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