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. 1982 Mar;3(3):1–11.
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:
  • —No Coinsurance or Deductible

  • —Unlimited Hospital Days

  • —Preventive Services

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)