Monthly Operating Report February 2009
Total Active Enrollment Trend Tiger Teams, % FPL
Enrollment Processing Total Enrolled: 3,545 Total Applications Received: 4,502 – Number Approved: 3,941 – Number Pending: 32 – Number Denied: 529
Enrollment by Income (% of FPL) 0-135%2,83880% 135%-165%35310% 165%-200%35410% Total3,545100%
Project Dulce Chronic Care Team # of patients: 882 # of visits: 1,694
Enrollment by Diagnosis Diabetes: 858 Hypertension: 1,485 Dual: 1,152 Hyperlipidemia: 50
Enrollment by Clinic
Reasons for Denials Other: Other healthcare coverage, disability determination, Medi-Cal linkage, etc.
CI Enrollee Demographics
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
Utilization Expenditures (Through January 2009)
Total Expenditures Trend
CI Recap CI final enrollment: 3,545 Implementing data and evaluation plan. Focus on utilization, quality and outcomes.