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General Hospital
Crazy Relations
Provider Terms
Patti's Treasure Chest
Membership Facts
100
The total number of hospitals in the Alliance network.
What is 16?
100
Healthcare Expense/Total Premium Dollars
What is the Medical Loss Ratio (MLR)?
100
The number of providers contracted with the Alliance compared to the number of providers in the areas we serve.
What is Market Share?
100
91.0%
What is the 2011 Benchmark for Medical Loss Ratio for all LOB’s and Medi-Cal?
100
The primary language spoken by a minimum of 3,000 members.
What is Threshold Language?
200
2011 ED Visits PKPY Benchmark for the Medi-Cal Child and Family population.
What is 600?
200
5.9 and 3.4.
What are the length of stays for Medi-Cal Aged & Disabled and Medi-Cal Child and Family?
200
Community-based providers who offer health services to low-income people, including those without insurance.
What is a Safety Net provider?
200
5.1%
What is the 2011 Administrative Expense Ratio for All LOB’s?
200
The % of members enrolled at the Alliance vs. total members enrolled in a program throughout the county.
What is Member Market Share?
300
2011 ED Visits PKPY rate for the Medi-Cal Aged and Disabled (SPD) population.
What is 1,192.6?
300
19:81 and 52:48.
What are the Ratios of Linked Private to Safety Net Providers in Merced and Santa Cruz?
300
Health care professionals other than physicians.
What are allied providers?
300
533%
What is the 2011 Percent of Tangible Net Equity?
300
**********DAILY-DOUBLE********** Because it is the Alliance’s main revenue source.
What is "Why membership matters"?
400
Ratio between the Aged and Disabled (SPD) vs. the Child and Family 2011 Inpatient Days PKPY rates.
What is 7:1?
400
254.8 and 63.6.
What are the Admissions/per 1k member/year for Medi-Cal Aged & Disabled and Medi-Cal Child & Family?
400
A provider pledged number.
What is capacity?
400
$576M
What is the Alliance’s 2011 total premium revenue?
400
April 30, 2013.
What is the wind down date for Merced Healthy Kids?