Accession Number : ADA309364

Title :   Department of Army Medical Command, CHAMPUS Catastrophic Payments for First and Second Quarters, Fiscal Year 1996, TRICARE Catchment Areas.

Descriptive Note : Final rept. Oct 95-Mar 96,

Corporate Author : ARMY HEALTH CARE STUDIES AND CLINICAL INVESTIGATION ACTIVITY FORT SAM HOUSTON TX

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

PDF Url : ADA309364

Report Date : 03 MAY 1996

Pagination or Media Count : 101

Abstract : This report presents in Appendix A the CHAMPUS Catastrophic Quarterly Payment Reports for the First Quarter Fiscal Year (FY) 1996 for thirty-four of the Army TRICARE catchment areas; Second Quarter FY 1996 Quarterly Payment Reports are shown in Appendix B. Each Payment Report lists Privacy Act protected hospitalization patient cases having CHAMPUS claims totaling more than the catchment area's specific FY 1996 catastrophic cutoff amount either at the end of the reported quarter or the prior quarter. The difference between the current and previous quarter's net claim payments equals the catastrophic net payment made for each patient during the quarter. Table 1 at the end of the Summary contains the CHAMPUS Catastrophic Quarterly Payment Schedule, summarizing for each catchment area the catastrophic case cutoff limit, the number of catastrophic cases comprising the First Quarter FY 1996 payment differences, the net claim totals for each of the two quarters, and the payment total between the quarters for all Army TRICARE catchment areas. Table 2 summarizes the Second Quarter's catastrophic payment report data.

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

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

Distribution Statement : APPROVED FOR PUBLIC RELEASE