Marshfield, Wisconsin |
Closed Panel Non-Federally |
|
Qualified HMO |
Private Membership = 57,500 |
Reimbursement—Based on ACR |
= 99 Percent AAPCC in Year 1 = $74.18 |
|
= 99 Percent AAPCC in Year 2 = $87.46 Plus Reinsurance Arrangement to Partially Compensate for Losses Due to Excess Hospital Days |
Additional Benefits:
|
Premium— |
$25.94 per Member (Year 1); $32 (Year 2) |
Marketing— |
Local Meetings; Continuous Open Enrollment (Year 1); Two One-Month Open Enrollment (Year 2) |
Enrollment— |
8,863 Beneficiaries and 14 ESRD |
Enrollment Began June 1980 |
49 Percent Penetration |
Disenrollment— |
466 Over 14-Month Period (288 Deaths) |