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Table 9D: Patient Related Revenue

Connecticut Data

X

16 Awardees

Line Payer Category Charges Collections
Full Charges This Period (a)
$
% of Payer % of Total Amount Collected This Period (b)
$
% of Payer % of Total % of Charges
1. Medicaid Non-Managed Care $283,328,920 78.02% 39.88% $239,090,824 80.40% 51.26% 84.39%
2a. Medicaid Managed Care (capitated) $0 0.00% 0.00% $0 0.00% 0.00%
2b. Medicaid Managed Care (fee-for-service) $79,815,079 21.98% 11.23% $58,281,083 19.60% 12.50% 73.02%
3. Total Medicaid (Sum of Lines 1 + 2a + 2b) $363,143,999 100.00% 51.12% $297,371,907 100.00% 63.76% 81.89%
4. Medicare Non-Managed Care $110,402,346 85.93% 15.54% $72,860,130 87.86% 15.62% 66.00%
5a. Medicare Managed Care (capitated) $0 0.00% 0.00% $0 0.00% 0.00%
5b. Medicare Managed Care (fee-for-service) $18,073,618 14.07% 2.54% $10,062,684 12.14% 2.16% 55.68%
6. Total Medicare (Sum of Lines 4 + 5a + 5b) $128,475,964 100.00% 18.08% $82,922,814 100.00% 17.78% 64.54%
7. Other Public, including Non-Medicaid CHIP, Non-Managed Care $3,149,692 100.00% 0.44% $1,037,215 100.00% 0.22% 32.93%
8a. Other Public, including Non-Medicaid CHIP, Managed Care (capitated) $0 0.00% 0.00% $0 0.00% 0.00%
8b. Other Public, including Non-Medicaid CHIP, Managed Care (fee-for-service) $0 0.00% 0.00% $0 0.00% 0.00%
9. Total Other Public (Sum of Lines 7 + 8a + 8b) $3,149,692 100.00% 0.44% $1,037,215 100.00% 0.22% 32.93%
10. Private Non-Managed Care $94,841,207 76.97% 13.35% $54,160,288 75.53% 11.61% 57.11%
11a. Private Managed Care (capitated) $0 0.00% 0.00% $0 0.00% 0.00%
11b. Private Managed Care (fee-for-service) $28,382,880 23.03% 4.00% $17,551,208 24.47% 3.76% 61.84%
12. Total Private (Sum of Lines 10 + 11a + 11b) $123,224,087 100.00% 17.34% $71,711,496 100.00% 15.38% 58.20%
13. Self-Pay $92,439,936 100.00% 13.01% $13,339,767 100.00% 2.86% 14.43%
14. TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) $710,433,678 100.00% $466,383,199 100.00% 65.65%
Line Payer Category Retroactive Settlements, Receipts, and Paybacks(c) Adjustments
Collection of Reconciliation
/Wraparound Current Year(c1)
$
Collection of Reconciliation
/Wraparound Previous Years(c2)
$
Collection of Other Payments: P4P, Risk Pools, etc.(c3)
$
Penalty/ Payback (c4)
$
Net Retros
$
Net Retros % of Charges Adjustments (d)
$
Adjustments % of Charges
1. Medicaid Non-Managed Care $201,541 $0 $7,970,145 $0 $8,171,686 2.88% $41,058,463 14.49%
2a. Medicaid Managed Care (capitated) $0 $0 $0 $0 $0 $0
2b. Medicaid Managed Care (fee-for-service) $0 $0 $2,166,291 $0 $2,166,291 2.71% $18,934,955 23.72%
3. Total Medicaid (Sum of Lines 1 + 2a + 2b) $201,541 $0 $10,136,436 $0 $10,337,977 2.85% $59,993,418 16.52%
4. Medicare Non-Managed Care $81,656 $247,501 $19,482 $0 $348,639 0.32% $35,049,960 31.75%
5a. Medicare Managed Care (capitated) $0 $0 $0 $0 $0 $0
5b. Medicare Managed Care (fee-for-service) $0 $0 $617,211 $0 $617,211 3.41% $9,226,784 51.05%
6. Total Medicare (Sum of Lines 4 + 5a + 5b) $81,656 $247,501 $636,693 $0 $965,850 0.75% $44,276,744 34.46%
7. Other Public, including Non-Medicaid CHIP, Non-Managed Care $0 $0 $0 $0 $0 0.00% $2,200,915 69.88%
8a. Other Public, including Non-Medicaid CHIP, Managed Care (capitated) $0 $0 $0 $0 $0 $0
8b. Other Public, including Non-Medicaid CHIP, Managed Care (fee-for-service) $0 $0 $0 $0 $0 $0
9. Total Other Public (Sum of Lines 7 + 8a + 8b) $0 $0 $0 $0 $0 0.00% $2,200,915 69.88%
10. Private Non-Managed Care $60,675 $0 $60,675 0.06% $37,506,802 39.55%
11a. Private Managed Care (capitated) $0 $0 $0 $0
11b. Private Managed Care (fee-for-service) $56,153 $0 $56,153 0.20% $4,476,776 15.77%
12. Total Private (Sum of Lines 10 + 11a + 11b) $116,828 $0 $116,828 0.09% $41,983,578 34.07%
13. Self-Pay
14. TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) $283,197 $247,501 $10,889,957 $0 $11,420,655 1.61% $148,454,655 20.90%
Line Sliding Fee Discounts (e)
$
Bad Debt Write-Off (f)
$
13. Self-Pay $49,000,882 $13,691,638

Footnotes

'-' Data cannot be calculated or has been suppressed for confidentiality purposes.

Cells that are shaded blue represent data that was not reported or null values.

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