Georgia Department of Community Health: claims incurred July 2013-June 2013, paid through Sept. 2013

Enrollment Distribution by Program
Includes FFS expense and capitation amounts

State Health Benefit Plan
648,288
(26%)
PeachCare
218,153
(9%)

Medicaid
1,586,524
(65%)

Includes Medicare eligible members
Expense Per Member Per Year

$6,000.00 $5,000.00

$5,075.46

$4,000.00

$3,000.00 $2,000.00

$1,801.70

$1,000.00

$0.00

Medicaid

PeachCare

Annual Scripts Per Member

$4,679.72
State Health Benefit Plan

12 9.96
10
8
6
4
2
0 Medicaid

6.23 PeachCare

Annual Office Visits Per 1000 Members

9.51
State Health Benefit Plan

5,600 5,400 5,200 5,000 4,800 4,600 4,400 4,200

5,358.95 Medicaid

5,280.61 4,710.89

PeachCare

State Health Benefit Plan

Claims Incurred July 2012 - June 2013, paid through Sept 2013
Expense Distribution by Program
Includes FFS expense, capitation amounts and healthcare reimbursement amounts

PeachCare
$393,046,314
(4%)

State Health Benefit Plan
$2,587,731,697
(23%)

Medicaid
$8,052,335,601
(73%)

Expense Per Member Per Month

$500.00 $400.00

$422.95

$300.00

$200.00 $100.00

$150.14

$-

Medicaid

PeachCare

Annual ER visits Per 1000 Members

$389.98
State Health Benefit Plan

1200 1000
800 600 400 200
0

1,075.57 Medicaid

478.54 PeachCare

Annual Admits Per 1000 Members

1,003.40
State Health Benefit Plan

250

222.03

200

150

100

50

0 Medicaid

197.19

16.49 PeachCare

State Health Benefit Plan