Since assignment of ACG for enrollees in the Medicaid system for less than 6 months is less reliable we first use only age and sex regression coefficients to predict
per member per month expenses for them.
(8) The cost for these veterans calculates to be $497
per member per month (PMPM).
Major Finding: In 2007, the adjusted cost
per member per month of plan members with diabetes with commercial insurance was $923 among those who received diabetes education, compared with $1,072 among those who did not.
While the average reimbursement
per member per month nationally was $488.45 in 1999, it varied as much as from $676.64 in Broward County, Fla., to $394.42 for Dakota County, Minn.
According to the report, average California capitation rates have fallen from a high of $45
per member per month between 1990 and 1993 to a low of $29
per member per month between 1997 and 1999.
When global capitation payments drop by $50
per member per month, who decides who will absorb the loss?
Congress intervenes, it is probable that most states, in one to three years, will place at least part of their Medicaid population into capitated plans in which providers are paid a flat fee
per member per month (PMPM) - or capitation - no matter how much care is rendered.
Yet, a report by the advisory company Avalere Health showed that all prescription drugs accounted for only a $3.29 average increase in
per member per month premiums.
The typical health insurer with a big Medicare Advantage operation may have spent about $12
per member per month on sales and marketing in 2014, or about 7.9 percent less than it spent in 2013.
With fewer ER visits, Wyoming Medicaid has reduced ER costs
per member per month by more than 20 percent.
The fee drops to $15
per member per month for the second 2 years of the program.
The district will continue to contribute toward teachers' retirement and insurance plans at the same level as last year - $1,100
per member per month.
