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Jo-Petrol

Jo-Petrol. Claims analysis 2012 - 2013 This report was prepared to present medical and analytical approach. Introduction. This report analyzes Jo-Petrol Claim semi annually expenditures for 2013 with comparison to the same period in the previous year

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Jo-Petrol

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  1. Jo-Petrol Claims analysis 2012 - 2013 This report was prepared to present medical and analytical approach.

  2. Introduction This report analyzes Jo-Petrol Claim semi annually expenditures for 2013 with comparison to the same period in the previous year • Amounts with exception Retirement policy 2012 2013 Claimed value = 2,839,361JOD 2,889,141JOD Due value = (2,514,538) JOD (2,515,365) J0D ---------------------------------------------------------------------------------- Gross Saving value = 324,822JOD 373,776 JOD Gross Saving % = ( 11 % ) ( 13 % ) 49,780 1.7% 827 0%

  3. General amounts 2012 2013 Due value = 2,514,538JOD2,515,365J0D Total debts = (213,085) JOD (217,933) JOD -------------------------------------------------------------------------------- Actualcost = 2,301,453JOD 2,297,432 JOD Actualcost Increase % =( 0.002% ) 4,021

  4. General amounts 2012 2013 Total debts = 213,085 JOD 217,933 JOD Debit due to coinsurance =204,826 JOD 205,704JOD Debit due to contractual audit = 8,258 JOD 12,228 JOD

  5. General amounts 2012 2013 Gross Saving value324,822 JOD 373,776 JOD (Claimed – Due) + Debit due to contractual audit 8,258 JOD 12,228 JOD ------------------------------------------------------------------------------------------------- Net saving value = 333,080 JOD 386,004 JOD Net saving % = 12% 13 % (from claimed value )

  6. Monthly claim notices expenditures ( cost=Due-Debit ) 2012 = 2,301,432 0.002% 2013 = 2,297,427

  7. Expenditures ( cost ) as per policy 2012 2013

  8. Monthly number of processed visits 2012 = 65,856 4% 2013 = 68,473

  9. Average Cost Per Visit 2012 = 35 2013 = 34

  10. HCP category expenditures 2012 2013

  11. Visits frequency by doctors specialty ( in percentage of total number of visits)

  12. HCP category expenditures 2012 2013 1 1 2 2 2 2 4 4 4 4 3 3 1 1 3 3

  13. Dependency expenditures 2012 2013

  14. Beneficiary with higher cost

  15. Hospital average cost per visit NatHealth 482 JOD

  16. Out patient average cost per visit NatHealth 30.5 JOD

  17. Thank You

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