Table 7. Average Minimum Plan Size and Percent of Medicare+Choice (M+C) Organizations that Meet Full-Time Equivalent (FTE) Enrollment Criteria.
ACSC | Statistical Precision Criterion | |||
---|---|---|---|---|
| ||||
Minimum M+C Organizations' FTE Enrollee Size1 | Percent M+C Organizations at or Above Minimum | |||
| ||||
Mean | Standard Deviation | Median | ||
Total | 178 | 143 | 151 | 92 |
Acute Conditions2 | 236 | 171 | 204 | 87 |
Chronic Conditions3 | 249 | 185 | 230 | 85 |
Preventable Conditions4 | 1,172 | 1,187 | 1,334 | 53 |
Asthma/COPD | 1,538 | 3,166 | 378 | 82 |
Congestive Heart Failure | 1,165 | 2,783 | 293 | 86 |
Seizure Disorder | 4,102 | 4,314 | 1,334 | 52 |
Diabetes Mellitus | 3,341 | 4,174 | 964 | 69 |
Hypertension | 3,519 | 4,182 | 1,064 | 70 |
Gastric or Duodenal Ulcer | 3,112 | 4,049 | 911 | 70 |
Hypoglycemia | 8,109 | 3,489 | 10,435 | 37 |
Urinary Tract Infection | 2,276 | 3,671 | 612 | 76 |
Cellulitis | 2,845 | 3,965 | 809 | 73 |
Dehydration | 2,210 | 3,568 | 678 | 78 |
Hypokalemia | 6,335 | 4,156 | 10,435 | 50 |
Pneumonia | 1,355 | 3,011 | 332 | 84 |
Severe Ear/Nose/Throat Infections | 9,316 | 2,493 | 10,435 | 35 |
Influenza | 7,430 | 3,772 | 10,435 | 44 |
Malnutrition | 6,872 | 3,941 | 10,435 | 47 |
Number of M+C organizations out of 305 reporting M+C organizations.
Acute conditions are hypoglycemia, urinary tract infections, cellulitis, dehydration, hypokalemia, gastric or duodenal ulcer, bacterial pneumonia, and severe ear/nose/throat infections.
Chronic conditions are asthma/COPD, congestive heart failure, seizure disorder, diabetes mellitus, and hypertension.
Preventable conditions are influenza and malnutrition.
NOTES: ACSC is ambulatory care sensitive condition. COPD is chronic obstructive pulmonary disease.
SOURCE: Health Economics Research, Inc., analysis of 1997/1998 M+C inpatient hospital encounter data.