Tri-Service CHAMPUS Statistical Database Project (TCS DP): Department of Army Medical Command, CHAMPUS CatastrophIc Case Limits, Fiscal year 1995, Gateway Catchment Areas.
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.
Document Details
- Document Type
- Technical Report
- Publication Date
- Mar 31, 1995
- Accession Number
- ADA296967
Entities
People
- Kathleen Moon
- Scott A. Optenberg