Dual Enrollees FF_01_2013[1] 1 |
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American Indian, 7,355, 7% Asian or Pacific Islander, 1,543, 1% Black or African American, 13,797, 13% Caucasian, 83,961, 77% Multiple Race, 1,723, 2% Dual Enrollees by Race 108,252 108,415 108,575 108,473 108,457 108,379 107,000 108,000 109,000 110,000 Aug-12 Sep-12 Oct-12 Nov-12 Dec-12 Jan-13 Dual Enrollees Enrollment Trend 18 and Under, 36 19 to 54, 34,215 55 to 64, 19,071 65 and Over, 55,057 Dual Enrollees by Age $608 $520 $658 $554 $551 $632 $400 $450 $500 $550 $600 $650 $700 Per Member Per Month Dual Enrollees Fast Facts 2/13/2013 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. January 2013 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 - 13,247 Dual Enrollees in PACE program - 109 Dual Enrollees in Waiver program - 17,833 Child Adult Total Female 15 67,671 67,686 Male 21 40,672 40,693 Total 36 108,343 108,379 Dual Enrollees by Gender and Age Hispanic Ethnicity - 3,619 Top 10 Paid Dual Enrollee Services Categorized as: Members Served (Unduplicated) Claims Paid Amount Paid Nursing Home Services 12,777 46,472 $44,722,717 ICF-ID Services 1,135 2,965 $7,167,223 Physician Services 43,608 112,556 $3,068,719 Inpatient Services 5,586 7,627 $2,391,662 Behavioral Health 4,683 31,443 $2,259,673 Targeted Case Manager (TCM) Services 2,667 2,769 $1,453,448 Non-Emergency Transportation (NET) Services 83,382 1 $1,229,329 MSDG Services 13,496 23,024 $1,151,498 Outpatient Services 16,361 24,680 $1,020,798 Community Mental Health Services 3,452 11,528 $813,575 All Paid Services in Reporting Month: Members Served (Unduplicated) Claims Paid Amount Paid 90,602 348,182 $68,492,504 NET and other capitated claims will show Claims Paid count of 1. Dual Enrollment Total Enrollment Percent of Total Child 36 488,882 0.01% Adult 108,343 290,683 37.3% Total 108,379 779,565 13.9%
Object Description
Okla State Agency |
Health Care Authority, Oklahoma |
Okla Agency Code |
'807' |
Title | Dual enrollees fast facts, 01/2013 |
Authors |
Oklahoma Health Care Authority. |
Publication Date | 2013-01 |
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=14613&libID=13596 |
Rights and Permissions | This Oklahoma state government publication is provided for educational purposes under U.S. copyright law. Other usage requires permission of copyright holders. |
Date created | 2013-02-28 |
Date modified | 2013-02-28 |
OCLC number | 890221865 |
Description
Title | Dual Enrollees FF_01_2013[1] 1 |
Full text | American Indian, 7,355, 7% Asian or Pacific Islander, 1,543, 1% Black or African American, 13,797, 13% Caucasian, 83,961, 77% Multiple Race, 1,723, 2% Dual Enrollees by Race 108,252 108,415 108,575 108,473 108,457 108,379 107,000 108,000 109,000 110,000 Aug-12 Sep-12 Oct-12 Nov-12 Dec-12 Jan-13 Dual Enrollees Enrollment Trend 18 and Under, 36 19 to 54, 34,215 55 to 64, 19,071 65 and Over, 55,057 Dual Enrollees by Age $608 $520 $658 $554 $551 $632 $400 $450 $500 $550 $600 $650 $700 Per Member Per Month Dual Enrollees Fast Facts 2/13/2013 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. January 2013 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 - 13,247 Dual Enrollees in PACE program - 109 Dual Enrollees in Waiver program - 17,833 Child Adult Total Female 15 67,671 67,686 Male 21 40,672 40,693 Total 36 108,343 108,379 Dual Enrollees by Gender and Age Hispanic Ethnicity - 3,619 Top 10 Paid Dual Enrollee Services Categorized as: Members Served (Unduplicated) Claims Paid Amount Paid Nursing Home Services 12,777 46,472 $44,722,717 ICF-ID Services 1,135 2,965 $7,167,223 Physician Services 43,608 112,556 $3,068,719 Inpatient Services 5,586 7,627 $2,391,662 Behavioral Health 4,683 31,443 $2,259,673 Targeted Case Manager (TCM) Services 2,667 2,769 $1,453,448 Non-Emergency Transportation (NET) Services 83,382 1 $1,229,329 MSDG Services 13,496 23,024 $1,151,498 Outpatient Services 16,361 24,680 $1,020,798 Community Mental Health Services 3,452 11,528 $813,575 All Paid Services in Reporting Month: Members Served (Unduplicated) Claims Paid Amount Paid 90,602 348,182 $68,492,504 NET and other capitated claims will show Claims Paid count of 1. Dual Enrollment Total Enrollment Percent of Total Child 36 488,882 0.01% Adult 108,343 290,683 37.3% Total 108,379 779,565 13.9% |
Date created | 2013-02-28 |
Date modified | 2013-02-28 |