These datasets provide de-identified insurance data for diabetes, hypertension, and hyperlipidemia. The data is provided by three managed care organizations in Allegheny County (Gateway Health Plan, Highmark Health, and UPMC) and represents their insured population (medicare, medicaid, individual, and corporate) for the 2015 calendar year.
According to the World Health Organization, cardiovascular diseases are the leading global cause of death. In 2012, it has been estimated that 17.5 million people died from cardiovascular disease, accounting for nearly one third of total deaths on the planet. Of these deaths, an estimated 7.4 million were due to coronary heart disease and 6.7 million were due to stroke. There are also geographic disparities evident in this data, with over three quarters of deaths due to cardiovascular disease occurring in low- and middle-income countries.
In Allegheny County, according to data from the Allegheny County Health Department appearing on the Southwestern Pennsylvania Community Profiles, Circulatory disease is also the leading cause of death, accounting for 32% of all deaths occurring in 2011 and 2012. Most cardiovascular diseases can be prevented by addressing key behavioral risk factors, including tobacco use, unhealthy eating habits, physical inactivity, obesity, and excessive alcohol consumption. People with cardiovascular disease or those who are at elevated risk (due to the presence of one or more risk factors such as hypertension, diabetes, hyperlipidemia or already established disease) can benefit from early detection and management, including counseling, medication, and other treatments.
Total insured in participating managed care organizations
Total diagnosed by disease type and gender
Total receiving medication by disease type and gender
Census Tract (2010 boundary)
All four co-morbidity datasets (Diabetes, Hypertension, and Hyperlipidemia) include information on the total number insured, number of members with a diagnosis, and the number of diagnosed members that have filled medication related to that condition.
The total number of members referenced in the data dictionary is based on de-identified, merged population data from Gateway Health Plan, Highmark Health, and the University of Pittsburgh Medical Center. These members represent approximately 60% of the county’s insured population. The total estimate of insured people in Allegheny County used to calculate this statistic comes from the U.S. Census Bureau's 2015 American Community Survey.
The share of insured members of the participating managed care organizations varies from tract to tract. For this reason, the most-appropriate tract level comparison to use is the percent of the insured population from participating managed care organizations with a particular diagnosis.
An individual may be diagnosed with a cardiovascular disease condition, but if they are not a member of a participating managed care organization, they would not be captured in the data. Likewise, an individual could be enrolled in one of the participating managed care organizations, have a cardiovascular disease, be undiagnosed, and therefore not captured in the data.
Due to the 90 day continuous enrolment criteria there is an opportunity for an individual to be counted twice in the data set. If an individual moved within the county to a different census tract during 2015 and lived in each for 90 days they would be captured in each. Similarly, if an individual switched to another DASH managed care organization during the 2015 year and had 90 continuous days in each, they would also be counted twice.
In order to protect privacy there some tracts with low populations have had their tract-level data redacted.
Users should be cautious of using administrative claims data as a measure of disease prevalence and interpreting trends over time, as data provided were collected for purposes other than surveillance. Limitations of these data include but are not limited to: misclassification, duplicate individuals, exclusion of individuals who did not seek care in past two years and those who are: uninsured, enrolled in plans not represented in the dataset, or were not enrolled in one of the represented plans for at least 90 days.