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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