Analysis of Diabetes Complications and Control

This document is a public quality measure report focusing on Comprehensive Diabetes Care, specifically the Hemoglobin A1c (HbA1c) Poor Control metric, which assesses the percentage of patients aged 18 to 75 with diabetes whose most recent HbA1c level exceeds 9.0% during the measurement year. The report analyzes data from Iowa, South Dakota, and selected counties in New York, utilizing Medicare fee-for-service and Commercial Payer data, including Medicare Advantage and managed Medicaid lines of business. The methodology outlines eligibility criteria for the numerator and denominator, detailing exclusions for specific patient groups, such as those in hospice or with advanced illness. The report also discusses the collaboration between Nascate's Advanced Analytics team and their client's medical management team, highlighting the integration of Nascate's metrics into member profiles for targeted intervention in existing programs. This analysis aims to inform stakeholders about diabetes management and control within the specified regions.