Overview of Catastrophic Health Care Cost Program Statistics

The Catastrophic Health Care Cost Program, as presented at the Health and Human Services Mid-Winter Conference 2022, highlights the history of CAT claims paid from 2016 to 2021, including the number of cases approved, provider payments, and average cost per case. The program also showcases provider payments with year-to-date figures for 2022 and details CAT cases and total state dollars from July 1, 2021, to December 31, 2021.

• Health Care
• Program Statistics
• CAT Claims
• Provider Payments
• Healthcare Conference

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1. Catastrophic Health Care Cost Program Health and Human Services Mid-Winter Conference 2022 Greg Johnson CAT Fund Program Chairman

2. History of CAT Claims Paid 2016 2017 2018 2019 2020 2021 No. of cases Approved 634 584 820 744 698 406 Provider Payments $12,352,238 $19,995,852 $19,488,185 $12,605,288 $16,582,239 $17,545,465 Average cost per Case $26,155 $21,151 $23,730 $23,541 $26,149 $31,048 Catastrophic Health Care Cost Program

3. PROVIDER PAYMENTS WITH FYTD 2022 $25,000,000 $19,995,852 $19,448,185 $20,000,000 $17,515,092 $16,582,239 $15,000,000 $12,347,959 $10,000,000 7,034,583 $5,000,000 $0 FY2016 FY2017 FY2018 FY2019 FY2020 FYTD2021 FYTD is 6 months, July-Dec. Catastrophic Health Care Cost Program

4. CAT Cases & Total State Dollars July 1, 2021 to December 31, 2021 Provider Payments FYTD2022 July 2021 - December 2021 Payments Payments ADA GOODING $2,288,240 $14,795 ADAMS IDAHO $0 $0 BANNOCK JEFFERSON $156,229 $0 BEAR LAKE JEROME $0 $122,489 BENEWAH KOOTENAI $115,400 $121,018 BINGHAM LATAH $28,927 $6,890 BLAINE LEMHI $337,989 $7,881 BOISE LEWIS $237,824 $0 BONNER LINCOLN $0 $5,527 BONNEVILLE MADISON $19,009 $0 BOUNDARY MINIDOKA $0 $52,244 BUTTE NEZ PERCE $0 $0 CAMAS ONEIDA $0 $0 CANYON OWYHEE $281,391 $188,749 CARIBOU PAYETTE $17,779 $42,768 CASSIA POWER $121,477 $0 CLARK SHOSHONE $0 $0 CLEARWATER TETON $0 $0 CUSTER TWIN FALLS $0 $146,755 ELMORE VALLEY $43,660 $0 FRANKLIN WASHINGTON $0 $13,659 FREMONT $0 GEM TOTAL $99,388 $4,470,090