powerpoint presentation - right care initiative · **all monetary values presented represent charge...
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Total Charges for All Payers - AMI's in California
Medicare Medi-Cal Private Knox-Keene Managed Care Other Private All Other
Total AMI Discharges for All Payers
Medicare Medi-Cal Private Knox-Keene Managed Care Other Private All Other
Total Charges Total AMI Discharges
Medicare $6.60 Billion 51,561
Medi-Cal $2.05 Billion 12,816
Private Knox-Keene Managed Care $1.01 Billion 9,978
Other Private $1.17 Billion 6,745
All Other $432 Million 2,833
Total $11.3 Billion 83,933
**All monetary values presented represent charge values, and may not be completely reflective of actual costs of care.
Total Charges Total Stroke Discharges
Medicare $12.7 Billion 140,530
Medi-Cal $5.32 Billion 33,342
Private Knox-Keene Managed
Care$1.46 Billion 15,939
Other Private $2.06 Billion 13,332
All Other Payers $769 Million 5,439
Total $22.3 Billion 208,582
Total Charges for All Payers - Strokes in CA
Medicare Medi-Cal Private Knox-Keene Managed Care Other Private All Other Payers
Total Stroke Discharges for All Payers
Medicare Medi-Cal
Private Knox-Keene Managed Care Other Private
All Other Payers **All monetary values presented represent charge values, and may not be completely reflective of actual costs of care.
- 5,000 10,000 15,000 20,000 25,000 30,000 35,000 40,000 45,000 50,000
Sharp Health Plan
California Health and Wellness Plan
Western Health Advantage
Cigna HealthCare of California, Inc.
Molina Healthcare of California DBA: American Family Care
Aetna Health Plans of California, Inc.
Local Initiative Health Authority For L.A. County (DBA LA Care Health Plan)
Blue Shield of California
Blue Cross of California
UHC of California United Healthcare of CA Frmrly PacifiCare/Secure Horizons of CA
Health Net of California, Inc.
Kaiser Foundation Health Plan, Inc.
AMI and Stroke Discharges and Charges for Selected Health Plans, for All Payers
STROKE
AMI
$754,989,144
$1,150,957,576
$716,888,527
$1,129,737,621
$715,916,960
$652,120,281
$809,181,420
$261,181,011
$287,008,216
$27,874,008
$19,887,857
$28,271,768
**All monetary values presented represent charge values, and may not be completely reflective of actual costs of care.
AMI ONLY Medicare Medi-Cal Private All Other Payers Total
$$ ## $$ ## $$ ## $$ ## $$ ##Aetna Health Plans of California, Inc. $324,123,361 284 ..
..$312,929,223 427
.... $637,052,584 711
Blue Cross of California$339,984,895 205 $ 92,802,155.00 667 $149,974,153 924 $ 6,323,936 22 $589,085,139 1,818
Blue Shield of California$201,958,766 595 $ 478,707.00 6 $137,615,276 767 $ 5,893,529 12 $345,946,278 1,380
California Health and Wellness Plan .. .. $ 6,807,386.00 66 .. .. .. .. $6,807,386 66 Cigna HealthCare of California, Inc. $97,248,645 3 .. .. $124,503,801 262 .. .. $221,752,446 265 Health Net of California, Inc.
$30,558,782 1,387 $ 169,777,120.00 1,157 $57,696,266 817 $ 3,108,389 21 $261,140,557 3,382 Kaiser Foundation Health Plan, Inc. $35,039,682 9,242 $ 6,136,486.00 184 $59,285,536 5,473 $ 1,536,485 2 $101,998,189 14,901 LA Care Health Plan)
$17,445,762 84 $ 140,809,466.00 975 $41,373,654 70 $ 937,830 8 $200,566,712 1,137 Molina Healthcare of California $125,352 117 $ 67,643,741.00 439 $18,773,227 44 .. .. $86,542,320 600 Sharp Health Plan
.. .. .. .. $8,891,145 55 .. .. $8,891,145 55 United Healthcare
$11,384,879 2,568 $ 709,686.00 14 $5,844,453 425 $ 136,738 9 $18,075,756 3,016 Western Health Advantage
.. .. .. $4,931,439 113 ..
.. $4,931,439 113 **All monetary values presented represent charge values, and may not be completely reflective of actual costs of care.
STROKES ONLY Medicare Medi-Cal Private All Other Payers Total
$$ ## $$ ## $$ ## $$ ## $$ ##Aetna Health Plans of California, Inc. $52,882,564 615 $89,966 2 $119,156,306 831 $172,128,836 1,448 Blue Cross of California
$61,976,198 556 $234,822,555 1,772 $235,125,010 1,567 $ 8,728,719 39 $540,652,482 3,934 Blue Shield of California
$164,494,491 1,508 $172,160 3 $199,973,000 1,310 $ 5,331,031 14 $369,970,682 2,835 California Health and Wellness Plan … … $13,080,471 163 $13,080,471 163 Cigna HealthCare of California, Inc. $234,564 5 $217,872 3 $64,803,334 459 $65,255,770 467 Health Net of California, Inc.
$329,539,768 3,368 $362,804,433 2,971 $188,319,215 1,475 $ 9,153,603 36 $889,817,019 7,850 Kaiser Foundation Health Plan, Inc. $350,514,874 24,533 $8,638,225 459 $293,399,587 7,403 $ 438,269 6 $652,990,955 32,401 Local Initiative Health Authority For L.A. County (DBA LA Care Health Plan)
$26,691,411 261 $410,322,753 2,531 $14,209,401 173 $ 330,004 9 $451,553,569 2,974
Molina Healthcare of California DBA: American Family Care $34,585,846 344 $128,743,786 959 $11,309,059 97 $174,638,691 1,400 Sharp Health Plan
$19,380,623 150 $19,380,623 150 UHC of California United Healthcare of CA Frmrly PacifiCare/Secure Horizons of CA
$572,937,187 6,477 $2,713,781 56 $119,527,553 837 $ 3,634,250 $698,812,771 7,370
Western Health Advantage$1,572,650 3 $21,369,919 154 $22,942,569 157 **All monetary values presented represent charge values, and
may not be completely reflective of actual costs of care.