SoonerCare delivery fast facts, 2011/12

              SoonerCare Delivery Fast Facts
SFY2012
This publication is authorized by the Oklahoma Health Care Authority in accordance with state and federal regulations. OHCA is in compliance with 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/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 9/21/2012 and is subject to change.
Below are the deliverya counts of SoonerCare members with paid claims for date of service during the
period of July 1, 2011 through June 30, 2012.
¹ A complication is a secondary disease or condition that develops in the course of a primary disease or condition and arises either as a result of it or from independent causes, and extends or complicates
the delivery of care. With Complication and Without Complication groupings are determined by the delivery DRG (Diagnosis Related Grouping) billed by an inpatient facility.
² Undetermined are practitioner deliveries without a corresponding paid inpatient claim at the time data was collected.
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a Delivery refers to a paid claim with a delivery code.
b Birth refers to live birth.
c Mother’s age at the time of delivery
Providers may submit a claim up to one year following the delivery and may correct and resubmit within two years after the date of service. Figures are strictly counts of deliveries based on the moth-er's
claims, it does not necessarily represent live births. Members having multiple deliveries will be counted once. Data may include members with TPL (Third Party Liability) or Medicare.
2,941
3,132
2,884
2,633 2,764 2,763 2,804
2,636 2,695 2,405 2,554
2,693
2,200
2,600
3,000
3,400
Jul-11 Aug-11 Sep-11 Oct-11 Nov-11 Dec-11 Jan-12 Feb-12 Mar-12 Apr-12 May-12 Jun-12
Total Monthly SoonerCare Deliverya
Delivery
without
Complication,
22,678, 69%
Delivery with
Complication¹,
6,163, 19%
Undetermined²,
4,063, 12%
SoonerCare Inpatient Deliverya
Avg Cost -
Avg Cost -$2,228
$3,373
SoonerCare Delivery Count
July 2011 through June 2012 32,904
American
Indian
12.10%
Asian or
Pacific
Islander
2.59%
Black or
African
American
11.21%
Caucasian
68.81%
Multiple
Race
5.29%
Mother's Race
Hispanic Ethnicity -
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.
Under Age
18
1,628
Age 18-25
18,561
Age 26-35
10,768
Over Age 35
1,947
Mother's Agec
(Oklahoma State Department o f Health-Preliminary Numb er)
(Oklahoma Health Care Autho rity)
Total SoonerCare Deliveriesa 31,848
Total Oklahoma Birthsb
Calendar Year 2011
50,890
6,203
312
3,220 2,109 522 1,106
13,134
7,314
210 1,124
2,207 1,345 301
0
5,000
10,000
15,000
Under Age 18 Age 18 - 25 Age 26 - 35 Over Age 35
SoonerCare Inpatient Delivery by Mother's Agec
Delivery with Complication¹ Delivery without Complication Undetermined²
Race Age 18-25 Age 26-35 Over Age 35 Race Total
American Indian 257 2,387 1,155 182 3,981
Asian or Pacific Islander 23 308 416 104 851
Black or African American 212 2,137 1,149 190 3,688
Caucasian 1,041 12,598 7,598 1,405 22,642
Multiple Race 95 1,131 450 66 1,742
Age Total 1,628 18,561 10,768 1,947 32,904
Hispanic Ethnicity 406 2,961 2,278 558 6,203
Under Age 18
Mother's Race and Agec
10/1/2012