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National Managed Care Enrollment 2008 |
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| HMO (1) | 88.8 million |
| PPO (1) | 60.1 million |
| Total | 148.9 million |
Managed Care Penetration |
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| Medicare (2)(3) | 44.2 | 14.6% | 8.7 | 20% |
| Medicaid (4) (5) | 58.9 | 19.4% | 38.3 | 65% |
| Commercial | 152.9 | 50.46 | 101.9 | 66.6% |
| Uninsured (6) | 47.0 | 15.5% | 0.0 | 0.00% |
| TOTAL (7) | 303.0 | 100.0% | 148.9 | 49.1% |
Key HMO Performance Measures |
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| Commercial | Medicare |
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| Hospital Inpatient Days Per 1,000 Per Member (8) | 224 |
1,529 |
| Physician Encounters Per Member Per Year (8) |
3.3 |
8.4 |
| Rx's Utilization Per Member Per Year (8) |
8.9 |
24.6 |
| Plan Medical Loss Ratio (9) | 81.0% |
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| Average PMPM Rates - Physician (10) | $61.69 |
$263.58 |
| Average PMPM Rates - Hospital (10) | $63.73 | N/A |
| 2008 Premium Rate/Cost Increase Projections by Product (11) |
| Towers | Aon* | Hewitt | Segal* | |
| HMO | 7% | 11.0% | 9.0% | 10.7% |
| PPO | 6% | 11.3% | 8.5% | 10.5% |
| POS | 8% | 10.9% | 8.5% | 10.6% |
| High Deductible | N/A | NA | N/A | 10.9% |
| Rx | N/A | 12.3% | N/A | 10.7% |
| OVERALL | 6% | N/A | 8.7% | N/A |
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