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Monthly Operating Report

Monthly Operating Report. February 2009. Tiger Teams, 0-200% FPL. Total Active Enrollment Trend. Enrollment Processing. Total Enrolled: 3,545 Total Applications Received: 4,502 Number Approved: 3,941 Number Pending: 32 Number Denied: 529. Enrollment by Income (% of FPL).

kermit-stevenson
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Monthly Operating Report

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  1. Monthly Operating Report February 2009

  2. Tiger Teams, 0-200% FPL Total Active Enrollment Trend

  3. Enrollment Processing • Total Enrolled: 3,545 • Total Applications Received: 4,502 • Number Approved: 3,941 • Number Pending: 32 • Number Denied: 529

  4. Enrollment by Income (% of FPL) • 0-135% 2,838 80% • 135%-165% 353 10% • 165%-200% 35410% • Total 3,545 100%

  5. Project Dulce Chronic Care Team • # of patients: 882 • # of visits: 1,694

  6. Enrollment by Diagnosis • Diabetes: 858 • Hypertension: 1,485 • Dual: 1,152 • Hyperlipidemia: 50

  7. Enrollment by Clinic

  8. Reasons for Denials Other: Other healthcare coverage, disability determination, Medi-Cal linkage, etc.

  9. CI Enrollee Demographics

  10. CI Enrollee Demographics

  11. Utilization Services(Cumulative) • Total Claims/Visits: Total: 122,381 • Primary Care Physician: 6,556 visits • Pharmacy: 98,432 claims • Ancillary: 9,378 claims • Specialty Care: 5,126 claims • Emergency: 466 claims • Inpatient: 2,049 visits • Dental: 374 visits

  12. Utilization Expenditures(Through January 2009)

  13. Total Expenditures Trend

  14. CI Recap • CI final enrollment: 3,545 • Implementing data and evaluation plan. • Focus on utilization, quality and outcomes.

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