1. Number of Claims per End-of-Year Enrollee, 2003
Rizzo, Fox, Trail, and Crystal, State Pharmacy Assistance Programs: A Chartbook—Updated and Revised, January 2007
Number of Claims per End-of-Year Enrollee, 2003
The average number of claims per year per enrollee was 31.5 in 2003, an increase of 6.3% from 29.5 in 1999.
The number of claims per year per enrollee in 2003 ranged from 5.2 in South Carolina to 45.6 in Pennsylvania.
In addition to utilization by enrollees, the number of claims per enrollee can be influenced by the number of days’ supply per claim allowed by a program, the presence of deductibles, the number and type of drugs covered, and regional variations in prescription drug utilization.
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