Dual Enrollees FF_10_2012[1] 1 |
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American Indian, 7,550, 7% Asian or Pacific Islander, 1,537, 1% Black or African American, 13,811, 13% Caucasian, 84,154, 78% Multiple Race, 1,523, 1% Dual Enrollees by Race 108,199 108,253 107,911 108,252 108,415 108,575 107,000 108,000 109,000 110,000 May-12 Jun-12 Jul-12 Aug-12 Sep-12 Oct-12 Dual Enrollees Enrollment Trend 18 and Under, 38 19 to 54, 34,241 55 to 64, 18,890 65 and Over, 55,406 Dual Enrollees by Age $603 $502 $500 $608 $520 $658 $400 $450 $500 $550 $600 $650 $700 Per Member Per Month Dual Enrollees Fast Facts 11/14/2012 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. October 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 - 13,437 Dual Enrollees in PACE program - 101 Dual Enrollees in Waiver program - 17,877 Child Adult Total Female 14 67,872 67,886 Male 24 40,665 40,689 Total 38 108,537 108,575 Dual Enrollees by Gender and Age Hispanic Ethnicity - 3,557 Top 10 Paid Dual Enrollee Services Categorized as: Members Served (Unduplicated) Claims Paid Amount Paid Nursing Home Services 13,250 46,776 $45,211,001 ICF-ID Services 1,138 3,000 $6,792,361 Physician Services 48,549 142,058 $3,974,399 Inpatient Services 6,590 9,400 $2,974,678 Behavioral Health 4,530 34,114 $2,412,689 Targeted Case Manager (TCM) Services 2,828 4,571 $1,938,457 MSDG Services 14,352 27,039 $1,287,395 Non-Emergency Transportation (NET) Services 83,131 1 $1,224,760 Outpatient Services 19,050 30,454 $1,176,265 Community Mental Health Services 3,487 12,185 $755,516 All Paid Services in Reporting Month: Members Served (Unduplicated) Claims Paid Amount Paid 91,049 419,092 $71,390,921 NET and other capitated claims will show Claims Paid count of 1. Dual Enrollment Total Enrollment Percent of Total Child 38 487,843 0.01% Adult 108,537 290,033 37.4% Total 108,575 777,876 14.0%
Object Description
Okla State Agency |
Health Care Authority, Oklahoma |
Okla Agency Code |
'807' |
Title | Dual enrollees fast facts, 10/2012 |
Authors |
Oklahoma Health Care Authority. |
Publication Date | 2012-10 |
Publication type |
Statistics |
Purpose | Dual Enrollees are members who are enrolled in both SoonerCare and Medicare. |
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=14304&libID=13287 |
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 | 2012-12-10 |
Date modified | 2012-12-10 |
OCLC number | 823142268 |
Description
Title | Dual Enrollees FF_10_2012[1] 1 |
Full text | American Indian, 7,550, 7% Asian or Pacific Islander, 1,537, 1% Black or African American, 13,811, 13% Caucasian, 84,154, 78% Multiple Race, 1,523, 1% Dual Enrollees by Race 108,199 108,253 107,911 108,252 108,415 108,575 107,000 108,000 109,000 110,000 May-12 Jun-12 Jul-12 Aug-12 Sep-12 Oct-12 Dual Enrollees Enrollment Trend 18 and Under, 38 19 to 54, 34,241 55 to 64, 18,890 65 and Over, 55,406 Dual Enrollees by Age $603 $502 $500 $608 $520 $658 $400 $450 $500 $550 $600 $650 $700 Per Member Per Month Dual Enrollees Fast Facts 11/14/2012 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. October 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 - 13,437 Dual Enrollees in PACE program - 101 Dual Enrollees in Waiver program - 17,877 Child Adult Total Female 14 67,872 67,886 Male 24 40,665 40,689 Total 38 108,537 108,575 Dual Enrollees by Gender and Age Hispanic Ethnicity - 3,557 Top 10 Paid Dual Enrollee Services Categorized as: Members Served (Unduplicated) Claims Paid Amount Paid Nursing Home Services 13,250 46,776 $45,211,001 ICF-ID Services 1,138 3,000 $6,792,361 Physician Services 48,549 142,058 $3,974,399 Inpatient Services 6,590 9,400 $2,974,678 Behavioral Health 4,530 34,114 $2,412,689 Targeted Case Manager (TCM) Services 2,828 4,571 $1,938,457 MSDG Services 14,352 27,039 $1,287,395 Non-Emergency Transportation (NET) Services 83,131 1 $1,224,760 Outpatient Services 19,050 30,454 $1,176,265 Community Mental Health Services 3,487 12,185 $755,516 All Paid Services in Reporting Month: Members Served (Unduplicated) Claims Paid Amount Paid 91,049 419,092 $71,390,921 NET and other capitated claims will show Claims Paid count of 1. Dual Enrollment Total Enrollment Percent of Total Child 38 487,843 0.01% Adult 108,537 290,033 37.4% Total 108,575 777,876 14.0% |
Date created | 2012-12-10 |
Date modified | 2012-12-10 |