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Payer

Dual Eligible

Government payer.

Provenance
Members
1,428
13% of all patients · across all payers: top 70% by members
Visits billed
73,637
11% of all billed visits · across all payers: #3 of 10 by visits
  • 61% ambulatory visits
  • 12% wellness visits
  • 8.0 median years covered per member
  • $3,263,899 out of pocket
  • $772,280 in premiums
  • $122,794,213 paid by the insurer

The three money flows are across 6,908 annual snapshots, and they do not add up to one total.

Members arrive most often from Medicaid and Medicare, and leave most often for Medicaid and Medicare.

Ages covered

Dual Eligible: median 60 across all visits: median 48

Ages covered Bar chart. Ages covered. 73,637 visits in all; the largest group is 60 to 69 with 19,415; Dual Eligible: median 60 years; across all visits: median 48 years. 0 5,000 10,000 15,000 0 to 9: 1,088 visits 10 to 19: 2,907 visits 20 to 29: 2,167 visits 30 to 39: 2,616 visits 40 to 49: 4,221 visits 50 to 59: 8,396 visits 60 to 69: 19,415 visits 70 to 79: 19,238 visits 80 to 89: 8,358 visits 90 and over: 5,231 visits 0 10 20 30 40 50 60 70 80 90 100 years
Half of these visits were by someone 60 or older. Across all visits, half were by someone 48 or older. The 60 to 69 hold the most, 19,415 visits.

Share of billed money covered

Share of billed money covered Bar chart. Share of billed money covered. 10 insurers ranked by covered share; Dual Eligible is 99%, ranked 1 of 10. Dual Eligible: 99% of what it is billed, ranked 1 of 10 Dual Eligible 99% Medicaid: 98% of what it is billed, ranked 2 of 10 Medicaid 98% Medicare: 81% of what it is billed, ranked 3 of 10 Medicare 81% UnitedHealthcare: 78% of what it is billed, ranked 4 of 10 UnitedHealthcare 78% Anthem: 78% of what it is billed, ranked 5 of 10 Anthem 78% Blue Cross Blue Shield: 68% of what it is billed, ranked 6 of 10 Blue Cross Blue Shield 68% Cigna Health: 65% of what it is billed, ranked 7 of 10 Cigna Health 65% Humana: 63% of what it is billed, ranked 8 of 10 Humana 63% Aetna: 62% of what it is billed, ranked 9 of 10 Aetna 62% No insurance: 0% of what it is billed, ranked 10 of 10 No insurance 0%
Every insurer in the graph, by the share of what it is billed that it covers. This one is 1 of 10.