Accession Number : ADA262323


Title :   Tri-Service CHAMPUS Statistical Database Project (TCSDP): Department of Army Health Services Command, Fiscal Year 1993 CHAMPUS Catastrophic Case Limits, Gateway Catchment Areas


Descriptive Note : Final rept. Oct 1991-Dec 1992


Corporate Author : ARMY HEALTH CARE STUDIES AND CLINICAL INVESTIGATION ACTIVITY FORT SAM HOUSTON TX


Personal Author(s) : Optenberg, Scott A ; Moon, Kathleen A


Full Text : https://apps.dtic.mil/dtic/tr/fulltext/u2/a262323.pdf


Report Date : 25 Feb 1993


Pagination or Media Count : 110


Abstract : This report presents the estimation of case total limits for catastrophic reinsurance payments to be made to all thirty-eight Army Gateway catchment areas for Fiscal Year (FY) 1993. Case totals include both institutional and professional services CHAMPUS payments. FY 1992 data were used to derive the estimates. Catastrophic case cutoffs are listed in Table 1 as part of the report Summary. These cutoffs, when implemented by Health Services Command (HSC), will result in approximately 5% of each Gateway site's total annual CHAMPUS budget being paid through catastrophic re-insurance. Appendix A lists the actual computation for each site and displays cutoffs associated with various percentages of the budget paid as re-insurance. Appendix B displays each catchment area's Privacy Act protected catastrophic cases which satisfied the cutoff criteria during FY 1992.


Descriptors :   *COSTS , *HEALTH CARE FACILITIES , *INSURANCE , *ARMY BUDGETS , *PUBLIC HEALTH , COMPUTATIONS , HEALTH , MILITARY MEDICINE , MEDICAL SERVICES , SITES , ESTIMATES


Subject Categories : Economics and Cost Analysis
      Medicine and Medical Research
      Medical Facilities, Equipment and Supplies
      Military Forces and Organizations


Distribution Statement : APPROVED FOR PUBLIC RELEASE