Skip Navigation HRSA - U.S Department of Health and Human Services, Health Resources and Service Administration U.S. Department of Health & Human Services
Home
Questions
Order Publications
 
Grants Find Help Service Delivery Data Health Care Concerns About HRSA

The Health Center Program: Health Center Data by State
 

TABLE 9C: MANAGED CARE ENROLLMENT/UTILIZATION

State Summary for South Dakota for 2007
6 Grantees

Payor Category
Medicaid (a)
Medicare (b)
Other Public Including non-Medicaid CHIP(c)
Private (d)
Total (d)
Revenue
1a. Capitation revenue for Services
0
0
0
0
0
1b. Fee-for-Service revenue for Services
0
0
0
170,490
170,490
1. Total revenue for Services (Lines 1a + 1b)
0
0
0
170,490
170,490
3a. Collections from Medicaid or Medicare reconciliation/wrap around (for current Year)
0
0
0
3b. Collections from Medicaid or Medicare reconciliation/wrap around (for prior years)
0
0
0
3c. Collections from patient co-payments and from managed care plans for other retroactive payments/ risk pool/ incentive/ withhold
0
0
0
0
0
3d. Penalties or paybacks to managed care plans
0
0
0
0
0
4. Total Managed Care Revenue
(Line 1 + 3a + 3b + 3c) - (Line 3d)
0
0
0
170,490
170,490
Expenses
5a. Capitation expenses for Services
0
0
0
0
0
5b. Fee-for-Service expenses for Services
0
0
0
166,690
166,690
5. Total expenses for Services
(Lines 5a + 5b)
0
0
0
166,690
166,690
7. Total Managed Care Expenses
(Line 5)
0
0
0
166,690
166,690
Surplus / Deficit
(Line 4 - Line 7)
0
0
0
3,800
3,800
Surplus / Deficit as Percent of Expenses
(L4 - L7)/L7
---
---
---
2.3%
2.3%
Utilization Data
8a. Member months for managed care (capitated)
0
0
0
0
0
8b. Member months for managed care (fee-for-service)
0
0
0
5,644
5,644
8. Total Member months for managed care
(Lines 8a + 8b)
0
0
0
5,644
5,644
9a. Managed Care Encounters (capitated)
0
0
0
0
0
9b. Managed Care Encounters (fee-for-service)
0
0
0
1,280
1,280
9. Total Managed Care Encounters
(Lines 9a + 9b)
0
0
0
1,280
1,280
10a. Enrollees in Managed Care Plans (capitated) (as of 12/31)
0
0
0
0
0
10b. Enrollees in Managed Care Plans (fee-for-service) (as of 12/31)
0
0
0
512
512
10. Total Managed Care Enrollees
(Lines 10a + 10b) (as of 12/31)
0
0
0
512
512
11. Enrollees in Primary Care Case Management Programs (PCCM)
0
0
0
0
0
12. Number of Managed Care Contracts
0
0
0
12
12
data as of: 7/22/2008 4:13:02