TR2009

Page 156

Actuarial Methodology Based on the increases in table IV.B1, table IV.B2 shows the estimates of the average incurred reimbursement for carrier services per fee-for-service enrollee. Table IV.B2.—Incurred Reimbursement Amounts per Fee-for-Service Enrollee for Carrier Services Fee-for-service enrollment [millions]

Physician fee schedule

DME

1999 2000 2001 2002 2003 2004 2005 2006 2007 2008

26.003 26.163 26.959 27.686 28.232 28.440 28.433 27.614 26.933 26.319

$1,134.08 1,248.46 1,373.57 1,397.76 1,484.88 1,638.83 1,724.37 1,801.38 1,836.72 1,911.42

$133.74 147.52 166.49 188.03 214.19 212.88 215.42 224.79 229.24 247.23

$68.35 73.29 78.73 84.23 89.84 96.88 103.02 110.98 121.86 130.92

$219.30 250.62 291.31 340.63 396.38 426.24 440.40 464.64 486.30 499.87

2009 2010 2011 2012 2013 2014 2015 2016 2017 2018

26.064 26.065 26.649 27.387 28.225 29.042 29.890 30.785 31.737 32.740

1,999.41 1,671.11 1,606.59 1,688.89 1,619.10 1,559.79 1,583.08 1,687.79 1,805.35 1,953.82

258.46 265.18 277.92 295.22 307.12 322.08 342.39 363.18 382.58 403.25

145.55 152.83 153.34 162.81 172.32 183.09 195.07 207.29 220.74 235.21

534.22 556.66 589.92 628.10 668.63 713.76 758.60 806.29 859.67 918.63

Disabled (excluding ESRD): 1999 3.989 2000 4.137 2001 4.355 2002 4.563 2003 4.847 2004 5.100 2005 5.309 2006 5.238 2007 5.240 2008 5.209

936.88 1,055.96 1,160.01 1,195.45 1,274.30 1,403.25 1,466.39 1,517.92 1,550.85 1,617.02

187.30 204.68 234.68 281.70 323.73 322.26 328.96 350.94 360.74 393.37

62.06 67.83 71.99 79.86 85.31 92.61 98.94 108.50 122.88 137.61

184.79 216.55 251.95 303.45 374.44 422.60 451.05 434.21 459.99 493.30

1,681.84 1,406.34 1,351.52 1,425.43 1,365.72 1,314.71 1,332.79 1,419.05 1,516.34 1,640.20

415.06 427.14 449.37 478.88 500.07 525.94 560.48 595.32 626.88 660.17

153.18 160.70 161.18 171.06 180.99 192.26 204.80 217.61 231.71 246.87

537.72 556.19 588.50 625.37 664.95 708.82 753.51 800.71 853.35 911.08

Calendar year

Lab

Other carrier

Aged:

2009 2010 2011 2012 2013 2014 2015 2016 2017 2018

5.261 5.360 5.508 5.598 5.692 5.793 5.895 5.987 6.067 6.137

ii. Durable Medical Equipment (DME), Laboratory, and Other Carrier Services As with physician services, over time unique fee schedules or reimbursement mechanisms have been established for virtually all other non-physician carrier services. Table IV.B1 shows the increases 150


Issuu converts static files into: digital portfolios, online yearbooks, online catalogs, digital photo albums and more. Sign up and create your flipbook.