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Transform Care March 08, 2017

New Analysis: Inside the GOP Plan to Shore Up Individual Market

Practice Leader, Oliver Wyman Actuarial Consulting

Patient and State Stability Funds for Benefit Year 2018

Development of Allocation Percentages and Dollar Amounts by State

Using Incurred Claims before 3Rs and CSR for Allocation of 85%

   
   
   

 

State

Allocation Based on Incurred Claims

Allocation Based on Uninsured and Insurer Participation

Total Allocation

2015 Individual Billable Member Months

Total Appropriation PMPM

AK

$46,914,319

$5,812,881

$52,727,200

252,070

$209.18

AL

217,923,963

59,374,423

277,298,386

2,471,190

112.21

AR

283,864,145

-

283,864,145

3,264,612

86.95

AZ

222,190,357

92,590,884

314,781,241

2,640,412

119.22

CA

1,675,065,332

-

1,675,065,332

24,317,670

68.88

CO

193,410,899

61,450,452

254,861,351

2,466,925

103.31

CT

114,489,117

17,023,436

131,512,553

1,950,317

67.43

DC

11,605,762

2,491,235

14,096,997

166,221

84.81

DE

36,490,783

4,982,469

41,473,252

390,596

106.18

FL

1,337,612,710

319,708,433

1,657,321,143

16,884,417

98.16

GA

498,264,097

199,298,764

697,562,861

6,184,546

112.79

HI

33,958,258

8,304,115

42,262,373

418,464

100.99

IA

44,986,634

-

44,986,634

984,896

45.68

ID

115,633,478

21,175,494

136,808,972

1,311,031

104.35

IL

509,590,019

-

509,590,019

5,764,785

88.40

IN

191,183,439

53,146,337

244,329,776

2,408,899

101.43

KS

110,632,769

32,386,049

143,018,818

1,442,691

99.13

KY

102,245,592

-

102,245,592

1,235,019

82.79

LA

197,030,327

69,339,362

266,369,689

2,099,225

126.89

MA

202,331,379

17,023,436

219,354,815

NA

NA

MD

180,787,551

-

180,787,551

2,821,903

64.07

ME

79,571,760

-

79,571,760

861,990

92.31

MI

309,435,610

-

309,435,610

4,617,562

67.01

MN

226,045,722

27,818,786

253,864,508

3,235,126

78.47

MO

209,551,996

-

209,551,996

3,012,821

69.55

MS

63,216,155

44,427,016

107,643,171

1,067,544

100.83

MT

84,202,969

-

84,202,969

948,357

88.79

NC

572,406,370

136,187,488

708,593,858

5,987,033

118.35

ND

29,721,295

-

29,721,295

447,449

66.42

NE

94,474,058

16,193,025

110,667,083

1,117,093

99.07

NH

45,795,883

-

45,795,883

595,032

76.96

NJ

282,039,035

63,111,275

345,150,310

3,545,091

97.36

NM

64,329,024

-

64,329,024

912,306

70.51

NV

70,286,103

-

70,286,103

1,366,893

51.42

NY

444,698,561

131,205,019

575,903,580

5,328,271

108.08

OH

189,021,152

-

189,021,152

2,930,603

64.50

OK

156,983,427

46,503,045

203,486,472

1,880,217

108.22

OR

187,361,810

-

187,361,810

2,413,683

77.62

PA

577,987,818

-

577,987,818

6,963,946

83.00

RI

28,753,143

3,321,646

32,074,789

492,253

65.16

SC

188,006,731

62,696,069

250,702,800

2,195,866

114.17

SD

28,851,118

9,964,938

38,816,056

465,177

83.44

TN

250,888,990

81,380,328

332,269,318

2,977,403

111.60

TX

1,218,624,019

489,527,588

1,708,151,607

14,099,873

121.15

UT

133,424,431

22,836,317

156,260,748

1,900,532

82.22

VA

311,895,637

98,818,970

410,714,607

4,750,567

86.46

VT

34,508,122

2,906,440

37,414,562

NA

NA

WA

207,491,214

-

207,491,214

3,709,770

55.93

WI

247,518,089

37,368,518

284,886,607

2,507,392

113.62

WV

55,355,847

7,058,498

62,414,345

517,573

120.59

WY

31,342,981

4,567,264

35,910,245

263,671

136.19

Total

$12,750,000,000

$2,250,000,000

$15,000,000,000

160,586,981

$91.81

 

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