Tri-Service Champus Statistical Database Project (TCSDP): Department of Army Health Services Command Fiscal Year 1994 Champus Catastrophic Case Limits. Gateway Catchment Areas

Abstract

This report presents the estimation of case total limits for catastrophic reinsurance payments to be made to all thirty-seven Army Gateway catchment areas for Fiscal Year (FY) 1994. Case totals include both institutional and professional services CHAMPUS payments. FY 1993 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 Health Services Command (HSC), 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 cutoff criteria during FY 1993. CHAMPUS, Medical treatment costs, Catastrophic care, Case limits, U.S. Army, Gateway to care.

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Document Details

Document Type
Technical Report
Publication Date
Feb 01, 1994
Accession Number
ADA276488

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  • Kathleen A. Moon
  • Scott A. Optenberg

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