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Table 3 Claims data for state health benefit plans

From: Cost of a lymphedema treatment mandate-10 years of experience in the Commonwealth of Virginia

VA Health Benefit Plan

Fiscal year (July-June)

2010

2011

2012

2013

2014

Anthem total claims paid

 Visits/Year

438

301

327

438

528

 Days/Year

0

28

52

0

33

 Claim Cost/Contract

$0.48

$0.39

$0.87

$0.53

$0.88

 Administrative cost

$755

$614

$1,210

$934

$1,435

 Total claim payments

$39,728

$32,297

$71,196

$44,480

$75,538

 Number of contracts

82,533

82,281

82,132

83,618

86,287

Optima total claims paid

 Visits/Year

16

12

15

13

 

 Claim Cost/Contract

$0.48

$0.71

$1.18

$1.03

 

 Administrative cost

$703

$1,030

$1,546

$1,124

 

 Total claim payments

$4,321

$6,329

$9,497

$6,904

 

 Number of contracts

8,922

8,860

8,074

$6,721

 

Aetna total claims paid

 Visits/Year

    

42

 Claim Cost/Contract

    

$0.27

 Administrative cost

    

$0

 Total claim payments

    

$15,495

 Number of contracts

    

57,984

  1. Source: Data abstracted from State Employee Contracts reports