This measure provides information on how well MCO providers manage urinary incontinence (UI) in Medicare members 65 and older. The measure will be scored on three aspects, based on responses to the Medicare Health Outcomes Survey (HOS):
- Discussing Urinary Incontinence: The percentage of members who reported having urine leakage in the past 6 months and who discussed their urinary leakage problem with a health care provider.
- Treatment of Urinary Incontinence: The percentage of members who reported having urine leakage in the past 6 months and who discussed treatment options for their urinary incontinence with a health care provider.
- Impact of Urinary Incontinence: The percentage of members who reported having urine leakage in the past 6 months and who reported that urine leakage made them change their daily activities or interfered with their sleep a lot.
Why It Matters
In the U.S., 51% of women and 14% of men experience UI, which often impairs physical, psychological and social well-being. Adults who experience UI report worse physical health, mental health and quality of life. Particularly in older adults, it can reduce independence and the ability to socialize. Despite its negative impact on physical and mental health, UI remains significantly underreported and underdiagnosed.
Providers and health plans can help address UI by discussing potential problems with members and recommending evidence-based treatment to reduce symptoms.
Results – National Averages
Urinary Incontinence Discussion
| Year | Commerical HMO | Commerical PPO | Medicaid HMO | Medicare HMO | Medicare PPO |
|---|---|---|---|---|---|
| 2017 | - | - | - | 59.4 | 58.5 |
| 2016 | - | - | - | 58.1 | 56.8 |
| 2015 | - | - | - | 59 | 58.9 |
| 2014 | - | - | - | 58.4 | 58.2 |
| 2013 | - | - | - | 59.3 | 59.8 |
Treatment of Urinary Incontinence
| Year | Commerical HMO | Commerical PPO | Medicaid HMO | Medicare HMO | Medicare PPO |
|---|---|---|---|---|---|
| 2017 | - | - | - | 44.4 | 45.6 |
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
- Markland, A.D., et al. “Prevalence and Trends of Urinary Incontinence in Adults in the United States, 2001 to 2008.” The Journal of Urology 186.2 (2011): 589–593. PMC. Web. 15 June 2018.
- Landefeld, C.S., B.J. Bowers, A.D. Feld, et al. 2008. National Institutes of Health state-of-the-science conference statement: prevention of fecal and urinary incontinence in adults. Ann Intern Med 148:449.
- Swithinban, L.V., P. Abrams. 1999. The impact of urinary incontinence on the quality of life of women. World J Urol 17:225.
- Overactive Bladder Significantly Affects Quality of Life. 2000. American Journal of Managed Care Vol. 6. No. 11; 580–590.
- Zorn, B.H., H. Montgomery, K. Pieper, M. Gray, W.D. Steers. 1999. Urinary Incontinence and Depression. Journal of Urology 102:82–84.