1. NAHDO Annual Conference; October 2009 Patrick Miller, MPH; Research Associate Professor Jo Porter, MPH; Deputy Director NH Institute for Health Policy and Practice 1 NAHDO Annual Conference October 2009

2. 2 22 NH Hospital Acute Care Pricing Comparison Source NH Insurance Department, 2008 NAHDO Annual Conference October 2009

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5. 5 Payer by HAA 2005 Payments PMPM 2005 Total Payments PMPM 2 2008 Payments PMPM 2008 Total Payments PMPM 2 Berlin Carrier A $316.25$324.57$322.97$340.72 Carrier B $310.87$323.71$313.59$338.18 Carrier C $649.72$668.37$368.72$377.45 Other $238.69$260.63$345.71$383.32 Totals $297.92$312.85$351.21$374.22 Colebrook Carrier A $284.94$295.09$278.18$297.02 Carrier B $263.96$278.17$413.95$450.80 Carrier C $326.27$343.12$323.50$334.11 Other $188.43$208.72$322.50$354.18 Totals $256.71$271.84$324.21$347.21 Concord Carrier A $209.24$222.14$309.09$327.66 Carrier B $247.19$254.54$260.16$295.87 Carrier C $194.07$204.87$269.68$288.56 Other $199.20$214.96$244.24$268.52 Totals $224.75$236.32$287.35$310.61 NAHDO Annual Conference October 2009

6. 66 Prevalence of Adult Coronary Artery Disease by Age, NH Medicaid (non-Dual) and NH CHIS Commercial Members, 2005 NAHDO Annual Conference October 2009

7. 77 Percent of Children Age 3 to 6 Years with a Well-Child Visit During the Year, SFY2006 NAHDO Annual Conference October 2009

8. 88 Outpatient Emergency Department Visit Rates per 1,000 Members by Age, SFY2006 NAHDO Annual Conference October 2009

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11. Total IP ADE Discharge, Rate, Total Paid, and Average Paid, 2006-2007 for Maine and New Hampshire NAHDO Annual Conference October 2009 11 MaineIP Discharges Rate / 1,000 Discharges Total PaidAverage Paid 2006747 26.7 $ 11,864,264 $ 15,883 2007770 34.5 $ 13,705,995 $ 17,800 Total1,517 30.1 $ 25,570,259 $ 16,856 % Increase3% 29% 16%12% New HampshireIP Discharges Rate / 1,000 Discharges Total PaidAverage Paid 2006459 22.3 $ 5,712,414 $ 12,445 2007504 25.1 $ 6,719,104 $ 13,332 Total963 23.7 $ 12,431,518 $ 12,909 % Increase10% 12% 18%7%

12. Total Discharges and Payments by Payer Using APCD Data – 2006 and 2007 Combined, by CARRIER NAHDO Annual Conference October 2009 12 Carrier (Blinded) ME Discharges Rate / 1,000 Discharges ME Payments % Total Payments NH Discharges Rate / 1,000 Discharges NH Payments % Total Charges 1390.77$273,288 1% 902.21$609,840 5% 21272.52$1,320,522 0% 00$ 0 0.0% 390.18$55,807 0% 1874.60$1,831,766 15% 41,25424.92$23,014,786 90% 3428.41$5,736,175 46% 540.08$21,312 0% 00.00$ 0 0.0% 6841.67$884,545 3% 3448.46$4,253,737 34% Total1,51730.14$25,570,259 100% 96323.67$12,431,518 100.0%

13. NAHDO Annual Conference October 200913APCD Meeting May 6, 200913 Selected Chronic Diseases: Prevalence Rate - Trends 2005-2007 Healthcare Review: New Hampshire Benchmarks ** ‘Smoking related’ refers to diagnoses identified by published research with high mortality risk for persons who smoke. Rates shown can not be linked directly to smokers.

14. NAHDO Annual Conference October 200914APCD Meeting May 6, 200914 Percent of Members Receiving Preventive Services**: Trends 2005-2007 Healthcare Review: New Hampshire Benchmarks ** Measures are calculated for a one-year time period. Results may not correspond to HEDIS-related measures that cover multi-year time periods.

15. NAHDO Annual Conference October 200915APCD Meeting May 6, 200915 Healthcare Review: Company XYZ HealthCare Costs - Impact of High Cost Cases** on Overall Medical Costs - Trends 2005-2007 48 patients $97K per case 0.5% members 15% payments 58 patients $129K per case 0.7% members 18% payments ** High Cost Cases = Patients with greater than $50,000 in claims for the year. $30.9M w/0 RX $ $35.5M 64 patients $107K per case 0.7% members 18% payments $37.4M

16. Claims-based web module Through CDC Assessment Initiative funding, NH is building a claims module for the NH Web-based Reporting and Query System (HealthWRQS). Will augment web modules that use other administrative data Hospital discharge, birth, death, cancer registry, BRFSS data Will develop a Community Health Profile To include most relevant indicators for each data set

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20. Questions and Discussion patrick.miller@unh.edu 603.536.4265 jo.porter@unh.edu 603.862.2964 20 NAHDO Annual Conference October 2009