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 |