Tri-Service Champus Statistical Database Project (TCSDP): Department of Army Health Services Command Fiscal Year 1994 Champus Catastrophic Case Limits. Gateway Catchment Areas
Final rept. Oct 1992-Sep 1993
ARMY HEALTH CARE STUDIES AND CLINICAL INVESTIGATION ACTIVITY FORT SAM HOUSTON TX
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This report presents the estimation of case total limits for catastrophic reinsurance payments to be made to all thirty-seven Army Gateway catchment areas for Fiscal Year FY 1994. Case totals include both institutional and professional services CHAMPUS payments. FY 1993 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 catchment areas 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 areas Privacy Act protected catastrophic cases which satisfied the cutoff criteria during FY 1993. CHAMPUS, Medical treatment costs, Catastrophic care, Case limits, U.S. Army, Gateway to care.
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