Accession Number : ADA296967

Title :   Tri-Service CHAMPUS Statistical Database Project (TCS DP): Department of Army Medical Command, CHAMPUS CatastrophIc Case Limits, Fiscal year 1995, Gateway Catchment Areas.

Descriptive Note : Final rept. Oct 93-Sep 94,

Corporate Author : CENTER FOR HEALTHCARE EDUCATION AND STUDIES FORT SAM HOUSTON TX

Personal Author(s) : Optenberg, Scott A. ; Moon, Kathleen

PDF Url : ADA296967

Report Date : 31 MAR 1995

Pagination or Media Count : 103

Abstract : This report presents the estimation of case total limits for catastrophic re-insurance payments to be made to thirty-seven Army Gateway catchment areas for Fiscal Year (FY) 1995. Case totals include both institutional and professional services CHAMPUS payments. FY 1994 data were used to derive the estimates. Catastrophic case cutoffs are listed in Table 1 as part of the report Summary. These cutoffs, when implemented by Army Medical Command (HO NEDCOM), will result in approximately 5% of each catchment area's total annual CHAMPUS budget being paid through catastrophic re-insurance. Appendix A lists the actual computation for each site and displays cutoffs associated with various percentages of the budget paid as re-insurance. Appendix B displays each catchment area's privacy Act protected catastrophic cases which satisfied the 5% cutoff criteria during FY 1994.

Descriptors :   *MILITARY MEDICINE, *HOSPITALS, *HEALTH CARE FACILITIES, ESTIMATES, LIMITATIONS, COMMAND AND CONTROL SYSTEMS, MEDICAL SERVICES, ARMY, ARMY OPERATIONS, CATASTROPHIC CONDITIONS, CHAMPUS.

Subject Categories : Medicine and Medical Research
      Economics and Cost Analysis
      Medical Facilities, Equipment and Supplies

Distribution Statement : APPROVED FOR PUBLIC RELEASE