PNC

0.0

2.0

4.0

6.0

8.0

10.0

Figure 25Ab: Rate of Post-Neonatal Deaths (per 1,000 Live Births)by Medicaid Subgroup: Five-Year Trends



Notes: *High rates are the result of very small numbers in the category being measured, and are not representative of the Medicaid popul ation as a whole. % (% Race/Ethnicity) is the percent of each Race/Ethnicity Category (numerator) for all Race/Ethnicity Categories from that Medicaid Subgroup (denominator). Results are suppressed for individual cells where the case count is under 5, but are included in all table totals and corresponding charts (see Appendix 1 - Methodology, Data Suppression, pg 123).


2009

Caucasian

# %

African-American

# %

Hispanic

# %

Asian

# %

Native-American

# %

Other

# %

NonMedicaid

Non-Medicaid


Total

Medicaid

SOBRA

Non SOBRA

CMS High Risk OB

Medically Needy

Medicaid SSI

Alien


Total

Grand Total

46.6%

0.0%

48.2%

41

0

41

22.7%

66.7%

21.2%

20

2

18

23.9%

33.3%

23.5%

21

1

20

3.4%

0.0%

3.5%

3

0

3

1.1%

0.0%

1.2%

1

0

1

2.3%

0.0%

2.4%

2

0

2

34.2%

25.0%

5.6%

0.0%

0.0%

28.4%

32.5%

44.6%

132

6

1

0

0

21

25

79

39.9%

41.7%

5.6%

100.0%

33.3%

43.2%

55.8%

30.5%

154

10

1

13

1

32

43

54

23.3%

33.3%

88.9%

0.0%

33.3%

27.0%

11.7%

20.3%

90

8

16

0

1

20

9

36

0.5%

0.0%

0.0%

0.0%

0.0%

1.4%

0.0%

0.6%

2

0

0

0

0

1

0

1

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

0

0

0

0

0

0

0

2.1%

0.0%

0.0%

0.0%

33.3%

0.0%

0.0%

4.0%

8

0

0

0

1

0

0

7

36.5%173 36.7%174 23.4%111 1.1%5 0.2%1 2.1%10

Table 25B.1: Number and Percent Distribution of Post-Neonatal Deaths by Race/Ethnicity and Medicaid Status/Subgroup (Birth Year 2009)



Notes: Rate of Post-Neonatal mortality is the number of infant deaths ages 28 to 365 days per 1,000 live births. *High rates are the result of very small numbers in the category being measured, and are not representative of the Medicaid population as a whole. The denominator for Rate is the total number of births for that Medicaid Subgroup in Year 2008 from Table 15B. Results are suppressed for individual cells where the case count is under 5, but are included in all table totals and corresponding charts (see Appendix 1 - Methodology, Data Suppression, pg 123).


2009

Caucasian

Rate

African-American

Rate

Hispanic

Rate

Asian

Rate

Native-American

Rate

Other

Rate

NonMedicaid

Non-Medicaid


Total

Medicaid

SOBRA

Non SOBRA

CMS High Risk OB

Medically Needy

Medicaid SSI

Alien


Total

Grand Total

0.7

0.0

0.7

2.1

5.5

1.9

0.9

0.4

0.9

0.7

0.0

0.7

4.9

0.0

5.7

1.2

0.0

1.2

3.1

5.8

1.4

0.0

0.0

11.3

4.9

2.3

4.8

10.5

1.6

10.2

9.5

10.9

5.6

3.0

2.0

12.1

1.2

0.0

5.5

4.6

2.2

1.6

1.1

0.0

0.0

0.0

0.0

6.9

0.0

1.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

4.3

0.0

0.0

0.0

200.0

0.0

0.0

5.8

1.8 4.2 1.6 0.8 2.3 2.8

Table 25B.2: Rate of Post-Neonatal Deaths (per 1,000 Live Births) by Race/Ethnicity and Medicaid Status/Subgroup (Birth Year 2009)

2009


0.0

1.0

2.0

3.0

4.0

5.0

Figure 25B.2a: Rate of Post-Neonatal Deaths(per 1,000 Live Births) by Race/Ethnicity and Medicaid Status

(Birth Year 2009)

Race/Ethnicity

Caucasian

African-American

Hispanic

Asian

Native-American

Other

2009


MedicallyNeedy


PNC

0.0

50.0

100.0

150.0

200.0

Figure 25B.2b: Rate of Post-Neonatal Deaths (per 1,000 Live Births) by Race/Ethnicity and Medicaid Subgroup (Birth Year 2009)



Notes: High exposure means mother had coverage in Medicaid for 180 days or more during pregnancy. Low exposure means mother had coverage in Medicaid for less than 180 days during pregnancy. % (% Medicaid Delivery System) is the percent of each Medicaid Delivery System (numerator) from the total for that LOC category (denominator). The denominator for Year of birth 2008 data is not reported for the Births indicator but can be found in the HSI 2005-2009 report table 15C.2. Results are suppressed for individual cells where the case count is under 5, but are included in all table totals and corresponding charts (see Appendix 1 - Methodology, Data Suppression, pg 123).

Length of Coverage


SOBRA

2008

# %

2009

# %

Non-SOBRA

2008

# %

2009

# %

CMS High Risk OB

2008

# %

2009

# %

Medically Needy

2008

# %

2009

# %

Total

FFS

MediPass

HMO

Total

High Exposure

FFS

MediPass

HMO

Total

Low Exposure

FFS

MediPass

HMO

Total

100.0%

11.6%

3.2%

85.3%

190

22

6

162

100.0%

10.2%

4.0%

85.9%

177

18

7

152

100.0%

63.0%

16.0%

21.0%

81

51

13

17

100.0%

59.7%

14.3%

26.0%

77

46

11

20

100.0%

19.5%

10.4%

70.1%

77

15

8

54

100.0%

12.2%

5.4%

82.4%

74

9

4

61

0

0

0

0

100.0%

0.0%

0.0%

100.0%

3

0

0

3

100.0%

5.4%

0.0%

94.6%

93

5

0

88

100.0%

9.6%

2.9%

87.5%

104

10

3

91

100.0%

59.5%

26.2%

14.3%

42

25

11

6

100.0%

64.3%

16.1%

19.6%

56

36

9

11

100.0%

23.3%

6.7%

70.0%

30

7

2

21

100.0%

18.2%

9.1%

72.7%

33

6

3

24

0

0

0

0

0

0

0

0

100.0%

17.5%

6.2%

76.3%

97

17

6

74

100.0%

11.0%

5.5%

83.6%

73

8

4

61

100.0%

66.7%

5.1%

28.2%

39

26

2

11

100.0%

47.6%

9.5%

42.9%

21

10

2

9

100.0%

17.0%

12.8%

70.2%

47

8

6

33

100.0%

7.3%

2.4%

90.2%

41

3

1

37

0

0

0

0

100.0%

0.0%

0.0%

100.0%

3

0

0

3

Table 25C.1: Number and Percent Distribution of Post-Neonatal Deaths by Medicaid Delivery System and Length of Coverage (LOC) (Birth Years 2008-2009)

Length of Coverage


Medicaid SSI

2008

# %

2009

# %

Alien

2008

# %

2009

# %


2008

# %

2009

# %

Total

2008

# %

2009

# %

Total

FFS

MediPass

HMO

Total

High Exposure

FFS

MediPass

HMO

Total

Low Exposure

FFS

MediPass

HMO

Total

100.0%

47.1%

17.6%

35.3%

17

8

3

6

100.0%

23.1%

30.8%

46.2%

13

3

4

6

100.0%

100.0%

16

16

100.0%

100.0%

18

18

100.0%

17.2%

3.4%

79.3%

29

5

1

23

100.0%

16.7%

12.5%

70.8%

24

4

3

17

100.0%

24.6%

7.6%

67.8%

410

101

31

278

100.0%

20.7%

7.5%

71.8%

386

80

29

277

100.0%

35.7%

21.4%

42.9%

14

5

3

6

100.0%

27.3%

27.3%

45.5%

11

3

3

5

0

0

0

0

100.0%

80.0%

20.0%

0.0%

5

4

1

0

100.0%

66.7%

16.7%

16.7%

6

4

1

1

100.0%

25.0%

9.2%

65.8%

184

46

17

121

100.0%

28.1%

9.0%

62.9%

210

59

19

132

100.0%

100.0%

0.0%

0.0%

3

3

0

0

100.0%

0.0%

50.0%

50.0%

2

0

1

1

100.0%

100.0%

16

16

100.0%

100.0%

18

18

100.0%

4.2%

0.0%

95.8%

24

1

0

23

100.0%

0.0%

11.1%

88.9%

18

0

2

16

100.0%

24.3%

6.2%

69.5%

226

55

14

157

100.0%

11.9%

5.7%

82.4%

176

21

10

145



Notes: Rate of Post-Neonatal mortality is the number of infant deaths ages 28 to 365 days per 1,000 live births. High exposure means mother had coverage in Medicaid for 180 days or more duri ng pregnancy. Low exposure means mother had coverage in Medicaid for less than 180 days during pregnancy. The denominator for Rate is the total number(#) of births for that Row/Column combination from Table 15C.1 in Year 2009. The denominator for Year of birth 2008 data is not reported for the births indicator but can be found in the HSI 2005-2009 report table 15C.2. Results are suppressed for individual cells where the case count is under 5, but are included in all table totals and corresponding charts (see Appendix 1 - Methodology, Data Suppression, pg 123).


HMO Plan Name

2008

# Births Rate

2009

# Births Rate


0.0

5.60.0

5.75.3

5.94.6

6.54.4

4.63.3

17034

1,06327

2,101190

169433

2,597227

4351,531

00

60

121

12

171

25

0.04.1

7.60.0

5.70.0

9.52.4

4.38.6

7.15.1

93245

91697

1,929204

105424

2,321233

2811,581

01

70

110

11

102

28

Table 25D: Number and Rate of Post-Neonatal Deaths (per 1,000 Live Births) for Women Enrolled in Medicaid in the Same HMO >= 180 Days or >= Two-Thirds of the Pregnancy (Birth Years 2008-2009)

Length of Coverage


SOBRA

2008

Rate

2009

Rate

Non-SOBRA

2008

Rate

2009

Rate

CMS High Risk OB

2008

Rate

2009

Rate

Medically Needy

2008

Rate

2009

Rate

Medicaid SSI

2008

Rate

2009

Rate

Alien

2008

Rate

2009

Rate


2008

Rate

2009

Rate

Total

2008

Rate

2009

Rate

Total

FFSMediPassHMOTotal

High Exposure

FFSMediPassHMOTotal

Low Exposure

FFSMediPassHMOTotal

2.64.02.72.4

2.33.43.72.2

4.75.23.25.4

4.55.13.83.8

7.711.914.36.6

7.98.7

11.67.6

0.00.00.00.0

6.10.00.07.5

7.77.34.4

13.9

5.72.87.98.6

1.0

1.0

1.2

1.2

9.48.86.89.7

8.78.8

27.37.8

3.35.54.02.9

3.14.75.02.7

2.02.10.02.0

1.82.92.61.8

5.04.74.87.3

4.85.24.73.8

7.511.66.66.8

7.28.7

12.06.6

0.00.00.00.0

0.00.00.00.0

7.35.55.0

15.1

5.43.26.77.6

0.0

0.0

0.0

0.0

8.915.413.20.0

8.913.016.43.2

3.04.84.72.5

2.84.84.92.2

3.65.63.13.4

3.54.25.23.4

4.55.61.14.7

3.94.62.13.9

7.912.223.36.5

8.58.8

10.38.4

0.00.00.00.0

8.40.00.09.0

10.116.50.00.0

8.50.0

17.524.4

1.0

1.0

1.2

1.2

9.53.30.0

10.7

8.70.0

40.88.5

3.76.23.43.3

3.64.55.23.4

Table 25C.2: Rate of Medicaid Post-Neonatal Deaths (per 1,000 Live Births)by Medicaid Delivery System and Length of Coverage (LOC) (Birth Years 2008-2009)


Appendices

Florida Medicaid Maternal Child Health Status Indicators | 2006-2010 Birth Cohorts | Family Data Center | College of Medicine | University of Florida | June 2012 Page 122

Appendix 1: Methodology

Data Sources

The following data sources were used to obtain the descriptive statistics included in this report:

Medicaid eligibility, HMO enrollment, and MediPass files from the Agency for Health Care Administration (AHCA)

Birth and death files from the Office of Vital Statistics, Florida Department of Health

Healthy Start Prenatal Risk and Postnatal Risk Screens from the Office of Maternal and Child Health, Florida Department of Health

Children’s Medical Services (CMS) High Risk Obstetrical Program files, from the Florida Department of Health

Medicaid data was matched to birth vital statistics data using a multistep process. First, a deterministic merge was used to link the majority of the data. Then a probabilistic step merged as many records as possible from the remaining pool of unlinked data. These two steps allowed merging of records with some missing or incorrect information. Records that met any of the following conditions were excluded from the tables:

1. Non-resident births (mother’s residence not Florida);

2. Records with missing values

Due to timeliness issues, this report uses preliminary versions of vital statistics data. Thus, numbers in the report may differ from other publications such as Florida Charts.

Medicaid Delivery Systems

The following definitions were used to construct the tables related to Medicaid Delivery Systems:

Fee for Service: A method of making payment for medical or allied care, goods, or services based on fees set by Medicaid for defined care, goods or services. Set fees are established for reimbursement.

MediPass: The Medicaid Provider Access System (MPS) is a primary care case management program for Medicaid recipients developed and administered by Florida Medicaid. MediPass was established in 1991 to assure access to coordinated primary care while decreasing the inappropriate utilization of medical services. MediPass providers receive a case management fee of $3.00 per month for each woman enrolled, but are paid on a fee-for-service basis for prenatal care services.

HMO: Abbreviation for Health Maintenance Organization. An organized system providing health care in a geographic area, with the following attributes:

Agreed-upon set of basic and supplemental health maintenance and treatment services.

Enrolled group of persons.

Services reimbursed through a predetermined fixed, periodic prepayment made by, or on behalf of, each person or family unit enrolled.

Payment fixed without regard to amount of actual services provided to an individual enrollee.

Beneficiaries Assigned to Medicaid Delivery Systems

The following conventions were used to assign Medicaid beneficiaries to Delivery Systems:

Medicaid Fee for Service: Florida resident females who had Medicaid eligibility during their pregnancy and did not have any days in either a Medicaid HMO or MediPass during their pregnancy. The following subcategories are distinguished:

High exposure: Beneficiary was enrolled in fee-for-service for 180 days or more during pregnancy. Days of enrollment are not required to be consecutive.

Low exposure: Beneficiary was enrolled in fee-for-service for less than 180 days. Days of enrollment are not required to be consecutive.

MediPass: Florida resident females who were enrolled in MediPass during the period of pregnancy (estimated conception date to date of birth) and not in a Medicaid HMO. The following subcategories are distinguished:


High exposure: Recipient was enrolled in a MediPass for 180 days or more during pregnancy. Days of enrollment are not required to be consecutive.

Low exposure: Recipient was enrolled in a MediPass for less than 180 days. Days of enrollment are not required to be consecutive.

Medicaid HMO: Florida resident females who were enrolled in a Medicaid HMO during their period of pregnancy or who were enrolled in a Medicaid HMO and MediPass during their period of pregnancy. The following subcategories are distinguished:

High exposure: Beneficiary was enrolled in a Medicaid HMO for 180 days or more during pregnancy. Days of enrollment are not required to be consecutive.

Low exposure: Beneficiary was enrolled in a Medicaid HMO for less than 180 days. Days of enrollment are not required to be consecutive.

Data Suppression

When the number of cases within a group or stratum (such as race/ethnicity or Medicaid subgroup) for a particular Indicator is less than five, there is a small but unacceptable risk that specific individuals could be identified. In such cases, steps were taken to protect individual privacy. The method used in this report to prevent identification of specific individuals in tabular data is cell suppression. This means not providing counts in any individual cell with fewer than five cases. Doing so masks potential identification of specific persons. Note that the count of persons whose identity has to be masked because of small cell size does appear in column totals. Column totals (and corresponding charts) represent the sum of those counted and those whose number had to be suppressed because there were fewer than five cases.


Appendix 2: Definitions of Individual Maternal and Child Health Indicators

Deliveries: The number of Florida resident women who delivered a live newborn during a calendar year. The total number of births during the delivery is not reflected in the number of deliveries as multiple births are counted as one delivery.

Preterm Delivery: Delivery occurs between 20 to 36 completed weeks of gestation when all fetal organs are present but not fully mature and functional outside the mother’s womb.

First Trimester Entry into Prenatal Care: Prenatal care begins within the first three months of pregnancy.

Inadequate Prenatal Care: Prenatal care begins at fifth month of pregnancy or later, or the pregnant woman receives less than 50% of the recommended number of prenatal care visits, adjusted for delivered infant’s gestational age.

Healthy Start Prenatal Screen: A questionnaire that identifies medical, obstetric or socio-demographic risk factors present in a pregnant woman to determine if she should be referred for services beyond normal prenatal care that will enhance the likelihood of the birth of a healthy infant.

Smoking During Pregnancy: Women who report using tobacco or smoking one or more cigarettes per day during pregnancy.

Prepregnancy Body Mass Index (BMI): Calculated from the woman’s weight and height prior to pregnancy as recorded on the infant’s birth certificate. There are four BMI classifications: Underweight, Normal, Overweight, and Obese.

Adolescent Delivery: Deliveries born to Florida residents who were less than or equal to eighteen years of age.

Vaginal Delivery without Physical Complications: Passage of the fetus and placenta from the birth canal into the external world without any physical complications.

Vaginal Delivery with Physical Complications: Expulsion or extraction of the fetus through the birth canal accompanied by morbid processes such as premature rupture of the membranes, prolonged or precipitous labor, meconium staining, etc.

Cesarean Section: A delivery that requires a surgical incision in the wall of the abdomen and uterus of a pregnant woman so that the infant does not have to pass through the birth canal.

WIC Participation: Low-income pregnant women who participate in the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC). WIC provides foods to supplement diets, nutrition education, and referrals to health care and social services.

Interpregnancy Interval: The number of months between the date the last pregnancy ended and the date of the last menstrual period.

Births: The number of infants born in Florida during a calendar year. The total number of births during delivery, including multiple births, is counted.

Low Birth Weight: An infant who weighs less than 2500 grams (5 lbs. 8 oz.) at birth.

Very Low Birth Weight: An infant who weighs less than 1500 grams (3 lbs. 5 oz.) at birth.

Term Low Birth Weight: An infant who is delivered at the termination of a normal pregnancy (37 to 40 weeks) and who weighs less than 2500 grams.


Preterm Low Birth Weight: An infant who is delivered before the termination of a normal pregnancy (37 to 40 weeks) and who weighs less than 2500 grams.

Mother Plans to Breastfeed: Information about mother’s intention to breastfeed is routinely collected prior to delivery. Many factors may intervene post partum which affect whether a mother breastfeeds her infant. These include difficulty in milk production; infant’s sucking capacity, prolonged recuperation from C-section, etc. Thus, the actual rate of infants being breastfed in Florida postpartum is likely to be considerably less than that recorded on the birth certificate.

Healthy Start Infant Screen: A questionnaire that identifies physical, socioeconomic, or maternal psychosocial factors, which potentially may cause future health problems, impair development, and are associated with infant mortality. Infants who are screened at risk are referred to early intervention programs and services.

Infant Mortality Rate: The number of infants per 1,000 live births who die within the first year after birth. This infant mortality rate (IMR) is different from that reported by the Florida Department of Health. IMR in this report refers to a death occurring within one calendar year to any child born within a calendar year. This method provides an estimate of mortality risk for a given birth cohort. The Department of Health's IMR refers to all deaths occurring in a given calendar year to children under one year of age regardless of the year the child was born.

Neonatal Mortality Rate: The number of infants per thousand live births who die within the first 28 days after birth.

Post-Neonatal Mortality Rate: The number of infants per thousand live births who die between 28 days and 364 days after birth.

Documents

Florida Medicaid Maternal and Child Health Status Indicators Report 2006-2010 · 2015-07-15 · 2006-2010 FINAL June 2012 Presented to the Florida Agency for Health Care Administration