It Must Cost More… Right

(Average PMPM Claims Costs in Dollars)

FFS Claims:
For all enrollees in group: 1369
For 10 costliest enrollees of group: 19942
For group with 10 costliest enrollees excluded: 1017
Managed Care Claims plus Administrative Exp.:
For all enrollees in group: 1314
For 10 costliest enrollees of group: 24690
For group with 10 costliest enrollees excluded: 842
Claims Savings:
For all enrollees in group: 4%
For 10 costliest enrollees of group: -24%
For group with 10 costliest enrollees excluded: 17%

Back