Well-Child Visits in the First 30 Months of Life: Assesses children who turned 15 months old during the measurement year and had at least six well-child visits with a primary care physician during their first 15 months of life. Assesses children who turned 30 months old during the measurement year and had at least two well-child visits with a primary care physician in the last 15 months.
Child and Adolescent Well-Care Visits: Assesses members 3–21 years of age who received one or more well-care visit with a primary care practitioner or an OB/GYN practitioner during the measurement year.
Why It Matters?
Assessing physical, emotional and social development is important at every stage of life, particularly with children and adolescents.1 Well-care visits provide an opportunity for providers to influence health and development and they are a critical opportunity for screening and counseling.2
Results – National Averages
Well Child Visits in the First 15 Months
| Measure Year | Commerical HMO | Commercial PPO | Medicaid HMO |
|---|---|---|---|
| 2022 | 81 | 80.8 | 56.8 |
| 2021 | 79.2 | 79.8 | 54.1 |
| 2020 | 78.5 | 78.5 | 52.9 |
| 2019 | 81.1 | 80.5 | 66.1 |
| 2018 | 79.8 | 79.3 | 62.8 |
| 2017 | 78.2 | 78.4 | 64.1 |
| 2016 | 79.2 | 77.7 | 61.7 |
| 2015 | 78.3 | 77.3 | 59.3 |
| 2014 | 78.1 | 76.5 | 58.9 |
| 2013 | 79.0 | 77.0 | 61.6 |
| 2012 | 78.2 | 76.4 | 63.6 |
| 2011 | 78.0 | 76.1 | 61.8 |
| 2010 | 76.3 | 72.8 | 60.2 |
| 2009 | 74.5 | 71.9 | 59.4 |
| 2008 | 75.2 | 69.0 | 58.8 |
| 2007 | 72.8 | 63.1 | 52.9 |
| 2006 | 72.9 | 65.4 | 55.6 |
| 2005 | 71.1 | 59.7 | 49.1 |
| 2004 | 68.7 | - | 47.4 |
| 2003 | 66.6 | - | 45.2 |
| 2002 | 64.4 | - | 43.0 |
| 2001 | 59.6 | - | 37.3 |
| 2000 | 55.2 | - | - |
| 1999 | 50.7 | - | - |
Well Child Visits in the First 30 Months of Life (15 Months – 30 Months)
| Measure Year | Commerical HMO | Commercial PPO | Medicaid HMO |
|---|---|---|---|
| 2022 | 87.3 | 88.2 | 66.7 |
| 2021 | 85.5 | 87.4 | 65.9 |
| 2020 | 87.0 | 88.0 | 71.0 |
Well-Child Visits (Ages 3-6 Years): 1 or More Well-Child Visits
| Measure Year | Commerical HMO | Commercial PPO | Medicaid HMO |
|---|---|---|---|
| 2019 | 79.1 | 77.7 | 74.1 |
| 2018 | 79.0 | 76.0 | 72.1 |
| 2017 | 77.2 | 74.7 | 73.0 |
| 2016 | 76.8 | 74.2 | 72.2 |
| 2015 | 76.2 | 72.3 | 71.3 |
| 2014 | 75.6 | 71.7 | 71.9 |
| 2013 | 74.3 | 70.4 | 71.5 |
| 2012 | 72.9 | 69.9 | 72.0 |
| 2011 | 72.5 | 69.8 | 72.0 |
| 2010 | 71.6 | 67.8 | 71.9 |
| 2009 | 70.3 | 66.0 | 71.6 |
| 2008 | 69.8 | 63.6 | 69.7 |
| 2007 | 67.8 | 60.7 | 65.3 |
| 2006 | 66.7 | 61.6 | 66.8 |
| 2005 | 65.6 | 54.5 | 63.6 |
| 2004 | 64.4 | - | 62.4 |
| 2003 | 62.7 | - | 60.7 |
| 2002 | 60.4 | - | 58.2 |
| 2001 | 57.5 | - | 56.0 |
| 2000 | 54.2 | - | - |
| 1999 | 51.3 | - | - |
Child and Adolescent Well-Care Visits (Total):
| Measure Year | Commerical HMO | Commercial PPO | Medicaid HMO |
|---|---|---|---|
| 2022 | 57.6 | 56.2 | 48.6 |
| 2021 | 58 | 56.8 | 49.5 |
| 2020 | 53.7 | 53.1 | 46.1 |
| 2019 | 50.6 | 48.6 | 55.5 |
| 2018 | 50.3 | 47.0 | 53.2 |
| 2017 | 48.4 | 45.3 | 53.0 |
| 2016 | 47.7 | 44.7 | 50.6 |
| 2015 | 46.6 | 42.4 | 48.9 |
| 2014 | 45.8 | 41.4 | 50.0 |
| 2013 | 44.5 | 40.7 | 50.0 |
| 2012 | 43.3 | 40.1 | 49.7 |
| 2011 | 43.2 | 40.6 | 49.7 |
| 2010 | 42.7 | 39.2 | 48.1 |
| 2009 | 42.5 | 38.3 | 47.7 |
| 2008 | 42.9 | 36.2 | 45.9 |
| 2007 | 41.8 | 34.7 | 42.1 |
| 2006 | 40.3 | 34.6 | 43.6 |
| 2005 | 38.8 | 29.3 | 40.7 |
| 2004 | 38.2 | - | 40.7 |
| 2003 | 37.1 | - | 37.5 |
| 2002 | 35.8 | - | 37.1 |
| 2001 | 33.1 | - | 32.6 |
| 2000 | 30.9 | - | - |
| 1999 | 28.9 | - | - |
This State of Healthcare Quality Report classifies health plans differently than NCQA’s Quality Compass. HMO corresponds to All LOBs (excluding PPO and EPO) within Quality Compass. PPO corresponds to PPO and EPO within Quality Compass.
Figures do not account for changes in the underlying measure that could break trending. Contact Information Products via my.ncqa.org for analysis that accounts for trend breaks.
References
- Bright Futures. 2021. https://brightfutures.aap.org/
- Lipkin, Paul H., Michelle M. Macias, Section on Developmental and Behavioral Pediatrics Council on Children with Disabilities, Kenneth W. Norwood Jr, Timothy J. Brei, Lynn F. Davidson, Beth Ellen Davis, et al. 2020. “Promoting Optimal Development: Identifying Infants and Young Children With Developmental Disorders Through Developmental Surveillance and Screening.” Pediatrics 145 (1): e20193449. https://doi.org/10.1542/peds.2019-3449