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Monthly Operating Report

The February 2009 Monthly Operating Report for Tiger Teams presents vital enrollment and utilization data. Total active enrollment reached 3,545 with 4,502 applications received. Of those, 3,941 were approved, while 32 are pending and 529 were denied. Enrollment trends show 80% are at 0-135% FPL. The Project Dulce Chronic Care Team reported 882 patients with a total of 1,694 visits. Key demographics reveal high diabetes and hypertension cases. Total claims reached 122,381 with significant pharmacy utilization. The report emphasizes a focus on quality and outcomes for improved healthcare services.

kermit-stevenson
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Monthly Operating Report

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  1. Monthly Operating Report February 2009

  2. Tiger Teams, 0-200% FPL Total Active Enrollment Trend

  3. Enrollment Processing • Total Enrolled: 3,545 • Total Applications Received: 4,502 • Number Approved: 3,941 • Number Pending: 32 • Number Denied: 529

  4. Enrollment by Income (% of FPL) • 0-135% 2,838 80% • 135%-165% 353 10% • 165%-200% 35410% • Total 3,545 100%

  5. Project Dulce Chronic Care Team • # of patients: 882 • # of visits: 1,694

  6. Enrollment by Diagnosis • Diabetes: 858 • Hypertension: 1,485 • Dual: 1,152 • Hyperlipidemia: 50

  7. Enrollment by Clinic

  8. Reasons for Denials Other: Other healthcare coverage, disability determination, Medi-Cal linkage, etc.

  9. CI Enrollee Demographics

  10. CI Enrollee Demographics

  11. Utilization Services(Cumulative) • Total Claims/Visits: Total: 122,381 • Primary Care Physician: 6,556 visits • Pharmacy: 98,432 claims • Ancillary: 9,378 claims • Specialty Care: 5,126 claims • Emergency: 466 claims • Inpatient: 2,049 visits • Dental: 374 visits

  12. Utilization Expenditures(Through January 2009)

  13. Total Expenditures Trend

  14. CI Recap • CI final enrollment: 3,545 • Implementing data and evaluation plan. • Focus on utilization, quality and outcomes.

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