claim costs for individual enrollees on a "per member, per month
Preferred Health is reimbursed on a per member, per month basis, which meets the cost of the nurse care managers, health home director and primary care physician consultant positions required by the state.
On the cost front, of the 20,000 enrollees in CMHC healthcare homes in the first 18 months of the program, Missouri reported savings an average of $32.98 per member, per month in Medicaid expenditures, totaling $2.4 million.
The network provides $2 per member, per month
in incentive payments for all health network patients in a practice, well over what Medicaid pays, Dr.
Fisk said the credit union decided to use the number of teller transactions per member, per month
as the standard by which to judge the program, rather than the number of total transactions.
In this arrangement, a fixed payment is made per member, per month
Simply put, one must assess the revenue that can be generated on a per member, per month
basis (the premium payment), against the actuarial risk of those members requiring healthcare.