Massachusetts Data
37 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 | $306,053,407 | 34.64% | 15.29% | $173,303,111 | 27.92% | 14.71% | 56.63% |
| 2a. | Medicaid Managed Care (capitated) | $346,916,910 | 39.27% | 17.33% | $318,438,196 | 51.31% | 27.03% | 91.79% |
| 2b. | Medicaid Managed Care (fee-for-service) | $230,515,144 | 26.09% | 11.51% | $128,921,882 | 20.77% | 10.94% | 55.93% |
| 3. | Total Medicaid (Sum of Lines 1 + 2a + 2b) | $883,485,461 | 100.00% | 44.13% | $620,663,189 | 100.00% | 52.68% | 70.25% |
| 4. | Medicare Non-Managed Care | $194,165,805 | 55.82% | 9.70% | $110,410,567 | 51.52% | 9.37% | 56.86% |
| 5a. | Medicare Managed Care (capitated) | $48,691,872 | 14.00% | 2.43% | $37,474,115 | 17.49% | 3.18% | 76.96% |
| 5b. | Medicare Managed Care (fee-for-service) | $105,008,503 | 30.19% | 5.25% | $66,407,218 | 30.99% | 5.64% | 63.24% |
| 6. | Total Medicare (Sum of Lines 4 + 5a + 5b) | $347,866,180 | 100.00% | 17.38% | $214,291,900 | 100.00% | 18.19% | 61.60% |
| 7. | Other Public, including Non-Medicaid CHIP, Non-Managed Care | $57,904,073 | 97.54% | 2.89% | $33,413,986 | 97.26% | 2.84% | 57.71% |
| 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) | $1,460,047 | 2.46% | 0.07% | $942,649 | 2.74% | 0.08% | 64.56% |
| 9. | Total Other Public (Sum of Lines 7 + 8a + 8b) | $59,364,120 | 100.00% | 2.97% | $34,356,635 | 100.00% | 2.92% | 57.87% |
| 10. | Private Non-Managed Care | $350,992,891 | 75.03% | 17.53% | $203,978,721 | 76.18% | 17.31% | 58.11% |
| 11a. | Private Managed Care (capitated) | $1,831,550 | 0.39% | 0.09% | $358,889 | 0.13% | 0.03% | 19.59% |
| 11b. | Private Managed Care (fee-for-service) | $114,968,241 | 24.58% | 5.74% | $63,407,098 | 23.68% | 5.38% | 55.15% |
| 12. | Total Private (Sum of Lines 10 + 11a + 11b) | $467,792,682 | 100.00% | 23.37% | $267,744,708 | 100.00% | 22.73% | 57.24% |
| 13. | Self-Pay | $243,444,234 | 100.00% | 12.16% | $41,125,535 | 100.00% | 3.49% | 16.89% |
| 14. | TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) | $2,001,952,677 | 100.00% | $1,178,181,967 | 100.00% | 58.85% | ||
| 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 | $5,932,906 | $8,983,730 | $3,198,748 | $0 | $18,115,384 | 5.92% | $115,804,753 | 37.84% |
| 2a. | Medicaid Managed Care (capitated) | $2,596,289 | $5,171,091 | $4,775,309 | $0 | $12,542,689 | 3.62% | $41,762,392 | 12.04% |
| 2b. | Medicaid Managed Care (fee-for-service) | $3,021,940 | $9,071,619 | $2,502,113 | $0 | $14,595,672 | 6.33% | $105,942,009 | 45.96% |
| 3. | Total Medicaid (Sum of Lines 1 + 2a + 2b) | $11,551,135 | $23,226,440 | $10,476,170 | $0 | $45,253,745 | 5.12% | $263,509,154 | 29.83% |
| 4. | Medicare Non-Managed Care | $3,082,924 | $1,132,476 | $300,253 | $0 | $4,515,653 | 2.33% | $83,551,871 | 43.03% |
| 5a. | Medicare Managed Care (capitated) | $0 | $772,000 | $717,945 | $0 | $1,489,945 | 3.06% | $13,032,352 | 26.76% |
| 5b. | Medicare Managed Care (fee-for-service) | $58,083 | $310,621 | $37,640 | $0 | $406,344 | 0.39% | $31,121,286 | 29.64% |
| 6. | Total Medicare (Sum of Lines 4 + 5a + 5b) | $3,141,007 | $2,215,097 | $1,055,838 | $0 | $6,411,942 | 1.84% | $127,705,509 | 36.71% |
| 7. | Other Public, including Non-Medicaid CHIP, Non-Managed Care | $1,667,654 | $192,324 | $0 | $0 | $1,859,978 | 3.21% | $23,237,865 | 40.13% |
| 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 | $6,490 | $0 | $6,490 | 0.44% | $204,559 | 14.01% |
| 9. | Total Other Public (Sum of Lines 7 + 8a + 8b) | $1,667,654 | $192,324 | $6,490 | $0 | $1,866,468 | 3.14% | $23,442,424 | 39.49% |
| 10. | Private Non-Managed Care | $1,713,786 | $128,551 | $1,585,235 | 0.45% | $134,634,773 | 38.36% | ||
| 11a. | Private Managed Care (capitated) | $0 | $0 | $0 | 0.00% | $983,211 | 53.68% | ||
| 11b. | Private Managed Care (fee-for-service) | $2,484 | $0 | $2,484 | 0.00% | $41,395,887 | 36.01% | ||
| 12. | Total Private (Sum of Lines 10 + 11a + 11b) | $1,716,270 | $128,551 | $1,587,719 | 0.34% | $177,013,871 | 37.84% | ||
| 13. | Self-Pay | ||||||||
| 14. | TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) | $16,359,796 | $25,633,861 | $13,254,768 | $128,551 | $55,119,874 | 2.75% | $591,670,958 | 29.55% |
| Line | Sliding Fee Discounts (e) $ |
Bad Debt Write-Off (f) $ |
|
|---|---|---|---|
| 13. | Self-Pay | $121,115,429 | $23,942,444 |
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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