mmpc - National Indian Health Board

Methods
Table 5. Mean Medicaid and Third Party Payments per Recipient* divided between those Less than 65 years of
age and 65 years or more for the main analysis groups. The 95% Confidence Limits are also shown.
Analysis Groups Recipients Mean +/- C.L. Mean +/- C.L. Mean +/- C.L.
Recipients* enrolled 12 months
IHS AIAN 254,278
Other AIAN 79,019
Whites, Non-Hispanic 528,997
Recipients* enrolled Less than 12 months
IHS AIAN 220,745
Other AIAN 69,131
Whites, Non-Hispanic 468,157
Recipients* enrolled 12 months
IHS AIAN 254,278
Other AIAN 79,019
Whites, Non-Hispanic 528,997
Recipients* enrolled Less than 12 months
IHS AIAN 220,745
Other AIAN 69,131
Whites, Non-Hispanic 468,157
Recipients* enrolled 12 months
IHS AIAN 17,228
Other AIAN 4,134
Whites, Non-Hispanic 59,521
Recipients* enrolled Less than 12 months
IHS AIAN 3,322
Other AIAN 1,034
Whites, Non-Hispanic 16,191
Recipients* enrolled 12 months
IHS AIAN 17,228
Other AIAN 4,134
Whites, Non-Hispanic 59,521
Recipients* enrolled Less than 12 months
IHS AIAN 3,322
Other AIAN 1,034
Whites, Non-Hispanic 16,191
Medical Fee-for-Service and Capitated Care
Medicaid Third Party Total
$ 5,008 $ 60 $ 33 $ 9 $ 5,041 $ 60
$ 3,656 $ 125 $ 30 $ 5 $ 3,686 $ 125
$ 4,440 $ 33 $ 98 $ 17 $ 4,538 $ 37
$ 2,979 $ 47 $ 15 $ 3 $ 2,993 $ 47
$ 2,038 $ 86 $ 14 $ 2 $ 2,052 $ 86
$ 2,048 $ 19 $ 29 $ 4 $ 2,076 $ 20
$ 417 $ 5 $ 3 $ 1 $ 420 $ 5
$ 305 $ 10 $ 2 $ 0 $ 307 $ 10
$ 370 $ 3 $ 8 $ 1 $ 378 $ 3
$ 499 $ 10 $ 2 $ 0 $ 502 $ 10
$ 407 $ 23 $ 3 $ 1 $ 411 $ 23
$ 363 $ 5 $ 6 $ 1 $ 369 $ 5
$ 6,230 $ 194 $ 178 $ 88 $ 6,408 $ 214
$ 4,964 $ 285 $ 137 $ 54 $ 5,102 $ 292
$ 5,540 $ 76 $ 158 $ 33 $ 5,698 $ 84
$ 4,208 $ 476 $ 148 $ 151 $ 4,356 $ 524
$ 2,919 $ 443 $ 161 $ 105 $ 3,080 $ 461
$ 3,165 $ 118 $ 165 $ 54 $ 3,330 $ 132
$ 519 $ 16 $ 15 $ 7 $ 534 $ 18
$ 414 $ 24 $ 11 $ 5 $ 425 $ 24
$ 462 $ 6 $ 13 $ 3 $ 475 $ 7
$ 846 $ 153 $ 21 $ 17 $ 867 $ 155
$ 557 $ 106 $ 26 $ 15 $ 583 $ 108
$ 597 $ 35 $ 35 $ 14 $ 632 $ 38
10
Less than 65 years of Age
Annual Payment per Recipient
Monthly Payment per Recipient
65 years of Age & Over
Annual Payment per Recipient
Monthly Payment per Recipient
Data is analyzed separately for recipients whose Medicaid paid medical care is provided Fee-for-
Service (FFS) and those whose is provided through a capitated Comprehensive Managed Care Plan
(CMCP). Much of Medicaid covered care has in recent years become managed by health care plans
to lower Medicaid payments. Even recipients in FFS medical care may have monthly capitated
premiums paid for Primary Care Case Management (PCCM), or behavioral or dental Prepaid Health
Plans (PHP). For enrollment of AIAN in CMCP, PHP and PCCM in the IHS areas see Integrating
Medicaid and Indian Health Service Data, 2011 .