CMS-10219 CMS-10219.6_Health Plan Stability_pp 217-220

Health Plan Stability

Years in Business/Total Membership (YIB)

Summary of Changes to HEDIS 2007

• No changes to this measure.

Description

The number of years since licensure (the number of years that each product line has existed) and the number of members enrolled as of December 31 of the measurement year.

Calculation

For each product line the MCO offers, report the number of years in business and the number of members enrolled as of December 31 of the measurement year by product line. The total category should equal the MCO’s total membership as of December 31 of the measurement year.

Table YIB: Years in Business/Total Membership*

Health Plan Name: _____________________________________________

Product/Product Line	Years in Business	Total Number of Members
HMO
Medicaid	__________________	__________________
Commercial	__________________	__________________
Medicare (cost or risk)	__________________	__________________
Self-insured	__________________	__________________
Other	__________________	__________________
Total HMO:		__________________
PPO
Commercial	__________________	__________________
Medicare (cost or risk)	__________________	__________________
Self-insured	__________________	__________________
Other	__________________	__________________
Total PPO:		__________________
POS
Commercial	__________________	__________________
Medicare (cost or risk)	__________________	__________________
Self-insured	__________________	__________________
Other	__________________	__________________
Total POS:		__________________
Total:		__________________

*Total number of members in each category as of December 31 of the measurement year.