7/17/2015 New HealthChoice Measures: CRC Screening and HPV Immunization Medicaid Partnership with Center for Cancer Prevention and Control July 23, 2015 Colorectal Cancer Screening Rates • National • Maryland – Commercial – HealthChoice • Goal: 80% by 2018 2 1
7/17/2015 Percentage of Adults Aged 50-75 Years Who Reported Being-Up- to-Date with Colorectal Test Screening, BRFSS, 2010 3 CRC Commercial HEDIS Measure Ages 50-75, One or more of the following screenings: – Fecal occult blood test (FOBT) yearly – Flexible sigmoidoscopy every five years – Colonoscopy every 10 years 4 2
7/17/2015 Colorectal Cancer Screening Rates, 50-75 Year-Old Commercial Enrollees by Insurer, FY 2011-12 80 70 60 50 2011 40 2012 30 20 10 0 A B C D E F G H Avg 5 Colorectal Cancer Screening Rates, 50-64 Year-Old Medicaid Enrollees by MCO, FY 2011-13 45 40 35 30 25 2011 20 2012 15 2013 10 5 0 MCO MCO MCO MCO MCO MCO MCO Total A B C D E F G 6 3
7/17/2015 Strategy to Improve CRC Screening Rates in Maryland • Provider reminders • Provider feedback • Client reminders • Partnerships with DHMH • Reduce disparities • Begin to report on CRC screening rates in HealthChoice Evaluation 7 Contact Michael Dark Program Coordinator Maryland Colorectal Cancer Control Program michael.dark@maryland.gov 410-767-0816 8 4
7/17/2015 HPV Vaccine Rates • National * – Commercial HMO: 12.2% – Commercial PPO: 8.5% – Medicaid HMO: 17.7% • Maryland – HealthChoice: 11.8% (CY 2011-13) * NCQA. Human Papillomavirus Vaccine for Female Adolescents: HEDIS First-Year Results 9 HPV Vaccination HEDIS Measure: Received at least three HPV vaccinations, with different dates of service, on or between a female enrollee’s 9th and 13th birthdays 10 5
7/17/2015 HPV Vaccination Rates, Female 13 Year-Old Medicaid Enrollees by MCO, CY 2011-13 25 20 15 2011 2012 10 2013 5 0 MCO A MCO B MCO C MCO D MCO E MCO F Total 11 Strategies to Improve HPV Vaccine Rates in Maryland • TV ads encouraging parents to get their child vaccinated (May-June 2015) • Collaboration with the Maryland American Academy of Pediatrics to educate members • Trainings to Vaccines for Children (VFC) providers • Materials available: (http://phpa.dhmh.maryland.gov/cancer/SitePages/HPV.aspx) – CDC Fact Sheet (English and Spanish) – Video and Radio Public Service Announcements (English and Spanish) – Letter templates for providers/organizations/parents • Begin to report on HPV Vaccine rates in HealthChoice Evaluation 12 6
7/17/2015 9-Valent HPV Vaccine • In Feb 2015 - Advisory Committee on Immunization Practices (ACIP) recommended Gardisil 9 (9-valent HPV vaccine) • Protects against 9 HPV types • Recommended for Males and Females • Administered in a 3-dose schedule (same as other HPV vaccines) • Maryland Vaccines For Children (VFC) Program anticipates distributing Gardisil 9 to providers beginning June 2015 13 Questions/Comments? 14 7
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