Monthly Operating Report February 2009. Total Active Enrollment Trend Tiger Teams, 0- 200% FPL.

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Presentation transcript:

Monthly Operating Report February 2009

Total Active Enrollment Trend Tiger Teams, % FPL

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)  0-135%2,83880%  135%-165%35310%  165%-200%35410%  Total3,545100%

Project Dulce Chronic Care Team  # of patients: 882  # of visits: 1,694

Enrollment by Diagnosis  Diabetes: 858  Hypertension: 1,485  Dual: 1,152  Hyperlipidemia: 50

Enrollment by Clinic

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

CI Enrollee Demographics

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

Utilization Expenditures (Through January 2009)

Total Expenditures Trend

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