Dual Enrollees FF_11_2012[1] 1 |
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American Indian, 7,451, 7% Asian or Pacific Islander, 1,542, 1% Black or African American, 13,801, 13% Caucasian, 84,089, 78% Multiple Race, 1,590, 1% Dual Enrollees by Race 108,253 107,911 108,252 108,415 108,575 108,473 107,000 108,000 109,000 110,000 Jun-12 Jul-12 Aug-12 Sep-12 Oct-12 Nov-12 Dual Enrollees Enrollment Trend 18 and Under, 39 19 to 54, 34,305 55 to 64, 18,948 65 and Over, 55,181 Dual Enrollees by Age $502 $500 $608 $520 $658 $554 $400 $450 $500 $550 $600 $650 $700 Per Member Per Month Dual Enrollees Fast Facts 12/12/2012 Race is self-reported by members at the time of enrollment. The multiple race members have selected two or more races. Hispanic is an ethnicity not a race. Hispanics can be of any race and are accounted for in a race category above. This publication is authorized by the Oklahoma Health Care Authority in accordance with state and federal regulations. OHCA is in compliance with the Title VI and Title VII of the 1964 Civil Rights Act and the Rehabilitation Act of 1973. For additional copies, you can go online to OHCA’s web site www.okhca.org under Research/Statistics and Data (www.okhca.org/research/data). The Oklahoma Health Care Authority does not discriminate on the basis of race, color, national origin, gender, religion, age or disability in employment or the provision of services. The data is valid as of the report date and is subject to change. CHILD is defined as an individual age 18 and under. Total Enrollment excludes Insure Oklahoma. November 2012 Dual Enrollees are members who are enrolled in both SoonerCare and Medicare. Dual Enrollees are entitled to Medicare Part A and/or Part B or Part C and qualify for some form of SoonerCare benefit. These members receive SoonerCare Supplemental or SoonerCare Traditional benefits. For more information go to our website at www.okhca.org. Dual Enrollees with Long-Term Care - 13,305 Dual Enrollees in PACE program - 104 Dual Enrollees in Waiver program - 17,901 Child Adult Total Female 16 67,783 67,799 Male 23 40,651 40,674 Total 39 108,434 108,473 Dual Enrollees by Gender and Age Hispanic Ethnicity - 3,583 Top 10 Paid Dual Enrollee Services Categorized as: Members Served (Unduplicated) Claims Paid Amount Paid Nursing Home Services 12,514 42,201 $37,993,069 ICF-ID Services 1,141 2,855 $6,637,047 Physician Services 42,336 105,127 $3,058,328 Inpatient Services 5,110 7,255 $2,291,013 Behavioral Health 4,477 29,975 $2,075,866 Targeted Case Manager (TCM) Services 2,692 2,802 $1,504,713 Non-Emergency Transportation (NET) Services 82,967 1 $1,223,150 MSDG Services 13,233 21,876 $1,000,925 Outpatient Services 15,517 22,271 $902,237 Personal Care Services 1,778 7,434 $609,460 All Paid Services in Reporting Month: Members Served (Unduplicated) Claims Paid Amount Paid 90,532 335,712 $60,059,651 NET and other capitated claims will show Claims Paid count of 1. Dual Enrollment Total Enrollment Percent of Total Child 39 492,290 0.01% Adult 108,434 292,976 37.0% Total 108,473 785,266 13.8%
Object Description
Okla State Agency |
Health Care Authority, Oklahoma |
Okla Agency Code |
'807' |
Title | Dual enrollees fast facts, 11/2012 |
Authors |
Oklahoma Health Care Authority. |
Publication Date | 2012-11 |
Publication type |
Statistics |
Purpose | Enrollment demographics and breakdowns for SoonerCare members also enrolled in Medicare (Duals) |
For all issues click | H1300.6 D812e |
Digital Format | PDF Adobe Reader required |
ODL electronic copy | Downloaded from agency website: http://www.okhca.org/WorkArea/linkit.aspx?LinkIdentifier=id&ItemID=14380&libID=13363 |
Rights and Permissions | This Oklahoma State Government publication is provided for educational purposes under US copyright law. Other usage requires permission of copyright holders. |
Language | English |
Date created | 2012-12-18 |
Date modified | 2012-12-19 |
OCLC number | 890220842 |
Description
Title | Dual Enrollees FF_11_2012[1] 1 |
Full text | American Indian, 7,451, 7% Asian or Pacific Islander, 1,542, 1% Black or African American, 13,801, 13% Caucasian, 84,089, 78% Multiple Race, 1,590, 1% Dual Enrollees by Race 108,253 107,911 108,252 108,415 108,575 108,473 107,000 108,000 109,000 110,000 Jun-12 Jul-12 Aug-12 Sep-12 Oct-12 Nov-12 Dual Enrollees Enrollment Trend 18 and Under, 39 19 to 54, 34,305 55 to 64, 18,948 65 and Over, 55,181 Dual Enrollees by Age $502 $500 $608 $520 $658 $554 $400 $450 $500 $550 $600 $650 $700 Per Member Per Month Dual Enrollees Fast Facts 12/12/2012 Race is self-reported by members at the time of enrollment. The multiple race members have selected two or more races. Hispanic is an ethnicity not a race. Hispanics can be of any race and are accounted for in a race category above. This publication is authorized by the Oklahoma Health Care Authority in accordance with state and federal regulations. OHCA is in compliance with the Title VI and Title VII of the 1964 Civil Rights Act and the Rehabilitation Act of 1973. For additional copies, you can go online to OHCA’s web site www.okhca.org under Research/Statistics and Data (www.okhca.org/research/data). The Oklahoma Health Care Authority does not discriminate on the basis of race, color, national origin, gender, religion, age or disability in employment or the provision of services. The data is valid as of the report date and is subject to change. CHILD is defined as an individual age 18 and under. Total Enrollment excludes Insure Oklahoma. November 2012 Dual Enrollees are members who are enrolled in both SoonerCare and Medicare. Dual Enrollees are entitled to Medicare Part A and/or Part B or Part C and qualify for some form of SoonerCare benefit. These members receive SoonerCare Supplemental or SoonerCare Traditional benefits. For more information go to our website at www.okhca.org. Dual Enrollees with Long-Term Care - 13,305 Dual Enrollees in PACE program - 104 Dual Enrollees in Waiver program - 17,901 Child Adult Total Female 16 67,783 67,799 Male 23 40,651 40,674 Total 39 108,434 108,473 Dual Enrollees by Gender and Age Hispanic Ethnicity - 3,583 Top 10 Paid Dual Enrollee Services Categorized as: Members Served (Unduplicated) Claims Paid Amount Paid Nursing Home Services 12,514 42,201 $37,993,069 ICF-ID Services 1,141 2,855 $6,637,047 Physician Services 42,336 105,127 $3,058,328 Inpatient Services 5,110 7,255 $2,291,013 Behavioral Health 4,477 29,975 $2,075,866 Targeted Case Manager (TCM) Services 2,692 2,802 $1,504,713 Non-Emergency Transportation (NET) Services 82,967 1 $1,223,150 MSDG Services 13,233 21,876 $1,000,925 Outpatient Services 15,517 22,271 $902,237 Personal Care Services 1,778 7,434 $609,460 All Paid Services in Reporting Month: Members Served (Unduplicated) Claims Paid Amount Paid 90,532 335,712 $60,059,651 NET and other capitated claims will show Claims Paid count of 1. Dual Enrollment Total Enrollment Percent of Total Child 39 492,290 0.01% Adult 108,434 292,976 37.0% Total 108,473 785,266 13.8% |
Date created | 2012-12-18 |
Date modified | 2012-12-18 |